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Ensayo controlado aleatorizado2012Alimentación controlada

Diets containing pistachios reduce systolic blood pressure and peripheral vascular responses to stress in adults with dyslipidemia

West SG, Gebauer SK, Kay CD, Bagshaw DM, Savastano DM, Diefenbach C, Kris-Etherton PM

Hypertension (Dallas, Tex. : 1979) · 43 citas

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Alimentación controlada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
Comida provista por los investigadores

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
Pennsylvania State University
Gobierno
National Center for Research Resources
Gobierno
National Center for Advancing Translational Sciences
Gobierno
NCATS NIH HHS
Gobierno
NCRR NIH HHS
Subvenciones
National Center for Advancing Translational Sciences (UL1-TR000127); National Center for Research Resources (M01-RR-010732)

Según 5 financiadores declarados.

Publicación

Publicado
2012-06-05 · Hypertension · vol. 60 · número 1 · págs. 58–63
Editorial
Lippincott Williams & Wilkins
Citado
56 citas · más que el 95% de estudios similares · 4.4× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
34 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Nuts composition and effects · Nutritional Studies and Diet · Antioxidant Activity and Oxidative Stress
Palabras clave
Blood pressure, Saturated fat, Medicine, Crossover study, Heart rate, Internal medicine, Endocrinology, Calorie, Vascular resistance, Animal science, Cardiology, Cholesterol, Biology, Placebo
MeSH
brachial artery, humans, pistacia, ultrasonography, cardiac output, diet, fat-restricted, fasting, cross-over studies, blood pressure, heart rate, vascular resistance, dose-response relationship, drug, adult, dyslipidemias, stress, physiological, outcome assessment, health care

7 autores

  • Sheila G. West🇬🇧🇺🇸University of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Sarah K Gebauer🇬🇧🇺🇸University of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Colin D. Kay🇬🇧🇺🇸University of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Deborah Maddox Bagshaw🇬🇧🇺🇸University of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • David M. Savastano🇬🇧🇺🇸University of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Christopher Diefenbach🇬🇧🇺🇸University of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Penny M. Kris‐Etherton🇬🇧🇺🇸University of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Nut consumption reduces cardiovascular risk, and reductions in blood pressure and peripheral vascular resistance may be important mediators of this relationship. We evaluated effects of pistachios on flow-mediated dilation and blood pressure response to acute stress. Twenty-eight adults with dyslipidemia completed a randomized, crossover, controlled-feeding study. All of the meals were provided and calories were controlled. After 2 weeks on a typical Western diet (35% total fat and 11% saturated fat), test diets were presented in counterbalanced order for 4 weeks each, a low-fat control diet (25% total fat and 8% saturated fat), a diet containing 10% of energy from pistachios (on average, 1 serving per day; 30% total fat and 8% saturated fat), and a diet containing 20% of energy from pistachios (on average, 2 servings per day, 34% total fat and 8% saturated fat). None of the resting hemodynamic measures significantly differed from pretreatment values. When resting and stress levels were included in the repeated-measures analysis, average reductions in systolic blood pressure were greater after the diet containing 1 serving per day versus 2 servings per day of pistachios (mean change in systolic blood pressure, -4.8 vs -2.4 mm Hg, respectively; P<0.05). After the higher dose, there were significant reductions in peripheral resistance (-62.1 dyne · s × cm(-5)) and heart rate (-3 bpm) versus the control diet (P<0.0001). These changes were partially offset by increases in cardiac output. There was no effect of diet on fasting flow-mediated dilation. Reductions in peripheral vascular constriction and the resulting decrease in hemodynamic load may be important contributors to lower risk in nut consumers.

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