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酶解乳糖三肽对轻度高血压患者并无降压作用。

Enzymatically hydrolyzed lactotripeptides do not lower blood pressure in mildly hypertensive subjects.

作者信息

van der Zander Kim, Bots Michiel L, Bak Annette A A, Koning Mettina M G, de Leeuw Peter W

机构信息

Unilever Food & Health Research Institute, Vlaardingen, Netherlands.

出版信息

Am J Clin Nutr. 2008 Dec;88(6):1697-702. doi: 10.3945/ajcn.2008.26003.

Abstract

BACKGROUND

Several placebo-controlled clinical studies suggest that products containing isoleucyl-prolyl-proline and valyl-prolyl-proline are able to lower blood pressure without adverse effects. The most efficient way of producing high concentrations of these lactotripeptides (LTPs) is enzymatic hydrolysis of dairy protein (casein) with the use of a mixture of several enzymes derived from the nongenetically modified organism Aspergillus oryzae, including proteases and peptidases. To date, no large studies of the blood pressure-lowering properties of enzymatically produced LTP (ELTP) powder in European populations have been published.

OBJECTIVE

This study was performed to evaluate the hypothesis that consumption of ELTP in a yogurt beverage for 8 wk significantly lowers blood pressure.

DESIGN

In this multicenter, double-blind, parallel, placebo-controlled trial, office blood pressure was evaluated in 275 Dutch hypertensive subjects. Blood pressures and body weight were measured on several days at baseline and at weeks 4 and 8 of the intervention between 2.5 and 3 h after intake of the test product. Twenty-four-h urine samples were collected at baseline and at the end of the intervention for urinalysis of sodium, potassium, creatinine, and microalbumin excretion.

RESULTS

The results showed that 10.2 mg ELTP/d does not lead to a reduction in systolic blood pressure (P = 0.66) or diastolic blood pressure (P = 0.72) compared with placebo.

CONCLUSION

This study showed no effect of an ELTP-enriched yogurt beverage on blood pressure in hypertensive subjects in a fairly large study.

摘要

背景

多项安慰剂对照临床研究表明,含有异亮氨酰 - 脯氨酰 - 脯氨酸和缬氨酰 - 脯氨酰 - 脯氨酸的产品能够降低血压且无不良反应。生产高浓度这些乳三肽(LTPs)的最有效方法是使用源自非转基因生物米曲霉的几种酶(包括蛋白酶和肽酶)的混合物对乳蛋白(酪蛋白)进行酶水解。迄今为止,尚未发表关于欧洲人群中酶促生产的LTP(ELTP)粉末降压特性的大型研究。

目的

本研究旨在评估以下假设:在酸奶饮料中摄入ELTP 8周可显著降低血压。

设计

在这项多中心、双盲、平行、安慰剂对照试验中,对275名荷兰高血压患者进行了诊室血压评估。在基线以及干预的第4周和第8周,于摄入测试产品后2.5至3小时的几天内测量血压和体重。在基线和干预结束时收集24小时尿液样本,用于分析钠、钾、肌酐和微量白蛋白排泄情况。

结果

结果显示,与安慰剂相比,每日摄入10.2 mg ELTP不会导致收缩压(P = 0.66)或舒张压(P = 0.72)降低。

结论

在这项规模相当大的研究中,该富含ELTP的酸奶饮料对高血压患者的血压没有影响。

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