Original Article
European Journal of Clinical Nutrition (2009) 63, 246–252; doi:10.1038/sj.ejcn.1602912; published online 26 September 2007
Acute autonomic effects of vitamins and fats in male smokers
C I Wright1, H Ruediger2, C I Kroner1, B J A Janssen3 and R Draijer1
- 1Nutrition and Health, Unilever Food and Health Research Institute, Vlaardingen, The Netherlands
- 2Institute of Occupational and Social Medicine, University of Technology, Dresden, Germany
- 3Department of Pharmacology and Toxicology, University of Maastricht, Maastricht, The Netherlands
Correspondence: Dr CI Wright, Nutrition and Health, Unilever Foods and Health Research Institute, Unilever R&D Vlaardingen, Olivier van Noortlaan 120, PO Box 114, Vlaardingen 3130 AC, The Netherlands. E-mail: ciwright26@hotmail.com
Received 13 April 2007; Revised 25 June 2007; Accepted 8 August 2007; Published online 26 September 2007.
Abstract
Background/Objectives:
Vitamins can help improve cardiovascular control. In contrast, smoking works in the opposite fashion, reducing the baroreflex control of heart rate (HR) possibly via oxidative stress. High-fat challenges also impair cardiovascular regulation. Whether vitamins have acute beneficial effects on the baroreflex control of HR in smokers is unclear.
Subjects/Methods:
A randomized, placebo-controlled crossover study in 30 male smokers (34.2
6.9 years). Interventions were: (1) moderate (vitamin C (300 mg) and E (75 IU) and folic acid (1 mg)); (2) high doses of vitamins (vitamin C (2 g) and E (800 IU), and folic acid (5 mg)); or, (3) placebo. Vitamins were ingested with cream (a high-fat challenge) or milk (low-fat control). Four hours later, blood was withdrawn and radial pulse wave forms recorded via tonometry. Spontaneous beat-to-beat variations in HR and systolic blood pressure (SBP) were analysed by spectral analysis techniques and sympathovagal control of HR and baroreflex sensitivity (BRS) were assessed.
Results:
High doses of vitamins increased plasma vitamin C, E and folic acid levels (P<0.05) with no change in SBP, HR or BRS (P>0.05, analysis of variance). Plasma vitamin levels did not correlate with any cardiovascular parameters. Moderate vitamins increased the vagal control of HR (+23%; P<0.05) and cream led to small increases (P<0.05) in SBP (+2 mm Hg) and HR (+2 beats min-1) with no change in BRS.
Conclusions:
In male smokers, circulating antioxidants had no effect on BRS and minor effects on the cardiovascular system were seen following acute fat and vitamin ingestion.
Keywords:
baroreflex sensitivity, spectral analysis, blood-pressure variability, heart-rate variability
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