Research Article
Low-Glycemic-Index Foods Can Decrease Systolic and
Diastolic Blood Pressure in the Short Term
Mina Hosseininasab,
1
Abdolreza Norouzy,
1
Mohsen Nematy,
1
and Shokoufeh Bonakdaran
2
1
Nutrition Research Center and Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences,
Mashhad 91779-48564, Iran
2
Endocrinology and Metabolism Center, Ghaem Hospital, Iran
Correspondence should be addressed to Abdolreza Norouzy; norouzya@mums.ac.ir
Received 7 January 2015; Accepted 17 February 2015
Academic Editor: Samy I. McFarlane
Copyright © 2015 Mina Hosseininasab et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Background. We aimed to compare the efects of low- and high-GI foods on 24-hour ambulatory blood pressure. Methods. Tis
longitudinal study was performed on 30 women, aged 18 to 40 years, during 24 hours. In the frst leg of study all recruited subjects
were assigned to LGI period for 24 hours and, afer a 2-week washout period, all subjects were assigned to HGI period. BP was
measured every hour during the 24-hour monitoring. Results. Afer the intervention, there were signifcant decreases in SBP and
DBP in the LGI period (102.26±14.18 mmHg versus 112.86±9.33 mmHg for SBP and 66.96±10.39 mmHg versus 74.46±7.61 mmHg
for DBP) ( = 0.00 and = 0.002, resp.). However, in the HGI period, there was no signifcant change in SBP or DBP (110.66±9.85
versus 111.80 ± 9.57 for SBP and 71.16 ± 9.16 versus 74.26 ± 10.09 for DBP) ( = 0.6 and = 0.06, resp.). Conclusion. Te results
suggest that LGI foods may be benefcial in reducing 24-hour BP.
1. Introduction
High blood pressure (BP) is defned as systolic BP (SBP) ≥
140 mmHg and/or diastolic BP (DBP) ≥ 90 mmHg. High BP is
an independent risk factor for cardiovascular diseases, stroke,
and kidney diseases. It is also one of the most common health
problems worldwide [1].
As previous studies indicate, several dietary factors such
as increased salt intake, insufcient potassium, obesity, over-
weight, excess alcohol intake, and high consumption of
carbohydrates (CHO) including sugars and sof drinks can
increase BP [2, 3]. However, total CHO intake has not been
consistently associated with either increased or decreased BP.
Diferences in the type and source of dietary CHO may have
various impacts on the relationship between CHO intake and
BP [4].
Prevention of elevated BP is an important public health
issue with the aim of reducing the overall disease rate, caused
by hypertension [1]. In fact, reduced BP could have signifcant
impacts on cardiovascular diseases, morbidity, and mortality
[5].
Glycemic index (GI) provides a numeric classifcation of
CHO foods, based on their glycemic response that refects
the rise in postprandial glycemia [6]. As previous studies
have revealed, changes in SBP and DBP are associated
with glycemic load (GL) and GI [3, 7, 8]. For instance,
Philippou et al. in a study performed in 2009 found that a
6-month intensive lifestyle modifcation including dietary GI
manipulation, in addition to healthy eating and weight loss,
afects arterial compliance and 24-hour BP, which are risk
factors for coronary heart disease (CHD). Low-GI (LGI) food
has been suggested to be more efective in reducing CHD
risks including pulse wave velocity and 24-hour BP [6].
However, previous studies have not considered factors
such as obesity and family history of hypertension [3, 6, 8,
9]. Also, since participants difered from nonparticipants in
terms of characteristics such as age, weight, height, ethnicity,
and body mass index (BMI), the possibility of selection bias,
which limits the generalization of the results, has not been
ruled out.
In the present study, we hypothesized that 24-hour LGI
foods would signifcantly decrease 24-hour ambulatory BP.
Hindawi Publishing Corporation
International Journal of Hypertension
Volume 2015, Article ID 801268, 5 pages
http://dx.doi.org/10.1155/2015/801268