Abstract
Objective: The objective of the study is to examine dietary preferences and cardiovascular risk in women with masked hypertension (MH). Design and method: Present data elucidate the results of the second brunch of the cardiovascular risk factors screening study, which was dedicated to woman's cardiovascular health and included 407 female volunteers. Masked hypertension (MH) was verified by 30-s breathholding test (BH test) and 24-hour ambulatory blood pressure monitoring. Demographic data, cardiovascular risk factors, dietary nutrients were evaluated. A 10-year risk of fatal cardiovascular events was calculated using a Weibull proportional hazard model. Results: Optimal level of BP was in 50.6% women, normal and elevated normal BP was in 21.1%, and hypertension was detected in 28.3%. MH prevalence in our study was 7.9%. Sausages (cooked meats) and marinades consumption frequencies were maximal in hypertensive patients (HP) (every day (moda) in 49%, and once/twice a week (moda) in 35%, p < 0.05). Women with optimal BP were leading in fruit and vegetables consumption (everyday (moda) in 54%). In women with MH daily salt consumption max maximal: 4.9 (3.1; 5.1) g per day vs 4.7 (2.8; 4.9) in HP and 3.5 (2.6; 3.9) in normotensive patients (p = 0.041). BMI was significantly higher in hypertensive woman and women with MH than in normotensive patients (24,69(19,88; 28,44) vs 32,93 (29,74; 35,06) vs30,0 7(29,03; 30,86), p level 0.006). Frequency of family history of diabetes mellitus was significantly higher in women with MH (30% vs 18.5%). A 10-year risk of cardiovascular death (CVD) was minimal in normotensive patients (0.41 (0.06; 1.01)%) compare to HP (2.19 (0.93; 4.20)%) and women with MH (1.39 (0.68; 1.58)%), p level 0.003. Daily salt consumption correlated with 10-year risk of CVD with maximal strength in MH (0.41, p < 0.05). Combination of daily consumption of meat (more than 150 g) sausages and marinades positively correlated with 10-year risk of CVD with maximal strength in HP (τ=0.51, p < 0.05). Conclusions: These results suggest a certain impact of dietary preferences and family history on cardiovascular risk in women with masked hypertension.
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