An Acute, Placebo-Controlled, Single-Blind, Crossover, Dose-Response, Exploratory Study to Assess the Effects of New Zealand Pine Bark Extract (Enzogenol®) on Glycaemic Responses in Healthy Participants

Nutrients. 2020 Feb 15;12(2):497. doi: 10.3390/nu12020497.

Abstract

An acute, placebo-controlled, single-blind, crossover, dose-response, exploratory study was designed to investigate the hypoglycaemic effects of New Zealand pine bark extract (Enzogenol®). Twenty-five healthy participants categorised into having a monophasic or complex (biphasic or triphasic) glucose curve shape at the control visit consumed a placebo and Enzogenol® (50 and 400 mg) on three separate occasions before an oral glucose tolerance test (OGTT). In the monophasic group, 50 and 400 mg of Enzogenol® significantly reduced the mean glucose incremental area under the curve (iAUC) compared to control 241.3 ± 20.2 vs. 335.4 ± 34.0 mmol/L·min, p = 0.034 and 249.3 ± 25.4 vs. 353.6 ± 31.5 mmol/L·min, p = 0.012, respectively. The 400 mg dose further reduced the percentage increment of postprandial glucose (%PG) 31.4% ± 7.9% vs. 47.5% ± 8.6%, p = 0.010, glucose peak 7.9 ± 0.3 vs. 8.9 ± 0.3 mmol/L, p = 0.025 and 2h-OGTT postprandial glucose (2hPG) 6.1 ± 0.3 vs. 6.7 ± 0.3 mmol/L, p = 0.027. Glucose iAUC was not significantly different in the complex group, except for reductions in %PG 28.7% ± 8.2% vs. 43.4% ± 5.9%, p = 0.012 after 50 mg dose and 27.7% ± 5.4% vs. 47.3% ± 7.2%, p = 0.025 after 400 mg dose. The results suggest that Enzogenol® may have hypoglycaemic effects in healthy participants, especially those exhibiting monophasic shapes.

Keywords: Enzogenol®; New Zealand pine bark extract; hypoglycaemic effects; impaired glycaemic control; proanthocyanidins.

MeSH terms

  • Adolescent
  • Adult
  • Blood Glucose / metabolism*
  • Cross-Over Studies
  • Dose-Response Relationship, Drug
  • Female
  • Flavonoids / administration & dosage*
  • Flavonoids / pharmacology*
  • Glucose Tolerance Test
  • Healthy Volunteers*
  • Humans
  • Hypoglycemic Agents*
  • Male
  • New Zealand
  • Pinus*
  • Placebos / administration & dosage*
  • Placebos / pharmacology*
  • Plant Bark*
  • Plant Extracts / administration & dosage*
  • Plant Extracts / pharmacology*
  • Postprandial Period
  • Quercetin / administration & dosage
  • Quercetin / analogs & derivatives*
  • Quercetin / pharmacology
  • Single-Blind Method
  • Young Adult

Substances

  • Blood Glucose
  • Flavonoids
  • Hypoglycemic Agents
  • Placebos
  • Plant Extracts
  • enzogenol
  • Quercetin