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Dietary protein and blood pressure: an umbrella review of systematic reviews and evaluation of the evidence

H. Boeing, A.M. Amini, J. Haardt, A. Schmidt, H.A. Bischoff-Ferrari, A. Buyken, S. Egert, S. Ellinger, A. Kroke, S. Lorkowski, S. Louis, K. Nimptsch, M.B. Schulze, A. Schutkowski, L. Schwingshackl, R. Siener, A. Zittermann, B. Watzl, G.I. Stangl, European Journal of Nutrition (2024).

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Journal Article | Published | English
Author
Boeing, Heiner; Amini, Anna M.; Haardt, Julia; Schmidt, Annemarie; Bischoff-Ferrari, Heike A.; Buyken, AnetteLibreCat; Egert, Sarah; Ellinger, Sabine; Kroke, Anja; Lorkowski, Stefan; Louis, Sandrine; Nimptsch, Katharina
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Abstract
<jats:title>Abstract</jats:title><jats:sec> <jats:title>Introduction</jats:title> <jats:p>This umbrella review aimed to investigate the evidence of an effect of dietary intake of total protein, animal and plant protein on blood pressure (BP), and hypertension (PROSPERO: CRD42018082395).</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>PubMed, Embase and Cochrane Database were systematically searched for systematic reviews (SRs) of prospective studies with or without meta-analysis published between 05/2007 and 10/2022. The methodological quality and outcome-specific certainty of evidence were assessed by the AMSTAR 2 and NutriGrade tools, followed by an assessment of the overall certainty of evidence. SRs investigating specific protein sources are described in this review, but not included in the assessment of the overall certainty of evidence.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Sixteen SRs were considered eligible for the umbrella review. Ten of the SRs investigated total protein intake, six animal protein, six plant protein and four animal vs. plant protein. The majority of the SRs reported no associations or effects of total, animal and plant protein on BP (all “possible” evidence), whereby the uncertainty regarding the effects on BP was particularly high for plant protein. Two SRs addressing milk-derived protein showed a reduction in BP; in contrast, SRs investigating soy protein found no effect on BP. The outcome-specific certainty of evidence of the SRs was mostly rated as low.</jats:p> </jats:sec><jats:sec> <jats:title>Discussion/conclusion</jats:title> <jats:p>This umbrella review showed uncertainties whether there are any effects on BP from the intake of total protein, or animal or plant proteins, specifically. Based on data from two SRs with milk protein, it cannot be excluded that certain types of protein could favourably influence BP.</jats:p> </jats:sec>
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European Journal of Nutrition
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Boeing H, Amini AM, Haardt J, et al. Dietary protein and blood pressure: an umbrella review of systematic reviews and evaluation of the evidence. European Journal of Nutrition. Published online 2024. doi:10.1007/s00394-024-03336-8
Boeing, H., Amini, A. M., Haardt, J., Schmidt, A., Bischoff-Ferrari, H. A., Buyken, A., Egert, S., Ellinger, S., Kroke, A., Lorkowski, S., Louis, S., Nimptsch, K., Schulze, M. B., Schutkowski, A., Schwingshackl, L., Siener, R., Zittermann, A., Watzl, B., & Stangl, G. I. (2024). Dietary protein and blood pressure: an umbrella review of systematic reviews and evaluation of the evidence. European Journal of Nutrition. https://doi.org/10.1007/s00394-024-03336-8
@article{Boeing_Amini_Haardt_Schmidt_Bischoff-Ferrari_Buyken_Egert_Ellinger_Kroke_Lorkowski_et al._2024, title={Dietary protein and blood pressure: an umbrella review of systematic reviews and evaluation of the evidence}, DOI={10.1007/s00394-024-03336-8}, journal={European Journal of Nutrition}, publisher={Springer Science and Business Media LLC}, author={Boeing, Heiner and Amini, Anna M. and Haardt, Julia and Schmidt, Annemarie and Bischoff-Ferrari, Heike A. and Buyken, Anette and Egert, Sarah and Ellinger, Sabine and Kroke, Anja and Lorkowski, Stefan and et al.}, year={2024} }
Boeing, Heiner, Anna M. Amini, Julia Haardt, Annemarie Schmidt, Heike A. Bischoff-Ferrari, Anette Buyken, Sarah Egert, et al. “Dietary Protein and Blood Pressure: An Umbrella Review of Systematic Reviews and Evaluation of the Evidence.” European Journal of Nutrition, 2024. https://doi.org/10.1007/s00394-024-03336-8.
H. Boeing et al., “Dietary protein and blood pressure: an umbrella review of systematic reviews and evaluation of the evidence,” European Journal of Nutrition, 2024, doi: 10.1007/s00394-024-03336-8.
Boeing, Heiner, et al. “Dietary Protein and Blood Pressure: An Umbrella Review of Systematic Reviews and Evaluation of the Evidence.” European Journal of Nutrition, Springer Science and Business Media LLC, 2024, doi:10.1007/s00394-024-03336-8.

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