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

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

[1]  Yan Gao,et al.  A biological hypothesis: is it possible that human symbiotic microbiota coding hunger genes for human beings? , 2019, Journal of Advances in Health.

[2]  Yan Gao,et al.  Research progress of gut flora in improving human wellness , 2019, Food Science and Human Wellness.

[3]  C. Zhang,et al.  The Gut Flora-Centric Theory Based on the New Medical Hypothesis of “Hunger Sensation Comes from Gut Flora”: A New Model for Understanding the Etiology of Chronic Diseases in Human Beings , 2018 .

[4]  Xiaojun Zhang,et al.  The effect of probiotics and polysaccharides on the gut microbiota composition and function of weaned rats. , 2018, Food & function.

[5]  J. Lund,et al.  Exercise and other nonpharmacological strategies to reduce blood pressure in older adults: a systematic review and meta-analysis. , 2018, Journal of the American Society of Hypertension : JASH.

[6]  Guangshun Wang,et al.  Evaluation of a novel fasting approach using plant polysaccharides per meal in human symbionts , 2018 .

[7]  Jun Jin,et al.  An unusual case of perforation of the alimentary canal following Bigu , 2017, Medicine.

[8]  M. Nematy,et al.  The Relationship of Body Mass Index and Blood Pressure with Corneal Biomechanical Parameters in Healthy Subjects , 2017, Medical hypothesis, discovery & innovation ophthalmology journal.

[9]  Takuji Yamada,et al.  A key genetic factor for fucosyllactose utilization affects infant gut microbiota development , 2016, Nature Communications.

[10]  M. Miguel,et al.  Dietary fiber and blood pressure control. , 2016, Food & function.

[11]  Youping Xiong,et al.  The Burden of Hypertension and Associated Risk for Cardiovascular Mortality in China. , 2016, JAMA internal medicine.

[12]  P. Jose,et al.  Gut microbiota in hypertension , 2015, Current opinion in nephrology and hypertension.

[13]  C. Pepine,et al.  Gut Dysbiosis Is Linked to Hypertension , 2015, Hypertension.

[14]  V. Jala,et al.  Evidence for a link between gut microbiota and hypertension in the Dahl rat. , 2015, Physiological genomics.

[15]  Bing Zhang,et al.  Use of quantile regression to investigate changes in the body mass index distribution of Chinese adults aged 18–60 years: a longitudinal study , 2015, BMC Public Health.

[16]  Liping Zhao,et al.  Structural modulation of gut microbiota during alleviation of type 2 diabetes with a Chinese herbal formula , 2014, The ISME Journal.

[17]  A. Johnstone Fasting for weight loss: an effective strategy or latest dieting trend? , 2014, International Journal of Obesity.

[18]  J. Donnelly,et al.  Does the Method of Weight Loss Effect Long-Term Changes in Weight, Body Composition or Chronic Disease Risk Factors in Overweight or Obese Adults? A Systematic Review , 2014, PloS one.

[19]  A. Feizi,et al.  The Effects of Probiotic Supplementation on Markers of Blood Lipids, and Blood Pressure in Patients with Prediabetes: A Randomized Clinical Trial , 2014, International journal of preventive medicine.

[20]  Patrice D Cani,et al.  Modulation of the gut microbiota by nutrients with prebiotic properties: consequences for host health in the context of obesity and metabolic syndrome , 2011, Microbial cell factories.

[21]  Li-sheng Liu,et al.  [2010 Chinese guidelines for the management of hypertension]. , 2011, Zhonghua xin xue guan bing za zhi.

[22]  P. Piot,et al.  Prevention and control of chronic diseases , 2010, BMJ : British Medical Journal.

[23]  T. Unger,et al.  Novel therapeutic targets for hypertension , 2010, Nature Reviews Cardiology.

[24]  W. Yuying Research the influence of PiGuShiEr therapy on biochemical metabolism in experical mice , 2006 .

[25]  W. Elliott,et al.  Recommendations for Blood Pressure Measurement in Humans and Experimental Animals: Part 1. Blood Pressure Measurement in Humans. A Statement for Professionals From the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure ResearchPickering , 2006 .

[26]  P. Whelton,et al.  Effect of dietary fiber intake on blood pressure: a meta-analysis of randomized, controlled clinical trials , 2005, Journal of hypertension.

[27]  Daniel W. Jones,et al.  Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. , 2005, Hypertension.

[28]  K. Reynolds,et al.  Global burden of hypertension: analysis of worldwide data , 2005, The Lancet.

[29]  A. Mark,et al.  Obesity-associated hypertension: new insights into mechanisms. , 2005, Hypertension.

[30]  Barbara Burlingame,et al.  Impact of different macronutrient definitions and energy conversion factors on energy supply estimations , 2004 .

[31]  A. Mark,et al.  New Insights Into Mechanisms , 2004 .

[32]  F. Lu,et al.  The guidelines for prevention and control of overweight and obesity in Chinese adults. , 2004, Biomedical and environmental sciences : BES.

[33]  M. Elia,et al.  Effect of an acute fast on energy compensation and feeding behaviour in lean men and women , 2002, International Journal of Obesity.

[34]  X. Duan,et al.  Prevalence of hypertension and its trends in Chinese populations. , 1995, International journal of cardiology.

[35]  R. Walford,et al.  The calorically restricted low-fat nutrient-dense diet in Biosphere 2 significantly lowers blood glucose, total leukocyte count, cholesterol, and blood pressure in humans. , 1992, Proceedings of the National Academy of Sciences of the United States of America.

[36]  R. Lappalainen,et al.  Hunger/craving responses and reactivity to food stimuli during fasting and dieting. , 1990, International journal of obesity.

[37]  J. Huttunen,et al.  [Prevention of blood pressure diseases and non-drug management]. , 1989, Duodecim; laaketieteellinen aikakauskirja.

[38]  P. Pandhi,et al.  Progress in the treatment of essential hypertension. , 1985, International journal of clinical pharmacology, therapy, and toxicology.

[39]  T. Wadden,et al.  Very low calorie diets: their efficacy, safety, and future. , 1983, Annals of internal medicine.