Literature DB >> 30471072

Is it Possible to Significantly Modify Blood Pressure with a Combined Nutraceutical on Top of a Healthy Diet? The Results of a Pilot Clinical Trial.

Arrigo F G Cicero1, Alessandro Colletti2, Federica Fogacci2, Marilisa Bove2, Marina Giovannini2, Claudio Borghi2.   

Abstract

INTRODUCTION: Beyond the well-known effects on blood pressure (BP) of the dietary approaches to stop hypertension (DASH) and the Mediterranean diets associated to a correct lifestyle, often a lifestyle change is not simple and can show only long-time results: in this sense, a possible support might be derived from the use of some anti-hypertensive supplements or nutraceuticals, which may provide a significant reduction in blood pressure. AIM: We conducted a randomized, double-blind, placebo-controlled clinical trial in a group of 36 pre-hypertensive and first-degree hypertensive patients.
METHODS: The treatment period with a mix of bioactive substances (BPLN®, containing a donor of nitric oxide, magnesium, and vitamins) or placebo was 16-week long and was preceded by 4 weeks of diet stabilization.
RESULTS: At the end of the intervention, patients treated with the nutraceutical product showed a significant reduction of all morning pressure parameters and of evening systolic blood pressure, both versus the baseline and versus the group treated with placebo. These effects were maintained even after the first 16 weeks of treatment, confirming that the preliminary results were not due to simple changes in volume and do not lead to adaptation/tachyphylaxis. No patient complained of any side effects while taking the active treatment and placebo.
CONCLUSIONS: The tested nutraceutical composite reduces systolic and diastolic blood pressure in the medium term, leading to a significant reduction in the estimated cardiovascular risk in a sample of patients with pre-hypertension or first-degree hypertension.

Entities:  

Keywords:  Blood pressure; Clinical evidence; Clinical trial; Dietary supplements; Hypertension; Nutraceuticals

Mesh:

Substances:

Year:  2018        PMID: 30471072     DOI: 10.1007/s40292-018-0289-5

Source DB:  PubMed          Journal:  High Blood Press Cardiovasc Prev        ISSN: 1120-9879


  10 in total

Review 1.  Diet quality as assessed by the Healthy Eating Index, the Alternate Healthy Eating Index, the Dietary Approaches to Stop Hypertension score, and health outcomes: a systematic review and meta-analysis of cohort studies.

Authors:  Lukas Schwingshackl; Georg Hoffmann
Journal:  J Acad Nutr Diet       Date:  2015-02-11       Impact factor: 4.910

Review 2.  Nutraceuticals and Blood Pressure Control: Results from Clinical Trials and Meta-Analyses.

Authors:  Arrigo F G Cicero; Alessandro Colletti
Journal:  High Blood Press Cardiovasc Prev       Date:  2015-03-19

Review 3.  Food and plant bioactives for reducing cardiometabolic disease risk: an evidence based approach.

Authors:  Arrigo F G Cicero; Federica Fogacci; Alessandro Colletti
Journal:  Food Funct       Date:  2017-06-21       Impact factor: 5.396

Review 4.  Nutraceuticals as an Important Part of Combination Therapy in Dyslipidaemia.

Authors:  Angelo M Patti; Peter P Toth; Rosaria V Giglio; Maciej Banach; Marcello Noto; Dragana Nikolic; Giuseppe Montalto; Manfredi Rizzo
Journal:  Curr Pharm Des       Date:  2017       Impact factor: 3.116

Review 5.  Evidence of clinically relevant efficacy for dietary supplements and nutraceuticals.

Authors:  Arrigo F G Cicero; Claudio Borghi
Journal:  Curr Hypertens Rep       Date:  2013-06       Impact factor: 5.369

6.  Potential U.S. Population Impact of the 2017 ACC/AHA High Blood Pressure Guideline.

Authors:  Paul Muntner; Robert M Carey; Samuel Gidding; Daniel W Jones; Sandra J Taler; Jackson T Wright; Paul K Whelton
Journal:  J Am Coll Cardiol       Date:  2017-11-13       Impact factor: 24.094

Review 7.  Nutraceuticals with a clinically detectable blood pressure-lowering effect: a review of available randomized clinical trials and their meta-analyses.

Authors:  Claudio Borghi; Arrigo F G Cicero
Journal:  Br J Clin Pharmacol       Date:  2016-03-15       Impact factor: 4.335

8.  2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR).

Authors:  Massimo F Piepoli; Arno W Hoes; Stefan Agewall; Christian Albus; Carlos Brotons; Alberico L Catapano; Marie-Therese Cooney; Ugo Corrà; Bernard Cosyns; Christi Deaton; Ian Graham; Michael Stephen Hall; F D Richard Hobbs; Maja-Lisa Løchen; Herbert Löllgen; Pedro Marques-Vidal; Joep Perk; Eva Prescott; Josep Redon; Dimitrios J Richter; Naveed Sattar; Yvo Smulders; Monica Tiberi; H Bart van der Worp; Ineke van Dis; W M Monique Verschuren
Journal:  Atherosclerosis       Date:  2016-09       Impact factor: 5.162

Review 9.  Nutraceuticals for blood pressure control.

Authors:  Cesare R Sirtori; Anna Arnoldi; Arrigo F G Cicero
Journal:  Ann Med       Date:  2015-09-11       Impact factor: 4.709

Review 10.  2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

Authors:  Paul K Whelton; Robert M Carey; Wilbert S Aronow; Donald E Casey; Karen J Collins; Cheryl Dennison Himmelfarb; Sondra M DePalma; Samuel Gidding; Kenneth A Jamerson; Daniel W Jones; Eric J MacLaughlin; Paul Muntner; Bruce Ovbiagele; Sidney C Smith; Crystal C Spencer; Randall S Stafford; Sandra J Taler; Randal J Thomas; Kim A Williams; Jeff D Williamson; Jackson T Wright
Journal:  Hypertension       Date:  2017-11-13       Impact factor: 9.897

  10 in total
  2 in total

Review 1.  Single-pill fixed-dose drug combinations to reduce blood pressure: the right pill for the right patient.

Authors:  Riccardo Sarzani; Giorgia Laureti; Alessandro Gezzi; Francesco Spannella; Federico Giulietti
Journal:  Ther Adv Chronic Dis       Date:  2022-06-24       Impact factor: 4.970

Review 2.  Dietary Intervention to Improve Blood Pressure Control: Beyond Salt Restriction.

Authors:  Arrigo F G Cicero; Maddalena Veronesi; Federica Fogacci
Journal:  High Blood Press Cardiovasc Prev       Date:  2021-09-17
  2 in total

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