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High-Sugar Diet Increases BP; Gout Drug Protective
Reported September 24, 2009
(Ivanhoe Newswire) -- A drug used to treat gout seems to protect
against blood pressure increase in men on a high-fructose diet, according to
new research.
"This is the first evidence of a role of fructose in raising blood pressure
and a role for lowering uric acid to protect against that blood pressure
increase in people," Richard Johnson, M.D., co-author of the study and
professor and head of the division of Renal Diseases and Hypertension at the
University of Colorado–Denver medical campus was quoted as saying.
In the study, excessive fructose consumption seemed to increase new onset of
metabolic syndrome, associated with cardiovascular disease and type 2
diabetes. The gout drug seemed to halt it — most likely by lowering uric
acid, which affects blood pressure.
Fructose is the only common sugar known to increase uric acid levels. One of
several dietary sugars, fructose makes up about half of all the sugar
molecules in table sugar and in high-fructose corn syrup, a sweetener often
used in packaged products because it is relatively cheap and has a long
shelf life. Glucose makes up the other half.
Patients with high blood pressure, diabetes and kidney disease often have
high uric acid levels and gout. But all the ways in which those conditions
might contribute to the development or worsening of the others isn't
completely understood, Johnson said.
Johnson and co-author Santos Perez-Pozo, M.D., a nephrologist at Mateo
Orfila Hospital in Minorca, Spain who led the study, evaluated 74 men,
average age 51, who consumed a diet that included 200 grams of fructose per
day in addition to their regular diet. This amount is much higher than the
estimated U.S. daily intake of 50 to 70 grams of fructose consumed by most
U.S. adults. Half the men were randomly assigned to get the gout drug
allopurinol and the other half acted as controls.
After only two weeks on the diet, the high-fructose plus placebo group
experienced significant average blood pressure increases of about 6
millimeters of mercury in systolic blood pressure and about a 3 mm rise in
diastolic blood pressure.
In contrast, men on the high-fructose diet plus allopurinol had
significantly lower uric acid levels and virtually no increase in systolic
blood pressure. The blood pressure levels of most of the men returned to
normal within two months of the study's conclusion when the participants
returned to their normal dietary intake, Johnson said.
The study also found changes in the incidence of metabolic syndrome, defined
as having three or more of these five risk factors:
• Increased waist circumference;
• High triglyceride levels;
• Low levels of high-density lipoprotein (HDL);
• High blood pressure;
• High fasting blood sugar.
After just two weeks, the incidence of metabolic syndrome more than doubled
in the men who consumed a heavy fructose diet and took the placebo pill.
Among men consuming fructose plus allopurinol, virtually no change in the
rate of metabolic syndrome occurred — perhaps because the gout drug
prevented the blood pressure rise associated with increased fructose
consumption.
"These results suggest that fructose may be a cause of metabolic syndrome,"
Johnson said. "They also suggest that excessive fructose intake may have a
role in the worldwide epidemic of obesity and diabetes." He explained that
the main risk for excessive fructose consumption in the Western diet comes
from sweetened drinks and foods rich in sugar or high fructose corn syrup.
An accompanying study in mice finds that the time of day when fructose is
consumed is linked to abnormalities in blood pressure, weight gain and
behavior. When sugary liquids were consumed during the day (the usual
sleeping period for mice), mice showed greater weight gain and a reversal in
blood pressure rhythms.
"The first thing we noticed was that the mice on restricted access rushed to
their drinking bottles to load up on the sweetened beverage, similar to
teenagers who drink too many soft drinks," Mariana Morris, Ph.D., study
co-author and vice president for graduate studies and chair of the
Pharmacology and Toxicology Department, in the Boonshoft School of Medicine
at Wright State University in Dayton, Ohio, was quoted as saying.
"The reversal in the day/night rhythm is similar to the pattern seen in
human diabetics, suggesting the timing of fructose intake may be important
in cardiovascular pathologies," Morris said. "This model may be similar to
the human condition of night time binging of fructose laden foods and
beverages. The results indicate that consideration must be given not only to
the amount of calories consumed but also the timing of intake."
SOURCE: Presented at the American Heart Association's High Blood Pressure
Research Conference, September 23, 2009 |