Relationship between dietary live microbial consumption and hypertension risk in children and adolescents: results from the NHANES 2009–2023
- 1Department of Pediatrics, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang Province, China
Abstract
Objective: This analysis aimed to evaluate the association between dietary live microbial consumption and hypertension risk in children and adolescents.
Methods: This cross-sectional analysis comprised data on children and adolescents (aged 8–17 years) from the NHANES database 2009–2023. The association between dietary live microbial consumption and hypertension risk was analyzed using logistic regression analyses. The combined effect of dietary live microbial consumption and overweight/obesity on hypertension risk was examined using interaction analysis.
Results: Of these 9342 enrolled children and adolescents, 433 had hypertension, and 8909 did not. Individuals in the high-MedHi (foods containing medium and high live microbes) consumption group (vs. low-MedHi) [OR = 0.70 (0.50–0.98), P = 0.039] were associated with lower odds of hypertension, and this association persisted after further adjustment for overweight/obesity [OR = 0.71 (0.51–0.99), P = 0.046]. In the joint effect analysis of live microbial consumption (low, high) and overweight/obesity (no, yes), individuals in the high-MedHi and overweight/obesity group [OR = 0.60 (0.39–0.92)], the low-MedHi and non-overweight/obesity group [OR = 0.29 (0.20–0.42)], and the high-MedHi and non-overweight/obesity group [OR = 0.28 (0.16–0.49)] were linked to lower odds of hypertension versus the low-MedHi and overweight/obesity group, and there was a significant trend in these joint effect terms (Ptrend = 0.019).
Conclusion: High live microbial consumption was associated with reduced odds of hypertension among children and adolescents, and live microbial intake and overweight/obesity exerted a joint effect on the odds of hypertension.
Related
- Association between TyG-VAI and hypertension in children and adolescents based on machine learning algorithms
- Screen time exposure, sleep alterations, and their relationship with excess weight in children and adolescents
- Association between the triacylglycerol–glucose index, TyG-BMI and hypertension in children and adolescents: a cross-sectional study with machine-learning-based risk stratification
- Relationship between subjective socioeconomic status and depression in Chinese rural adolescents: positive youth development as a moderator
- OP–089 The relationship between social appearance anxiety, fear of missing out on social media developments, and social media addiction in adolescents
BibTeX
@article{li2026relationship,
title = {{Relationship between dietary live microbial consumption and hypertension risk in children and adolescents: results from the NHANES 2009–2023}},
author = {Xiaowei Li and Xiaoli Li and Yong Han and Xianmei Huang},
journal = {Jornal de Pediatria},
year = {2026},
month = oct,
doi = {10.1016/j.jped.2026.101630},
url = {https://doi.org/10.1016/j.jped.2026.101630},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Relationship between dietary live microbial consumption and hypertension risk in children and adolescents: results from the NHANES 2009–2023
AU - Xiaowei Li
AU - Xiaoli Li
AU - Yong Han
AU - Xianmei Huang
PY - 2026
DA - 2026/10/27
JO - Jornal de Pediatria
DO - 10.1016/j.jped.2026.101630
UR - https://doi.org/10.1016/j.jped.2026.101630
AB - Objective: This analysis aimed to evaluate the association between dietary live microbial consumption and hypertension risk in children and adolescents. Methods: This cross-sectional analysis comprised data on children and adolescents (aged 8–17 years) from the NHANES database 2009–2023. The association between dietary live microbial consumption and hypertension risk was analyzed using logistic regression analyses. The combined effect of dietary live microbial consumption and overweight/obesity on hypertension risk was examined using interaction analysis. Results: Of these 9342 enrolled children and adolescents, 433 had hypertension, and 8909 did not. Individuals in the high-MedHi (foods containing medium and high live microbes) consumption group (vs. low-MedHi) [OR = 0.70 (0.50–0.98), P = 0.039] were associated with lower odds of hypertension, and this association persisted after further adjustment for overweight/obesity [OR = 0.71 (0.51–0.99), P = 0.046]. In the joint effect analysis of live microbial consumption (low, high) and overweight/obesity (no, yes), individuals in the high-MedHi and overweight/obesity group [OR = 0.60 (0.39–0.92)], the low-MedHi and non-overweight/obesity group [OR = 0.29 (0.20–0.42)], and the high-MedHi and non-overweight/obesity group [OR = 0.28 (0.16–0.49)] were linked to lower odds of hypertension versus the low-MedHi and overweight/obesity group, and there was a significant trend in these joint effect terms (Ptrend = 0.019). Conclusion: High live microbial consumption was associated with reduced odds of hypertension among children and adolescents, and live microbial intake and overweight/obesity exerted a joint effect on the odds of hypertension.
SN - 0021-7557
SN - 1678-4782
ER -