The effect of increased fruit and vegetable consumption on blood pressure and lipids: a pooled analysis of six randomised controlled fruit and vegetable intervention trials.

Autor:	Elsahoryi NA; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., Neville CE; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., Patterson CC; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., McKinley MC; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., Baldrick FR; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., Mulligan C; Diabetes Department, Ulster Hospital, South Eastern Trust, Belfast, UK., McCall DO; Belfast Health and Social Care Trust, Belfast BT12 6BA, UK., Noad RL; Belfast Health and Social Care Trust, Belfast BT12 6BA, UK., Rooney C; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., Wallace I; Regional Centre for Endocrinology, Belfast Health and Social Care Trust, Belfast BT12 6BA, UK., McEvoy CT; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., Hunter S; Regional Centre for Endocrinology, Belfast Health and Social Care Trust, Belfast BT12 6BA, UK., McCance DR; Regional Centre for Endocrinology, Belfast Health and Social Care Trust, Belfast BT12 6BA, UK., Edgar DJ; St James's Hospital, Dublin 8, Republic of Ireland., Elborn SJ; School of Medicine, Dentistry & Biomedical Sciences, Queen's University Belfast, Belfast, UK., McKeown PP; Belfast Health and Social Care Trust, Belfast BT12 6BA, UK.; School of Medicine, Dentistry & Biomedical Sciences, Queen's University Belfast, Belfast, UK., Young IS; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., Moore RE; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK., Nugent AP; School of Biological Sciences, Queen's University Belfast, Belfast BT9 5DL, UK., Woodside JV; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast BT12 6BJ, UK.
Jazyk:	angličtina
Zdroj:	Age and ageing [Age Ageing] 2024 May 11; Vol. 53 (Suppl 2), pp. ii80-ii89.
DOI:	10.1093/ageing/afae043
Abstrakt:	Background: Increasing fruit and vegetable (FV) consumption is associated with reduced cardiovascular disease risk in observational studies but with little evidence from randomised controlled trials (RCTs). The impact of concurrent pharmacological therapy is unknown. Objective: To pool data from six RCTs to examine the effect of increasing FV intake on blood pressure (BP) and lipid profile, also exploring whether effects differed by medication use. Design: Across trials, dietary intake was assessed by diet diaries or histories, lipids by routine biochemical methods and BP by automated monitors. Linear regression provided an estimate of the change in lipid profile or BP associated with a one portion increase in self-reported daily FV intake, with interaction terms fitted for medication use. Results: The pooled sample included a total of 554 participants (308 males and 246 females). Meta-analysis of regression coefficients revealed no significant change in either systolic or diastolic BP per portion FV increase, although there was significant heterogeneity across trials for systolic BP (I2 = 73%). Neither adjusting for change in body mass index, nor analysis according to use of anti-hypertensive medication altered the relationship. There was no significant change in lipid profile per portion FV increase, although there was a significant reduction in total cholesterol among those not on lipid-lowering therapy (P < 0.05 after Bonferroni correction). Conclusion: Pooled analysis of six individual FV trials showed no impact of increasing intake on BP or lipids, but there was a total cholesterol-lowering effect in those not on lipid-lowering therapy. (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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