Folic acid supplementation for 3 wk reduces pulse pressure and large artery stiffness independent of MTHFR genotype

Background: Folic acid reduces plasma homocysteine and may be an important therapy for preventing cardiovascular disease. A key mechanism may be the reduction of arterial stiffness. Objective: The effect of folic acid supplementation on blood pressure and large artery stiffness was examined in relat...

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Veröffentlicht in:The American journal of clinical nutrition 2005-07, Vol.82 (1), p.26-31
Hauptverfasser: Williams, C, Kingwell, B.A, Burke, K, McPherson, J, Dart, A.M
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container_issue 1
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container_title The American journal of clinical nutrition
container_volume 82
creator Williams, C
Kingwell, B.A
Burke, K
McPherson, J
Dart, A.M
description Background: Folic acid reduces plasma homocysteine and may be an important therapy for preventing cardiovascular disease. A key mechanism may be the reduction of arterial stiffness. Objective: The effect of folic acid supplementation on blood pressure and large artery stiffness was examined in relation to methylenetetrahydrofolate reductase (MTHFR) genotype. Design: Forty-one asymptomatic men with normal or high-normal ambulatory blood pressure (systolic: >130 to 80 to
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A key mechanism may be the reduction of arterial stiffness. Objective: The effect of folic acid supplementation on blood pressure and large artery stiffness was examined in relation to methylenetetrahydrofolate reductase (MTHFR) genotype. Design: Forty-one asymptomatic men with normal or high-normal ambulatory blood pressure (systolic: &gt;130 to &lt;145 mm Hg; diastolic: &gt;80 to &lt;90 mm Hg) participated. The study had a randomized, placebo-controlled, double-blind, crossover design that incorporated 3-wk treatments with 5 mg folic acid/d or matching placebo; each treatment was separated by a 4-wk washout phase. Results: Folic acid reduced brachial pulse pressure by 4.7 +/- 1.6 mm Hg (P &lt; 0.05) without changing mean arterial pressure. Systemic arterial compliance increased by 0.15 +/- 0.03 mL/mm Hg (P &lt; 0.05) after folic acid treatment but did not change after placebo treatment. These responses did not significantly correlate with either homocysteine or folate plasma concentrations. MTHFR genotype CC homozygotes (without the 677C leads to T polymorphism) with normal blood pressure had a larger reduction in homocysteine concentrations in response to folic acid than did T allele carriers. Blood pressure and arterial stiffness responses were independent of MTHFR genotype. Conclusion: Folic acid is a safe and effective supplement that targets large artery stiffness and may prevent isolated systolic hypertension.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.1093/ajcn/82.1.26</identifier><identifier>PMID: 16002796</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Clinical Nutrition</publisher><subject>Adult ; arteries ; Biological and medical sciences ; Blood Glucose - drug effects ; Blood pressure ; Blood Pressure - drug effects ; Blood vessels ; cardioprotective effect ; cardiovascular diseases ; Cholesterol - blood ; Cross-Over Studies ; Diet ; Dietary supplements ; Double-Blind Method ; Feeding. Feeding behavior ; folic acid ; Folic Acid - administration &amp; dosage ; Folic Acid - blood ; Folic Acid - therapeutic use ; Fundamental and applied biological sciences. Psychology ; genes ; genetics ; Genotype ; Genotype &amp; phenotype ; Hematinics - administration &amp; dosage ; Hematinics - blood ; Hematinics - therapeutic use ; hemodynamics ; homocysteine ; Humans ; Hyperhomocysteinemia - drug therapy ; Hypertension ; Hypertension - drug therapy ; Male ; men ; methylenetetrahydrofolate reductase ; methylenetetrahydrofolate reductase (MTHFR) ; Methylenetetrahydrofolate Reductase (NADPH2) - genetics ; nutritional intervention ; systolic blood pressure ; Vascular Resistance - drug effects ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vitamin B ; vitamin supplements</subject><ispartof>The American journal of clinical nutrition, 2005-07, Vol.82 (1), p.26-31</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. Jul 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c365t-6d97ed948c3246cc720fce2b82d6d3bf2c384b2c0c72c900c305f3d025b2a91d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16952082$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16002796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, C</creatorcontrib><creatorcontrib>Kingwell, B.A</creatorcontrib><creatorcontrib>Burke, K</creatorcontrib><creatorcontrib>McPherson, J</creatorcontrib><creatorcontrib>Dart, A.M</creatorcontrib><title>Folic acid supplementation for 3 wk reduces pulse pressure and large artery stiffness independent of MTHFR genotype</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>Background: Folic acid reduces plasma homocysteine and may be an important therapy for preventing cardiovascular disease. A key mechanism may be the reduction of arterial stiffness. Objective: The effect of folic acid supplementation on blood pressure and large artery stiffness was examined in relation to methylenetetrahydrofolate reductase (MTHFR) genotype. Design: Forty-one asymptomatic men with normal or high-normal ambulatory blood pressure (systolic: &gt;130 to &lt;145 mm Hg; diastolic: &gt;80 to &lt;90 mm Hg) participated. The study had a randomized, placebo-controlled, double-blind, crossover design that incorporated 3-wk treatments with 5 mg folic acid/d or matching placebo; each treatment was separated by a 4-wk washout phase. Results: Folic acid reduced brachial pulse pressure by 4.7 +/- 1.6 mm Hg (P &lt; 0.05) without changing mean arterial pressure. Systemic arterial compliance increased by 0.15 +/- 0.03 mL/mm Hg (P &lt; 0.05) after folic acid treatment but did not change after placebo treatment. These responses did not significantly correlate with either homocysteine or folate plasma concentrations. MTHFR genotype CC homozygotes (without the 677C leads to T polymorphism) with normal blood pressure had a larger reduction in homocysteine concentrations in response to folic acid than did T allele carriers. Blood pressure and arterial stiffness responses were independent of MTHFR genotype. Conclusion: Folic acid is a safe and effective supplement that targets large artery stiffness and may prevent isolated systolic hypertension.</description><subject>Adult</subject><subject>arteries</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - drug effects</subject><subject>Blood pressure</subject><subject>Blood Pressure - drug effects</subject><subject>Blood vessels</subject><subject>cardioprotective effect</subject><subject>cardiovascular diseases</subject><subject>Cholesterol - blood</subject><subject>Cross-Over Studies</subject><subject>Diet</subject><subject>Dietary supplements</subject><subject>Double-Blind Method</subject><subject>Feeding. Feeding behavior</subject><subject>folic acid</subject><subject>Folic Acid - administration &amp; dosage</subject><subject>Folic Acid - blood</subject><subject>Folic Acid - therapeutic use</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>genes</subject><subject>genetics</subject><subject>Genotype</subject><subject>Genotype &amp; phenotype</subject><subject>Hematinics - administration &amp; dosage</subject><subject>Hematinics - blood</subject><subject>Hematinics - therapeutic use</subject><subject>hemodynamics</subject><subject>homocysteine</subject><subject>Humans</subject><subject>Hyperhomocysteinemia - drug therapy</subject><subject>Hypertension</subject><subject>Hypertension - drug therapy</subject><subject>Male</subject><subject>men</subject><subject>methylenetetrahydrofolate reductase</subject><subject>methylenetetrahydrofolate reductase (MTHFR)</subject><subject>Methylenetetrahydrofolate Reductase (NADPH2) - genetics</subject><subject>nutritional intervention</subject><subject>systolic blood pressure</subject><subject>Vascular Resistance - drug effects</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vitamin B</subject><subject>vitamin supplements</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0c9rFDEUB_Agil2rN88aBD0525eXmWxyLMW1QkXQ9hwy-bHMOpuMyQyy_70pu6B4SQLfD1_Ce4S8ZrBmoPiV2dt4JXHN1iiekBVTXDYcYfOUrAAAG8VEd0FelLIHYNhK8ZxcMFGTjRIrUrZpHCw1dnC0LNM0-oOPs5mHFGlImXL6-yfN3i3WFzotY_F0yr6UJXtqoqOjybv6yrPPR1rmIYRYUzpE5ydfjzjTFOjX-9vtd7rzMc3Hyb8kz4KpTa_O9yV52H66v7lt7r59_nJzfddYLrq5EU5tvFOttBxbYe0GIViPvUQnHO8DWi7bHi3UxCoAy6EL3AF2PRrFHL8kH069U06_Fl9mfRiK9eNook9L0ULWgXTIK3z3H9ynJcf6N42cqRaZaCv6eEI2p1KyD3rKw8Hko2agHzehHzehJWqmUVT-5ty59Afv_uLz6Ct4fwamWDOGbKIdyj9OdQgSq3t7csEkbXa5mocfCIwDA0RQjP8BaRmbEw</recordid><startdate>20050701</startdate><enddate>20050701</enddate><creator>Williams, C</creator><creator>Kingwell, B.A</creator><creator>Burke, K</creator><creator>McPherson, J</creator><creator>Dart, A.M</creator><general>American Society for Clinical Nutrition</general><general>American Society for Clinical Nutrition, Inc</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T7</scope><scope>7TS</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20050701</creationdate><title>Folic acid supplementation for 3 wk reduces pulse pressure and large artery stiffness independent of MTHFR genotype</title><author>Williams, C ; Kingwell, B.A ; Burke, K ; McPherson, J ; Dart, A.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-6d97ed948c3246cc720fce2b82d6d3bf2c384b2c0c72c900c305f3d025b2a91d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>arteries</topic><topic>Biological and medical sciences</topic><topic>Blood Glucose - drug effects</topic><topic>Blood pressure</topic><topic>Blood Pressure - drug effects</topic><topic>Blood vessels</topic><topic>cardioprotective effect</topic><topic>cardiovascular diseases</topic><topic>Cholesterol - blood</topic><topic>Cross-Over Studies</topic><topic>Diet</topic><topic>Dietary supplements</topic><topic>Double-Blind Method</topic><topic>Feeding. Feeding behavior</topic><topic>folic acid</topic><topic>Folic Acid - administration &amp; dosage</topic><topic>Folic Acid - blood</topic><topic>Folic Acid - therapeutic use</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>genes</topic><topic>genetics</topic><topic>Genotype</topic><topic>Genotype &amp; phenotype</topic><topic>Hematinics - administration &amp; dosage</topic><topic>Hematinics - blood</topic><topic>Hematinics - therapeutic use</topic><topic>hemodynamics</topic><topic>homocysteine</topic><topic>Humans</topic><topic>Hyperhomocysteinemia - drug therapy</topic><topic>Hypertension</topic><topic>Hypertension - drug therapy</topic><topic>Male</topic><topic>men</topic><topic>methylenetetrahydrofolate reductase</topic><topic>methylenetetrahydrofolate reductase (MTHFR)</topic><topic>Methylenetetrahydrofolate Reductase (NADPH2) - genetics</topic><topic>nutritional intervention</topic><topic>systolic blood pressure</topic><topic>Vascular Resistance - drug effects</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vitamin B</topic><topic>vitamin supplements</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williams, C</creatorcontrib><creatorcontrib>Kingwell, B.A</creatorcontrib><creatorcontrib>Burke, K</creatorcontrib><creatorcontrib>McPherson, J</creatorcontrib><creatorcontrib>Dart, A.M</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williams, C</au><au>Kingwell, B.A</au><au>Burke, K</au><au>McPherson, J</au><au>Dart, A.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Folic acid supplementation for 3 wk reduces pulse pressure and large artery stiffness independent of MTHFR genotype</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2005-07-01</date><risdate>2005</risdate><volume>82</volume><issue>1</issue><spage>26</spage><epage>31</epage><pages>26-31</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>Background: Folic acid reduces plasma homocysteine and may be an important therapy for preventing cardiovascular disease. A key mechanism may be the reduction of arterial stiffness. Objective: The effect of folic acid supplementation on blood pressure and large artery stiffness was examined in relation to methylenetetrahydrofolate reductase (MTHFR) genotype. Design: Forty-one asymptomatic men with normal or high-normal ambulatory blood pressure (systolic: &gt;130 to &lt;145 mm Hg; diastolic: &gt;80 to &lt;90 mm Hg) participated. The study had a randomized, placebo-controlled, double-blind, crossover design that incorporated 3-wk treatments with 5 mg folic acid/d or matching placebo; each treatment was separated by a 4-wk washout phase. Results: Folic acid reduced brachial pulse pressure by 4.7 +/- 1.6 mm Hg (P &lt; 0.05) without changing mean arterial pressure. Systemic arterial compliance increased by 0.15 +/- 0.03 mL/mm Hg (P &lt; 0.05) after folic acid treatment but did not change after placebo treatment. These responses did not significantly correlate with either homocysteine or folate plasma concentrations. MTHFR genotype CC homozygotes (without the 677C leads to T polymorphism) with normal blood pressure had a larger reduction in homocysteine concentrations in response to folic acid than did T allele carriers. Blood pressure and arterial stiffness responses were independent of MTHFR genotype. Conclusion: Folic acid is a safe and effective supplement that targets large artery stiffness and may prevent isolated systolic hypertension.</abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>16002796</pmid><doi>10.1093/ajcn/82.1.26</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Adult
arteries
Biological and medical sciences
Blood Glucose - drug effects
Blood pressure
Blood Pressure - drug effects
Blood vessels
cardioprotective effect
cardiovascular diseases
Cholesterol - blood
Cross-Over Studies
Diet
Dietary supplements
Double-Blind Method
Feeding. Feeding behavior
folic acid
Folic Acid - administration & dosage
Folic Acid - blood
Folic Acid - therapeutic use
Fundamental and applied biological sciences. Psychology
genes
genetics
Genotype
Genotype & phenotype
Hematinics - administration & dosage
Hematinics - blood
Hematinics - therapeutic use
hemodynamics
homocysteine
Humans
Hyperhomocysteinemia - drug therapy
Hypertension
Hypertension - drug therapy
Male
men
methylenetetrahydrofolate reductase
methylenetetrahydrofolate reductase (MTHFR)
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
nutritional intervention
systolic blood pressure
Vascular Resistance - drug effects
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamin B
vitamin supplements
title Folic acid supplementation for 3 wk reduces pulse pressure and large artery stiffness independent of MTHFR genotype
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