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乳蛋白对血压的影响:随机对照试验的荟萃分析

Effects of milk proteins on blood pressure: a meta-analysis of randomized control trials.

作者信息

Hidayat Khemayanto, Du Hong-Zhen, Yang Jing, Chen Guo-Chong, Zhang Zheng, Li Zeng-Ning, Qin Li-Qiang

机构信息

Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.

Department of Nutrition, The First Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Hypertens Res. 2017 Mar;40(3):264-270. doi: 10.1038/hr.2016.135. Epub 2016 Oct 13.

Abstract

Certain foods or their components are widely used in the prevention and/or management of cardiovascular disease. Milk proteins have been suggested to have hypotensive properties. A number of clinical trials have been carried out to evaluate the effect of milk proteins from whole foods and supplements on blood pressure (BP). However, the effect of milk proteins on BP is not well understood. Therefore, we conducted a meta-analysis of randomized control trials to provide insight into and robust evidence concerning the overall impact of milk proteins on BP. The PubMed and Cochrane databases were searched for literature concerning the effects of milk proteins on BP up to May 2016. A random effects model was used to calculate the pooled estimates and 95% confidence intervals of effect sizes. The final analysis included seven randomized control trials involving 412 participants. Overall, milk protein interventions significantly lowered systolic BP by -3.33 mm Hg (95% confidence interval -5.62, -1.03) and diastolic BP by -1.08 mm Hg (95% confidence interval -3.38, -0.22). There was no statistical evidence of publication bias across the studies. In conclusion, this meta-analysis provides further evidence that milk proteins slightly but significantly lower both systolic and diastolic BP.

摘要

某些食物或其成分被广泛用于心血管疾病的预防和/或管理。有人提出乳蛋白具有降血压特性。已经进行了多项临床试验来评估全食物和补充剂中的乳蛋白对血压(BP)的影响。然而,乳蛋白对血压的影响尚未得到充分了解。因此,我们进行了一项随机对照试验的荟萃分析,以深入了解并提供有关乳蛋白对血压总体影响的有力证据。检索了PubMed和Cochrane数据库,以查找截至2016年5月有关乳蛋白对血压影响的文献。使用随机效应模型计算效应大小的合并估计值和95%置信区间。最终分析纳入了7项涉及412名参与者的随机对照试验。总体而言,乳蛋白干预使收缩压显著降低-3.33 mmHg(95%置信区间-5.62,-1.03),舒张压显著降低-1.08 mmHg(95%置信区间-3.38,-0.22)。各项研究中均无发表偏倚的统计学证据。总之,这项荟萃分析提供了进一步的证据,表明乳蛋白可使收缩压和舒张压略有但显著降低。

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