Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: Results of the OmniHeart randomized trial

JAMA

Volumn 294, Issue 19, 2005, Pages 2455-2464

  Appel, Lawrence J ^a,b,c   Sacks, Frank M ^e   Carey, Vincent J ^d   Obarzanek, Eva ^f   Swain, Janis F ^d   Miller III, Edgar R ^b,c   Conlin, Paul R ^d   Erlinger, Thomas P ^b,c   Rosner, Bernard A ^d   Laranjo, Nancy M ^d   Charleston, Jeanne ^b,c   McCarron, Phyllis ^c   Bishop, Louise M ^e  

^a JOHNS HOPKINS UNIVERSITY   (United States)

^b JOHNS HOPKINS UNIVERSITY   (United States)

^c JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^f NATIONAL HEART LUNG AND BLOOD INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HIGH DENSITY LIPOPROTEIN CHOLESTEROL; LOW DENSITY LIPOPROTEIN CHOLESTEROL; MONOUNSATURATED FATTY ACID; SATURATED FATTY ACID; TRIACYLGLYCEROL;

ADULT; ARTICLE; BLOOD PRESSURE MEASUREMENT; BODY WEIGHT; CARBOHYDRATE DIET; CARDIOVASCULAR RISK; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CROSSOVER PROCEDURE; DIET THERAPY; FAT INTAKE; FEEDING BEHAVIOR; FEMALE; HUMAN; HYPERTENSION; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROTEIN DIET; RANDOMIZED CONTROLLED TRIAL; SYSTOLIC BLOOD PRESSURE;

EID: 27744494434     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.294.19.2455     Document Type: Article

References (47)

1. Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC: National Academy Press; 2002.
2. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA. 2001;285:2486-2497.
3. Stamler J, Whelton PK, He J, Louis GT, eds. Strategies for prevention of adverse blood pressure levels. In: Lifestyle Modification for the Prevention and Treatment of Hypertension. New York, NY: Marcel Dekker Inc; 2003.
4. Sacks FM, Kass EH. Low blood pressure in vegetarians: effects of specific foods and nutrients. Am J Clin Nutr. 1988;48:795-800.
5. Appel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med. 1997;336:1117-1124.
6. Sacks FM, Svetkey LP, Vollmer WM, et al. Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension (DASH) diet. N Engl J Med. 2001;344:3-10.
7. Dietary Guidelines Advisory Committee. 2005 Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans. US Dept of Agriculture, Agricultural Research Service; 2005.
8. Institute of Medicine. Dietary Reference Intakes: Water, Potassium, Sodium Chloride, and Sulfate. Washington, DC: National Academy Press; 2004.
9. Obarzanek E, Sacks FM, Vollmer WM, et al. Effects on blood lipids of a blood pressure-lowering diet. Am J Clin Nutr. 2001;74:80-89.
10. Harsha DW, Sacks FM, Obarzanek E, et al. Effect of dietary sodium intake on blood lipids. Hypertension. 2004;43:393-398.
11. Hokanson JE, Austin MA. Plasma triglyceride level is a risk factor for cardiovascular disease independent of high-density lipoprotein cholesterol level. J Cardiovasc Risk. 1996;3:213-219.
12. Katan MB, Grundy SM, Willett WC. Should a lowfat, high-carbohydrate diet be recommended for everyone? N Engl J Med. 1997;337:563-566.
13. Obarzanek E, Velletri PA, Cutler JA. Dietary protein and blood pressure. JAMA. 1996;275:1598-1603.
14. He J, Whelton PK. Effect of dietary fiber and protein intake on blood pressure: a review of epidemiologic evidence. Clin Exp Hypertens. 1999;21:785-796.
15. He J, Gu D, Wu X, et al. Effect of soybean protein on blood pressure. Ann Intern Med. 2005;143:1-9.
16. Elliott P, Stamler J, Appel L, et al. Relationship of dietary protein to blood pressure: The INTERMAP study. Arch Intern Med. In press.
17. Hu FB, Stampfer MJ, Manson JE, et al. Dietary protein and risk of ischemic heart disease in women. Am J Clin Nutr. 1999;70:221-227.
18. Kelemen LE, Kushi LH, Jacobs DR Jr, Cerhan JR. Associations of dietary protein with disease and mortality in a prospective study of postmenopausal women. Am J Epidemiol. 2005;161:239-249.
19. Wolfe BM, Giovannetti PM. Short-term effects of substituting protein for carbohydrate in the diets of moderately hypercholesterolemic human subjects. Metabolism. 1991;40:338-343.
20. Wolfe BM, Giovannetti PM. High protein diet complements resin therapy of familial hypercholesterolemia. Clin Invest Med. 1992;15:349-359.
21. Wolfe BM, Piche LA. Replacement of carbohydrate by protein in a conventional-fat diet reduces cholesterol and triglyceride concentrations in healthy normolipidemic subjects. Clin Invest Med. 1999;22:140-148.
22. Carey VJ, Bishop L, Charleston J, et al. Rationale and design of the optimal macro-nutrient intake heart (OMNI-heart) trial. Clin Trials. In press.
23. Whelton PK, He J, Appel LJ, et al. Primary prevention of hypertension. JAMA. 2002;288:1882-1888.
24. Willett W, Manson J, Liu S. Glycemic index, glycemic load, and risk of type 2 diabetes. Am J Clin Nutr. 2002;76:274S-280S.
25. White WB, Anwar YA. Evaluation of the overall efficacy of the omron office digital blood pressure HEM-907 monitor in adults. Blood Press Monit. 2001;6:107-110.
26. O'Brien E, Mee F, Atkins N, O'Malley K. Accuracy of the SpaceLabs 90207 determined by the British hypertension society protocol. J Hypertens. 1991;9:573-574.
27. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972;18:499-502.
28. Jones B, Kenward MG. Design and Analysis of Cross-Over Trials. 2nd ed. Boca Raton, Fla: CRC; 2003.
29. Rubin DB. Multiple Imputation for Nonresponse in Surveys. New York, NY: Wiley; 1987.
30. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation. 1998;97:1837-1847.
31. Assmann G, Cullen P, Schulte H. Simple scoring scheme for calculating the risk of acute coronary events based on the 10-year follow-up of the Prospective Cardiovascular Munster (PROCAM) study. Circulation. 2002;105:310-315.
32. Burke V, Hodgson JM, Beilin LJ, Giangiulioi N, Rogers P, Puddey IB. Dietary protein and soluble fiber reduce ambulatory blood pressure in treated hypertensives. Hypertension. 2001;38:821-826.
33. Cutler JA, Obarzanek E. Nutrition and blood pressure: is protein one link toward a strategy of hypertension prevention. Ann Intern Med. 2005;143:74-75.
34. Strazzullo P, Ferro-Luzzi A, Siani A, et al. Changing the mediterranean diet: effects on blood pressure. J Hypertens. 1986;4:407-412.
35. Ferrara LA, Raimondi AS, et al. Olive oil and reduced need for antihypertensive medications. Arch Intern Med. 2000;160:837-842.
36. Psaltopoulou T, Naska A, Orfanos P, Trichopoulos D, Mountokalakis T, Trichopoulou A. Olive oil, the Mediterranean diet, and arterial blood pressure. Am J Clin Nutr. 2004;80:1012-1018.
37. Hodges RE, Rebello T. Carbohydrates and blood pressure. Ann Intern Med. 1983;98:838-841.
38. Zhang HY, Reddy S, Kotchen TA. A high sucrose, high linoleic acid diet potentiates hypertension in the Dahl salt sensitive rat. Am J Hypertens. 1999;12:183-187.
39. Ludwig DS. The glycemic index. JAMA. 2002;287:2414-2423.
40. Mensink RP, Zock PL, Kester AD, Katan MB. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins. Am J Clin Nutr. 2003;77:1146-1155.
41. Wang Y, Wang QJ. The prevalence of prehypertension and hypertension among US adults according to the new joint national committee guidelines. Arch Intern Med. 2004;164:2126-2134.
42. Stevens VJ, Obarzanek E, Cook NR, et al. Long-term weight loss and changes in blood pressure. Ann Intern Med. 2001;134:1-11.
43. Cook NR, Kumanyika SK, Cutler JA, Whelton PK; Trials of Hypertension Prevention Collaborative Research Group. Dose-response of sodium excretion and blood pressure change among overweight, nonhypertensive adults in a 3-year dietary intervention study. J Hum Hypertens. 2005;19:47-54.
44. Perneger TV. Adjusting for multiple testing in studies is less important than other concerns. BMJ. 1999;318:1288.
45. Hu FB, Stampfer MJ, Manson JE, et al. Dietary fat intake and the risk of coronary heart disease in women. N Engl J Med. 1997;337:1491-1499.
46. Foster GD, Wyatt HR, Hill JO, et al. A randomized trial of a low-carbohydrate diet for obesity. N Engl JMed. 2003;348:2082-2090.
47. McManus K, Antinoro L, Sacks F. A randomized controlled trial of a moderate-fat, low-energy diet compared with a low fat, low-energy diet for weight loss in overweight adults. Int J Obes Relat Metab Disord. 2001;25:1503-1511.