Journal of Nutrition and Food Security
Volume:9 Issue: 3, Aug 2024

Caffeine, the extensively honored central nervous system boost constitute in coffee, tea, and chocolate, has been considerably delved for its different impacts on health . While moderate input offers benefits like enhanced mood and alertness , inordinate consumption poses pitfalls, including headaches, pulsations, and anxiety.

Studies have shown incompatible findings regarding the effects of conjugated linoleic acid (CLA) supplementation on cardiovascular diseases (CVDs) risk factors. The aim of this study was to evaluate the effect of daily CLA supplementation on serum insulin and lipid- related CV biomarkers in obese adults.

This randomized double-blind clinical trial was conducted on 54 adults categorized as class I obesity. The participants were randomly assigned into two groups (n=27) receiving a total of 3,000 mg/d of a 50:50 mixture of CLA isomers for three months in intervention group (IG) and 500 mg/d paraffin in placebo group (PG). Moreover, fasting serum levels of insulin, lipid profile, non-HDL-Cholesterol (non-HDL-C), atherogenic index of plasma (AIP), total triglyceride (TG)/HDL-C, and cholesterol/HDL-C ratio were measured.  The main statistical analysis method was independent t-test for changes.

Changes between the groups showed a significant decrease in total cholesterol (P=0.03), LDL-C (P=0.04), and non-HDL-C (P=0.03), and also a significant increase in AIP (P=0.04) in IG compared to the PG. A remarkable decrease was found in HDL-C and cholesterol/HDL-C ratio. In addition, a remarkable increase was observed in TG in this context. Serum insulin, VLDL-C, and LDL-C/HDL-C ratio showed no significant changes during the intervention period. The use of CLA supplementation could help reduce some adverse fractions of serum lipid profile, particularly TC, non-HDL-C and LDL-C.

Regarding the augmenting effects of CLA intake on AIP as a strong predictive marker for CVDs, it is difficult to confirm the beneficial effects of CLA supplementation in preventing CVDs.

Hyperuricemia is a condition in which uric acid level exceeds normal threshold. The pumpkin seed extract contains flavonoids that can lower uric acid level. This study aims to analyze the effect of pumpkin seeds (Cucurbita moschata) capsules compared to allopurinol on uric acid level in hyperuricemia patients.

This was an experimental research with a non-randomized control group pretest-posttest design. A total of 63 patients (32 intervention and 31 control) with hyperuricemia enrolled in this study through purposive sampling technique. The intervention group (IG) was given pumpkin seeds and control group (CG), allopurinol. Data were analyzed using paired and independent sample t-test.

The result of this study showed that uric acid level significantly decreased after the pumpkin seed capsule was provided (Mean changes=-0.33 mg,dl; P<0.001). However, allopurinol played a greater role in lowering uric acid levels (Mean changes=-0.92 mg/dl; P<0.001). The mean changes of uric acid between groups was also significant (P=0.039). In addition, some of the nutrition intakes showed a significant difference after the intervention.

It can be concluded from the study that pumpkin seed capsules affected the decrease of uric acid level significantly, but the number was lower compared to allopurinol. In future studies, The dose of pumpkin seed should be considered.

Normal-weight obesity (NWO), defined as normal body mass index (BMI) but high body fat, is related to chronic health conditions. This study aims to assess the prevalence of NWO and some possible relationships with dietary factors in an Iranian population.

A cross-sectional study was conducted on the participants of the Employees Health Cohort Study, Shiraz, Iran. Based on the anthropometric assessments, participants were categorized into three groups: Normal-weight non-obese, NWO, and Overweight/Obese. NWO was defined as having a normal BMI but high body fat. Body fat was assessed by bioelectrical impedance analysis. Then, a 116-item semi-quantitative Food Frequency Questionnaire (FFQ) was used to obtain food intake. Dietary factors included energy intake, macro-nutrients intake, frequency of meals, fried and grilled foods’ consumption, and salt intake.

Overall, 1038 participants (513 men and 525 women) were studied with a mean age of 41.04±6.98. 35.9% had normal weight and 63.0% were overweight or obese according to BMI criteria. Based on WHO criteria, the prevalence of NWO was 21.68% and 26.63% among men and women, respectively. Women were more likely to have excess body fat compared with men (P<0.001). Moreover, no significant relationship was observed between any dietary factor and NWO.

NWO was prevalent among university employees, and no relationship was observed between dietary factors and NWO. Considering the high cardio-metabolic risk of this condition, it needs further attention.

The prevalence rate of type 2 diabetes (T2DM) is increasing worldwide, and the role of diet in its etiology has been established. The Dietary inflammatory index (DII) has attracted significant attention in evaluating associations between diet and diseases due to the role of chronic inflammation as an underlying cause of numerous disease processes. Therefore, the relationship between DII score and the risk of T2DM is evaluated in the Iranian population for the first time.

113 newly diagnosed T2DM patients and 226 apparently disease-free control cases aged 23-59 participated in this case-control study. A valid semi-quantitative food frequency questionnaire was used to assess dietary intake. Then, energy-adjusted DII (E-DII) scores were computed and categorized into quartiles based on values in the population study. A logistic regression model was used to estimate the association between DII and the risk of T2DM after controlling for important potential confounders and effect modifiers.

A significant association was observed between E-DII score and T2DM in the crude model (P-trend<0.001), model I (adjusted for physical activity, gender, education level, and family history of T2DM, P-trend<0.001), model II (adjusted for model I + body mass index, P-trend=0.005) (ORquartile4vs1 =2.98 (95% CI: 1.18, 9.12; P= 0.005).

A direct association was observed between DII score and the risk of T2D, implying that consuming a more anti-inflammatory diet would help to prevent T2DM. Future longitudinal studies should be conducted to further explore this association.

Timing, frequency, and regularity as chrono-nutrition are emerging fields in nutritional epidemiology. The authors investigated the association of irregularity in energy intake, frequency, and overnight fasting with nutrient quality and health.

Iranian adults who attended the health center of Tehran participated in this cross-sectional study. Dietary intake was derived from 3-day 24-h dietary recalls of 850 participants. Weight, height, and blood pressure of the participants were measured, and frequency, irregularity, and overnight fasting were recorded from 24-h dietary recall. Then, intra-class correlation coefficient (ICC) was used to obtain the consistency of time regarding three main meals. Following that, energy density was measured and nutrient density was calculated using the nutrient rich food (NRF 9.3) index. Obesity was defined as body mass index (BMI) >30 kg/m2, and blood pressure was measured.

The highest consistency regarding the time of meal was observed at breakfast. Frequency was positively related to the intake of fruit, energy, carbohydrate, and NRF 9.3 index (P<0.05). Overnight fasting was negatively associated with fruit, vegetable, grain, energy intake, and NRF 9.3 index (P<0.05). Moreover, irregularity in energy intake showed a negative and significant association with fruits, vegetables, and NRF9.3 (P<0.05). Frequency was significantly associated with weight and diastolic blood pressure (DBP) after adjustment with covariates (P<0.05) and overnight fasting was negatively related to body weight (P=0.009). Moreover, irregularity in energy intake showed a significant association with systolic blood pressure (SBP) (P=0.03).

Frequency and regularity may have a potential positive association with dietary intake which is not associated with BMI. Nutrient density is higher among the participants with a higher number of eating occasions, more regular eaters, and shorter overnight fasting.

Children are prone to undernutrition which adversely affects their health status. Nutritional status of under-five children is a sensitive indicator of nutrition and child health. Hence, the present study is undertaken to assess the prevalence and determinants of undernutrition among under-five children in a rural area of West Bengal, India.

A community-based cross-sectional study was conducted among 1680 under-five children who were selected by 30 cluster sampling technique to assess the prevalence and determinants of undernutrition. Nutritional status was assessed by means of weight-for-age, height-for-age, weight-for-height and mid-upper arm circumference-for-age criteria based on World Health Organization’s child growth standards.

The prevalence of underweight, stunting, and wasting among under-five children was found to be 33.7%, 34.8%, and 21.6%, respectively. Moreover, 39.4% of the studied children had low mid-upper arm circumference-for-age.  After adjustment for possible confounders, maternal illiteracy, lower socio-economic status, presence of anemia and any childhood morbidity were found significant determinants of undernutrition.

Widespread prevalence of undernutrition among under-five children with anemia and childhood morbidity as important determinants highlights a need for multi-disciplinary integrated approach towards improving the child health and nutrition. Long term measures like improvement of maternal education and poverty alleviation should also be considered in future plans.

The purpose of this study is to evaluate a treatment for aluminum phosphide (ALP) poisoning, which is known as “rice tablet”.

In the present study, the impact of different doses of ethanolic extract of olive leaves (100, 200, and 400 mg/kg) on ALP (120 mg/kg)-induced cardiotoxicity was evaluated in anesthetized-gastrotomized adult male Wistar rats. Thirty-five rats were randomly assigned into five groups (n=7) as follows: control (AC) and treatment groups [ALP+Olea100 (AO100), ALP+Olea 200 (AO200), and ALP+Olea 400 (AO400)]. Physiological data including blood pressure, heart rate, electrocardiogram (ECG), as well as oxidative stress markers were measured in heart tissues.

ALP-intoxication led to perturbed normal ECG and increased oxidative stress. Administration of olive leaf extract at various concentrations, however, mitigated bradycardia after 90 minutes, following ALP-intoxication (in AO200), hypotension (in AO100), and cardiac conduction disturbances (decreased QTC in the AO200 30 (P<0.05), 60 (P<0.001), and 90 (P<0.05) minutes after intoxication)   and decreased PR 60 (P<0.05) and 90 minutes (P<0.01) after intoxication. This was compared with baseline as well as detrimental changes in cardiac electrophysiology [mitigated ST-segment elevation  in AO200  and depressed T-wave in the AO200 (P<0.05) and  AO400 (P<0.01)  groups 90 minutes after intoxication]

Based on these authentic results, it seems that olive leaf extracts can be useful in reducing the severity of symptoms in ALP-poisoned individuals and could be utilized in a poisoning emergency.

Milk and dairy products are nutritious and can play a significant role in a healthy diet. The safety of milk decreases with increase in concentration of Cadmium (Cd) and Mercury (Hg). The aim is to evaluate the status of Cd and Hg contamination regarding milk and dairy products in some provinces and cities of Vietnam.

367 samples of liquid milk, yogurt, cheese, milk cake and milk powder were collected in six large cities and provinces of Vietnam, then Cd and Hg levels were quantitatively analyzed. Samples were digested before analysis to remove organic compounds, and the heavy metal concentrations were determined by atomic absorption spectrophotometry.

The average concentrations of Cd and Hg in liquid milk were 64.55 and 29.99 ppb; in yogurt, 49.09 and 24.72 ppb; in cheese, 115.81 and 33.75 ppb; in milk cake, 84.44 and 18.08 ppb; and in milk powder, 61.78 and 43.21 ppb, respectively.

Hg concentrations in 19.3% of liquid milk, 9.49% of yogurt, 14.29% of cheese, 9.09% of milk cake, and 22% of milk powder were higher than the maximum permitted levels according to national regulations. In contrast, Cd concentrations of all the samples were less than the maximum permitted levels so as not to affect the health of consumers of milk and dairy products produced and processed in Vietnam.

Sanctions against a country could be a shock to the country's economy for a specific period. Iran has been subject to various sanctions for the past 40 years, and these sanctions have intensified since 2011. Unprecedented sanctions were imposed on Iranians after the United States withdrew from the Joint Comprehensive Plan of Action (JCPOA) agreement, and a disastrous economic situation was the outcome of this international issue. The present study aims to evaluate the impact of this situation on weight gain of pregnant mothers and birth weight as well as food security of their families.

The data of pregnant women and newborns were extracted from Sina Electronic Health System (SinaEHR®) questionnaires. These questionnaires were completed by trained healthcare workers in comprehensive health service centers. The data of 266,182 pregnant women were collected through questionnaires from 19 comprehensive health centers related to Razavi Khorasan province and were prepared for statistical analysis. Then, data analysis was done using the statistical method of Generalized Estimating Equations (GEE) by SPSS software.

Examining the data of 266,182 pregnant mothers during the sanctions period of 2017 to 2020 in Iran shows that the weight gain of pregnant mothers (P<0.001) and the birth weight of the newborns (P<0.047) have decreased significantly.

According to the results, there has been a significant reduction in the two variables of weight gain in pregnant women and newborns’ birth weight, which confirms the debilitative effects of sanctions on these important outcomes.

Dietary patterns (DPs) are a combination of nutrients which are determined through feeding behaviors of a particular population. Paying attention to DPs gives us a good picture of the diet and eating habits of people in the community. DPs help identify people at risk of chronic nutrition-related illnesses and give them nutritional advice. In the present study, the authors determine the DPs of people in Kashan city, Iran.

This cross-sectional study was conducted to determine the DPs of the Kashan population from September 2019 to March 2020. A validated food frequency questionnaire (FFQ) was used to collect sociodemographic and dietary data. Then, DPs were assessed using principal component analysis.

The results showed that the average consumption of food items in cereals and products based on cereals, fruits and fruit products, vegetables and their products, meat and meat products, and milk and dairy products were 282.38±65.71, 287.58±8.89, 364.17±21.05, 34.48±3.81, and 456.65±39.16 g/day, respectively. The identified DPs included: 1) Unhealthy and processed, 2) fruit and fruit-based products, 3) Kashan traditional food, 4) Healthy diet, and 5) Mixed diet.

Findings of the present study reveal that sociodemographic factors and lifestyle are associated with food choices. In addition, the authors found the low consumption of grains, fruits, vegetables, and meat and their products in the studied population. The researchers call for nutritional interventions to modify the consumption pattern for these food items

Staphylococcus aureus (S. aureus) is responsible for most cases of food poisoning all around the world. These carriers and manipulated foodstuffs are the main sources of bacteria transmission to ready-to-eat food. This study aims to determine the genetic affinity of methicillin-resistant Staphylococcus aureus (MRSA) strains isolated from cream pastries and workers, nasal of Shiraz city confectioneries.  

30 MRSA strains (7 nasal carriers, 23 food isolates) were selected from the bank of bacteria at Shiraz medical faculty. To determine the genetic affinity of the isolates, RAPD-PCR technique was performed using OLP6, OLP11, and OLP13 primers. RAPD-PCR patterns were analyzed using the software GelJ.

By using primer OLP6 only 5 RAPD-PCR patterns were produced from DNA ampliqons of creamy pastry isolates and were not enough to compare the genetic affinity of all the isolates. Based on 100% similarity, OLP13 primer produced 20 different patterns with some bands in the range of 1 to 11, and the OLP11 primer produced 22 patterns with some bands from 3 to 11 bands. At closely and possibly genetically related levels, the isolates are categorized into (13-15) and (1-5) clusters. In general, all the isolates are classified into human and food isolates.

There was no genetic affinity of MDSA isolates regarding human and food samples; but, a high percentage of close genetic relationship between the isolates increases the possibility of bacteria transfer from humans to pastries and food poisoning

Anxiety is one of the most prevalent mental illnesses globally. While there are long-established, separate, and bidirectional connections between nutrition, excess body weight, and anxiety, it is still unclear how these variables interact and affect anxiety state. The aim of the current investigation was to determine whether there was a significant interaction between major dietary patterns (DPs) and overweight/obesity status in relation to the chance of anxiety among Iranian individuals in Yazd, Iran.

This cross-sectional study was conducted on baseline data of a large Iranian cohort study (Yazd Health Study: YaHS-TAMYZ). Dietary intakes were collected via a validated food frequency questionnaire. Major DPs were identified by principal component analysis (PCA). Then, body weight was assessed via an accurate body analyzer. Anxiety score was also evaluated using the validated scale-21 (DASS-21) questionnaire. Finally, the interaction between DPs and overweight/obesity in relation to the odds of anxiety was assessed using a multivariable adjusted binary logistic regression.

In total, 5781 participants were included in the present investigation. Individuals with the highest adherence to "high animal protein" DP and with overweight/obesity state had significantly lower odds of anxiety compared to those with the lowest imitation and normal body weight (P for interaction: 0.03).

Findings of the current study revealed that the “high animal protein” DP may be inversely linked to the lower chance of anxiety in participants with overweight/obesity. Yet, further long-term prospective investigations are required to confirm the results.

Hospital menus are profoundly important to meet the nourishment needs of patients. So, this study is conducted to determine the nutrient adequacy of adult patients’ normal diet menus.

An evaluation of 30-day fixed menus consisting of 4 dishes was conducted in four different public hospitals in Ankara, the capital of Türkiye. Mean adequacy ratio (MAR) and nutrient adequacy ratio (NAR) were used to examine the sufficiency of nutrients and meals.

For all the hospitals, MAR value was found higher than %85. However, nutrient adequacy ratio of dietary fiber, calcium and magnesium were lower than the other nutrients.  It was determined that total fat, saturated fat, salt and cholesterol (except hospital D) contents were high according to the recommended values. Nevertheless, these fixed menus supplied 75% daily fiber on average. Hospital A and D menus met calcium requirements by 73% and 67%, respectively. While hospital D menus met magnesium (76%) and potassium (67%) requirements moderately, other hospitals approached 100% sufficiency for potassium. It is remarkable that in all the hospitals the amount of fruits seemed very low, up to 34%.

As the hospital meal is an essential part of in-patients’ institutional care and nutritional support, the nutrient contents of menus should be monitored for nutritional requirements and, if necessary, there should be initiatives and arrangements in standard recipes to reduce salt and fat contents.

Bambara nut, an underutilized legume is rich in protein and can improve the nutritional quality of snacks. This study evaluates the nutritional and sensory properties of muffins produced from germinated maize and Bambara groundnut flours.

Maize and Bambara groundnut seeds were germinated (72 hours), oven-dried and milled. The composite flours from the germinated flours were combined with soya oil, tiger-nut milk, date and carrot powder to produce four samples of muffins. The samples were chemically analyzed for proximate, mineral, beta-carotene, and anti-nutrient contents. Then, sensory evaluation was carried out among 20 mothers (20-30) using a 5 hedonic scale. ANOVA and Duncan Multiple Range Test were also used to analyze the data.

Protein, fiber and carbohydrate contents of the muffins ranged from 7.63-9.23%, 0.05-0.08% and 70.63-71.55%, respectively. It was found that germination significantly increased protein and iron content of muffins but reduced zinc, calcium, and beta-carotene contents (P<0.001). The muffins contributed above 22% of the RDA regarding energy for children. Muffins produced from the blends provided higher level of protein, calcium, iron and beta-carotene compared to those made from whole wheat flour. There was a significant reduction in anti-nutrient contents of the muffins and germinated flours. The muffin produced from the 80% maize and 20% Bambara nut flour was rated best in terms of nutritional value, taste, and texture.

Bambara nut flours could be used to produce nutritious snacks which would contribute to daily energy and protein needs of children

This study evaluates proximate, antinutrient, and antioxidant activities of raw and processed quinoa flour (RQF and PQF). Product development and sensory evaluation were also addressed to provide prospects for human consumption.

Quinoa was processed by two methods - soaking and roasting. Some nutrients like moisture, ash, protein, carbohydrate, crude fibre, fat, iron, calcium, vitamin C, phytic acid, saponins, total phenol, and 2,2-diphenylpicrylhydrazyl (DPPH) were analyzed. The recipes were made and conduct acceptability evaluation by a 9-point hedonic scale.  The mean, standard deviation, and One-Way Analysis of Variance (proximate, antinutrient, antioxidant) were utilized as the statistical approach for the analysis of data.

The study revealed that some nutrient composition of RQF was found to be impressive with moisture (11%), ash (2.1%), protein (16.6%), crude fibre (2%), iron (11.6%), and calcium (76.1%) as compared to PQF; however, carbohydrate (69.9%), fat (9.6%), and vitamin C (9.1%) was increased in PQF, and phytic acid and saponins were decreased in all the PQF. DPPH’ free antioxidant potential was observed that RQF lowered free radical scavenging activity. In all PQF, the total phenol content was both raised and reduced. Also, proximate and antioxidant activity showed significant differences (P<0.05), and antinutrient analysis showed no significant differences (P>0.05). The two recipes were prepared as upma (soaked for 48 h), and chakli (roasted at 145 °C). Sample B of upma (50% semolina with 50% soaked quinoa flour) and sample A of chakli (75% refined flour with 25% roasted quinoa flour) were more acceptable.

This study concluded that the use of domestic processing of quinoa seeds decreases some nutrient value compared with RQF and also infers the dietary importance of quinoa.

Gunungkidul, one of the districts in the special region of Yogyakarta – Indonesia, was reported to have a significant number of food-insecure villages. However, it conserved various forgotten protein-source food as a regional heritage delicacy. This study aims to evaluate the contribution of forgotten foods (edible insects, aquatic animals, indigenous plants) to support food security among poor households in Gunungkidul district, Indonesia.

Food security status was evaluated according to the method by Maxwell. The characteristics of socio-economic households, food consumption behaviour, nutritional status of children under five, and health status of mothers and children among the targets were also assessed through an interview using a structured coded questionnaire. The food consumption pattern was analyzed by using food recall 2 x 24 hours and a semi food frequency questionnaire. This study involved 240 poor households below the poverty line, mainly farmers (60%).

This study revealed that 48% of households were food-insecure, 39% were food-vulnerable, 8% were less food-secure, and 5% were food-secure. Aquatic animals and edible insects contributed as many as 22 making up for 1% of daily protein needs, respectively. A preference shifting on those forgotten foods seems to become one barrier to this contribution.

The forgotten foods might be an alternative to a future challenge in supporting human well-being. In this case, aquatic animals and edible insects are considered as future protein sources.

More than half of diabetic patients finally develop hypertension which remarkably increases the risk of multiple complications. This study aims to assess the association between dietary indices, antioxidant intake and bioactive foods, and hypertension in diabetic patients.

This was a cross-sectional population-based study on baseline data of Fasa PERSIAN cohort study which was conducted on adults in Sheshdeh town and its 24 villages, in Iran from 2014 to 2016. This research included 1229 patients with diabetes. A food frequency questionnaire was used to assess three dietary indices (phytochemical index, dietary inflammatory index, and alternative healthy eating index-2010), antioxidant intake, and consumption of bioactive foods. Other lifestyle and demographic factors were also assessed. Multivariable binary logistic regression was performed to assess the associations between independent variables and hypertension.

Higher intake of garlic was significantly associated with lower odds of having hypertension after adjusting for potential confounders [adjusted odds ratio (AOR):0.84, 95% confidence interval (CI):0.73-0.97]. Furthermore, female gender [AOR:1.77, 95% CI:1.26-2.49], being older [AOR:1.09, 95% CI:1.08-1.11], having a family history of hypertension [AOR:2.42, 95% CI:1.86-3.16] and higher body mass index (BMI) [AOR:1.1, 95% CI:1.07-1.13] were predictors of having hypertension. Neither dietary indices nor antioxidant intakes were associated with having hypertension in the crude or adjusted models.

Garlic consumption is negatively associated with hypertension in diabetic patients. However, female gender, old age, family history of hypertension and higher BMI are positively associated with this condition. Therefore, modifying diet and weight management are recommended for controlling hypertension in this group of patients.

Indonesia retains a high stunting prevalence which varies between regions. The government preliminarily has specific and sensitive nutrition programs. However, few studies have investigated the prevalence of stunting in food-secure areas and its association with the nutrition program. Therefore, the current research aims to analyze the prevalence of stunting and its relationship with socioeconomic factors and nutritional intervention programs received by children or their families in food-secure areas.

This cross-sectional study included 140 children under five and their parents/ caregivers. Chi-square and logistic regression were applied to examine the correlation of stunting prevalence with other variables.

The prevalence of stunting was 38.6%. The factors that were significantly correlated with stunting prevalence were maternal education level (P=0.01), household food expenditure in the animal-based foods group (P=0.009), ready-to-eat foods (P=0.002), total food expenditure (P=0.003), and information from health workers about the use of iodized salt (P=0.033).

High stunting prevalence is present in food-secure areas. Therefore, increasing maternal education and improving household food access, particularly for animal protein and ready-to-eat food, can be potential strategies to reduce stunting problems in food-secure areas.

High blood pressure (BP) is a risk factor for various health conditions, and dietary factors have been linked to the development of high blood pressure. Scientific studies have shown that consuming marine food, particularly oily fish, can be beneficial in reducing blood pressure levels. This study aims to investigate the relationship between traditional fish sauces and seafood consumption, and blood pressure levels in Bandar Kong Cohort study.

Cross-sectional analyses were performed using data from 2823 volunteers, collected through questionnaires and BP measurements following a standardized protocol. Age-adjusted and multivariate associations between BP and seafood consumption were estimated using multiple linear regressions. Three models of analysis were used: model 1, daily energy intake; model 2, daily energy intake along with age; and model 3, daily energy intake, age, education, body mass index (BMI), residence, occupation, marital status, using hookah, socio-economic status, physical activity, and family history of hypertension.

Among 2823 participants (age; 46.88±8.94 yrs.), 1138(40.3%) men and 1685(59.7%) women, 693 (24.5%) individuals had hypertension, (n=288) accounting for 25.3% men and (n=405) 24.0% women. After adjusting for covariates, the study found significant negative relationships between the consumption of salted fish-water, Mahyaveh and Suragh (traditional Iranian fish sauces), and BP.

This study suggests that consuming traditional Iranian fish sauces, Mahyaveh and Suragh, is associated with lower BP levels. This study sheds light on potential benefits of traditional dietary choices for regulating blood pressure.