{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T23:46:14Z","timestamp":1788306374096,"version":"build-2803163510"},"reference-count":29,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2018,4,5]],"date-time":"2018-04-05T00:00:00Z","timestamp":1522886400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The association between vegetable intake and blood pressure (BP) in adolescents is still inconsistent, and the description of the recommended daily vegetable consumption is abstract and nonfigurative. Here we aimed to investigate the association between vegetable consumption and BP and further look for a simple way to describe a satisfactory level of daily vegetable consumption for adolescents. We recruited 18,757 adolescents, aged 13\u201317 years, from seven provinces in China in 2013. A standard physical examination, including height, weight and BP was conducted. Information regarding vegetable intake was collected by questionnaire, and one serving of vegetables was defined as the size of an adult\u2019s fist. Multivariable linear and logistic regression models were used for analysis after adjusting for covariates. Approximately 12.2%, 38.0%, 28.7%, and 21.1% of the adolescents reported daily vegetable consumption of &lt;1, 1~2, 2~3, and \u22653 servings, respectively. Adolescents whose daily vegetable consumption was \u22653 servings showed a lower risk of high blood pressure (HBP) (OR = 0.74, 95%CI: 0.58~0.94, p = 0.013) compared to those with daily vegetable consumptions of &lt; 1 serving. When stratified by body mass index (BMI), in overweight adolescents, participants with 2~3 or \u22653 servings\/day had an OR of 0.66 (95%CI: 0.45~0.97) or 0.63 (95%CI: 0.42~0.95) compared with the reference group. Daily vegetable intake of at least three servings (three adult\u2019s fists) is associated with a lower HBP risk in adolescents, which leads to a simple message: \u201cconsuming at least three fists of vegetables every day will improve your blood pressure profile\u201d.<\/jats:p>","DOI":"10.3390\/nu10040451","type":"journal-article","created":{"date-parts":[[2018,4,5]],"date-time":"2018-04-05T16:50:58Z","timestamp":1522947058000},"page":"451","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Association between Vegetable Consumption and Blood Pressure, Stratified by BMI, among Chinese Adolescents Aged 13\u201317 Years: A National Cross-Sectional Study"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3297-1306","authenticated-orcid":false,"given":"Yide","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine, Medical College of Hunan Normal University, Changsha 410013, China"},{"name":"Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8123-4401","authenticated-orcid":false,"given":"Bin","family":"Dong","sequence":"additional","affiliation":[{"name":"Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5049-5425","authenticated-orcid":false,"given":"Zhiyong","family":"Zou","sequence":"additional","affiliation":[{"name":"Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuo","family":"Wang","sequence":"additional","affiliation":[{"name":"Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhui","family":"Dong","sequence":"additional","affiliation":[{"name":"Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenghe","family":"Wang","sequence":"additional","affiliation":[{"name":"Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Ma","sequence":"additional","affiliation":[{"name":"Institute of Child and Adolescent Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,4,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2224","DOI":"10.1016\/S0140-6736(12)61766-8","article-title":"A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990\u20132010: A systematic analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Lim","year":"2012","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3171","DOI":"10.1161\/CIRCULATIONAHA.107.730366","article-title":"Tracking of blood pressure from childhood to adulthood: A systematic review and meta-regression analysis","volume":"117","author":"Chen","year":"2008","journal-title":"Circulation"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"h770","DOI":"10.1136\/bmj.h770","article-title":"School based education programme to reduce salt intake in children and their families (School-EduSalt): Cluster randomised controlled trial","volume":"350","author":"He","year":"2015","journal-title":"BMJ"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1291\/hypres.31.1435","article-title":"Fruit and vegetable consumption and the risk of hypertension determined by self measurement of blood pressure at home: The Ohasama study","volume":"31","author":"Utsugi","year":"2008","journal-title":"Hypertens. Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1080\/10408398.2015.1008980","article-title":"Fruit and vegetable consumption and risk of cardiovascular disease: A meta-analysis of prospective cohort studies","volume":"57","author":"Zhan","year":"2017","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1093\/nutrit\/nux002","article-title":"Role of fruits and vegetables in adolescent cardiovascular health: A systematic review","volume":"75","author":"Collese","year":"2017","journal-title":"Nutr. Rev."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Mellendick, K., Shanahan, L., Wideman, L., Calkins, S., Keane, S., and Lovelady, C. (2018). Diets rich in fruits and vegetables are associated with lower cardiovascular disease risk in adolescents. Nutrients, 10.","DOI":"10.3390\/nu10020136"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1111\/j.1365-2702.2010.03608.x","article-title":"The association between blood pressure in adolescents and the consumption of fruits, vegetables and fruit juice\u2014An exploratory study","volume":"20","author":"Damasceno","year":"2011","journal-title":"J. Clin. Nurs."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jsha.2011.09.002","article-title":"Gender differences in cardiovascular risk factors among adolescents in Aseer Region, southwestern Saudi Arabia","volume":"24","author":"Mahfouz","year":"2012","journal-title":"J. Saudi Heart Assoc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1017\/S0007114513002961","article-title":"Salt, fruit and vegetable consumption and blood pressure development: A longitudinal investigation in healthy children","volume":"111","author":"Shi","year":"2014","journal-title":"Br. J. Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2253","DOI":"10.1515\/cclm-2013-0405","article-title":"Searching for genes involved in hypertension development in special populations: Children and pre-eclamptic women. Where are we standing now?","volume":"51","author":"Danese","year":"2013","journal-title":"Clin. Chem. Lab. Med."},{"key":"ref_12","unstructured":"Chinese Nutrition Society (2016). Dietary Guidelines for Chinese, People\u2019s Medical Publishing House."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1038\/jhh.2017.22","article-title":"Association between high birth weight and hypertension in children and adolescents: A cross-sectional study in China","volume":"31","author":"Dong","year":"2017","journal-title":"J. Hum. Hypertens."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Song, J.Y., Song, Q.Y., Wang, S., Ma, J., and Wang, H.J. (2017). Physical activity and sedentary behaviors modify the association between melanocortin 4 receptor gene variant and obesity in Chinese children and adolescents. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0170062"},{"key":"ref_15","first-page":"A124","article-title":"Assessing calcium intake in postmenopausal women","volume":"6","author":"Plawecki","year":"2009","journal-title":"Prev. Chronic Dis."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1017\/S0007114516001744","article-title":"The importance of blood lipids in the association between BMI and blood pressure among Chinese overweight and obese children","volume":"116","author":"Zou","year":"2016","journal-title":"Br. J. Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Yang, Y., Dong, B., Wang, S., Dong, Y., Zou, Z., Fu, L., and Ma, J. (2017). Prevalence of high blood pressure subtypes and its associations with BMI in Chinese children: A national cross-sectional survey. BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4522-2"},{"key":"ref_18","first-page":"390","article-title":"Working group on obesity in China. Report on childhood obesity in China (1)\u2014Body mass index reference for screening overweight and obesity in Chinese school-age children","volume":"18","author":"Ji","year":"2005","journal-title":"Biomed. Environ. Sci."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents (2004). The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics, 114, 555\u2013576.","DOI":"10.1542\/peds.114.2.S2.555"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1038\/oby.2001.18","article-title":"Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity","volume":"9","author":"Epstein","year":"2001","journal-title":"Obes. Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3575","DOI":"10.3390\/ijerph9103575","article-title":"Fruits and vegetables consumption and associated factors among in-school adolescents in five Southeast Asian countries","volume":"9","author":"Peltzer","year":"2012","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"130","DOI":"10.4162\/nrp.2017.11.2.130","article-title":"Prevalence and determinants of sufficient fruit and vegetable consumption among primary school children in Nakhon Pathom, Thailand","volume":"11","author":"Hong","year":"2017","journal-title":"Nutr. Res. Pract."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1007\/s00394-014-0804-y","article-title":"Prospective relevance of fruit and vegetable consumption and salt intake during adolescence for blood pressure in young adulthood","volume":"54","author":"Krupp","year":"2015","journal-title":"Eur. J. Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1093\/jn\/132.3.430","article-title":"Tracking of dietary intake patterns of Chinese from childhood to adolescence over a six-year follow-up period","volume":"132","author":"Wang","year":"2002","journal-title":"J. Nutr."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Fasting, M.H., Nilsen, T.I., Holmen, T.L., and Vik, T. (2008). Life style related to blood pressure and body weight in adolescence: Cross sectional data from the Young-HUNT study, Norway. BMC Public Health, 8.","DOI":"10.1186\/1471-2458-8-111"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1056\/NEJMoa1501451","article-title":"Fresh fruit consumption and major cardiovascular disease in China","volume":"374","author":"Du","year":"2016","journal-title":"N. Engl. J. Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.jpeds.2007.09.022","article-title":"The efficacy of a clinic-based behavioral nutrition intervention emphasizing a DASH-type diet for adolescents with elevated blood pressure","volume":"152","author":"Couch","year":"2008","journal-title":"J. Pediatr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1969","DOI":"10.1016\/S0140-6736(02)98858-6","article-title":"Effects of fruit and vegetable consumption on plasma antioxidant concentrations and blood pressure: A randomised controlled trial","volume":"359","author":"John","year":"2002","journal-title":"Lancet"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2588","DOI":"10.1093\/jn\/136.10.2588","article-title":"Fruit and vegetable consumption and risk of coronary heart disease: A meta-analysis of cohort studies","volume":"136","author":"Dauchet","year":"2006","journal-title":"J. Nutr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/10\/4\/451\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T14:59:42Z","timestamp":1760194782000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/10\/4\/451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,5]]},"references-count":29,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2018,4]]}},"alternative-id":["nu10040451"],"URL":"https:\/\/doi.org\/10.3390\/nu10040451","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,5]]}}}