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  • Original Article
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Effects of different dietary protein intakes on body composition and vascular reactivity

Abstract

Objective:

To assess the effects of a diet rich in protein of animal origin in comparison to one with a protein intake of about 15% of the total daily calories on body composition and arterial function.

Design:

Randomized prospective study with parallel groups. Body weight (BW), blood pressure (BP), main parameters of carbohydrate and lipid metabolism, body mass composition by bioelectrical impedance analysis, forearm blood flow at rest and in the postischaemic phase by strain gauge plethysmography and flow-mediated dilation of the brachial artery by echography were measured at baseline and after 6 months of the dietary intervention.

Subjects:

In total, 15 clinically healthy male volunteers, regularly performing a mixed training three times weekly for 90 min.

Intervention:

The participants were randomly prescribed a diet with high (1.9 g/kg BW) or normal (1.3 g/kg BW) protein content.

Statistical analysis:

Differences between means were evaluated by the t-tests for paired or unpaired data and by one way analysis of variance. The strength of correlation between variables was investigated by bivariate Pearson correlation.

Results:

Serum cholesterol significantly decreased with both diets in comparison to baseline values, whereas BW was slightly but significantly reduced only by the high-protein (HP) diet. No change was detected in BP and the other metabolic parameters. Body mass composition was not significantly modified by either diet. On the other hand, postischaemic flow-mediated dilation of the brachial artery was enhanced by the sole normal protein (NP) diet, whereas no change in the forearm blood flow, both at rest and in the postischaemic phase, was detected.

Conclusions:

These preliminary results indicate that HP diet was found to be not useful in increasing the muscle mass in comparison to a NP intake. In contrast to this, the latter diet seems to enhance the endothelial function of the arterial vessels with a more pronounced dilatation of the lumen in response to the increase in blood flow.

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References

  • American Diabetes Association (2002). Clinical practice recommendations. Diabetes Care 25 (Suppl. 1), 564–568.

  • Astrup A, Larsen TM, Harper A (2004). Atkins and other low-carbohydrate diets: hoax or an effective tool for weight loss? Lancet 364, 897–899.

    Article  Google Scholar 

  • Carnovale E, Marietta L (1997). Tabelle di composizione degli alimenti. Istituto Nazionale della Nutrizione: Rome, Italy. pp 1–120.

    Google Scholar 

  • Clarkson P, Montgomery HE, Mullen MJ, Donald AE, Powe AJ, Bull T et al. (1999). Exercise training enhances endothelial function in young men. J Am Coll Cardiol 33, 1379–1385.

    Article  CAS  Google Scholar 

  • Corretti MC, Anderson TJ, Benjamin EJ, Celermajer D, Charbonneau F, Creager MA et al. (2002). Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery. J Am Coll Cardiol 39, 257–265.

    Article  Google Scholar 

  • Creager MA, O'Leary DH, Doubilet PM (1992). Non invasive vascular testing. In: Lo Scalzo J, Creager MA, Dzau VJ (eds) Vascular Medicine. Little Brown and Company: Boston. pp 419–451.

    Google Scholar 

  • DeSouza CA, Shapiro LF, Clevenger CM, Dinenno FA, Monahan KD, Tanaka H et al. (2000). Regular aerobic exercise prevents and restores age-related declines in endothelium-dependent vasodilation in healthy men. Circulation 102, 1351–1357.

    Article  CAS  Google Scholar 

  • European Society of Hypertension-European Society of Cardiology Guidelines Comittee (2003). European society of Hypertension-European Society of Cardiology guidelines for the management of arterial hypertension. J Hypertens 21, 1011–1053.

  • Ferrara LA, Raimondi AS, D'Episcopo L, Guida L, Dello Russo A, Marotta T (2000). Olive oil and reduced need for antihypertensive medications. Arch Int Med 160, 837–842.

    Article  CAS  Google Scholar 

  • Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed S et al. (2003). A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med 348, 2082–2090.

    Article  CAS  Google Scholar 

  • Gilligan DM, Panza JA, Kilcoyne CM, Waclawiw MA, Casino PR, Quyyumi AA (1994). Contribution of the endothelium-derived nitric oxide to exercise-induced vasodilation. Circulation 90, 2853–2858.

    Article  CAS  Google Scholar 

  • Goodfellow J, Bellamy MF, Ramsey MW, Jones CJH, Lewis MJ (2000). Dietary supplementation with marine omega-3 fatty acids improve systemic large artery endothelial function in subjects with hypercholesterolemia. J Am Coll Cardiol 35, 265–270.

    Article  CAS  Google Scholar 

  • Irace C, Ceravolo R, Notarangelo R, Crescenzo A, Ventura G, Tamburrini O et al. (2001). Comparison of endothelial function evaluated by strain.gauge plethysmography and brachial artery ultrasound. Atherosclerosis 158, 53–59.

    Article  CAS  Google Scholar 

  • Keogh JB, Grieger JA, Noakes M, Clifton PM (2005). Flow-mediated dilatation is impaired by a high-saturated fat diet but not by a high-carbohydrate diet. Arterioscler Thromb Vasc Biol 25, 1274–1279.

    Article  CAS  Google Scholar 

  • Kotler DP, Burastero S, Wang J, Pierson RN (1996). Prediction of body cell mass, fat-free mass, and total body water with bioelectrical impedance analysis: effects of race, sex, and disease. Am J Clin Nutr 64 (Suppl 1), 489 S–497 S.

    Article  CAS  Google Scholar 

  • Lavrencic A, Guzic Salobir B, Keber I (2000). Physical training improves flow-mediated dilation in patients with the polymetaboilic syndrome. Arterioscler Thromb vasc Biol 20, 551–555.

    Article  CAS  Google Scholar 

  • Lind L (2001). Evaluation of the endothelium-dependent vasodilation in humans. Blood Pressure 10, 124–130.

    Article  CAS  Google Scholar 

  • Palmieri EA, Palmieri V, Innelli P, Arezzi E, Ferrara LA, Celentano A et al. (2005). Aerobic exercise performance correlates with post-ischemic flow-mediated dilation of the brachial artery in young healthy men. Eur J Appl Physiol 94, 113–117.

    Article  Google Scholar 

  • Rywik TM, Blackman MR, Yataco AR, Vaitkevicius PV, Zink RC, Cottrell EH et al. (1999). Enhanced endothelial vasoreactivity in endurance-trained older men. J Appl Physiol 87, 2136–2142.

    Article  CAS  Google Scholar 

  • Samaha FF, Iqbal N, Seshadri P, Chicano KL, Daily DA, McGrory J et al. (2003). A low-carbohydrate as compared with a low-fat diet in severe obesity. N Engl J Med 348, 2074–2081.

    Article  CAS  Google Scholar 

  • Segal KR, Van Loan M, Fitzgerald PI, Hodgdon JA, Van Itallie TB (1988). Lean body mass estimation by bioelectrical impedance analysis: a four-site cross-validation study. Am J Clin Nutr 47, 7–14.

    Article  CAS  Google Scholar 

  • Stewart KJ (2002). Exercise training and the cardiovascular consequences of type 2 diabetes and hypertension. JAMA 288, 1622–1631.

    Article  Google Scholar 

  • The International Task Force for Prevention of Coronary Heart Disease (1998). Coronary heart disease: reducing the risk. Nutr Met Cardiovasc Dis 8, 205–271.

  • The Sixth Report of the Joint National Committee (1997). The sixth report of the Joint National Committee on prevention, detection evaluation and treatment of high blood pressure. Arch Inter Med 157, 2413–2446.

  • Wright BM, Dore CF (1970). A random zero sphygmomanometer. Lancet i, 331–334.

    Google Scholar 

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Correspondence to L A Ferrara.

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Ferrara, L., Innelli, P., Palmieri, V. et al. Effects of different dietary protein intakes on body composition and vascular reactivity. Eur J Clin Nutr 60, 643–649 (2006). https://doi.org/10.1038/sj.ejcn.1602363

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