Dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individuals

Abstract To investigate the association between dietary microbes intake and sedentary behavior with mortality risk in hypertensive adults in the United States. This study uses data from hypertensive individuals included in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 20...

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Main Authors: Xuanchun Huang, Lanshuo Hu, Jun Li, Chao Meng, Xiao Xia, Yiying Liu
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-01122-y
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author Xuanchun Huang
Lanshuo Hu
Jun Li
Chao Meng
Xiao Xia
Yiying Liu
author_facet Xuanchun Huang
Lanshuo Hu
Jun Li
Chao Meng
Xiao Xia
Yiying Liu
author_sort Xuanchun Huang
collection DOAJ
description Abstract To investigate the association between dietary microbes intake and sedentary behavior with mortality risk in hypertensive adults in the United States. This study uses data from hypertensive individuals included in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018. The relationship between live-microbe intake, sedentary time, and mortality risk among hypertensive individuals is preliminarily explored using Kaplan–Meier curves. Cox proportional hazards models are employed to analyze the associations separately and jointly, followed by subgroup analyses and sensitivity analysis to assess model stability. The study enrolled 10,036 participants with hypertension, among whom 1599 deaths occurred, including 512 cardiovascular disease-related deaths. Initial Kaplan–Meier curve analysis revealed that hypertensive individuals with both low intake of dietary live microbes and prolonged sedentary time had significantly higher mortality risk. Subsequent Cox proportional hazards model analysis demonstrated that high dietary microbial intake combined with reduced sedentary time were associated with lower mortality risk in hypertensive patients. Joint effect analysis suggested that maintaining proper dietary microbial eating habit may mitigate the adverse health effects of chronic sedentary behavior in this population. Subgroup and sensitivity analyses confirmed the stability of these findings across most examined conditions. The mortality risk in hypertensive individuals due to low intake of dietary live microbes and prolonged sedentary behavior is cumulative. Consuming foods rich in dietary microbes may help reduce the mortality risk associated with sedentary behavior in hypertensive populations.
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institution Kabale University
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spelling doaj-art-3074f696e4814f86bc0ea5ca59e18a4c2025-08-20T03:53:58ZengNature PortfolioScientific Reports2045-23222025-05-0115111310.1038/s41598-025-01122-yDietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individualsXuanchun Huang0Lanshuo Hu1Jun Li2Chao Meng3Xiao Xia4Yiying Liu5Guang’anmen Hospital, China Academy of Traditional Chinese MedicineXiyuan Hospital, China Academy of Traditional Chinese MedicineGuang’anmen Hospital, China Academy of Traditional Chinese MedicineGuang’anmen Hospital, China Academy of Traditional Chinese MedicineGuang’anmen Hospital, China Academy of Traditional Chinese MedicineGuang’anmen Hospital, China Academy of Traditional Chinese MedicineAbstract To investigate the association between dietary microbes intake and sedentary behavior with mortality risk in hypertensive adults in the United States. This study uses data from hypertensive individuals included in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018. The relationship between live-microbe intake, sedentary time, and mortality risk among hypertensive individuals is preliminarily explored using Kaplan–Meier curves. Cox proportional hazards models are employed to analyze the associations separately and jointly, followed by subgroup analyses and sensitivity analysis to assess model stability. The study enrolled 10,036 participants with hypertension, among whom 1599 deaths occurred, including 512 cardiovascular disease-related deaths. Initial Kaplan–Meier curve analysis revealed that hypertensive individuals with both low intake of dietary live microbes and prolonged sedentary time had significantly higher mortality risk. Subsequent Cox proportional hazards model analysis demonstrated that high dietary microbial intake combined with reduced sedentary time were associated with lower mortality risk in hypertensive patients. Joint effect analysis suggested that maintaining proper dietary microbial eating habit may mitigate the adverse health effects of chronic sedentary behavior in this population. Subgroup and sensitivity analyses confirmed the stability of these findings across most examined conditions. The mortality risk in hypertensive individuals due to low intake of dietary live microbes and prolonged sedentary behavior is cumulative. Consuming foods rich in dietary microbes may help reduce the mortality risk associated with sedentary behavior in hypertensive populations.https://doi.org/10.1038/s41598-025-01122-yDietary live microbesSedentary behaviorMortality riskCross-sectional studyNHANES
spellingShingle Xuanchun Huang
Lanshuo Hu
Jun Li
Chao Meng
Xiao Xia
Yiying Liu
Dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individuals
Scientific Reports
Dietary live microbes
Sedentary behavior
Mortality risk
Cross-sectional study
NHANES
title Dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individuals
title_full Dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individuals
title_fullStr Dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individuals
title_full_unstemmed Dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individuals
title_short Dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individuals
title_sort dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in us hypertensive individuals
topic Dietary live microbes
Sedentary behavior
Mortality risk
Cross-sectional study
NHANES
url https://doi.org/10.1038/s41598-025-01122-y
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AT junli dietaryintakeoflivemicrobesmitigatesthemortalityriskassociatedwithsedentarybehaviorinushypertensiveindividuals
AT chaomeng dietaryintakeoflivemicrobesmitigatesthemortalityriskassociatedwithsedentarybehaviorinushypertensiveindividuals
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