Effects of regular consumption of vitamin C-rich or polyphenol-rich apple juice on cardiometabolic markers in healthy adults: a randomized crossover trial

Eur J Nutr. 2014 Dec;53(8):1645-57. doi: 10.1007/s00394-014-0670-7. Epub 2014 Feb 16.

Abstract

Purpose: The aim of the present study was to investigate the effects of the consumption of two cloudy apple juices with different polyphenol and vitamin C contents on antioxidant status, cardiometabolic and inflammation markers in healthy young adults.

Methods: Twenty subjects, aged 21-29 years, completed a randomized crossover study. At each 4-week intervention period, the volunteers randomly consumed two glasses (2 × 250 mL/day) of either a vitamin C-rich apple juice (VCR) (60 mg/L vitamin C and 510 mg catechin equivalent/L) or a polyphenol-rich (PR) juice (22 mg/L vitamin C and 993 mg catechin equivalent/L). Blood and urine samples were collected throughout the study, and markers of antioxidant status, glucose metabolism, lipid profile and inflammation were measured.

Results: The comparison of the post-intervention minus pre-intervention change revealed differential results in HOMA index, total cholesterol, ICAM-1 and VCAM-1 (P < 0.05) across juices. During the VCR period, plasma antioxidant activity (FRAP) increased (P = 0.031), while ICAM-1 and total cholesterol showed a trend to decrease (P = 0.060 and P = 0.094, respectively). During the PR period, plasma insulin and HOMA increased, and total glutathione decreased (P < 0.05).

Conclusions: A joint consumption of apple juice natural antioxidants such as vitamin C and polyphenols might provide mild favorable effects on cardiometabolic markers, as compared to apple polyphenols alone.

Publication types

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

MeSH terms

  • Adult
  • Antioxidants / administration & dosage
  • Ascorbic Acid / administration & dosage*
  • Beverages*
  • Biomarkers / blood
  • Chemokine CCL2 / blood
  • Cholesterol / blood
  • Chromatography, High Pressure Liquid
  • Cross-Over Studies
  • E-Selectin / blood
  • Female
  • Fruit / chemistry
  • Glutathione / blood
  • Healthy Volunteers
  • Humans
  • Insulin / blood
  • Intercellular Adhesion Molecule-1 / blood
  • Interleukin-10 / blood
  • Interleukin-6 / blood
  • Interleukin-8 / blood
  • Male
  • Malus / chemistry*
  • Polyphenols / administration & dosage*
  • Polyphenols / blood
  • Polyphenols / urine
  • Vascular Cell Adhesion Molecule-1 / blood
  • Young Adult

Substances

  • Antioxidants
  • Biomarkers
  • CCL2 protein, human
  • Chemokine CCL2
  • E-Selectin
  • Insulin
  • Interleukin-6
  • Interleukin-8
  • Polyphenols
  • Vascular Cell Adhesion Molecule-1
  • Intercellular Adhesion Molecule-1
  • Interleukin-10
  • Cholesterol
  • Glutathione
  • Ascorbic Acid