1. The effect of a dietary portfolio compared to a DASH-type diet on blood pressure
- Author
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Jiri Frohlich, C. Pellini, Robert G. Josse, Balachandran Bashyam, Patrick Couture, Christopher Ireland, Lawrence A. Leiter, R. J. de Souza, Benoît Lamarche, Arash Mirrahimi, P. Galange, Cyril W. C. Kendall, Vanu Ramprasath, Viranda H. Jayalath, John L. Sievenpiper, Dorothea Faulkner, Peter B. Jones, L. S. A. Augustin, David J.A. Jenkins, Korbua Srichaikul, and Stephanie K. Nishi
- Subjects
Adult ,Male ,medicine.medical_specialty ,Mean arterial pressure ,Canada ,Mediterranean diet ,Endocrinology, Diabetes and Metabolism ,Diastole ,Medicine (miscellaneous) ,Hyperlipidemias ,Diet, Mediterranean ,Diet Records ,Risk Assessment ,Plant protein ,Animal science ,Internal medicine ,Hyperlipidemia ,medicine ,Humans ,Diet, Fat-Restricted ,Aged ,Nutrition and Dietetics ,business.industry ,Sodium ,Coronary heart disease risk ,Blood Pressure Determination ,Diet, Sodium-Restricted ,Middle Aged ,Cardiovascular disease ,medicine.disease ,3. Good health ,Blood pressure ,Endocrinology ,Treatment Outcome ,Cardiovascular Diseases ,Decreased blood pressure ,Hypertension ,Female ,Cardiology and Cardiovascular Medicine ,business ,Energy Intake ,Vegetable protein ,Follow-Up Studies - Abstract
Background and aim Compared to a DASH-type diet, an intensively applied dietary portfolio reduced diastolic blood pressure at 24 weeks as a secondary outcome in a previous study. Due to the importance of strategies to reduce blood pressure, we performed an exploratory analysis pooling data from intensively and routinely applied portfolio treatments from the same study to assess the effect over time on systolic, diastolic and mean arterial pressure (MAP), and the relation to sodium (Na + ), potassium (K + ), and portfolio components. Methods and results 241 participants with hyperlipidemia, from four academic centers across Canada were randomized and completed either a DASH-type diet (control n = 82) or a dietary portfolio that included, soy protein, viscous fibers and nuts (n = 159) for 24 weeks. Fasting measures and 7-day food records were obtained at weeks 0, 12 and 24, with 24-h urines at weeks 0 and 24. The dietary portfolio reduced systolic, diastolic and mean arterial blood pressure compared to the control by 2.1 mm Hg (95% CI, 4.2 to −0.1 mm Hg) (p = 0.056), 1.8 mm Hg (CI, 3.2 to 0.4 mm Hg) (p = 0.013) and 1.9 mm Hg (CI, 3.4 to 0.4 mm Hg) (p = 0.015), respectively. Blood pressure reductions were small at 12 weeks and only reached significance at 24 weeks. Nuts, soy and viscous fiber all related negatively to change in mean arterial pressure (ρ = −0.15 to −0.17, p ≤ 0.016) as did urinary potassium (ρ = −0.25, p = 0.001), while the Na + /K + ratio was positively associated (ρ = 0.20, p = 0.010). Conclusions Consumption of a cholesterol-lowering dietary portfolio also decreased blood pressure by comparison with a healthy DASH-type diet. Clinical Trial Reg. No. NCT00438425, clinicaltrials.gov.
- Published
- 2015