The institution of reference nutrient intake on phosphate, aimed prevention for the lifestyle-related disease

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Excessive dietary phosphorus(P) has been speculated as a risk factor for cardiovascular disease(CVD) in healthy persons as well as in patients with chronic kidney disease. We reported that high P-loading increased production of reactive oxygen species and decrease nitric oxide(NO) availability in endothelial cells. In addition, we performed dose and time-dependent effect of dietary P intake on endothelial function in healthy male volunteers. High P meals significantly increased serum P levels in a dose-dependent manner, whereas significant decrease in% flow-mediated dilation(% FMD) was observed. Significant negative correlation was also observed between% FMD and serum P. These results indicate that excessive dietary P intake can acutely impair endothelial function in healthy people. Habitual excessive P intake and resulting in endothelial dysfunction may contribute to progress CVD or increasing mortality as epidemiologically speculated.