Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-24T00:29:39.326Z Has data issue: false hasContentIssue false

The effect of nutrient profiles of the Dietary Approaches to Stop Hypertension (DASH) diets on blood pressure and bone metabolism and composition in normotensive and hypertensive rats

Published online by Cambridge University Press:  09 March 2007

Lorna Doyle
Affiliation:
Department of Food and Nutritional Sciences, University College, Cork, Ireland
Kevin D. Cashman*
Affiliation:
Department of Food and Nutritional Sciences, University College, Cork, Ireland Department of Medicine, University College, Cork, Ireland
*
*Corresponding Author: Professor K. D. Cashman, fax +353 21 4270244, email k.cashman@ucc.ie
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Hypertension has been associated with abnormalities of Ca and bone metabolism. Consequently, dietary strategies aimed at reducing blood pressure may also benefit bone health; however, this issue has received little attention. Therefore, the objective of the present study was to investigate the effect of two antihypertensive-type diets on blood pressure and bone metabolism and composition in normotensive (Wistar-Kyoto NHsd, WKY) and hypertensive (spontaneously hypertensive NHsd, SHR) rats. Thirty WKY and thirty SHR male rats, 14 weeks old, were separately randomized by weight into three groups of ten rats each. One group from each strain was given a control diet while the other two groups were fed two anti-hypertensive (high fruit and vegetable (F/V) and high fruit and vegetable and low-fat dairy produce (combination)) diets for 8 weeks. SHR rats were significantly (P<0·01) heavier than WKY rats. Blood pressure and femoral length, width, dry weight, ash, Ca, Mg, P and bone mineral mass were significantly (P<0·0001) greater in SHR than WKY rats, but were unaffected by diet, irrespective of strain. While markers of bone formation (serum osteocalcin) and bone resorption (urinary pyridinoline and deoxypyridinoline) were similar in both strains, these markers were significantly (P<0·05) lower (28–31, 16–23, 31–33 % respectively) in the SHR rats fed the combination diet relative to those fed the control and F/V diets. Bone turnover in WKY rats was unaffected by diet. In conclusion, these findings suggest that the combination diet may benefit bone metabolism in hypertensive animals. However, as blood pressure was unaffected by this diet, the mechanism by which it reduced bone turnover requires further investigation.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2003

References

Allender, PS, Cutler, JA, Follmann, D, Cappuccio, FP, Pryer, J & Elliott, P (1996) Dietary calcium and blood pressure: a meta-analysis of randomized clinical trials. Annals of Internal Medicine 124 825831.Google Scholar
Appel, L, Moore, TJ, Obarzanek, E, Vollmen, WM, Svetkey, LP, Sacks, FM, Bray, GA, Vogt, TM, Cutler, JA, Windhauser, MM, Lin, P-H & Karanja, N (1997) A clinical trial of the effects of dietary patterns on blood pressure. New England Journal of Medicine 336 11171124.Google Scholar
Appel, LJ, Aickin, M, Conlin, PR, Harsha, DW, Meltesen, GT, Moore, TJ, Sacks, FM & Svetkey, LP (2001) The effects of sodium reduction and the DASH diet on ambulatory blood pressure (ABP) in African-Americans and non-African-Americans; results from the DASH-sodium feeding study. American Journal of Hypertension 14, 15A.Google Scholar
Appel, LJ, Miller, EG, Jee, SH, Stolzenberg-Solomon, R, Lin, P-H, Erlinger, T, Nadeau, MR & Selhub, J (2000) Effects of dietary patterns on serum homocysteine. Results of a randomized, controlled feeding trial. Circulation 102 852857.Google Scholar
Barbagallo, M, Quaini, F, Baroni, MC, Barbagallo, CM, Boiardi, L, Passeri, G, Arlunno, B, Delsignore, R & Passeri, M (1991) Histological evidence of increased turnover in bone from spontaneously hypertensive rats. Cardioscience 2 1517.Google Scholar
Barbagallo, M, Raddino, R, Restori, G, Boiardi, L, Novo, S & Strano, A (1990) Alterations of calcium metabolism in spontaneously hypertensive rats. Cardioscience 2 105107.Google Scholar
Blakeborough, P, Nevelle, SG & Rolls, BA (1990) The effects of diets adequate and deficient in calcium on blood pressures and activities of intestinal and kidney plasma membrane enzymes in normotensive and hypertensive rats. British Journal of Nutrition 63 6578.Google Scholar
Brickman, AS, Nyby, MD, von Hungen, K, Eggena, P & Tuck, ML (1990) Calcitropic hormones, platelet calcium and blood pressure in essential hypertension. Hypertension 16 515522.Google Scholar
Calabresi, E, Lasagni, L, Franceschelli, F, Bartolini, L & Serio, M (1994) Use of an internal standard to measure pyridinoline and deoxypyridinoline in urine (letter). Clinical Chemistry 40 336337.Google Scholar
Cappuccio, FP, Kalaitzidis, R, Duneclift, S & Eastwood, JB (2000) Unravelling the links between calcium excretion, salt intake, hypertension, kidney stones and bone metabolism. Journal of Nephrology 13 169177.Google ScholarPubMed
Cappuccio, FP, Meilahn, E, Zmuda, JM & Cauley, JA (1999) High blood pressure and bone-mineral loss in elderly white women. Lancet 354 971975.CrossRefGoogle ScholarPubMed
Cashman, KD (2002) Prebiotics and calcium bioavailability. In Probiotics and Prebiotics: Where are we going?, pp. 149174 [Tannock, GW, editor]. Wymondham, Norfolk: Horizon Scientific Press.Google Scholar
Catena, C, Zingaro, L, Casaccio, D & Sechi, LA (2000) Abnormalities of coagulation in hypertensive patients with reduced creatinine clearance. American Journal of Medicine 109 556561.CrossRefGoogle ScholarPubMed
Chen, X, Touyz, RM, Park, JB & Schiffrin, EL (2001) Antioxidant effects of vitamins C and E are associated with altered activation of vascular NADPH oxidase and superoxide dismutase in stroke-prone SHR. Hypertension 38 606611.Google Scholar
Colwell, R, Russell, RGG & Eastell, R (1993) Factors affecting the assay of urinary 3-hydroxypyridinium cross-links of collagen as markers of bone resorption. European Journal of Clinical Investigation 23 341349.Google Scholar
Conlin, PR, Chow, D, Miller, ER, Svetkey, LP, Lin, PH, Harsha, DW, Moore, TJ, Sacks, FM & Appel, LJ (2000) The effects of dietary patterns on blood pressure control in hypertensive patients: results from the Dietary Approaches to Stop Hypertension (DASH) trial. American Journal of Hypertension 13 949955.Google Scholar
Dakskinamurti, D & Dakskinamurti, MM (2001) Blood pressure regulation and micronutrients. Nutrition Research Reviews 14 343.Google Scholar
Dallal, GE (1990) PC-Size consultant – A program for sample size determinations. American Statistician 44, 243.Google Scholar
De Moss, DL & Wright, GL (1998) Sex and strain differences in whole skeletal development in the rat. Calcified Tissue International 62 153157.CrossRefGoogle ScholarPubMed
Department of Health (1991) Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. London: HM Stationery Office.Google Scholar
Fleet, JC (2001) DASH without the dash (of salt) can lower blood pressure. Nutrition Reviews 59 291293.Google Scholar
Galletti, F, Rutledge, A & Triggle, DJ (1991) Dietary sodium intake: influence on calcium channels and urinary calcium excretion in spontaneously hypertensive rats. Biochemical Pharmacology 41 893896.CrossRefGoogle ScholarPubMed
Hall, SL & Greendale, GA (1998) The relation of dietary vitamin C intake to bone mineral density: results from the PEPI study. Calcified Tissue International 63 183189.Google Scholar
Hatton, DC, Scrogin, KE, Metz, JA & McCarron, DA (1989) Dietary calcium alters blood pressure reactivity in spontaneously hypertensive rats. Hypertension 13 622629.CrossRefGoogle ScholarPubMed
Hoshino, H, Kushida, K, Takahashi, M, Koyama, S, Yamauchi, H & Inoue, T (1998) Effects of low phosphate intake on bone and mineral metabolism in rats: evaluation by biochemical markers and pyridinium cross-link formation in bone. Annals of Nutrition and Metabolism 42 110118.CrossRefGoogle Scholar
Institute of Medicine (1997) Dietary Reference Intakes: Calcium, Magnesium, Phosphorus, Vitamin D, and Fluoride. Washington, DC: Food and Nutrition Board, National Academy Press.Google Scholar
Izawa, Y, Sagara, K, Kadota, T & Makita, T (1985) Bone disorders in spontaneously hypertensive rat. Calcified Tissue International 37 605607.CrossRefGoogle ScholarPubMed
Jorde, R, Sundsfjord, J, Haug, E & Bønaa, KH (2000) Relation between low calcium intake, parathyroid hormone, and blood pressure. Hypertension 35 11541159.Google Scholar
Kadiri, S & Ajayi, SO (2000) Variability in the relationship between serum creatinine and creatinine clearance in hypertensives and normotensives with normal renal function. African Journal of Medicine and Medical Sciences 29 9396.Google ScholarPubMed
Kalu, DN, Liu, CC, Salerno, E, Hollis, B, Echon, R & Ray, M (1991) Skeletal response of ovariectomized rats to low and high doses of 17 beta-estradiol. Bone and Mineral 14 175187.Google Scholar
Karanja, NMM, Obarzanek, E, Lin, P-H, McCullough, ML, Phillips, KM, Swain, JF, Champagne, CM & Hoben, KP (1999) Descriptive characteristics of the dietary patterns used in the Dietary Approaches to Stop Hypertension trial. Journal of the American Dietetic Association 99 S19S27.CrossRefGoogle ScholarPubMed
Lau, K, Zikos, D, Spirnak, J & Eby, B (1984) Evidence for an intestinal mechanism in hypercalciuria of spontaneously hypertensive rats. American Journal of Physiology 247 E625E633.Google ScholarPubMed
Lewanczuk, RZ, Chen, A & Pang, PK (1990) The effects of dietary calcium on blood pressure in spontaneously hypertensive rats may be mediated by parathyroid hypertensive factor. American Journal of Hypertension 3 349353.Google Scholar
Lin, P, Ginty, F, Appel, L, Svetkey, L, Bohannon, A, Barclay, D, Gannon, R & Aickin, M (2001) Impact of sodium intake and dietary patterns on biochemical markers of bone and calcium metabolism. Journal of Bone and Mineral Research 16, S511.Google Scholar
Lucas, PA, Brown, RC, Drüeke, T, Lacour, B, Metz, JA & McCarron, DA (1986) Abnormal vitamin D metabolism, intestinal calcium transport, and bone calcium status in the spontaneously hypertensive rat compared with its genetic control. Journal of Clinical Investigation 78 221227.Google Scholar
McCarron, DA, Lucas, PA, Shneidman, RJ, LaCour, B & Drüeke, T (1985) Blood pressure development of the spontaneously hypertensive rats after concurrent manipulations with dietary Ca2+ and Na+. Relation to intestinal Ca2+ fluxes. Journal of Clinical Investigation 76 11471154.Google Scholar
McCarron, DA, Pingree, PA, Rubin, RJ, Gaucher, SM, Molitch, M & Krutzik, S (1980) Enhanced parathyroid function in essential hypertension: a homeostatic response to urinary calcium leak. Hypertension 2 162168.Google Scholar
McCarron, DA, Yung, NN, Ugoretz, BA & Krutzik, S (1981) Disturbances of calcium metabolism in the spontaneously hypertensive rat. Hypertension 3, I-162I-167.Google Scholar
MacGregor, GA & Cappuccio, P (1993) The kidney and essential hypertension: a link to osteoporosis? Journal of Hypertension 11 781785.CrossRefGoogle ScholarPubMed
Mäkynen, H, Kähönen, M, Arvola, P, Wuorela, H, Vapaatalo, H & Pörsti, I (1995) Dietary calcium and magnesium supplements in spontaneously hypertensive rats and isolated arterial activity. British Journal of Pharmacology 115 14551462.CrossRefGoogle Scholar
Metz, A, Morris, CD, Roberts, LA, McClung, MR & McCarron, DA (1999) Blood pressure and calcium intake are related to bone density in adult males. British Journal of Nutrition 81 383388.Google Scholar
Metz, JA, Karanja, N, Young, EW, Morris, CD & McCarron, DA (1990) Bone mineral density in spontaneous hypertension: differential effects of dietary calcium and sodium. American Journal of Medical Sciences 300 225230.Google Scholar
Moore, TJ, Conlin, PR, Ard, J & Svetkey, LP (2001) DASH (Dietary Approaches to Stop Hypertension) Diet is effective treatment for stage 1 isolated systolic hypertension. Hypertension 38 155158.Google Scholar
Moore, TJ, Vollmer, WM, Appel, LJ, Sacks, FM, Svetkey, LP, Vogt, TM, Conlin, PR, Simons-Morton, DG, Carter-Edwards, L & Harsha, DW (1999) Effect of dietary patterns on ambulatory blood pressure – results from the Dietary Approaches to Stop Hypertension (DASH) trial. Hypertension 34 472477.Google Scholar
Morton, DJ, Barrett-Connor, EL & Schneider, DL (2001) Vitamin C supplement use and bone mineral density in postmenopausal women. Journal of Bone and Mineral Research 16 135140.Google Scholar
National Research Council (1989) Recommended Dietary Allowances, 10th ed. Report of the Subcommittee on the Tenth Edition of the RDA. Food and Nutrition Board and the Commission on Life Sciences. Washington, DC: National Academy Press.Google Scholar
New, SA (2002) The role of the skeleton in acid–base homeostasis. Proceedings of the Nutrition Society 61 151164.CrossRefGoogle ScholarPubMed
New, SA, Bolton-Smith, C, Grubb, DA & Reid, DM (1991) Nutritional influences on bone mineral density: a cross-sectional study in premenopausal women. American Journal of Clinical Nutrition 65 18311839.Google Scholar
New, SA, Robins, SP, Campbell, MK, Martin, JC, Garton, MJ, Bolton-Smith, C, Grubb, DA, Lee, SJ & Reid, DM (2000) Dietary influences on bone mass and bone metabolism: further evidence of a positive link between fruit and vegetable consumption and bone health? American Journal of Clinical Nutrition 71 142151.Google Scholar
Newaz, MA, Nawal, NNA, Rohaizan, CH, Muslin, N & Gapor, A (1999) α-Tocopherol increased nitric oxide synthase activity in blood vessels of spontaneously hypertensive rats. American Journal of Hypertension 12 839844.Google Scholar
Obazanek, E, Sacks, FM, Vollmer, WM, Bray, GA, Miller, III ER, Lin P-H, Karanja, NM, Most-Windhauser, MM, Moore, TJ, Swain, JF, Bales, CW & Proschan, MA (2001) Effects on blood lipids of a blood pressure-lowering diet: the Dietary Approaches to Stop Hypertension (DASH) trial. American Journal of Clinical Nutrition 74 8089.Google Scholar
Patel, VB, Richardson, PJ & Preedy, VR (2000) Non-cardiac nucleic acid composition and protein synthesis rates in hypertension: studies on the spontaneously hypertensive rat (SHR) model. Clinica Chimica Acta 293 167179.CrossRefGoogle ScholarPubMed
Patwardhan, UN, Pahuja, DN & Samuel, AM (2001) Calcium bioavailability: an in vivo assessment. Nutrition Research 21 667675.Google Scholar
Pezeshk, A & Dalhouse, AD (2000) Vitamin E, membrane fluidity, and blood pressure in hypertensive and normotensive rats. Life Sciences 67 18811889.Google Scholar
Pörsti, I (1992) Arterial smooth muscle contractions in spontaneously hypertensive rats on a high-calcium diet. Journal of Hypertension 10 255263.Google Scholar
Pratt, DA, Daniloff, Y, Duncan, A & Robins, SP (1992) Automated analysis of the pyridinium crosslinks of collagen in tissue and urine using solid-phase extraction and reversed-phase high-performance liquid chromatography. Analytical Biochemistry 207 168175.CrossRefGoogle ScholarPubMed
Rao, RM, Yan, Y & Wu, Y (1994) Dietary calcium reduces blood pressure, parathyroid hormone, and platelet cytosolic calcium responses in spontaneously hypertensive rats. American Journal of Hypertension 7 10521057.CrossRefGoogle ScholarPubMed
Reeves, PG, Nielsen, FH & Fabey, GC (1993) AIN-93 purified diets for laboratory rodents: final report of the American Institute of Nutrition ad hoc writing committee on the reformulation of the AIN-76A rodent diet. Journal of Nutrition 123 19391951.Google Scholar
Remer, T & Manz, F (1995) Potential renal acid load of foods and its influence on urine pH. Journal of the American Dietetic Association 95 791797.Google Scholar
Robins, SP, Stead, DA & Duncan, A (1994) Precautions in using an internal standard to measure pyridinoline and deoxypyridinoline in urine (letter). Clinical Chemistry 40 23222323.Google Scholar
Sato, T, Nara, Y, Kato, Y & Yamori, Y (1995) Effects of high-calorie diet on blood pressure and sodium retention in spontaneously hypertensive rats and Wistar-Kyoto rats. Journal of Diabetes and its Complications 9 220223.Google Scholar
Schedl, HP, Miller, DL, Pape, JM, Horst, RP & Wilson, HD (1984) Calcium and sodium transport and vitamin D metabolism in the spontaneously hypertensive rat. Journal of Clinical Investigation 73 980986.CrossRefGoogle ScholarPubMed
Sebastian, A, Harris, ST, Ottaway, JH, Todd, KM & Morris, RC (1994) Improved mineral balance and skeletal metabolism in postmenopausal women treated with potassium bicarbonate. New England Journal of Medicine 330 17761781.CrossRefGoogle ScholarPubMed
Sellmeyer, DE, Scholetter, M & Sebastian, A (2002) Potassium citrate prevents increased urine calcium excretion and bone resorption induced by a high sodium chloride diet. Journal of Clinical Endocrinology and Metabolism 87 20082012.Google Scholar
Sinha, R, Smith, JC & Soares, JH (1988) The effect of dietary calcium on bone metabolism in young and aged female rats using a short-term in vivo model. Journal of Nutrition 10 12171222.Google Scholar
Snedecor, GW & Cochran, WG (1967) Statistical Methods. Ames, IA: Iowa State University Press.Google Scholar
Stendig-Lindberg, G, Tepper, R & Leichter, I (1993) Trabecular bone density in a two year controlled trial of peroral magnesium in osteoporosis. Magnesium Research 6 155163.Google Scholar
Svetkey, LP, Simons-Morton, D, Vollmer, WM, Appel, LJ, Conlin, PR, Ryan, DH, Ard, J & Kennedy, BM (1999) Effects of dietary patterns on blood pressure. Subgroup analysis of the Dietary Approaches to Stop Hypertension (DASH) randomized clinical trial. Archives of Internal Medicine 159 285293.Google Scholar
Tolvanen, J-P, Mäkynen, H, Wu, X, Hutri-Kähönen, N, Ruskoaho, H, Karjala, K & Pörsti, I (1998) Effects of calcium and potassium supplements on arterial tone in vitro in spontaneously hypertensive rats. British Journal of Pharmacology 124 119128.CrossRefGoogle ScholarPubMed
Touyz, RM & Milne, FJ (1999) Magnesium supplementation attenuates, but does not prevent, development of hypertension in spontaneously hypertensive rats. American Journal of Hypertension 12 757765.Google Scholar
Tsuda, K, Nishio, I & Masuyama, Y (2001) Bone mineral density in women with hypertension. American Journal of Hypertension 14 704707.Google Scholar
Tucker, KL, Hannan, MT, Chen, H, Cupples, LA, Wilson, PWF & Kiel, DP (1999) Potassium, magnesium and fruit and vegetable intakes are associated with greater bone mineral density in elderly men and women. American Journal of Clinical Nutrition 69 727736.Google Scholar
Vasdev, S, Ford, CA, Parai, S, Longerich, L & Gadeg, V (2000) Dietary α-lipoic acid supplementation lowers blood pressure in spontaneously hypertensive rats. Journal of Hypertension 18 567573.CrossRefGoogle ScholarPubMed
Vollmer, WM, Sacks, FM, Ard, J, Appel, LJ, Bray, GA, Simons-Morton, DG, Conlin, PR, Svetkey, LP, Erlinger, TP, Moore, TJ & Karanja, N (2001) Effects of DASH and sodium intake on blood pressure: Subgroup analysis of the DASH-Sodium trial. Annals of Internal Medicine 135 10191028.Google Scholar
Wallach, S & Verch, RL (1986) Tissue magnesium in spontaneously hypertensive rats. Magnesium 5 3338.Google Scholar
Weissman, N & Pileggi, VJ (1974) Inorganic ions. In Clinical Chemistry: Principles and Techniques, pp. 639755 [Henry, RJ, Cannon, DC and Winkleman, JW, editors]. Hagerstown, MD: Harper and Row.Google Scholar
Wu, X, Tolvanen, J-P, Hutri-Kätiönen, M, Mäkynen, H, Korpela, R, Rusoattio, H, Karjala, K & Pörsti, I (1998) Comparison of the effects of supplementation with whey mineral and potassium on arterial tone in experimental hypertension. Cardiovascular Research 40 364374.Google Scholar
Yoshioka, M, Aoyama, K & Matsushita, T (1985) Effects of ascorbic acid on blood pressure and ascorbic acid metabolism in spontaneously hypertensive rats (SH rats). International Journal of Vitamin and Nutrition Research 55 301307.Google Scholar