Relationship of dietary monounsaturated fatty acids to blood pressure: the international study of macro/micronutrients and blood pressure
Open accessAbstract
OBJECTIVE: In short-term feeding trials, replacement of other macronutrients with monounsaturated fatty acid reduces blood pressure. However, observational studies have not clearly demonstrated a relationship between monounsaturated fatty acid intake and blood pressure. We report associations of monounsaturated fatty acid intake of individuals with blood pressure in a cross-sectional study. METHODS: The International Study of Macro/Micronutrients and Blood Pressure is a cross-sectional epidemiologic study of 4680 men and women ages 40-59 years from 17 population samples in China, Japan, UK and USA. Nutrient intake data were based on four in-depth multipass 24-h dietary recalls/person and two-timed 24-h urine collections/person. Blood pressure was measured eight times at four visits. RESULTS: Mean monounsaturated fatty acid intake ranged from 8.1%kcal (China) to 12.2%kcal (USA). With sequential models to control for possible confounders (dietary, other), linear regression analyses showed significant inverse relationship of total monounsaturated fatty acid intake with DBP for all participants; for 2238 'nonintervened' individuals, the relationship was stronger. Estimated DBP differences with 2-SD higher monounsaturated fatty acids (5.35%kcal) were -0.82 mmHg (P < 0.05) for all participants and -1.70 mmHg (P < 0.01) for nonintervened individuals. Inverse associations of dietary total oleic acid (main monounsaturated) with blood pressure in nonintervened individuals were not significant, but those of oleic acid from vegetable sources were stronger and significant (P < 0.05). CONCLUSION: Dietary monounsaturated fatty acid intake, especially oleic acid from vegetable sources, may contribute to prevention and control of adverse blood pressure levels in general populations.
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It is considered that MUFA contribute to the prevention and maintenance of blood pressure in the general population.
“On the other hand, it is considered that MUFA contribute to the prevention and maintenance of blood pressure in the general population [38]; therefore, no changes were expected in this regard, also considering that volunteers were normotensive subjects (Table 1).”
From Olive pomace oil can improve blood lipid profile: a randomized, blind, crossover, controlled clinical trial in healthy and at-risk volunteers (2022) · cites this paper as [38]
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“A plausible explanation was that the high intake of vegetables, nuts, and seafood, which contained unsaturated fatty acids and micronutrients, might contribute to reducing the risk of abnormal blood pressure [34,35].”
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“Our premise is reinforced by the association of LC n-3 PUFA and the ratio of n-6/n-3with hypertension [26] and diastolic blood pressure inversely related to monounsaturated fatty acids in 4680 adults [27].”
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Nutrition, Lifestyle, and Hypertension
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- Authors
- Miura, K., Stamler, J., Brown, I. J., Ueshima, H., Nakagawa, H., Sakurai, M., Chan, Q., Appel, L. J., Okayama, A., Okuda, N., Curb, J. D., Rodriguez, B. L., Robertson, C., Zhao, L., & Elliott, P.
- Affiliations
- Shiga University of Medical Science (JP)
- Northwestern University (US)
- Imperial College London (GB)
- Kanazawa Medical University (JP)
- Johns Hopkins University (US)
- Japan Anti Tuberculosis Association (JP)
- Istituto Superiore di Sanità (IT)
- University of Hawaiʻi at Mānoa (US)
- University of Westminster (GB)
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Corresponding author
- Curb, J. David
- ORCID
- Venue
- Journal of Hypertension
- Published
- 2013-06
- Volume
- 31
- Issue
- 6
- Pages
- 1144-1150
- ISSN
- 0263-6352 (ISSN-L)
- PMC
- PMC4109685
- OpenAlex
- W1996872573
- Cited by
- 48
- References
- 31
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 8 · 2021: 4 · 2020: 5 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 6 · 2015: 5 · 2014: 1 · 2012: 2
- FWCI
- 3.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Hypertension (publishedVersion)
- PubMed (publishedVersion)
- WestminsterResearch (University of Westminster) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (2-RO1-HL50490, R01HL050490)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- monounsaturated fatty acids, blood pressure, oleic acid, vegetable oils, dietary fat intake, diastolic blood pressure, hypertension prevention
- MeSH terms
- Adult, Animals, Blood Pressure, Cross-Sectional Studies, Dietary Fats, Unsaturated, Fatty Acids, Monounsaturated, Female, Humans, Hypertension, Male, Middle Aged, Linear Models, Oleic Acid
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