Title:
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The effects of fruit and vegetable consumption on arterial health
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While health promotion literature and clinical guidelines suggest eating 5 or more
portions of fruit and vegetables daily may have beneficial vascular effects, this
specific hypothesis has rarely been addressed during randomised control trials in fteeliving
volunteers. We conducted such a study among individuals with mild to
moderate hypertension.
During a common 4 week run-in period all participants limited their fruit and
vegetable consumption (l portionfday) before randomisation to 1. 3 or 6 portions
daily for the ne:x1. 8 weeks. Volunteers attended a research centre for vascular
assessment immediately before and after the intervention phase. Forearm blood flow
responses to an endothelium-dependent agonist (acetylcholine) were estimated by
venous occlusion plethysmography while carotid-radial pulse wave velocity
(CRPWV) and the aortic augmentation index were derived from applanation
tonometry. Pre and post intervention circulating micronutrient concentrations were
compared with contemporaneously recorded 4-day food records.
A total of 117 volunteers (mean age ± standard deviation, 54.l±7.8 }years), completed the 12 week trial. At baseline a significant negative relationship was noted between maximum forearm blood flow response to intra-arterial acetylcholine and CRPWV
(r= -O.225~ p=O.0l6). Changes in reported fruit and vegetable consmnption correlated
significantly with altered circulating concentrations offJ-crypthoxanthin (F0.350,
p
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