Dietary acid load and risk of hypertension: A systematic review and dose-response meta-analysis of observational studies

Dietary acid load and risk of hypertension: A systematic review and dose-response meta-analysis of observational studies


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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: وحید ملکی

کلمات کلیدی: Acid-base; equilibrium; Diet; Hypertension; Cardiovascular disease

نشریه: 25893 , March 2019 , 23 , 2019

اطلاعات کلی مقاله
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نویسنده ثبت کننده مقاله وحید ملکی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه کمیته تحقیقات دانشجویی
کد مقاله 67277
عنوان فارسی مقاله Dietary acid load and risk of hypertension: A systematic review and dose-response meta-analysis of observational studies
عنوان لاتین مقاله Dietary acid load and risk of hypertension: A systematic review and dose-response meta-analysis of observational studies
ناشر 7
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Review Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Background and aim: Previous studies have assessed diet-induced mild metabolic acidosis in relation to blood pressure, however, data are conflicting. Current systematic review and dose-response meta-analysis aimed to summarize earlier findings from observational studies on the association between dietary acid load and hypertension. Methods and results: We searched the online databases for relevant publications up to Feb 2019, using relevant keywords. Overall, 14 studies (3 prospective and 11 cross-sectional studies) that included 306,183 individuals and 62,264 cases of hypertension were included in the current meta-analysis. Combining effect sizes from both prospective and cross-sectional studies revealed no significant non-linear association between dietary acid load (based on net endogenous acid production (NEAP) method) and hypertension. However, stratified analysis based on study design showed a significant non-linear association between dietary acid load and hypertension in prospective studies (P Z 0.006), but not cross-sectional ones. According to linear doseresponse analysis, no significant association was found between dietary acid load (based on NEAP) and hypertension (combined effect size: 1.01, 95% CI: 0.97e1.06, P Z 0.51). In terms of dietary acid load based on potential renal acid load (PRAL) method, no significant non-linear association was seen with hypertension (P Z 0.52). However, in linear dose-response analysis, a-20 unit increase in PRAL values was associated with 3% increased risk of hypertension (combined effect size: 1.03, 95% CI: 1.00e1.06, P Z 0.03). Conclusion: We found a significant positive association between dietary acid load and hypertension. Further studies, particularly those with prospective nature, are needed to confirm our findings.

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وحید ملکیچهارم

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