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ORCID
N/A
Access Type
Open Access Thesis
Document Type
thesis
Degree Program
Nutrition
Degree Type
Master of Science (M.S.)
Year Degree Awarded
2017
Month Degree Awarded
September
Abstract
High sugar-sweetened beverage (SSB) intake and poor vitamin D status have both been associated with increased risk of elevated systolic blood pressure (SBP) in previous research. However, these associations have never been investigated in the same study population, leaving the question of a possible interaction uninvestigated. One potential mechanism for an interaction is that SSB intake may increase serum uric acid (UA) and UA may interfere with utilization of vitamin D. This study examined these relationships in a sample of men and women (n=2,875) aged 20-74 using data collected in the 2003-2006 NHANES survey. No statistically significant association was found between SSB intake and risk of elevated SBP (defined as SBP>120mmHg) in whole group analysis. In subgroup analysis by gender, women (n=1,550) showed a 68% (OR: 1.68, 95% CI: 1.12-2.50, p-value 0.011) increased risk of elevated SBP in the highest SSB intake quartile (mean intake of 3.27 servings/day) compared to the lowest (mean intake of 0.03 servings/day) after adjustment for age, race, BMI, alcohol use, physical activity, and smoking, but no association was found in men (n=1,325). A statistically significant association was found between 25(OH)D and SBP, with a 30% decrease in risk of elevated SBP (OR: 0.70, 95% CI: 0.55-0.90, p-value 0.005) for those in the highest serum 25(OH)D group (>75nmol/L) compared to the lowest (<50nmol/L) in the fully adjusted model. However, no association was found between SSB intake and serum UA. Assessing potential effect modification between SSB and vitamin D in their impact on blood pressure using a multiplicative term and stratified analysis did not provided evidence of an interaction effect.
DOI
https://doi.org/10.7275/10534341
First Advisor
Alayne Ronnenberg
Second Advisor
Lisa Troy
Third Advisor
Zhenhua Liu
Recommended Citation
Abrams, Amanda, "The Role of Sugar-Sweetened Beverage Intake and Vitamin D in Elevated Systolic Blood Pressure" (2017). Masters Theses. 564.
https://doi.org/10.7275/10534341
https://scholarworks.umass.edu/masters_theses_2/564