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ARTICLE |

Alcohol, Nutrient Intake, and Hypertension in US Adults FREE

Harvey W. Gruchow, PhD; Kathleen A. Sobocinski, MS; Joseph J. Barboriak, ScD
[+] Author Affiliations

Reprint requests to Division of Biostatistics/ Clinical Epidemiology, Department of Medicine, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226 (Dr Gruchow).


JAMA. 1985;253(11):1567-1570. doi:10.1001/jama.1985.03350350061020
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Data from the first Health and Nutrition Examination Survey were analyzed with multivariate statistical techniques to determine whether there was evidence for a contributory role of alcohol in hypertension and to provide a suitable perspective on the importance of nutrient variables compared with other established risk factors for hypertension. The results of these analyses reaffirm the importance of alcohol and sodium intakes on blood pressures among US adults. Potassium (inversely) and phosphorus (directly) were also identified as important nutrient predictors of higher systolic blood pressure. Calcium intake was significantly related to systolic blood pressure only among nonwhite men and was not a significant predictor of systolic pressure overall. In addition, the results of the study reemphasized the paramount importance of age, race, and obesity in determining hypertension. Current nutrient intakes, by comparison, are relatively less important.

(JAMA 1985;253:1567-1570)

REFERENCES

Report of the Hypertension Task Force: General Summary and Recommendations , Dept of Health and Human Services publication (NIH) 79-1623. Bethesda, Md, National Institutes of Health, (September) 1979;, vol 1.
Harburg E, Gliebermann L, Roeper P, et al:  Skin color, ethnicity, and blood pressure: I. Detroit blacks . Am J Public Health 1978;;60:1177-1183.
Voors AW, Harsha DW, Webber LS, et al:  Relation of blood pressure to stature in healthy young adults . Am J Epidemiol 1982;;115:833-840.
Noppa H:  Body weight change in relation to incidence of ischemic heart disease and change in risk factors for ischemic heart disease . Am J Epidemiol 1980;;111:693-704.
Ostfeld AM, Schekelle RB:  Psychological variables and blood pressure , in Stamler J, Stamler R, Pullman TN (eds): The Epidemiology of Hypertension . New York, Grune & Stratton Inc, 1967;, pp 321-331.
Simpson FO:  Salt and hypertension: Current data, attitudes and policies . J Cardiovasc Pharmacol 1984;;6:54-59.
Fortmann SP, Hashell WL, Vranizan K, et al:  The association of blood pressure and dietary alcohol: Differences by age, sex, and estrogen use . Am J Epidemiol 1983;;118:497-507.
McCarron DA, Morris CD, Henry HJ, et al:  Blood pressure and nutrient intake in the United States . Science 1984;;224:1392-1398.
Harlan WR, Hull AL, Schmouder RL, et al:  Blood pressure and nutrition in adults . Am J Epidemiol 1984;;120:17-28.
Draper NR, Smith H: Applied Regression Analysis . New York, John Wiley & Sons Inc, 1966;.
Bayless TM, Rosensweig NS:  A racial difference in the incidence of lactose deficiency . JAMA 1966;;197:968-972.
Itskovitz HD, Kochar MS, Anderson AJ, et al:  Patterns of blood pressure in Milwaukee . JAMA 1977;;238:864-868.
Stamler J, Stamler R, Riedlinger WF, et al:  Hypertension screening of 1 million Americans: Community Hypertension Evaluation Clinic (CHEC) Program, 1973 through 1975 . JAMA 1976;;235:2299-2306.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Report of the Hypertension Task Force: General Summary and Recommendations , Dept of Health and Human Services publication (NIH) 79-1623. Bethesda, Md, National Institutes of Health, (September) 1979;, vol 1.
Harburg E, Gliebermann L, Roeper P, et al:  Skin color, ethnicity, and blood pressure: I. Detroit blacks . Am J Public Health 1978;;60:1177-1183.
Voors AW, Harsha DW, Webber LS, et al:  Relation of blood pressure to stature in healthy young adults . Am J Epidemiol 1982;;115:833-840.
Noppa H:  Body weight change in relation to incidence of ischemic heart disease and change in risk factors for ischemic heart disease . Am J Epidemiol 1980;;111:693-704.
Ostfeld AM, Schekelle RB:  Psychological variables and blood pressure , in Stamler J, Stamler R, Pullman TN (eds): The Epidemiology of Hypertension . New York, Grune & Stratton Inc, 1967;, pp 321-331.
Simpson FO:  Salt and hypertension: Current data, attitudes and policies . J Cardiovasc Pharmacol 1984;;6:54-59.
Fortmann SP, Hashell WL, Vranizan K, et al:  The association of blood pressure and dietary alcohol: Differences by age, sex, and estrogen use . Am J Epidemiol 1983;;118:497-507.
McCarron DA, Morris CD, Henry HJ, et al:  Blood pressure and nutrient intake in the United States . Science 1984;;224:1392-1398.
Harlan WR, Hull AL, Schmouder RL, et al:  Blood pressure and nutrition in adults . Am J Epidemiol 1984;;120:17-28.
Draper NR, Smith H: Applied Regression Analysis . New York, John Wiley & Sons Inc, 1966;.
Bayless TM, Rosensweig NS:  A racial difference in the incidence of lactose deficiency . JAMA 1966;;197:968-972.
Itskovitz HD, Kochar MS, Anderson AJ, et al:  Patterns of blood pressure in Milwaukee . JAMA 1977;;238:864-868.
Stamler J, Stamler R, Riedlinger WF, et al:  Hypertension screening of 1 million Americans: Community Hypertension Evaluation Clinic (CHEC) Program, 1973 through 1975 . JAMA 1976;;235:2299-2306.
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