The flexible fasting technology can improve hypertension: A pilot study in self-controlled designs

Qing-li Ren, W. Gong, Rongjie Huang, Lifeng Liang, Kexiang Chen, D. Gao, Zhihui Li, Yan Gao, Heliang Liu, Changsheng Chen, Jian-ping Huang, Cheng-gang Zhang
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Abstract

Objective: This study aimed to evaluate the value of the flexible fasting (FF) technology in helping hypertension improvement in patients with essential hypertension and obesity. Method: We recruited and ultimately selected 86 volunteers with essential hypertension and obesity in this study as a quasi experiment. The volunteers went through three phases, namely, the baseline anti-hypertensive therapy stage (Phase-1), the FF intervention stage (Phase-2), the normal diet recovery stage (Phase-3), each for seven days. During the Phase-2, all subjects fasted and began to substitute the FF food for conventional food. Patients' systolic/diastolic blood pressure (abbreviated as SBP/DBP), body mass index (BMI) and body weight were monitored in details each day. The trial data of all subjects were statistically analyzed using self-controlled designs. Result: After the FF intervention, the subjects' blood pressure, body mass and BMI all showed naturally decreases by comparison to that before the intervention. The remarkable decreases in SBP/DBP, Body Mass and BMI were observed in Phase-3 after FF intervention when compared to Phase-1 [SBP: (115.2±8.492) vs (121.2±13.72) mmHg, q=34.14, P<0.001]; [DBP: (76.03±5.37) vs (78.36±7.094) mmHg, q=10.96, P<0.05)]; [Body Mass: (68.86±13.04) vs (73.11±13.49)kg, q=61.56, P<0.0001]; [BMI: (25.42±3.359) vs (27.03±3.45) kg/m2, q=100, P<0.0001]. All patients did not experience any discomfort or symptoms during the trial. Conclusion: The FF technology is an effective approach to improve hypertension. *Correspondence to: Chenggang Zhang, Professor, PhD., Institute of Radiation Medicine, Academy of Military Medical Sciences, Academy of Military Sciences, Research Center for the Military Cognitive and Mental Health of PLA, Beijing 100850, China, Tel: +86 10 66931590; E-mail: zcgweb@126.com Jiangnan Huang, PhD., The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China, Tel: +86 771 5356566; E-mail: huangjn1998@163.com Changsheng Chen, PhD., Department of Health Statistics, School of Military Preventive Medicine, The Fourth Military Medical University, Xi’an 710032, China, Tel: +86 29 84774853; E-mail: chencs@fmmu.edu.cn
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灵活的禁食技术可以改善高血压:一项自我控制设计的试点研究
目的:探讨柔性禁食(FF)技术在原发性高血压合并肥胖患者高血压改善中的应用价值。方法:我们招募并最终选择了86名原发性高血压和肥胖的志愿者作为准实验。志愿者经历了三个阶段,即基线降压治疗阶段(第一阶段)、FF干预阶段(第二阶段)、正常饮食恢复阶段(第三阶段),每个阶段为期7天。第二阶段,所有受试者禁食,开始以FF食物替代常规食物。每天详细监测患者的收缩压/舒张压(缩写为SBP/DBP)、体重指数(BMI)和体重。所有受试者的试验资料采用自我对照设计进行统计分析。结果:FF干预后,受试者血压、体重、BMI均较干预前自然下降。与第一阶段相比,FF干预后第三阶段收缩压/舒张压、体质量和BMI显著降低[收缩压:(115.2±8.492)vs(121.2±13.72)mmHg, q=34.14, P<0.001];【菲律宾:(76.03±5.37)和(78.36±7.094)毫米汞柱,q = 10.96, P < 0.05);[体重:(68.86±13.04)和(73.11±13.49)公斤,q = 61.56, P < 0.0001);(BMI:(25.42±3.359)和(27.03±3.45)kg / m2, q = 100, P < 0.0001)。所有患者在试验期间均未出现任何不适或症状。结论:FF技术是改善高血压的有效途径。通讯对象:张成刚,教授,博士。1 .军事科学院军事医学科学院辐射医学研究所,中国人民解放军军人认知与心理健康研究中心,北京100850,电话:+86 10 66931590;E-mail: zcgweb@126.com黄江南,博士。1 .广西医科大学第一附属医院,广西南宁530021,电话:+86 771 5356566;E-mail: huangjn1998@163.com陈长生,博士。第四军医大学军事预防医学学院卫生统计教研室,西安710032,电话:+86 29 84774853;电子邮件:chencs@fmmu.edu.cn
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