Yoshioka S, Uemura K, Tamaya N, Tamagawa T, Miura H, Iguchi A, Nakamura J, Hotta N
Third Department of Internal Medicine, Nagoya University School of Medicine, Japan.
J Hypertens. 2000 Dec;18(12):1857-64. doi: 10.1097/00004872-200018120-00021.
To determine whether the dietary-fat-induced increase in blood pressure is caused by excess energy intake or the fat composition of the diet, what type of fat increases the blood pressure, and whether insulin resistance is involved in the dietary-fat-induced increase in blood pressure.
In a series of experiments, rats received: chow alone or chow supplemented with lard or sucrose to provide 33% of a total energy content increased by 50%; chow alone or chow in which 50% of the energy content was from substituted lard, safflower oil or medium-chain triglyceride oil; or chow alone or chow in which 50% of the energy content was from substituted lard, with or without troglitazone. Systolic blood pressure (SBP) was measured every week during each 8-week feeding period. A steady-state serum glucose method was used to determine the insulin sensitivity after the lard substitution with or without troglitazone.
Both the lard and sucrose enrichment increased SBP and body weight compared with controls. Lard substitution significantly increased SBP and immunoreactive insulin, although body weight did not differ from control. Neither a diet substituted with safflower oil nor one substituted with medium-chain triglyceride oil influenced SBP. Troglitazone completely inhibited the increase in SBP and immunoreactive insulin induced by the lard. The steady-state serum glucose concentration was significantly greater after the lard substitution than after isoenergetic chow; this effect also was reversed by troglitazone.
Chronic feeding with lard increased SBP in rats, independently of excess energy intake. Of the fats tested, lard exerted an intrinsic pressor effect. Troglitazone reversed the lard-induced increase in SBP.
确定膳食脂肪导致的血压升高是由能量摄入过多还是饮食中的脂肪成分引起的,何种类型的脂肪会升高血压,以及胰岛素抵抗是否参与了膳食脂肪导致的血压升高。
在一系列实验中,大鼠接受以下饮食:单独的普通饲料,或添加猪油或蔗糖的普通饲料,以使总能量含量增加50%且其中33%来自添加物;单独的普通饲料,或能量含量50%来自替代猪油、红花油或中链甘油三酯油的普通饲料;单独的普通饲料,或能量含量50%来自替代猪油的普通饲料,添加或不添加曲格列酮。在每个8周的喂养期内,每周测量收缩压(SBP)。采用稳态血清葡萄糖法测定在添加或不添加曲格列酮的情况下用猪油替代后的胰岛素敏感性。
与对照组相比,添加猪油和蔗糖均使收缩压和体重升高。尽管体重与对照组无差异,但用猪油替代显著增加了收缩压和免疫反应性胰岛素。用红花油替代的饮食和用中链甘油三酯油替代的饮食均未影响收缩压。曲格列酮完全抑制了猪油诱导的收缩压和免疫反应性胰岛素的升高。用猪油替代后稳态血清葡萄糖浓度显著高于等能量普通饲料喂养后;曲格列酮也可逆转这种效应。
长期用猪油喂养可使大鼠收缩压升高,与能量摄入过多无关。在所测试的脂肪中,猪油具有内在的升压作用。曲格列酮可逆转猪油诱导的收缩压升高。