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北美露莓提取物对高血压前期患者血压的影响:随机、双盲、安慰剂对照临床试验。

Effects of Rubus occidentalis extract on blood pressure in patients with prehypertension: Randomized, double-blinded, placebo-controlled clinical trial.

作者信息

Jeong Han Saem, Hong Soon Jun, Cho Jae Young, Lee Tae-Bum, Kwon Ji-Wung, Joo Hyung Joon, Park Jae Hyoung, Yu Cheol Woong, Lim Do-Sun

机构信息

Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea.

Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea.

出版信息

Nutrition. 2016 Apr;32(4):461-7. doi: 10.1016/j.nut.2015.10.014. Epub 2015 Nov 6.

DOI:10.1016/j.nut.2015.10.014
PMID:26740254
Abstract

OBJECTIVE

Black raspberry (Rubus occidentalis) is known for improving vascular function. However, there has been no study evaluating its effects on 24-h systolic and diastolic blood pressure in prehypertensive patients. The aim of this study was to examine those effects.

METHODS

Patients with prehypertension (N = 45) were prospectively randomized into a moderate-dose black raspberry group (n = 15, 1500 mg/d), a high-dose black raspberry group (n = 15, 2500 mg/d), or a placebo group (n = 15) during an 8-wk follow-up period. Raspberries were consumed in the form of a dried powder extract that was fashioned into capsules. The capsules contained 187.5 and 312.5 mg of raspberry powder, which was equivalent to 1500 and 2500 mg raspberries. Ambulatory 24-h blood pressure (BP); central BP; pulse-wave velocity; abdominal visceral fat; serum renin; angiotensin-converting enzyme; and inflammatory cytokines such as interleukin-6, tumor necrosis factor-α, C-reactive protein, soluble intercellular adhesion molecule-1, soluble vascular cell adhesion molecule-1, and plasminogen activator inhibitor-1 were measured at baseline and at 8-wk follow-up.

RESULTS

High-dose black raspberry significantly reduced 24-h systolic blood pressure (SBP; 3.3 ± 10 mm Hg versus -6.7 ± 11.8 mm Hg; P < 0.05) and nighttime SBP (5.4 ± 10.6 mm Hg versus -4.5 ± 11.3 mm Hg; P < 0.05) compared with controls during the 8-wk follow-up. Black raspberry powder did not produce any significant changes in most of the parameters other than BP.

CONCLUSION

The use of black raspberry significantly lowered 24-h BP in prehypertensive patients during the 8-wk follow-up. Black raspberry used as a dietary supplement could be beneficial in reducing SBP in prehypertensive patients.

摘要

目的

黑树莓(悬钩子属)以改善血管功能而闻名。然而,尚无研究评估其对高血压前期患者24小时收缩压和舒张压的影响。本研究的目的是检验这些影响。

方法

将高血压前期患者(N = 45)前瞻性随机分为中等剂量黑树莓组(n = 15,1500毫克/天)、高剂量黑树莓组(n = 15,2500毫克/天)或安慰剂组(n = 15),随访8周。树莓以制成胶囊的干粉提取物形式食用。胶囊含有187.5和312.5毫克树莓粉,相当于1500和2500毫克树莓。在基线和8周随访时测量动态24小时血压(BP)、中心血压、脉搏波速度、腹部内脏脂肪、血清肾素、血管紧张素转换酶以及炎性细胞因子,如白细胞介素-6、肿瘤坏死因子-α、C反应蛋白、可溶性细胞间黏附分子-1、可溶性血管细胞黏附分子-1和纤溶酶原激活物抑制剂-1。

结果

在8周随访期间,与对照组相比,高剂量黑树莓显著降低了24小时收缩压(SBP;3.3±10毫米汞柱对-6.7±11.8毫米汞柱;P < 0.05)和夜间SBP(5.4±10.6毫米汞柱对-4.5±11.3毫米汞柱;P < 0.05)。除血压外,黑树莓粉在大多数参数上未产生任何显著变化。

结论

在8周随访期间,食用黑树莓可显著降低高血压前期患者的24小时血压。作为膳食补充剂使用黑树莓可能有助于降低高血压前期患者的收缩压。

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