Fruit, vegetable consumption and blood pressure in healthy adolescents: A longitudinal analysis from the LabMed study

Nutr Metab Cardiovasc Dis. 2018 Oct;28(10):1075-1080. doi: 10.1016/j.numecd.2018.05.014. Epub 2018 May 31.

Abstract

Background and aims: The associations between fruit and vegetable consumption and high blood pressure among adults are well studied. Nonetheless, data on the influence of a low consumption of fruit and vegetables on cardiovascular disease risk, particularly blood pressure, among healthy adolescents are scarce. Therefore, we aim to analyse the associations between fruit and/or vegetable intake and blood pressure over a two-year period in healthy adolescents.

Methods and results: As part of a cohort, 606 adolescents from the LabMed Physical Activity study were evaluated in 2011 (baseline) and 2013 (follow-up). Blood pressure was measured according to standardized procedures and fruit and vegetable consumption was assessed with a food frequency questionnaire. Anthropometric variables, socioeconomic status, pubertal stage and lifestyle determinants were gathered and used as confounders. Prospective associations between fruit and/or vegetable intake and blood pressure were examined using generalized linear models. Girls who consumed more fruit at baseline had a significant decrease in diastolic blood pressure at follow-up [unstandardized beta: -0.005 mmHg (95%CI: -0.01; -0.0002) (p = 0.038)].

Conclusion: In apparently healthy adolescents, fruit intake may already start to have an effect in blood pressure. Girls who consumed more fruit exhibited lower levels of diastolic blood pressure.

Keywords: Adolescents; Blood pressure; Fruit; Vegetable.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Health*
  • Age Factors
  • Blood Pressure*
  • Child
  • Child Health*
  • Diet, Healthy*
  • Female
  • Fruit*
  • Health Status
  • Humans
  • Longitudinal Studies
  • Male
  • Portion Size
  • Portugal
  • Protective Factors
  • Recommended Dietary Allowances
  • Risk Reduction Behavior
  • Sex Factors
  • Vegetables*