Dietary protein and blood pressure: an umbrella review of systematic reviews and evaluation of the evidence.

Blood pressure Dietary protein Grading of evidence Hypertension Meta-analyses Umbrella review

Journal

European journal of nutrition
ISSN: 1436-6215
Titre abrégé: Eur J Nutr
Pays: Germany
ID NLM: 100888704

Informations de publication

Date de publication:
20 Feb 2024
Historique:
received: 14 07 2023
accepted: 22 01 2024
medline: 20 2 2024
pubmed: 20 2 2024
entrez: 20 2 2024
Statut: aheadofprint

Résumé

This umbrella review aimed to investigate the evidence of an effect of dietary intake of total protein, animal and plant protein on blood pressure (BP), and hypertension (PROSPERO: CRD42018082395). PubMed, Embase and Cochrane Database were systematically searched for systematic reviews (SRs) of prospective studies with or without meta-analysis published between 05/2007 and 10/2022. The methodological quality and outcome-specific certainty of evidence were assessed by the AMSTAR 2 and NutriGrade tools, followed by an assessment of the overall certainty of evidence. SRs investigating specific protein sources are described in this review, but not included in the assessment of the overall certainty of evidence. Sixteen SRs were considered eligible for the umbrella review. Ten of the SRs investigated total protein intake, six animal protein, six plant protein and four animal vs. plant protein. The majority of the SRs reported no associations or effects of total, animal and plant protein on BP (all "possible" evidence), whereby the uncertainty regarding the effects on BP was particularly high for plant protein. Two SRs addressing milk-derived protein showed a reduction in BP; in contrast, SRs investigating soy protein found no effect on BP. The outcome-specific certainty of evidence of the SRs was mostly rated as low. This umbrella review showed uncertainties whether there are any effects on BP from the intake of total protein, or animal or plant proteins, specifically. Based on data from two SRs with milk protein, it cannot be excluded that certain types of protein could favourably influence BP.

Identifiants

pubmed: 38376519
doi: 10.1007/s00394-024-03336-8
pii: 10.1007/s00394-024-03336-8
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Heiner Boeing (H)

Department of Epidemiology (closed), German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.

Anna M Amini (AM)

German Nutrition Society, Godesberger Allee 136, 53175, Bonn, Germany. corresponding_author@dge.de.

Julia Haardt (J)

German Nutrition Society, Godesberger Allee 136, 53175, Bonn, Germany.

Annemarie Schmidt (A)

German Nutrition Society, Godesberger Allee 136, 53175, Bonn, Germany.

Heike A Bischoff-Ferrari (HA)

Department of Aging Medicine and Aging Research, University Hospital Zurich, University of Zurich, and City Hospital Zurich, Zurich, Switzerland.

Anette E Buyken (AE)

Institute of Nutrition, Consumption and Health, Faculty of Natural Sciences, Paderborn University, Paderborn, Germany.

Sarah Egert (S)

Institute of Nutritional and Food Science, University of Bonn, Bonn, Germany.

Sabine Ellinger (S)

Institute of Nutritional and Food Science, University of Bonn, Bonn, Germany.

Anja Kroke (A)

Department of Nutritional, Food and Consumer Sciences, Fulda University of Applied Sciences, Fulda, Germany.

Stefan Lorkowski (S)

Institute of Nutritional Sciences, Friedrich Schiller University Jena, Jena, Germany.
Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD), Halle-Jena-Leipzig, Germany.

Sandrine Louis (S)

Department of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Karlsruhe, Germany.

Katharina Nimptsch (K)

Molecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine (MDC) in the Helmholtz Association, Berlin, Germany.

Matthias B Schulze (MB)

Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Institute of Nutritional Science, University of Potsdam, Potsdam, Germany.

Alexandra Schutkowski (A)

Institute of Agricultural and Nutritional Sciences, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Lukas Schwingshackl (L)

Institute for Evidence in Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Roswitha Siener (R)

Department of Urology, University Stone Center, University Hospital Bonn, Bonn, Germany.

Armin Zittermann (A)

Clinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum Nordrhein Westfalen, Ruhr University Bochum, Bad Oeynhausen, Germany.

Bernhard Watzl (B)

Department of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Karlsruhe, Germany.

Gabriele I Stangl (GI)

Institute of Agricultural and Nutritional Sciences, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Classifications MeSH