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Does Pomegranate intake attenuate cardiovascular risk factors in hemodialysis patients?
Lilach Shema-Didi, Batya Kristal, Shifra Sela
1School of Public Health, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel. liora.ore@gmail.com.
Insights
Pomegranate juice (PJ) consumption significantly improved blood pressure and lipid profiles in hemodialysis patients. These findings suggest PJ may help reduce cardiovascular disease (CVD) risk in this high-risk population.
Area of Science:
- Nephrology
- Cardiology
- Nutritional Science
Background:
- Atherosclerotic cardiovascular disease (CVD) is a leading cause of death in hemodialysis (HD) patients.
- Hypertension and dyslipidemia are significant contributors to CVD risk in this population.
- The study investigated the impact of Pomegranate juice (PJ) on cardiovascular risk factors in HD patients.
Purpose of the Study:
- To evaluate the effect of one-year Pomegranate juice (PJ) consumption on hypertension and lipid profiles in hemodialysis (HD) patients.
- To assess the impact of PJ on traditional cardiovascular risk factors.
- To determine the incidence of cardiovascular events in HD patients consuming PJ.
Main Methods:
- 101 HD patients were randomized to receive PJ or a placebo three times weekly for one year.
- Primary endpoints included blood pressure (systolic, diastolic, pulse) and lipid profile (triglycerides, HDL, LDL, total cholesterol).
- Cardiovascular events served as a secondary endpoint.
Main Results:
- PJ consumption led to significant improvements in systolic blood pressure, pulse pressure, triglycerides, and HDL levels.
- These beneficial effects were more pronounced in hypertensive patients with high triglycerides and low HDL.
- No similar improvements were observed in the placebo group.
Conclusions:
- Regular Pomegranate juice (PJ) intake can reduce systolic blood pressure and improve lipid profiles in hemodialysis (HD) patients.
- These positive changes may mitigate accelerated atherosclerosis and lower the incidence of CVD in HD patients.
- PJ shows potential as a dietary intervention for managing cardiovascular risk in HD patients.
Background:
Atherosclerotic cardiovascular disease (CVD) is the most common cause of morbidity and mortality among hemodialysis (HD) patients. It has been attributed, among other causes, to hypertension and dyslipidemia. The aim of the present study was to investigate the effect of a year-long consumption of Pomegranate juice (PJ), on two traditional cardiovascular (CV) risk factors: hypertension and lipid profile, as well as on cardiovascular events.
Methods:
101 HD patients were randomized to receive 100 cc of PJ (0.7 mM polyphenols) or matching placebo juice, three times a week for one year. The primary endpoints were traditional CV risk factors; blood pressure and lipid profile. Systolic, diastolic and pulse pressure, plasma levels of triglycerides (TG), high density lipoprotein (HDL), low density lipoprotein (LDL) and total cholesterol were monitored quarterly during the study year. Secondary endpoint was incidence of cardiovascular events.
Results:
PJ consumption yielded a significant time response improvement in systolic blood pressure, pulse pressure, triglycerides and HDL level; an improvement that was not observed in the placebo intake group. These beneficial outcomes were more pronounced among patients with hypertension, high level of triglycerides and low levels of HDL.
Conclusion:
Regular PJ consumption by HD patients reduced systolic blood pressure and improved lipid profile. These favorable changes may reduce the accelerated atherosclerosis and high incidence of CVD among HD patients.
Trial Registration:
ClinicalTrials.gov registry, Identifier number: NCT00727519.
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