Effect of high compared with low dairy intake on blood pressure in overweight middle-aged adults: results of a randomized crossover intervention study.

blood pressure crossover study dairy dairy diet intervention diet intervention study randomized controlled trial

Journal

The American journal of clinical nutrition
ISSN: 1938-3207
Titre abrégé: Am J Clin Nutr
Pays: United States
ID NLM: 0376027

Informations de publication

Date de publication:
01 08 2019
Historique:
received: 16 01 2019
accepted: 22 05 2019
pubmed: 27 6 2019
medline: 4 3 2020
entrez: 26 6 2019
Statut: ppublish

Résumé

Observational studies suggest that high dairy intake is associated with a lower blood pressure (BP). We aimed to investigate the effect of a high-dairy diet (HDD) as compared with a low-dairy diet (LDD) on BP in overweight middle-aged adults. Fifty-two overweight men and women were included in a randomized crossover intervention study. Each subject consumed 2 isocaloric diets for 6 wk, an LDD (≤1 dairy portion per day) and an HDD (6 or 5 reduced-fat dairy portions for men and women, respectively), with a 4-wk washout period in between the diets during which the subjects consumed their habitual diet. BP was measured at the start and at the end of the intervention diets. The effect of the intervention study was evaluated by 2-sample t tests. Mixed-model analyses were used for adjustment for the potential influence of changes in dietary protein and mineral intake and risk factors for hypertension including body weight and plasma cholesterol. Consumption of an HDD as compared with an LDD resulted in a reduction of both systolic BP (mean ± SD: 4.6 ± 11.2 mm Hg, P < 0.01) and diastolic BP (3.0 ± 6.7 mm Hg, P < 0.01). In further analyses, these reductions appeared dependent on the concomitant increase in calcium intake. This intervention study shows that an HDD results in a reduction of both systolic and diastolic BP in overweight middle-aged men and women. If the results of our study are reproduced by other studies, advice for high dairy intake may be added to treatment and prevention of high BP. This trial was registered at trialregister.nl as NTR4899.

Sections du résumé

BACKGROUND
Observational studies suggest that high dairy intake is associated with a lower blood pressure (BP).
OBJECTIVE
We aimed to investigate the effect of a high-dairy diet (HDD) as compared with a low-dairy diet (LDD) on BP in overweight middle-aged adults.
METHODS
Fifty-two overweight men and women were included in a randomized crossover intervention study. Each subject consumed 2 isocaloric diets for 6 wk, an LDD (≤1 dairy portion per day) and an HDD (6 or 5 reduced-fat dairy portions for men and women, respectively), with a 4-wk washout period in between the diets during which the subjects consumed their habitual diet. BP was measured at the start and at the end of the intervention diets. The effect of the intervention study was evaluated by 2-sample t tests. Mixed-model analyses were used for adjustment for the potential influence of changes in dietary protein and mineral intake and risk factors for hypertension including body weight and plasma cholesterol.
RESULTS
Consumption of an HDD as compared with an LDD resulted in a reduction of both systolic BP (mean ± SD: 4.6 ± 11.2 mm Hg, P < 0.01) and diastolic BP (3.0 ± 6.7 mm Hg, P < 0.01). In further analyses, these reductions appeared dependent on the concomitant increase in calcium intake.
CONCLUSIONS
This intervention study shows that an HDD results in a reduction of both systolic and diastolic BP in overweight middle-aged men and women. If the results of our study are reproduced by other studies, advice for high dairy intake may be added to treatment and prevention of high BP. This trial was registered at trialregister.nl as NTR4899.

Identifiants

pubmed: 31237322
pii: S0002-9165(22)01182-0
doi: 10.1093/ajcn/nqz116
pmc: PMC6669052
doi:

Banques de données

NTR
['NTR4899']

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

340-348

Informations de copyright

Copyright © American Society for Nutrition 2019.

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Auteurs

Susan Rietsema (S)

Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Coby Eelderink (C)

Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Monica L Joustra (ML)

Interdisciplinary Center for Psychopathology and Emotion Regulation, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Iris M Y van Vliet (IMY)

Department of Dietetics, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Marco van Londen (M)

Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Eva Corpeleijn (E)

Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Cecile M Singh-Povel (CM)

FrieslandCampina, Amersfoort, Netherlands.

Jan M W Geurts (JMW)

FrieslandCampina, Amersfoort, Netherlands.

Jenny E Kootstra-Ros (JE)

Department of Laboratory Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Ralf Westerhuis (R)

Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Gerjan Navis (G)

Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

Stephan J L Bakker (SJL)

Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.

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