Worsened arterial stiffness in high-risk cardiovascular patients with high habitual carbohydrate intake: a cross-sectional vascular function study

详细信息    查看全文

• 作者：Hiu-Ting Chan (1)
  Yap-Hang Chan (1)
  Kai Hang Yiu (1)
  Sheung-Wai Li (2)
  Sidney Tam (3)
  Chu-Pak Lau (1)
  Hung-Fat Tse (1)
  
• 关键词：Macronutrient ; Carbohydrate intake ; Arterial stiffness ; Pulse wave velocity ; Secondary prevention
• 刊名：BMC Cardiovascular Disorders
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：191 KB
• 参考文献：1. Miller ER 3rd, Erlinger TP, Appel LJ: The effects of macronutrients on blood pressure and lipids: an overview of the DASH and OmniHeart trials. / Curr Atheroscler Rep 2006,8(6):460-65. CrossRef
  2. Charlton KE, Wolmarans P, Marais AD, Lombard CJ: Macronutrient intake and cardiovascular risk factors in older coloured South Africans. / East Afr Med J 1997,74(8):478-86.
  3. Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bray GA, Vogt TM, Cutler JA, Windhauser MM, Lin PH, Karanja N: A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. / N Engl J Med 1997,336(16):1117-124. CrossRef
  4. Swain JF, McCarron PB, Hamilton EF, Sacks FM, Appel LJ: Characteristics of the diet patterns tested in the optimal macronutrient intake trial to prevent heart disease (OmniHeart): options for a heart-healthy diet. / J Am Diet Assoc 2008,108(2):257-65. CrossRef
  5. McLaughlin T, Carter S, Lamendola C, Abbasi F, Yee G, Schaaf P, Basina M, Reaven G: Effects of moderate variations in macronutrient composition on weight loss and reduction in cardiovascular disease risk in obese, insulin-resistant adults. / Am J Clin Nutr 2006,84(4):813-21.
  6. Appel LJ, Sacks FM, Carey VJ, Obarzanek E, Swain JF, Miller ER 3rd, Conlin PR, Erlinger TP, Rosner BA, Laranjo NM, Charleston J, McCarron P, Bishop LM, OmniHeart Collaborative Research Group: Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: results of the OmniHeart randomized trial. / JAMA 2005,294(19):2455-464. CrossRef
  7. Dzau VJ, Antman EM, Black HR, Hayes DL, Manson JE, Plutzky J, Popma JJ, Stevenson W: The cardiovascular disease continuum validated: clinical evidence of improved patient outcomes: part II: clinical trial evidence (acute coronary syndromes through renal disease) and future directions. / Circulation 2006,114(25):2871-891. CrossRef
  8. Lavi T, Karasik A, Koren-Morag N, Kanety H, Feinberg MS, Shechter M: The acute effect of various glycemic index dietary carbohydrates on endothelial function in nondiabetic overweight and obese subjects. / J Am Coll Cardiol 2009,53(24):2283-287. CrossRef
  9. Philippou E, Bovill-Taylor C, Rajkumar C, Vampa ML, Ntatsaki E, Brynes AE, Hickson M, Frost GS: The effect of a 6-month dietary glycemic index manipulation in addition to healthy eating advice and weight loss on arterial compliance and 24-hour ambulatory blood pressure in men: a pilot study. / Metabolism 2009,58(12):1703-708. CrossRef
  10. Alberti KG, Zimmet PZ: Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. / Diabet Med 1998,15(7):539-53. CrossRef
  11. Wong CY, Qiuwaxi J, Chen H, Li SW, Chan HT, Tam S, Shu XO, Lau CP, Kwong YL, Tse HF: Daily intake of thiamine correlates with the circulating level of endothelial progenitor cells and the endothelial function in patients with type II diabetes. / Mol Nutr Food Res 2008,52(12):1421-427. CrossRef
  12. Shu XO, Yang G, Jin F, Liu D, Kushi L, Wen W, Gao YT, Zheng W: Validity and reproducibility of the food frequency questionnaire used in the Shanghai Women’s Health Study. / Eur J Clin Nutr 2004,58(1):17-3. CrossRef
  13. Chan YH, Lau KK, Yiu KH, Li SW, Chan HT, Tam S, Shu XO, Lau CP, Tse HF: Isoflavone intake in persons at high risk of cardiovascular events: implications for vascular endothelial function and the carotid atherosclerotic burden. / Am J Clin Nutr 2007,86(4):938-45.
  14. Chinese Nutrition Society: Daily recommended intake for Chinese. / Press of Tibet People 2007, 200-05.
  15. Guerin AP, Blacher J, Pannier B: Impact of aortic stiffness attenuation on survival of patients in end-stage renal failure. / Circulation 2001,103(7):987-92. CrossRef
  16. Ferrier KE, Muhlmann MH, Baguet JP: Intensive cholesterol reduction lowers blood pressure and large artery stiffness in isolated systolic hypertension. / J Am Coll Cardiol 2002,39(6):1020-025. CrossRef
  17. Lasker DA, Evans EM, Layman DK: Moderate carbohydrate, moderate protein weight loss diet reduces cardiovascular disease risk compared to high carbohydrate, low protein diet in obese adults: a randomized clinical trial. / Nutr Metab (Lond) 2008, 5:30. CrossRef
  18. Park SH, Lee KS, Park HY: Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). / Int J Cardiol 2010,138(3):234-40. CrossRef
  19. Brand-Miller J, Dickinson S, Barclay A, Celermajer D: The glycemic index and cardiovascular disease risk. / Curr Atheroscler Rep 2007,9(6):479-85. CrossRef
  20. Van Popele NMM-RF, Vliegenthart R, Grobbee DE, Asmar R, van der Kuip DA, Hofman A, De Feijter PJ, Oudkerk M, Witteman JC: Aortic stiffness is associated with atherosclerosis of the coronary arteries in older adults: the Rotterdam Study. / J Hypertens 2006,24(12):23731-3736. CrossRef
  21. Newman AB SD, Manolio TA, Polak J, Fried LP, Borhani NO, Wolfson SK: Ankle-arm index as a marker of atherosclerosis in the Cardiovascular Health Study. Cardiovascular Heart Study (CHS) Collaborative Research Group. / Circulation 1993,88(3):837-45. CrossRef
  22. Willum-Hansen T, Staessen JA, Torp-Pedersen C, Rasmussen S, Thijs L, Ibsen H, / et al.: Prognostic value of aortic pulse wave velocity as index of arterial stiffness in the general population. / Circulation 2006,113(5):664-70. CrossRef
  23. Eckel RH, Wassef M, Chait A, Sobel B, Barrett E, King G, Lopes-Virella M, Reusch J, Ruderman N, Steiner G, Vlassara H: Prevention conference VI: diabetes and cardiovascular disease: writing group II: pathogenesis of atherosclerosis in diabetes. / Circulation 2002, 105:138-43. CrossRef
  24. Wildman RP, Farhat GN, Patel AS, Mackey RH, Brockwell S, Thompson T, Sutton-Tyrrell K: Weight change is associated with change in arterial stiffness among healthy young adults. / Hypertension 2005, 45:187-92. CrossRef
  25. Tanaka H, Safar ME: Influence of lifestyle modification on arterial stiffness and wave reflections. / Am J Hypertens 2005, 18:137-44. CrossRef
  26. Ambrose JA, Barua RS: The pathophysiology of cigarette smoking and cardiovascular disease: an update. / J Am Coll Cardiol 2004,43(10):1731-737. CrossRef
  27. Schaefer EJ, Gleason JA, Dansinger ML: The effects of low-fat, high-carbohydrate diets on plasma lipoproteins, weight loss, and heart disease risk reduction. / Curr Atheroscler Rep 2005,7(6):421-27. CrossRef
  28. The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2261/14/24/prepub
  
• 作者单位：Hiu-Ting Chan (1)
  Yap-Hang Chan (1)
  Kai Hang Yiu (1)
  Sheung-Wai Li (2)
  Sidney Tam (3)
  Chu-Pak Lau (1)
  Hung-Fat Tse (1)
  
  1. Division of Cardiology, Department of Medicine, Queen Mary Hospital, the University of Hong Kong, Hong Kong, China
  2. Department of Medicine, Tung Wah Hospital, Hong Kong, China
  3. Department of Clinical Biochemistry Unit, Queen Mary Hospital, Hong Kong, China
  
• ISSN：1471-2261

文摘

Background Previous studies suggested that high dietary carbohydrate intake is associated with increased cardiovascular risk through raised triglyceride and decreased high-density lipoprotein-cholesterol levels. However, the relation between carbohydrate intake and arterial stiffness has not been established. The purpose of this study was to examine this relation among high-risk cardiovascular patients. Methods We studied the relation between dietary macronutrient intake and arterial stiffness in 364 patients with documented cardiovascular diseases or risk equivalent (coronary artery diseases 62%, ischemic stroke 13%, diabetes mellitus 55%) and in 93 age-and-sex matched control subjects. Dietary macronutrient intake was assessed using a validated food-frequency questionnaire (FFQ) for Chinese. Heart-ankle pulse wave velocity (PWV) was measured non-invasively with a Vascular Profiling System (VP2000, Colin Corp. USA). A dietary pattern with ?0% total energy intake derived from carbohydrates was defined as a high-carbohydrate diet according to the Dietary Reference Intakes (DRI) for Chinese. Results Subjects who consumed a high-carbohydrate diet had significantly higher mean PWV than those who did not consume a high-carbohydrate diet (P--.039). After adjustment for potential confounders, high-carbohydrate diet was associated with significantly increased PWV [B--3.50 (10.81 to 136.19), P--.022]. However, there was no significant association between high-carbohydrate diet and PWV in controls (P--.634). Conclusions High-carbohydrate diet is associated with increased arterial stiffness in patients with established cardiovascular disease or risk equivalent.