HIGH-COCOA POLYPHENOL-RICH CHOCOLATE IMPROVES BLOOD PRESSURE IN PATIENTS WITH DIABETES AND HYPERTENSION

作者: Shahryar Eghtesadi , Farzad Shidfar , Iraj Heidari , Maryam Eghtesadi , Ali Rostami

DOI:

关键词: Diabetes mellitusType 2 diabetesBlood pressureInsulin resistanceGastroenterologyGlycemicDark chocolateWhite chocolateLipid profileInternal medicineMedicine

摘要: BACKGROUND: The aim was to examine the effects of high-cocoa polyphenol-rich chocolate on lipid profiles, weight, blood pressure, glycemic control, and inflammation in individuals with Type 2 diabetes hypertension. METHODS: Sixty [32 dark group (DCG) 28 white (WCG)] stable medication were enrolled a randomized, placebo-controlled double-blind study. Subjects randomized consume 25 g DCG or WCG for 8 weeks. Changes profile, high sensitive C-reactive protein (hsCRP) measured at beginning end intervention. This clinical trial registered Iranian registry trials. RESULTS: In DCC group, compared baseline, serum levels Apo A-1 (P = 0.045) increased fasting sugar (FBS) 0.027), hemoglobin A1c (HbA1c) 0.025), B 0.012) Log hsCRP 0.043) decreased No changes seen within studied parameters. High polyphenol consumption resulted significant decrease systolic (−5.93 ± 6.25 vs. −1.07 7.97 mmHg, P 0.004) diastolic pressure (−6.4 0.17 7.9 0.002), FBS (−7.84 19.15 4.00 20.58 mg/dl, 0.019) over course weeks daily neither weight nor body mass index TG altered from baseline. CONCLUSION: is effective improving hypertensive patients decreasing without affecting inflammatory markers, insulin resistance control. Normal 0 false EN-US X-NONE FA

参考文章(32)
D. D. Mellor, T. Sathyapalan, E. S. Kilpatrick, S. Beckett, S. L. Atkin, High-cocoa polyphenol-rich chocolate improves HDL cholesterol in Type 2 diabetes patients Diabetic Medicine. ,vol. 27, pp. 1318- 1321 ,(2010) , 10.1111/J.1464-5491.2010.03108.X
Sebely Pal, Nerissa Ho, Carlos Santos, Paul Dubois, John Mamo, Kevin Croft, Emma Allister, Red Wine Polyphenolics Increase LDL Receptor Expression and Activity and Suppress the Secretion of ApoB100 from Human HepG2 Cells Journal of Nutrition. ,vol. 133, pp. 700- 706 ,(2003) , 10.1093/JN/133.3.700
Christian Heiss, André Dejam, Petra Kleinbongard, Tankred Schewe, Helmut Sies, Malte Kelm, Vascular Effects of Cocoa Rich in Flavan-3-ols JAMA: The Journal of the American Medical Association. ,vol. 290, pp. 1030- 1031 ,(2003) , 10.1001/JAMA.290.8.1030
Naomi DL Fisher, Meghan Hughes, Marie Gerhard-Herman, Norman K Hollenberg, Flavanol-rich cocoa induces nitric-oxide-dependent vasodilation in healthy humans Journal of Hypertension. ,vol. 21, pp. 2281- 2286 ,(2003) , 10.1097/00004872-200312000-00016
K Kondo, R Hirano, A Matsumoto, O Igarashr, H Ltahura, Inhibition of LDL oxidation by cocoa The Lancet. ,vol. 348, pp. 1514- ,(1996) , 10.1016/S0140-6736(05)65927-2
H. Eyre, R. Kahn, R. M. Robertson, N. G. Clark, C. Doyle, T. Gansler, T. Glynn, Y. Hong, R. A. Smith, K. Taubert, M. J. Thun, , Preventing Cancer, Cardiovascular Disease, and Diabetes: A Common Agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association*† CA: A Cancer Journal for Clinicians. ,vol. 54, pp. 190- 207 ,(2004) , 10.3322/CANJCLIN.54.4.190
Willa A Hsueh, Manuel J Quiñones, Role of endothelial dysfunction in insulin resistance The American Journal of Cardiology. ,vol. 92, pp. 10- 17 ,(2003) , 10.1016/S0002-9149(03)00611-8
M.G.L Hertog, E.J.M Feskens, D Kromhout, M.G.L Hertog, P.C.H Hollman, M.G.L Hertog, M.B Katan, Dietary antioxidant flavonoids and risk of coronary heart disease: the Zutphen Elderly Study. The Lancet. ,vol. 342, pp. 1007- 1011 ,(1993) , 10.1016/0140-6736(93)92876-U
Sheryl A Lazarus, John F Hammerstone, Harold H Schmitz, Chocolate contains additional flavonoids not found in tea. The Lancet. ,vol. 354, pp. 1825- ,(1999) , 10.1016/S0140-6736(05)70599-7