Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.

Background: Both dietary and sleep patterns can influence both blood pressure levels and heart rate, but these associations have been understudied in adolescents. Furthermore, it is not known whether diet and sleep could exert a synergistic effect with respect to the maintenance of optimal BP levels...

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Autores: Eumann Mesas, Arthur, Jiménez López, Estela, Martínez Vizcaíno, Vicente José Anastasio, Fernández Rodríguez, Rubén, Bizzozero Peroni, Bruno, Garrido Miguel, Miriam, Cavero Redondo, Iván, López Gil, José Francisco
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/47000
Acceso en línea:https://doi.org/10.3389/fpubh.2022.934854
https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.934854/full
https://hdl.handle.net/10578/47000
Access Level:acceso abierto
Palabra clave:adolescents
blood pressure
cross-sectional
Mediterranean diet
siesta
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spelling Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.Eumann Mesas, ArthurJiménez López, EstelaMartínez Vizcaíno, Vicente José AnastasioFernández Rodríguez, RubénBizzozero Peroni, BrunoGarrido Miguel, MiriamCavero Redondo, IvánLópez Gil, José Franciscoadolescentsblood pressurecross-sectionalMediterranean dietsiestaBackground: Both dietary and sleep patterns can influence both blood pressure levels and heart rate, but these associations have been understudied in adolescents. Furthermore, it is not known whether diet and sleep could exert a synergistic effect with respect to the maintenance of optimal BP levels in this population. Objective: To investigate the relationship of blood pressure levels with the combination of higher adherence to the Mediterranean diet and the habit of siesta (daytime napping) in Spanish adolescents. Methods: A cross-sectional study was conducted with data obtained through personal interviews and physical examination from a representative sample of 1,378 adolescents (12–17 years of age) from the Valle de Ricote (Region of Murcia, Spain) selected using a simple random sampling technique. Adherence to the Mediterranean diet was assessed with the Mediterranean Diet Quality Index in Children and Adolescents, and the frequency and duration of siesta were self-reported. Objective measurements of systolic and diastolic blood pressure were obtained under standardized conditions. Statistical procedures were performed with SPSS software (v.25) and included logistic and generalized regression models adjusted for sex, age, socioeconomic status, body mass index, total energy intake, nighttime sleep duration, and moderate-to-vigorous physical activity. Results: Of the 698 adolescents finally studied (mean age 13.9 ± 1.5 years; 56.2% female), 37.1% (n = 259) had high adherence to the Mediterranean diet and 19.6% (n = 137) reported frequent siesta. In the completely adjusted models, compared to adolescents with low Mediterranean diet adherence and no or infrequent siesta, those with high Mediterranean diet adherence and frequent siesta were less likely to have high-normal blood pressure or hypertension (odds ratio = 0.47; 95% confidence interval: 0.26, 0.88) and showed slightly lower systolic blood pressure (ß-coef. = −2.60; 95% CI: −5.18, −0.02). Conclusion: Greater adherence to the Mediterranean diet and frequent siesta have a synergistic effect on maintaining lower blood pressure levels in adolescence. These findings reinforce that adherence to both Mediterranean lifestyle behaviors early in life may be an important strategy to prevent hypertension throughout adulthood.Frontiers202620262022info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.3389/fpubh.2022.934854https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.934854/fullhttps://hdl.handle.net/10578/47000reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaInglésbeca del Ministerio de Educación, Cultura y Deporte (FPU 19/00167)beca de la Universidad de Castilla-La Mancha cofinanciada por el Fondo Social Europeo (2020-PREDUCLM-16746)contrato Beatriz Galindo (BEAGAL18/00093) del Ministerio de Educación, Cultura y Deporteinfo:eu-repo/semantics/openAccessoai:ruidera.uclm.es:10578/470002026-05-27T07:36:41Z
dc.title.none.fl_str_mv Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.
title Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.
spellingShingle Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.
Eumann Mesas, Arthur
adolescents
blood pressure
cross-sectional
Mediterranean diet
siesta
title_short Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.
title_full Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.
title_fullStr Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.
title_full_unstemmed Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.
title_sort Are adherence to the Mediterranean diet and siesta individually or jointly associated with blood pressure in Spanish adolescents? Results from the EHDLA study.
dc.creator.none.fl_str_mv Eumann Mesas, Arthur
Jiménez López, Estela
Martínez Vizcaíno, Vicente José Anastasio
Fernández Rodríguez, Rubén
Bizzozero Peroni, Bruno
Garrido Miguel, Miriam
Cavero Redondo, Iván
López Gil, José Francisco
author Eumann Mesas, Arthur
author_facet Eumann Mesas, Arthur
Jiménez López, Estela
Martínez Vizcaíno, Vicente José Anastasio
Fernández Rodríguez, Rubén
Bizzozero Peroni, Bruno
Garrido Miguel, Miriam
Cavero Redondo, Iván
López Gil, José Francisco
author_role author
author2 Jiménez López, Estela
Martínez Vizcaíno, Vicente José Anastasio
Fernández Rodríguez, Rubén
Bizzozero Peroni, Bruno
Garrido Miguel, Miriam
Cavero Redondo, Iván
López Gil, José Francisco
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv adolescents
blood pressure
cross-sectional
Mediterranean diet
siesta
topic adolescents
blood pressure
cross-sectional
Mediterranean diet
siesta
description Background: Both dietary and sleep patterns can influence both blood pressure levels and heart rate, but these associations have been understudied in adolescents. Furthermore, it is not known whether diet and sleep could exert a synergistic effect with respect to the maintenance of optimal BP levels in this population. Objective: To investigate the relationship of blood pressure levels with the combination of higher adherence to the Mediterranean diet and the habit of siesta (daytime napping) in Spanish adolescents. Methods: A cross-sectional study was conducted with data obtained through personal interviews and physical examination from a representative sample of 1,378 adolescents (12–17 years of age) from the Valle de Ricote (Region of Murcia, Spain) selected using a simple random sampling technique. Adherence to the Mediterranean diet was assessed with the Mediterranean Diet Quality Index in Children and Adolescents, and the frequency and duration of siesta were self-reported. Objective measurements of systolic and diastolic blood pressure were obtained under standardized conditions. Statistical procedures were performed with SPSS software (v.25) and included logistic and generalized regression models adjusted for sex, age, socioeconomic status, body mass index, total energy intake, nighttime sleep duration, and moderate-to-vigorous physical activity. Results: Of the 698 adolescents finally studied (mean age 13.9 ± 1.5 years; 56.2% female), 37.1% (n = 259) had high adherence to the Mediterranean diet and 19.6% (n = 137) reported frequent siesta. In the completely adjusted models, compared to adolescents with low Mediterranean diet adherence and no or infrequent siesta, those with high Mediterranean diet adherence and frequent siesta were less likely to have high-normal blood pressure or hypertension (odds ratio = 0.47; 95% confidence interval: 0.26, 0.88) and showed slightly lower systolic blood pressure (ß-coef. = −2.60; 95% CI: −5.18, −0.02). Conclusion: Greater adherence to the Mediterranean diet and frequent siesta have a synergistic effect on maintaining lower blood pressure levels in adolescence. These findings reinforce that adherence to both Mediterranean lifestyle behaviors early in life may be an important strategy to prevent hypertension throughout adulthood.
publishDate 2022
dc.date.none.fl_str_mv 2022
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://doi.org/10.3389/fpubh.2022.934854
https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.934854/full
https://hdl.handle.net/10578/47000
url https://doi.org/10.3389/fpubh.2022.934854
https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.934854/full
https://hdl.handle.net/10578/47000
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv beca del Ministerio de Educación, Cultura y Deporte (FPU 19/00167)
beca de la Universidad de Castilla-La Mancha cofinanciada por el Fondo Social Europeo (2020-PREDUCLM-16746)
contrato Beatriz Galindo (BEAGAL18/00093) del Ministerio de Educación, Cultura y Deporte
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Frontiers
publisher.none.fl_str_mv Frontiers
dc.source.none.fl_str_mv reponame:RUIdeRA. Repositorio Institucional de la UCLM
instname:Universidad de Castilla-La Mancha
instname_str Universidad de Castilla-La Mancha
reponame_str RUIdeRA. Repositorio Institucional de la UCLM
collection RUIdeRA. Repositorio Institucional de la UCLM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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