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必需脂肪酸混合物对原发性高血压合并冠状动脉疾病风险标志物患者动态血压昼夜变化的影响。

Effect of essential fatty acid blend on circadian variations of ambulatory blood pressure in patients with essential hypertension and coronary artery disease risk markers.

作者信息

Bhardwaj Kshitij, Verma Narsingh, Trivedi Rakesh, Bhardwaj Shipra

机构信息

Faculty of Chemical Technology, APJ Abdul Kalam Technological University, Lucknow, India.

Faculty of Chemical Technology, Harcourt Butler Technological University, Kanpur, India.

出版信息

J Hum Hypertens. 2022 Mar;36(3):289-298. doi: 10.1038/s41371-021-00520-9. Epub 2021 Mar 23.

DOI:10.1038/s41371-021-00520-9
PMID:33758346
Abstract

Flaxseed oil is an excellent source of alpha-linolenic acid ALA known for its antihypertensive action. Flaxseed oil is unstable and its dose is not achievable in our conventional diet hence blending of natural flaxseed oil with palm oil, containing high flavonoids may be a better strategy, to stabilize the blend and provide proper balance of essential fatty acids and potential antioxidant effects. Aim of this study was to access the effect of blended flaxseed oil on 24 h 7-day circadian variations of blood pressure in subjects with essential hypertension. Assessment of CHAT (circadian hyper amplitude tension) using ABPM is the best marker for cardiovascular function. We registered 50 subjects with CAD (Group 1) and 50 subjects with Essential hypertension HT (Group 2) and 52 control subjects with CAD/Hypertension. Group 1 and 2 participant was supplemented with blended flaxseed oil (BFO) (30 ml/day) for the period of 24 weeks, while control group administered available oils sunflower in identical containers, for a follow-up period of 24 weeks. Twenty four hour seven days continuous ambulatory blood pressure monitoring was done initially and after six months of BFO supplementation. There were significant changes noted in lipid profile along with Ambulatory blood pressure parameters like MESOR, ACROPHASE, Hyperbaric Indexes, and CHAT. Circadian hyper amplitude tension (CHAT) incidence decreased after BFO supplementation. Study results suggest that blended flaxseed oil administration can be a potent natural vegetarian antihypertensive supplement which helps in synchronization of cardiac rhythms, and can be used as a preventive treatment of hypertension and as effective vegetarian source of maintaining Omega 3 and omega 6 ratios of essential fatty acids in the body.

摘要

亚麻籽油是α-亚麻酸(ALA)的优质来源,以其降压作用而闻名。亚麻籽油不稳定,在我们的传统饮食中无法达到其有效剂量,因此将天然亚麻籽油与富含高黄酮类化合物的棕榈油混合,可能是一种更好的策略,既能稳定混合物,又能提供必需脂肪酸的适当平衡以及潜在的抗氧化作用。本研究的目的是评估混合亚麻籽油对原发性高血压患者24小时7天血压昼夜变化的影响。使用动态血压监测(ABPM)评估昼夜高振幅张力(CHAT)是心血管功能的最佳指标。我们招募了50名冠心病患者(第1组)、50名原发性高血压患者(HT,第2组)以及52名无冠心病/高血压的对照受试者。第1组和第2组参与者在24周内补充混合亚麻籽油(BFO)(30毫升/天),而对照组则在相同容器中服用市售的葵花籽油,随访期为24周。在补充BFO前及补充六个月后进行了24小时连续7天的动态血压监测。脂质谱以及动态血压参数如中值(MESOR)、峰值相位(ACROPHASE)、高压指数和CHAT均有显著变化。补充BFO后昼夜高振幅张力(CHAT)的发生率降低。研究结果表明,服用混合亚麻籽油可能是一种有效的天然素食降压补充剂,有助于使心律同步,可用于高血压的预防性治疗,并可作为维持体内必需脂肪酸欧米伽3和欧米伽6比例的有效素食来源。

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