PMID- 24300595 OWN - NLM STAT- MEDLINE DCOM- 20141006 LR - 20181202 IS - 1941-7225 (Electronic) IS - 0895-7061 (Linking) VI - 27 IP - 3 DP - 2014 Mar TI - Effects of milk proteins and combined exercise training on aortic hemodynamics and arterial stiffness in young obese women with high blood pressure. PG - 338-44 LID - 10.1093/ajh/hpt224 [doi] AB - BACKGROUND: Obesity and reduced muscle strength are associated with increased blood pressure (BP). We examined the impact of milk proteins and combined exercise training (CET) on BP, arterial function, and muscle strength (one-repetition maximum (1-RM)). METHODS: Thirty-three obese sedentary women (age = 30 +/- 1 years; body mass index = 35.2 +/- 0.9 kg/m(2); systolic BP (SBP) = 129 +/- 2 mm Hg) were randomized to control carbohydrate (n = 11), whey (n = 11), and casein (n = 11) supplementation for 4 weeks. All participants performed moderate-intensity CET 3 days/week. Brachial and aortic SBP, augmentation index adjusted for 75 beats/minute (AIx@75), arterial stiffness (brachial-ankle pulse wave velocity (baPWV)), and 1-RM were measured before and after the interventions. RESULTS: There were significant (P < 0.05) time-by-group interactions for brachial SBP (bSBP), aortic SBP (aSBP), AIx@75, and baPWV. Whey and casein supplementation significantly (P < 0.05) decreased bSBP (approximately 5mm Hg for both), aSBP (approximately 7 mm Hg and approximately 6mm Hg, respectively), AIx@75 (approximately 9.2% and approximately 8.1%, respectively) and baPWV (approximately 57 cm/s and approximately 53 cm/s, respectively) compared with no changes in the control group. Upper- (approximately 22.2%) and lower-body 1-RM (approximately 44.0%) increased similarly in all groups. Changes in arterial function and 1-RM were not correlated. CONCLUSIONS: Milk protein supplementation with CET reduced SBP, wave reflection, and arterial stiffness in young obese women with prehypertension and hypertension. Because CET did not affect arterial function, milk proteins may have an antihypertensive effect by improving arterial function, as shown by reduced AIx@75 and baPWV. Muscle strength improvements after CET did not affect BP and arterial function. CLINICAL TRIAL REGISTRATION: ClinicalTrial.gov Registration NCT01830946. FAU - Figueroa, Arturo AU - Figueroa A AD - Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, Florida. FAU - Wong, Alexei AU - Wong A FAU - Kinsey, Amber AU - Kinsey A FAU - Kalfon, Roy AU - Kalfon R FAU - Eddy, Wyatt AU - Eddy W FAU - Ormsbee, Michael J AU - Ormsbee MJ LA - eng SI - ClinicalTrials.gov/NCT01830946 PT - Journal Article PT - Randomized Controlled Trial DEP - 20131203 PL - United States TA - Am J Hypertens JT - American journal of hypertension JID - 8803676 RN - 0 (Caseins) RN - 0 (Milk Proteins) RN - 0 (Whey Proteins) SB - IM MH - Adult MH - Age Factors MH - Aorta/*physiopathology MH - Caseins/*administration & dosage MH - *Dietary Supplements MH - Double-Blind Method MH - Female MH - Florida MH - *Hemodynamics MH - Humans MH - Hypertension/complications/diagnosis/physiopathology/*therapy MH - Milk Proteins/*administration & dosage MH - Muscle Strength MH - Muscle, Skeletal/physiopathology MH - Obesity/complications/diagnosis/physiopathology/*therapy MH - Pulse Wave Analysis MH - *Resistance Training MH - Sedentary Behavior MH - Sex Factors MH - Time Factors MH - Treatment Outcome MH - *Vascular Stiffness MH - Whey Proteins OTO - NOTNLM OT - aortic blood pressure OT - augmentation index OT - blood pressure OT - casein OT - hypertension OT - muscle strength OT - pulse wave velocity OT - wave reflection OT - whey. EDAT- 2013/12/05 06:00 MHDA- 2014/10/07 06:00 CRDT- 2013/12/05 06:00 PHST- 2013/12/05 06:00 [entrez] PHST- 2013/12/05 06:00 [pubmed] PHST- 2014/10/07 06:00 [medline] AID - hpt224 [pii] AID - 10.1093/ajh/hpt224 [doi] PST - ppublish SO - Am J Hypertens. 2014 Mar;27(3):338-44. doi: 10.1093/ajh/hpt224. Epub 2013 Dec 3.