High dietary intake of aromatic amino acids increases risk of hypertension

J Am Soc Hypertens. 2018 Jan;12(1):25-33. doi: 10.1016/j.jash.2017.11.004. Epub 2017 Nov 24.

Abstract

Recent studies investigated the relation between amino acids and blood pressure. Our aim was to examine the association between intake of aromatic amino acids (AAAs) and risk of hypertension. A total of 4288 individuals, aged 20-70 years, participants of the Tehran Lipid and Glucose Study, who were free of hypertension at baseline (2008-2011), were followed for 3 years (2011-2014). Average intakes of AAAs including phenylalanine, tyrosine, and tryptophan were collected using a valid and reliable food frequency questionnaire at baseline. Adjusted logistic regression models were used to report odds ratio (OR) of hypertension across quartiles of AAAs. At the end of follow-up, 429 (10%) hypertension cases were ascertained. The adjusted OR of hypertension for percentage of AAAs from total protein intakes was 1.63 (95% confidence interval, 1.06-2.50; P for trend: .03) when comparing the highest quartile to the lowest. Furthermore, in the adjusted analyses, a statistically significant positive relationship was observed between the highest versus the lowest quartile intake of phenylalanine (OR = 1.66; 95% confidence interval, 1.14-2.47; P for trend: .03). However, there was no significant association of tyrosine and tryptophan intakes with hypertension risk. Our data suggest that AAAs may increase the risk of incident hypertension.

Keywords: Hypertension; phenylalanine; tryptophan; tyrosine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Amino Acids, Aromatic / metabolism*
  • Blood Glucose / analysis
  • Correlation of Data
  • Diet Records
  • Dietary Proteins / metabolism
  • Feeding Behavior* / classification
  • Feeding Behavior* / physiology
  • Female
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / epidemiology
  • Hypertension* / metabolism
  • Iran / epidemiology
  • Male
  • Middle Aged
  • Phenylalanine / metabolism*
  • Risk Assessment
  • Risk Factors

Substances

  • Amino Acids, Aromatic
  • Blood Glucose
  • Dietary Proteins
  • Phenylalanine