RESEARCH PAPER
An assessment of dietary intake and state of nutritional in hypertensive patients from rural and urban areas of Greater Poland
 
More details
Hide details
1
Department of Human Nutrition and Hygiene, University of Life Sciences, Poznan, Poland
 
2
Department of Internal Medicine, Metabolic Disorders and Hypertension, University of Medical Sciences, Poznan, Poland
 
3
Department of Bromatology, University of Medical Sciences, Poznan, Poland
 
4
Department of Allergology and Environmental Hazards, Institute of Rural Health, Lublin, Poland
 
 
Ann Agric Environ Med. 2012;19(3):339-343
 
KEYWORDS
ABSTRACT
The aim of this study was to determine the nutritional factors connected with the prevalence of hypertension in rural and urban areas of Greater Poland. The study consisted of 308 people aged 35-62, with essential hypertension but without any other coexisting disorders. The studied group consisted of 154 residents of Poznań (79 women and 75 men) and 152 inhabitants of rural areas in Greater Poland (78 women and 74 men). Participants were randomly assigned to the study. Nutritional state assessment was based on Body Mass Index (BMI) and body fat percentage. Dietary intake were assessed with a 24-hour nutritional survey from 3 consecutive days. Analysis of anthropometric examination results showed a large prevalence of obesity in the studied group. Moreover people living in rural areas had a significantly higher BMI and body fat percentage than those living in a city. It has been proved that the patients with hypertension consume food with an excess of fat and a shortage of fibre, antioxidant vitamins, potassium, calcium and magnesium. The total food rations of rural dwellers consisted of larger amounts of fat, cholesterol and vitamin A compared to those of city dwellers. Present studies have shown incorrect dietary intake among patients with hypertension, often related to the coexistence of overweight and obesity. Obtained results indicate significantly worse eating habits and state of nutrition among rural inhabitants.
REFERENCES (42)
1.
The World Health Report 2002. Reducing Risk, Promoting Health Life, Genewa 2002.
 
2.
Zdrojewski T. Nadciśnienie tętnicze w Polsce. Terapia 2002;7-8:4-7.
 
3.
Polakowska M, Piotrowski W, Broda G, Rywik S. Program epidemiologiczny oceniający częstość nadciśnienia tętniczego w Polsce wśród pacjentów lecznictwa otwartego-badanie PENT. Part II. Wykrywalność nadciśnienia tętniczego – wpływ liczby wizyt ambulatoryjnych na częstość wykrywanego nadciśnienia tętniczego. Nadciśnienie Tętnicze 2004; 8(1): 15-24.
 
4.
Panasiuk L, Paprzycki P. Occurrence of arterial hypertension among adult population in eastern Poland. JP-CCR 2009; 3(2): 099-102.
 
5.
Pampalon R, Martinez Jerome, Hamel D. Does living in rural areas make a differencefor health in Quebec? Health & Place 2006; 12: 421-435.
 
6.
Peytremann-Bridevaux I, Faeh D, Santos-Eggimann B. Prevalence of overweight and obesity in rural and urban settings of 10 European countries. Prev Med. 2007; 44: 442-446.
 
7.
Krzyszycha R, Szponar B, Cyran E. Assessment of the influence of selected behaviours on incidence of overweight and obesity among women from rural areas. Rocz Panstw Zakl Hig. 2009; 60(2): 177-180.
 
8.
Szuba A, Poręba R, Mlynek V, Gutherc R, Nowak M, Brzozowski T, Grać P, Kolman E, Seniuta J, Łukasik M, Cedzyński Ł, Szarek D, Urbański W, Związek K, Sokół A, Kucharski W, Andrzejak R. Występowanie, czynniki ryzyka oraz leczenie nadciśnienia tętniczego wśród mieszkańców wsi Boguszyce. Arterial Hypertension 2006; 10(2): 121-127.
 
9.
Pimenta AM, Kac G, Gazzinelli A, Corrêa-Oliveira R, Velásquez-Meléndez G. Association between central obesity, triglycerides and hypertension in a rural area in Brazil. Arq Bras Cardiol. 2008; 90(6): 386-392.
 
10.
Bojar I, Humeniuk E, Owoc A, Wierzba W, Wojtyła. Exposing women to workplace stress factors as a risk factor for developing arterial hypertension. Ann Agric Environ Med. 2011; 18: 175-182.
 
11.
Durnin JV, Womersly J. Body fat accessed from totalbody density and its estimation from skinfold thickness. Br J Nutr. 1974; 32: 77-82.
 
12.
Szponar L, Wolnicka K, Rychlik E. Album fotografii produktów i potraw. Instytut Żywności i Żywienia, Warszawa 2000.
 
13.
Jarosz M, Bułhak-Jachymczyk B. Normy żywienia człowieka. Wydawnictwo Lekarskie PZWL, Warszawa 2008.
 
14.
He Q, Ding ZY, Fong DYT, Korlberg J. Blood pressure is associated with body mass index in both normal and obese children. Hypertens. 2000; 36(2): 165-170.
 
15.
Schunkert H. Obesity and target organ damage: the heart. Int J Obes Relat Metab Disord. 2002; 26 (suppl. 4): S15-S20.
 
16.
Stanowisko Polskiego Towarzystwa Nadciśnienia Tętniczego (PTNT): Podstawy epidemiologiczne zapobiegania nadciśnieniu tętniczemu i jego właściwego leczenia w populacji Polski. Nadcisn Tetn. 2003; supl.B: B1-B4.
 
17.
Midha T, Idris MZ, Saran RK, Srivastav AK, Singh SK. Prevalence and determinants of hypertension in the urban and rural population of a north Indian district. East Afr J Public Health. 2009; 6(3): 271-276.
 
18.
Lee HS, Park YM, Kwon HS, Lee JH, Yoon KH, Son HY, Kim DS, Yim HW, Lee WCh. Factors associated with control of blood pressure among elderly people diagnosed with hypertension in a rural area of South Korea: The Chungju Metabolic Disease Cohort Study (CMC study).Blood Pressure 2010; 19: 31-39.
 
19.
Masterson Creber RM, Smeth L, Gliman RH, Miranda JJ. Physical activity and cardiovascular risk factors among rural and urban groups and rural-to-urban migrants in Peru: a cross-sectional study. Rev Panam Salud Publica. 2010; 28(1): 1-8.
 
20.
Metintas S, Arikan I, Kalyoncu C. Awareness of hypertension and other cardiovascular risk factors in rural and urban areas in Turkey. Trans R Soc Trop Med Hyg. 2009; 103(8): 812-818.
 
21.
Hernandez-Mijares A, Sola-Izquierdo E, Ballaster-Mecho F, Mari-Herrero MT, Gilbert-Moles JV, Gimeno-Clemente N, Morales-Suarez-Varela M. Obesity and overweight prevalences in rural and urban populations in East Spain and its association with undiagnosed hypertension and diabetes mellitus: a cross-sectional population-based survey. BMC Research Notes 2009; 2: 151;doi: 10.1186/1756-0500-2-151.
 
22.
Szczeklik-Kumala Z, Bernas M, Tatoń J. Tłuszcze w ukierunkowanym prewencyjnie żywieniu osób ze zwiększonym ryzykiem miażdżycy i jej powikłań. Med Metab. 2002;4(2): 59-67.
 
23.
Wing RR, Hill JO. Successful weight loss maintenance. Annu Rev Nutr. 2001; 21: 323-341.
 
24.
Xu Y, Tian Y, Wei HJ, Dong JF, Zhang JN. Methionine diet-induced hyperhomocysteinemia accelerates cerebral aneurysm formation in rats. Neurosci Lett. 2011; 494(2): 139-144.
 
25.
Venho B, Voutilainen S, Valkonen VP, Virtanen J, Lakka TA, Rissanen TH, Ovaskainen ML, Laitinen M, Salonen JT. Arginine intake, blood pressure, and the incidence of acute coronary events in men: the Kuopio Ischaemic Heart Disease Risk Factor Study. Am J Clin Nutr. 2002; 76: 359-364.
 
26.
Oomen CM, Erk MJ, Feskens EJM, Kok FJ, Kromhout D. Arginine intake and risk of coronary heart disease mortality in elderly men. Arterioscler Thromb Vasc Biol. 2000; 20: 2134-2139.
 
27.
Visek WJ. Arginine needs, physiological state and usual diets. A reevaluation. J Nutr. 1986; 116: 36-46.
 
28.
Duda G, Maruszewska M, Wieczorowska-Tobis K, Jóźwiak A, Chmielewski Z. Choroby somatyczne a sposób żywienia i wybrane wskaźniki stanu odżywienia kobiet w wieku podeszłym. Żyw Człow Metab. 2003; 30: 810-814.
 
29.
Przysławski J, Gertig H, Bolesławska I, Duda G, Maruszewska M, Nowak J. Comparative analysis of the intake of selected nutrients present in the daily food rations of the workers paid and unpaid by the government. Pol J Food Nutr Sci. 2000; 9/50: 61-66.
 
30.
Fletcher RH, Fairfield KM. Vitamins for chronic disease prevention in adults. Clinical applications. JAMA 2002; 287: 3127-3129.
 
31.
Padayatty SJ, Levine M. New insights into the physiology and pharmacology of vitamin C. JAMC 2001; 164(3): 353-355.
 
32.
Zhao L, Stamler J, Yan LL, Zhou B, Wu Y, Liu K, Daviglus ML, Dennis BH, Elliott P, Ueshima H, Yang J, Zhu L, Guo D. Blood pressure differences between northern and southern Chinese: role of dietary factors. Hypertens. 2004; 43: 1-6.
 
33.
Boshtam M, Rafiei M, Sadeghi K, Sarraf-Zadegan N. Vitamin E can reduce blood pressure in mild hypertensives. Int J Vitam Nutr Res. 2002; 72(5): 309-314.
 
34.
Boshtam M, Rafiei M, Sadeghi K, Sarraf-Zadegan N. Vitamin E can reduce blood pressure in mild hypertensives. Int J Vitam Nutr Res. 2002; 72(5): 309-31.
 
35.
Frenoux JM, Noirot B, Prost ED, Madani S, Blond JP, Belleville JL, Prost JL. Very high alpha-tocopherol diet diminishes oxidative stress and hypercoagulation in hypertensive rats but not in normotensive rats. Med Sci Monit. 2002; 8(10): BR401-407.
 
36.
Du CG, Ribstein J, Mimran A. Dietary sodium and target organ damage in essential hypertension. Am J Hypertens. 2002; 15: 222-229.
 
37.
Jones DW. Dietary sodium and blood pressure. Hypertens. 2004; 27: 932-935.
 
38.
Hajar I, Kotchen T. Regional variations of blood pressure in the United States are associated with regional variations in dietary intakes: The NHANES-III Data. J Nutr. 2003; 133: 211-214.
 
39.
Zhao L, Stamler J, Yan LL, Zhou B, Wu Y, Liu K, Daviglus ML, Dennis BH, Elliott P, Ueshima H, Yang J, Zhu L, Guo D. Blood pressure differences between northern and southern Chinese: role of dietary factors. Hypertens. 2004; 43: 1.
 
40.
Camões M, Oliveira A, Pereira M, Severo M, Lopes C. Role of physical activity and diet in incidence of hypertension: a population-based study in Portuguese adults. Eur J Clin Nutr. 2010; 64(12): 1441-1449.
 
41.
Lancaster KJ, Smiciklas-Wright H, Weitzel LB, Mitchell DC, Friedmann JM, Jensen GL. Hypertension-related dietary patterns of rural older adults. Prev Med. 2004; 38(6): 812-818.
 
42.
Wyka J, Biernat J, Mikołajczak J, Piotrowska E. Assessment of dietary intake and nutritional status (MNA) in Polish free-living elderly people from rural environments. Arch Gerontol Geriatr. 2012; 54(1): 44-49.
 
eISSN:1898-2263
ISSN:1232-1966
Journals System - logo
Scroll to top