Tomiyama Hirofumi, Fujii Masatsune, Shiina Kazuki, Ueda Shin-Ichiro, Iwasaki Yoichi, Matsumoto Chisa, Chikamori Taishiro
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.
Circ Rep. 2019 Oct 2;1(10):438-444. doi: 10.1253/circrep.CR-19-0061.
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.
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。