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Effect of a high-protein diet on development of heart failure in response to pressure overload.

Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme
February 1, 2014
Rogerio F Ribeiro et al. (9 authors)
Journal ArticleResearch Support, N.I.H., ExtramuralAnimal Study
Study Details

Study Goal

The researchers aimed to determine whether a high-protein diet (30% energy intake) improves cardiac function and survival in rats with pressure overload-induced heart failure compared to a standard protein diet (18% energy intake).

Results Summary

The study found no significant differences in cardiac hypertrophy, contractile dysfunction, ventricular dilation, or mitochondrial oxidative capacity between the high-protein and standard-protein diets. However, the high-protein diet significantly decreased survival in rats with advanced heart failure.

Population

Rats with pressure overload-induced heart failure (transverse aortic constriction model).

Effective Dosage

30% of energy intake from protein (high-protein diet) vs. 18% (standard diet).

Duration

14 weeks (initial assessment) and 22 weeks (advanced heart failure assessment).

Interactions

None mentioned

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high-protein diet
no change
cardiac mass
rats with pressure overload induced heart failure
-
did not affect
#1
high-protein diet
no change
left ventricular volumes
rats with pressure overload induced heart failure
-
did not affect
#2
high-protein diet
no change
ejection fraction
rats with pressure overload induced heart failure
-
did not affect
#3
high-protein diet
no change
myocardial mitochondrial oxidative capacity
rats with pressure overload induced heart failure
-
did not affect
#4
high-protein diet
decrease
survival
rats with pressure overload induced heart failure
-
significantly decreased
#5
30% protein diet
no change
cardiac hypertrophy
rats with aortic constriction
-
found similar
#6
30% protein diet
no change
contractile dysfunction
rats with aortic constriction
-
found similar
#7
30% protein diet
no change
ventricular dilation
rats with aortic constriction
-
found similar
#8
30% protein diet
no change
decreased cardiac mitochondrial oxidative capacity
rats with aortic constriction
-
found similar
#9
30% protein diet
no change
cardiac mass
rats with more advanced heart failure
-
saw no difference
#10
30% protein diet
no change
left ventricular volume
rats with more advanced heart failure
-
saw no difference
#11
30% protein diet
no change
mitochondrial oxidative capacity
rats with more advanced heart failure
-
saw no difference
#12
30% protein diet
no change
resistance to permeability transition
rats with more advanced heart failure
-
saw no difference
#13
30% protein diet
decrease
survival with heart failure
rats with aortic constriction
-
modest but significant decrease
#14
Abstract

Heart failure treatment guidelines provide no recommendations regarding the intake of protein, though it has been proposed that increasing protein intake may result in clinical improvement. High-protein intake might improve protein synthesis and cell function, and prevent deterioration in mitochondrial and left ventricular function. We assessed the effects of a high-protein diet on the development of heart failure characterized by cardiac hypertrophy, impaired mitochondrial oxidative metabolism and contractile dysfunction induced by transverse aortic constriction in rats. A standard diet with 18% of energy intake from protein was compared with a high-protein diet (30% of energy intake). First, we evaluated the effects of protein intake on the development of heart failure during 14 weeks of aortic constriction, and found similar cardiac hypertrophy, contractile dysfunction, ventricular dilation, and decreased cardiac mitochondrial oxidative capacity with both 18% and 30% protein. We then assessed more advanced heart failure, with 22 weeks of aortic constriction. We again saw no difference in cardiac mass, left ventricular volume, mitochondrial oxidative capacity or resistance to permeability transition between the 18% and 30% protein diets. There was a modest but significant decrease in survival with heart failure with the 30% protein diet compared with 18% protein (p < 0.003). In conclusion, consumption of a high-protein diet did not affect cardiac mass, left ventricular volumes or ejection fraction, or myocardial mitochondrial oxidative capacity in rats with pressure overload induced heart failure, but significantly decreased survival.

Medical Subject Headings (MeSH)
AnimalsBlood PressureDietary ProteinsHeart FailureMaleRatsRats, Sprague-Dawley
Study Links
Quality Scores
Safety30
Efficacy20/10
Quality75/10
Citation Metrics
Total Citations12
Citations/Year1.1
Relative Citation Ratio0.39
NIH Percentile20.8%
Research Impact Scores
APT Score0.25
Weight Score1.13
Normalized Score0.35
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