Hypertension

A U-shaped association between dietary phosphorus intake and new-onset hypertension: a nationwide cohort study in China

Am Heart JPublished Prospective cohort study

Authors' conclusion

There was a U-shaped association between dietary phosphorus intake and new-onset hypertension in general Chinese adults.

Study context

Population
Chinese adults free of hypertension at baseline (China Health and Nutrition Survey (CHNS))4,269 new-onset hypertension
Participants
12,177 adults
Exposure
Dietary phosphorus intake quintiles
Outcome
New-onset hypertension (SBP ≥140 mm Hg or DBP ≥90 mm Hg, physician diagnosis or antihypertensive treatment)
Follow-up
Median 6.1 years
Methodological detailsnationwide, Dietary intake by 3 consecutive 24-hour recalls plus household food inventory
  • Nationwide
  • Dietary intake by 3 consecutive 24-hour recalls plus household food inventory

Main finding

As reported in the abstract

New-onset hypertension · median 6.1 years
Hazard ratio (95% CI)
Q1–2vs Q3–4
1.23(1.14–1.33)
Q5vs Q3–4
1.21(1.10–1.33)
U-shaped association between dietary phosphorus intake and new-onset hypertension
P for nonlinearity<.001

Observational data: associations, not effects.

Original publication

A U-shaped association between dietary phosphorus intake and new-onset hypertension: a nationwide cohort study in China. Am Heart J. Published 20 January 2023. doi:10.1016/j.ahj.2023.01.013

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