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含 Val-Pro-Pro 和 Ile-Pro-Pro 的水解酪蛋白可改善高血压患者的中心血压和动脉僵硬度:一项随机、双盲、安慰剂对照试验。

Casein hydrolysate containing Val-Pro-Pro and Ile-Pro-Pro improves central blood pressure and arterial stiffness in hypertensive subjects: a randomized, double-blind, placebo-controlled trial.

机构信息

R&D Center, Calpis Co., Ltd., 5-11-10 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa 252-0206, Japan.

出版信息

Atherosclerosis. 2011 Nov;219(1):298-303. doi: 10.1016/j.atherosclerosis.2011.06.007. Epub 2011 Jun 13.

Abstract

OBJECTIVE

This trial evaluated the effects of casein hydrolysate containing milk-derived peptides, Val-Pro-Pro (VPP) and Ile-Pro-Pro (IPP), on central blood pressure and arterial stiffness.

METHODS

A randomized, double-blind, placebo-controlled trial was conducted in 70 Japanese subjects aged 50-69 years with untreated stage-I hypertension. They were randomly assigned to two groups, which received either placebo tablets or active tablets containing 3.4 mg of VPP and IPP. At the beginning and end of the 8-week intervention, hemodynamic parameters, including central blood pressure and brachial-ankle pulse wave velocity (baPWV), a marker of arterial stiffness, were measured.

RESULTS

A significant difference in changes in central systolic blood pressure between the groups was observed (active: -11.0±11.0 vs placebo: -4.5±9.6 mmHg, P<0.01). In the active group, reductions in baPWV (-73.9±130.0 vs -8.4±137.1 cm/s, P<0.05), brachial SBP (-10.5±11.5 vs -3.9±9.6 mmHg, P<0.05), and radial mean blood pressure (-7.3±8.9 vs -2.0±7.4 mmHg, P<0.01) were significantly greater as compared with the placebo group.

CONCLUSION

Casein hydrolysate containing VPP and IPP improves central SBP and baPWV in hypertensive subjects, which suggests VPP and IPP might have beneficial effects on arterial properties.

摘要

目的

本试验评估了含有牛奶来源肽缬氨酰-脯氨酰-脯氨酸(VPP)和异亮氨酰-脯氨酰-脯氨酸(IPP)的水解乳清蛋白对中心血压和动脉僵硬度的影响。

方法

一项随机、双盲、安慰剂对照试验在 70 名年龄在 50-69 岁、未经治疗的 1 期高血压日本受试者中进行。他们被随机分为两组,分别接受安慰剂片或含有 3.4 毫克 VPP 和 IPP 的活性片。在 8 周干预的开始和结束时,测量血流动力学参数,包括中心血压和肱踝脉搏波速度(baPWV),这是动脉僵硬度的标志物。

结果

两组间中心收缩压变化的差异有统计学意义(活性组:-11.0±11.0 与安慰剂组:-4.5±9.6mmHg,P<0.01)。在活性组中,baPWV(-73.9±130.0 与-8.4±137.1cm/s,P<0.05)、肱动脉收缩压(-10.5±11.5 与-3.9±9.6mmHg,P<0.05)和桡动脉平均血压(-7.3±8.9 与-2.0±7.4mmHg,P<0.01)的降低幅度明显大于安慰剂组。

结论

含有 VPP 和 IPP 的水解乳清蛋白可改善高血压患者的中心收缩压和 baPWV,提示 VPP 和 IPP 可能对动脉功能有有益影响。

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