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补充乳三肽对高血压前期远程监测家庭血压及血管和肾功能的影响——随机、双盲、安慰剂对照、交叉研究

Effects of Lactotripeptide Supplementation on Tele-Monitored Home Blood Pressure and on Vascular and Renal Function in Prehypertension - Randomized, Double-Blind, Placebo-Controlled, Cross-Over Study.

作者信息

Tomiyama Hirofumi, Fujii Masatsune, Shiina Kazuki, Ueda Shin-Ichiro, Iwasaki Yoichi, Matsumoto Chisa, Chikamori Taishiro

机构信息

Department of Cardiology and Division of Preemptive Medicine for Vascular Damage, Tokyo Medical University Tokyo Japan.

Department of Clinical Pharmacology and Therapeutics, University of the Ryukyus School of Medicine Okinawa Japan.

出版信息

Circ Rep. 2019 Oct 2;1(10):438-444. doi: 10.1253/circrep.CR-19-0061.

DOI:10.1253/circrep.CR-19-0061
PMID:33693081
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7897546/
Abstract

This randomized, double-blind, placebo-controlled, cross-over study was conducted to examine the effects of lactotripeptide supplementation on 7-day mean tele-monitored home blood pressure (BP), and also on the markers of vascular function and renal damage in Japanese subjects with prehypertension. A total of 26 subjects with prehypertension were randomly allocated to receive the active product (lactotripeptide tablet) or a placebo tablet for 8 weeks each in a cross-over manner. Urinary liver-type fatty acid-binding protein-to-creatine ratio (UFABPCR) and vascular function were measured at the end of each intervention. Home systolic and diastolic BP at the end of the lactotripeptide supplementation period was significantly lower than that at the end of the placebo period (P<0.05). On mixed linear model analysis there was a significant difference in the change in home diastolic BP after intervention between the 2 interventions (P=0.04). UFABPCR was significantly lower at the end of the lactotripeptide intervention period than at the end of the placebo period (P<0.05). The beneficial effect of lactotripeptide supplementation on 7-day mean tele-monitored home BP was confirmed in Japanese subjects with prehypertension. In addition, this intervention also seemed to have a protective effect against the progression of renal function decline.

摘要

本随机、双盲、安慰剂对照、交叉研究旨在探讨补充乳三肽对日本高血压前期受试者7天平均远程监测家庭血压(BP)以及血管功能和肾损伤标志物的影响。共有26名高血压前期受试者被随机分配,以交叉方式分别接受活性产品(乳三肽片)或安慰剂片,各为期8周。在每次干预结束时测量尿肝型脂肪酸结合蛋白与肌酐比值(UFABPCR)和血管功能。补充乳三肽期间结束时的家庭收缩压和舒张压显著低于安慰剂期结束时(P<0.05)。混合线性模型分析显示,两种干预后家庭舒张压变化存在显著差异(P=0.04)。乳三肽干预期结束时的UFABPCR显著低于安慰剂期结束时(P<0.05)。在日本高血压前期受试者中证实了补充乳三肽对7天平均远程监测家庭血压的有益作用。此外,这种干预似乎对肾功能下降的进展也有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb6/7897546/99196994b3b3/circrep-1-438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb6/7897546/948618161b33/circrep-1-438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb6/7897546/99196994b3b3/circrep-1-438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb6/7897546/948618161b33/circrep-1-438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fb6/7897546/99196994b3b3/circrep-1-438-g002.jpg

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Effects of Lactotripeptide Supplementation on Tele-Monitored Home Blood Pressure and on Vascular and Renal Function in Prehypertension - Randomized, Double-Blind, Placebo-Controlled, Cross-Over Study.补充乳三肽对高血压前期远程监测家庭血压及血管和肾功能的影响——随机、双盲、安慰剂对照、交叉研究
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本文引用的文献

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Nutritional Supplements for the Treatment of Hypertension: A Practical Guide for Clinicians.用于治疗高血压的营养补充剂:临床医生实用指南
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Antihypertensive Peptides from Milk Proteins.来自乳蛋白的降压肽。
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Effect of Lactotripeptides (Isoleucine-Proline-Proline/Valine-Proline-Proline) on Blood Pressure and Arterial Stiffness Changes in Subjects with Suboptimal Blood Pressure Control and Metabolic Syndrome: A Double-Blind, Randomized, Crossover Clinical Trial.
乳三肽(异亮氨酸 - 脯氨酸 - 脯氨酸/缬氨酸 - 脯氨酸 - 脯氨酸)对血压控制欠佳和代谢综合征患者血压及动脉僵硬度变化的影响:一项双盲、随机、交叉临床试验
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Influence of the Lactotripeptides Isoleucine-Proline-Proline and Valine-Proline-Proline on Systolic Blood Pressure in Japanese Subjects: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.乳三肽异亮氨酸 - 脯氨酸 - 脯氨酸和缬氨酸 - 脯氨酸对日本受试者收缩压的影响:随机对照试验的系统评价和荟萃分析
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