Postprandial lipaemia does not affect resting haemodynamic responses but does influence cardiovascular reactivity to dynamic exercise

Br J Nutr. 2010 Sep;104(6):863-71. doi: 10.1017/S0007114510001200. Epub 2010 Apr 27.

Abstract

Postprandial lipaemia impairs endothelial function, possibly by changes in oxidative stress, but whether this affects cardiac output and/or systemic vascular resistance (SVR) at rest and in response to dynamic exercise remains uncertain. The present study set out to investigate the effects of a high-fat meal (HFM) v. a low-fat, high-carbohydrate meal (HCM) on cardiac output and SVR. A HFM (50 g fat) and an isoenergetic HCM (5 g fat) were randomly fed to thirty healthy adults using a crossover design. Cardiac output, heart rate and blood pressure (BP) were measured, and stroke volume and SVR were calculated over a 3 h rest following the meal, during exercise 3 h postprandially and for 45 min post-exercise. Blood samples were collected at fasting, 3 h postprandially and immediately post-exercise. Plasma TAG increased by 63.8 % 3 h following the HFM, and NEFA fell by 94.1% 3 h after the HCM. There was a 9.8% rise in plasma 8-isoprostane-F2alpha concentration following the HFM, and a 6.2% fall following the HCM. Cardiac output increased postprandially, but the difference between meals at rest or exercise was not statistically significant. The HFM resulted in a 3.2 mmHg (95% CI 0.7, 5.7) smaller increase in exercise mean arterial BP compared with the HCM due to a greater fall in exercise SVR. Postprandial lipaemia induced by a HFM does not affect cardiac output and/or SVR at rest, but it blunts the increase in BP during exercise.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Pressure
  • Cardiac Output
  • Cross-Over Studies
  • Diet, Carbohydrate-Restricted
  • Diet, Fat-Restricted
  • Dietary Carbohydrates / administration & dosage*
  • Dietary Fats / administration & dosage*
  • Dinoprost / analogs & derivatives
  • Dinoprost / blood
  • Exercise / physiology*
  • Female
  • Heart Rate
  • Hemodynamics*
  • Humans
  • Hyperlipidemias / physiopathology*
  • Male
  • Postprandial Period / physiology
  • Single-Blind Method
  • Stroke Volume
  • Triglycerides / blood
  • Vascular Resistance
  • Young Adult

Substances

  • Dietary Carbohydrates
  • Dietary Fats
  • Triglycerides
  • 8-epi-prostaglandin F2alpha
  • Dinoprost