题名

Alteration of Cardiovascular Autonomic Functions by Vegetarian Diets in Postmenopausal Women is Related to LDL Cholesterol Levels

作者

Chin-Hua Fu;Cheryl C. H. Yang;Chin-Lon Lin;Terry B. J. Kuo

关键词

vegetarian diets ; postmenopausal women ; low-density lipoprotein ; coronary artery disease ; heart rate variability ; frequency-domain analysis

期刊名称

The Chinese Journal of Physiology

卷期/出版年月

51卷2期(2008 / 04 / 01)

页次

100 - 105

内容语文

英文

英文摘要

This study was designed to test the hypothesis that alteration of cardiovascular autonomic functions by vegetarian diets in healthy postmenopausal women is related to lipid metabolism. A total of 70 healthy postmenopausal women not on hormone therapy participated in this study: 35 were vegetarians (mean age 55.0 years) and 35 were omnivores (mean age 55.1 years). Cardiovascular autonomic functions and baroreflex sensitivity were evaluated by specific frequency-domain measures of heart rate variability (HRV) and arterial blood pressure fluctuation. The vegetarians had statistically significant lower blood pressure, total cholesterol, low-density lipoprotein (LDL) cholesterol, triglyceride, and fasting glucose levels compared with the omnivores. The vegetarians exhibited a significant higher total power, low-frequency (LF; 0.04-0.15 Hz) and high-frequency (HF; 0.15-0.4 Hz) of HRV and increased baroreflex sensitivity measures [Brr(LF) and Brr(HF)] compared with the omnivores. Total power, LF and HF of HRV, Brr(LF), and Brr(HF) were significant negatively correlated to LDL-cholesterol concentrations (P < 0.01). We conclude that the increases of cardiac vagal activity and baroreflex sensitivity by vegetarian diets in postmenopausal women are inversely related to LDL-cholesterol levels.

主题分类 醫藥衛生 > 基礎醫學
参考文献
  1. Banach, T.,Dobrek, L.,Milewicz, T.,Kolasinska-Kloch, K.,Krezysiek, J.,Thor, P.J.(2004).Effect of hormonal replacement therapy on autonomic regulation of the heart.Przegl. Lek.,61,509-513.
  2. Berliner, J.A.,Heinecke, J.W.(1996).The role of oxidized lipoproteins in atherogenesis.Free Radic. Biol. Med.,20,707-727.
  3. Carr, M.C.(2003).The emergence of the metabolic syndrome with menopause.J. Clin. Endocrinol. Metab.,88,2404-2411.
  4. Chowienczyk, P.J.,Watts, G.F.,Cockcroft, J.R.,Ritter, J.M.(1992).Impaired endothelium-dependent vasodilatation of forearm resistance vessels in hypercholesterolemia.Lancet,340,1430-1432.
  5. Christensen, J.H.,Toft, E.,Christensen, M.S.,Schmidt, E.B.(1999).Heart rate variability and plasma lipids in men with and without ischemic heart disease.Atherosclerosis,145,181-186.
  6. Cohen, J.D.,Drury, J.H.,Ostdiek, J.,Finn, J.,Babu, B.R.,Flaker, G.,Belew, K.,Donohue, T.,Labovitz, A.(2000).Benefits of lipid lowering on vascular reactivity in patients with coronary artery disease and average cholesterol levels: a mechanism for reducing clinical events?.Am. Heart J.,139,734-738.
  7. De Boer, R.W.,Karemaker, J.M.,Strackee, J.(1987).Hemodynamic fluctuations and baroreflex sensitivity in humans: a beat-to-beat model.Am. J. Physiol.,253,680-689.
  8. Fu, C.H.,Yang, C.C.H.,Lin, C.L.,Kuo, T.B.J.(2006).Effects of long-term vegetarian diets on cardiovascular autonomic functions in healthy postmenopausal women.Am. J. Cardiol.,97,380-383.
  9. Gmitrov, J.,Andrejko, S.(2000).Effect of verapamil on baroreflex sensitivity and on cardiovascular variability.Wien. Klin. Wochenschr.,112,162-168.
  10. Hartikainen, J.K.,Malik, M.,Staunton, A.,Poloniecki, J.,Camm, J.(1996).Distinction between arrhythmic and non-arrhythmic death after myocardial infarction based on heart rate variability, signal-averaged electrocardiogram, ventricular arrhythmias and left ventricular ejection fraction.J. Am. Coll. Cardiol.,28,296-304.
  11. Janszky, I.,Ericson, M.,Lekander, M.,Blom, M.,Buhlin, K.,Georgiades, A.,Ahnve, S.(2004).Inflammatory markers and heart rate variability in women with coronary disease.J. Intern. Med.,256,421-428.
  12. Kannel, W.B.,Hjortkand, M.C.,McNamara, P.M.,Gordon, T.(1976).Menopause and risk of cardiovascular disease: the Framingham study.Ann. Intern. Med.,85,447-452.
  13. Key, T.J.,Thorogood, M.,Appleby, P.N.,Burr, M.L.(1996).Dietary habits and mortality in 11000 vegetarians and health conscious people: results of a 17 year follow up.Brit. Med. J.,313,775-779.
  14. Kimura, T.,Matsumoto, T.,Akiyoshi, M.,Owa, Y.,Miyasaka, N.,Aso, T.,Moritani, T.(2006).Body fat and blood lipids in postmenopausal women are related to resting autonomic nervous system activity.Eur. J. Appl. Physiol.,97,542-547.
  15. Kuo, T.B.J.,Lin, T.,Yang, C.C.H.,Li, C.L.,Chen, C.F.,Chou, P.(1999).Effect of aging on gender differences in neural control of heart rate.Am. J. Physiol.,277,2233-2239.
  16. Kuo, T.B.J.,Yien, H.W.,Hseu, S.S.,Yang, C.C.H.,Lin, Y.Y.,Lee, L.C.,Chan, S.H.H.(1997).Diminished vasomotor component of systemic arterial pressure signals and baroreflex in brain death.Am. J. Physiol.,273,1291-1298.
  17. Mozaffarian, D.,Rimm, E.B.,Herrington, D.M.(2004).Dietary fats, carbohydrate, and progression of coronary atherosclerosis in postmenopausal women.Am. J. Clin. Nutr.,80,1175-1184.
  18. Pehlivanidis, A.N.,Athyros, V.G.,Demitriadis, D.S.,Papageorgiou, A.A.,Bouloukos, V.J.,Kontopoulos, A.G.(2001).Heart rate variability after long-term treatment with atorvastatin in hypercholesterolemic patients with or without coronary artery disease.Atherosclerosis,157,463-469.
  19. Poehlman, E.T.,Toth, M.J.,Ades, P.A.,Rosen, C.J.(1997).Menopause-associated changes in plasma lipids, insulin-like growth factor I and blood pressure: a longitudinal study.Eur. J. Clin. Invest.,27,322-326.
  20. Rackley, C.E.(2004).Hormones and coronary atherosclerosis in women.Endocrine,24,245-250.
  21. Robbe, H.W.J.,Mulder, L.J.M.,Ruddel, H.,Langewitz, W.A.,Veldman, J.B.P.,Mulder, G.(1987).Assessment of baroreceptor reflex sensitivity by means of spectral analysis.Hypertension,10,538-543.
  22. Singh, J.P.,Larson, M.G.,Tsuji, H.,Evans, J.C.,O`Donnell, V.C.J.,Levy, D.(1998).Reduced heart rate variability and newonset hypertension: insights into pathogenesis of hypertension: the Fragmingham Heart Study.Hypertension,32,293-297.
  23. Szeto, Y.T.,Kwok, T.C.,Benzie, I.F.(2004).Effects of a long-term vegetarian diet on biomarkers of antioxidant status and cardiovascular disease risk.Nutrition,20,863-866.
  24. Yang, C.C.H.,Kuo, T.B.J.,Chen, S.H.H.(1996).Auto-and cross-spectral analysis of cardiovascular fluctuations during pentobarbital anesthesia in the rat.Am. J. Physiol.,270,575-582.
  25. Yien, H.W.,Hseu, S.S.,Lee, L.C.,Kuo, T.B.J.,Lee, T.Y.,Chan, C.C.H.(1997).Spectral analysis of systemic arterial pressure and heart rate signals as a prognostic tool for the prediction of patient outcome in intensive care unit.Crit. Care Med.,25,258-266.