Randomized controlled trial2012

Diets containing pistachios reduce systolic blood pressure and peripheral vascular responses to stress in adults with dyslipidemia

West SG, Gebauer SK, Kay CD, Bagshaw DM, Savastano DM, Diefenbach C, Kris-Etherton PM

Hypertension (Dallas, Tex. : 1979) · 43 citations

Review labels

Controlled feeding

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Food provided by researchers

Who paid for it

Funding
Independent funding
University or hospital
Pennsylvania State University
Government
National Center for Research Resources
Government
National Center for Advancing Translational Sciences
Government
NCATS NIH HHS
Government
NCRR NIH HHS
Grants
National Center for Advancing Translational Sciences (UL1-TR000127); National Center for Research Resources (M01-RR-010732)

Based on 5 listed funder(s).

Publication

Published
2012-06-05 · Hypertension · vol. 60 · issue 1 · pp. 58–63
Publisher
Lippincott Williams & Wilkins
Cited
56 citations · more than 95% of similar papers · 4.4× the field average
Impact
Top 10% most cited in its field
References
34 works
Access
Free to read
Research areas
Nuts composition and effects · Nutritional Studies and Diet · Antioxidant Activity and Oxidative Stress
Keywords
Blood pressure, Saturated fat, Medicine, Crossover study, Heart rate, Internal medicine, Endocrinology, Calorie, Vascular resistance, Animal science, Cardiology, Cholesterol, Biology, Placebo
MeSH
brachial artery, humans, pistacia, ultrasonography, cardiac output, diet, fat-restricted, fasting, cross-over studies, blood pressure, heart rate, vascular resistance, dose-response relationship, drug, adult, dyslipidemias, stress, physiological, outcome assessment, health care

7 authors

From GB, US

  • Sheila G. WestUniversity of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Sarah K GebauerUniversity of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Colin D. KayUniversity of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Deborah Maddox BagshawUniversity of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • David M. SavastanoUniversity of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University
  • Christopher DiefenbachUniversity of East Anglia; GlaxoSmithKline (United States); Beltsville Agricultural Research Center; New York University

Abstract

Nut consumption reduces cardiovascular risk, and reductions in blood pressure and peripheral vascular resistance may be important mediators of this relationship. We evaluated effects of pistachios on flow-mediated dilation and blood pressure response to acute stress. Twenty-eight adults with dyslipidemia completed a randomized, crossover, controlled-feeding study. All of the meals were provided and calories were controlled. After 2 weeks on a typical Western diet (35% total fat and 11% saturated fat), test diets were presented in counterbalanced order for 4 weeks each, a low-fat control diet (25% total fat and 8% saturated fat), a diet containing 10% of energy from pistachios (on average, 1 serving per day; 30% total fat and 8% saturated fat), and a diet containing 20% of energy from pistachios (on average, 2 servings per day, 34% total fat and 8% saturated fat). None of the resting hemodynamic measures significantly differed from pretreatment values. When resting and stress levels were included in the repeated-measures analysis, average reductions in systolic blood pressure were greater after the diet containing 1 serving per day versus 2 servings per day of pistachios (mean change in systolic blood pressure, -4.8 vs -2.4 mm Hg, respectively; P<0.05). After the higher dose, there were significant reductions in peripheral resistance (-62.1 dyne · s × cm(-5)) and heart rate (-3 bpm) versus the control diet (P<0.0001). These changes were partially offset by increases in cardiac output. There was no effect of diet on fasting flow-mediated dilation. Reductions in peripheral vascular constriction and the resulting decrease in hemodynamic load may be important contributors to lower risk in nut consumers.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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