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The purpose of this study is to evaluate the acute effect of a meal high in dietary nitrates on aortic augmentation index, brachial and aortic blood pressures, and subendocardial viability ration (SEVR).
Hypertension has become a common medical condition worldwide, raising public concern regarding the accompanying increase in cardiovascular disease risk and other health risks. Targets for optimal blood pressure are often unmet by conventional pharmaceutical therapies; consequently, complementary and alternative medicines are increasing in popularity among patients wishing to better manage their BP. In the case of hypertension, endothelial dysfunction and cardiovascular disease, a decline in the ability of blood vessels to dilate in response to shear stress is a major contributor to vascular pathology. At the core of these conditions is a decreased ability to synthesize nitric oxide, a potent vasodilatory agent. The proposed study will examine whether or not increasing the intake of dietary nitrate, which can be converted to nitric oxide endogenously, can improve three indices of vascular function that are validated risk factors for CVD: arterial stiffness, as measured by aortic augmentation index (AIx), aortic BP and brachial BP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High nitrate dietary source | Experimental | 556 grams of high nitrate spinach soup that is orally consumed as a single dose for 7 days. |
|
| No Nitrate dietary source | Placebo Comparator | 556g low nitrate asparagus soup; orally consumed as a single does for 7 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Spinach soup | Other | 556 g of high Nitrate spinach soup that is orally consumed as a single dose for 7 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Aortic augmentation index (arterial stiffness) | At each treatment visits, this measurement will be taken in at baseline, 1, 2, and 3 hours post-treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Peripheral (brachial) and central (aortic) systolic and diastolic blood pressure | Brachial blood pressure will be measured at 0 , 1, 2, and 3 hours post -treatmentbaseline and at 1, 2 and 3 hours at every visit. | |
| Subendocardial viability ratio (SEVR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vladimir Vuksan, PhD | Risk Factor Modification Centre - St. Michael's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Risk Factor Modification Centre | Toronto | Ontario | M5B 1W8 | Canada |
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| Asparagus soup | Other | 556 grams of low nitrate asparagus soup that is orally consumed for a period of 7 days as a single does |
|
| At 1 hours intervals starting from baseline and ending at 3 hours. |