title: Vegetable protein and fiber from cereal are inversely associated with the risk of hypertension in a Spanish cohort.
abstract: BACKGROUND
  Some cross-sectional studies suggest that fiber and protein intake can be associated with lower levels of blood pressure, but results from prospective cohorts are scarce and none has been conducted outside the U.S.
  
  
  METHODS
  The SUN cohort followed-up prospectively 5880 Spanish men and women older than 20 years of age, all university graduates. Dietary information was gathered at baseline with a previously validated semiquantitative food frequency questionnaire. New cases of medically diagnosed hypertension (HT) were identified through responses to a mailed questionnaire after at least 2 years from recruitment.
  
  
  RESULTS
  One hundred and eighty new cases of HT were ascertained after a median follow-up of 28 months. After adjustment for potential confounders and several dietary factors, participants in the highest quintile of vegetable protein intake had a lower risk of incident HT compared with those in the lowest quintile [hazard ratio (HR) = 0.5, 95% confidence interval (CI) 0.2-0.9, p for trend = 0.06]. Similarly, fiber from cereals was inversely associated with a lower risk of HT (HR comparing fifth vs. first quintile = 0.6, 95% CI 0.3-1.0, p for trend = 0.05). Risk reduction was more important among men and obese and older individuals. Total or animal protein and total fiber as well as fiber from other sources different from cereal were not associated with the risk of HT.
  
  
  CONCLUSIONS
  In this Mediterranean cohort, dietary intake of vegetable protein and fiber from cereals was associated with a lower risk of HT when other nutrients were also taken into consideration.
authors.affiliation: Department of Preventive Medicine and Public Health, University Clinic, School of Medicine, University of Navarra, Pamplona, Spain.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Alonso
authors.forename: Juan Jose
authors.initials: JJ
authors.lastname: Beunza
authors.forename: Maira
authors.initials: M
authors.lastname: Bes-Rastrollo
authors.forename: Raquel M
authors.initials: RM
authors.lastname: Pajares
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Martínez-González
mesh_terms: D000328:Adult; D000818:Animals; D015331:Cohort Studies; D004032:Diet; D004043:Dietary Fiber; D002523:Edible Grain / Q000737:chemistry*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D014674:Plant Proteins, Dietary; D011446:Prospective Studies; D012307:Risk Factors; D013030:Spain; D011795:Surveys and Questionnaires
chemical_list: D004043:Dietary Fiber; D014674:Plant Proteins, Dietary