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Effect of dietary antioxidants on postprandial endothelial dysfunction induced by a high-fat meal in healthy subjects
Open accessAbstract
Background Persons following current dietary guidelines have a lower risk of mortality from coronary heart disease.Objective The objective was to compare the short-term effect of a high-fat meal and a high-carbohydrate meal, with and without dietary antioxidants, on vasomotor, antiplatelet, and hemostatic functions of the endothelium in healthy subjects.Design In an observer-blinded, randomized crossover study, 25 (13 men and 12 women) healthy subjects were given each of 3 meals in random order at 1-wk intervals: a high-fat meal (760 kcal), an isoenergetic high-carbohydrate meal, and a high-fat meal with dietary antioxidants from vegetables (865 kcal). Endothelial functions, as assessed by hemodynamic and rheologic responses to L-arginine--the natural precursor of nitric oxide--were evaluated before and 4 h after each meal.Results Unlike the high-carbohydrate meal, the high-fat meal increased the plasma concentrations of triacylglycerol (P < 0.01); both meals activated hemostasis. The high-carbohydrate meal did not modify blood pressure, and platelet aggregation decreased in response to the L-arginine load (-7.1 +/- 2.3 mm Hg and -8.5 +/- 4.5%, respectively). After the high-fat meal, the decrease in blood pressure in response to L-arginine was reduced (-1 +/- 0.8 mm Hg), and platelet aggregation showed a paradoxical increase (4.1 +/- 2.1%; P < 0.01 compared with the high-carbohydrate meal). The high-fat meal with antioxidants partially restored the vascular response to L-arginine.Conclusion Compared with a high-carbohydrate meal, a high-fat meal can modify endothelial functions toward a more atherogenetic profile, which is partially prevented by dietary antioxidants.
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“Studies in experimental animals fed or injected with radiolabelled protein-bound AGE and human volunteers receiving diets enriched with MRP or specific AGE have shown that absorption of ingested MRP is variable and dependent on the MRP (464,465,527 -529) .”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [529]
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“Highly cross-linked AGE and melanoidins were predominantly excreted in the faeces while absorbed MRP were in general rapidly excreted by the kidney, with limited accumulation in tissues and organs (465,528 -531) .”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [529]
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Metadata
- Authors
- Esposito, K., Nappo, F., Giugliano, F., Giugliano, G., Marfella, R., & Giugliano, D.
- Affiliations
- University of Campania "Luigi Vanvitelli" (IT)
- Corresponding author
- Giugliano, Dario
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2003-01
- Volume
- 77
- Issue
- 1
- Pages
- 139-143
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2114506239
- Cited by
- 113
- References
- 32
- Citations by year
- 2025: 1 · 2024: 3 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 8 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 2 · 2012: 2
- FWCI
- 4.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Biochemistry (medical) › Phytochemicals and Antioxidant Activities
- Keywords
- dietary antioxidants, endothelial dysfunction, high-fat meal, high-carbohydrate meal, postprandial response, L-arginine, nitric oxide, platelet aggregation, hemostasis, blood pressure, triglycerides, atherogenesis, coronary heart disease risk
- MeSH terms
- Adult, Antioxidants, Blood Pressure, Cholesterol, Dietary Carbohydrates, Dietary Fats, Endothelium, Vascular, Female, Humans, Male, Platelet Aggregation, Cross-Over Studies, Postprandial Period
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