Jornal de pediatria · 2026
Relationship between dietary live microbial consumption and hypertension risk in children and adolescents: results from the NHANES 2009-2023.
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Li Xiaowei, Li Xiaoli, Han Yong, Huang Xianmei
Аннотация
OBJECTIVE: This analysis aimed to evaluate the association between dietary live microbial consumption and hypertension risk in children and adolescents.
METHODS: This cross-sectional analysis comprised data on children and adolescents (aged 8-17 years) from the NHANES database 2009-2023. The association between dietary live microbial consumption and hypertension risk was analyzed using logistic regression analyses. The combined effect of dietary live microbial consumption and overweight/obesity on hypertension risk was examined using interaction analysis.
RESULTS: Of these 9342 enrolled children and adolescents, 433 had hypertension, and 8909 did not. Individuals in the high-MedHi (foods containing medium and high live microbes) consumption group (vs. low-MedHi) [OR = 0.70 (0.50-0.98), P = 0.039] were associated with lower odds of hypertension, and this association persisted after further adjustment for overweight/obesity [OR = 0.71 (0.51-0.99), P = 0.046]. In the joint effect analysis of live microbial consumption (low, high) and overweight/obesity (no, yes), individuals in the high-MedHi and overweight/obesity group [OR = 0.60 (0.39-0.92)], the low-MedHi and non-overweight/obesity group [OR = 0.29 (0.20-0.42)], and the high-MedHi and non-overweight/obesity group [OR = 0.28 (0.16-0.49)] were linked to lower odds of hypertension versus the low-MedHi and overweight/obesity group, and there was a significant trend in these joint effect terms (Ptrend = 0.019).
CONCLUSION: High live microbial consumption was associated with reduced odds of hypertension among children and adolescents, and live microbial intake and overweight/obesity exerted a joint effect on the odds of hypertension.
METHODS: This cross-sectional analysis comprised data on children and adolescents (aged 8-17 years) from the NHANES database 2009-2023. The association between dietary live microbial consumption and hypertension risk was analyzed using logistic regression analyses. The combined effect of dietary live microbial consumption and overweight/obesity on hypertension risk was examined using interaction analysis.
RESULTS: Of these 9342 enrolled children and adolescents, 433 had hypertension, and 8909 did not. Individuals in the high-MedHi (foods containing medium and high live microbes) consumption group (vs. low-MedHi) [OR = 0.70 (0.50-0.98), P = 0.039] were associated with lower odds of hypertension, and this association persisted after further adjustment for overweight/obesity [OR = 0.71 (0.51-0.99), P = 0.046]. In the joint effect analysis of live microbial consumption (low, high) and overweight/obesity (no, yes), individuals in the high-MedHi and overweight/obesity group [OR = 0.60 (0.39-0.92)], the low-MedHi and non-overweight/obesity group [OR = 0.29 (0.20-0.42)], and the high-MedHi and non-overweight/obesity group [OR = 0.28 (0.16-0.49)] were linked to lower odds of hypertension versus the low-MedHi and overweight/obesity group, and there was a significant trend in these joint effect terms (Ptrend = 0.019).
CONCLUSION: High live microbial consumption was associated with reduced odds of hypertension among children and adolescents, and live microbial intake and overweight/obesity exerted a joint effect on the odds of hypertension.