RESUMO
BACKGROUND: Some studies have shown that cranberry (Vaccinium macrocarpon) has beneficial effects on the components of the metabolic syndrome (MetS), a condition characterized by a cluster of cardiovascular risk factors suchas central obesity, hypertension, impaired glucose homeostasis, elevated triglycerides, and decreased HDL cholesterol levels. Cranberry is very rich in polyphenols, which may significantly reduce cardiovascular disease (CVD) risk. Main body of the ABSTRACT: Nutritional intervention studies have indicated that the intake of cranberries and cranberry products may have the following impact on metabolic health: (1) attenuate markers of obesity such as body weight, body mass index, and waist circumference; (2) reduce systolic and diastolic pressures; (3) decrease plasma concentrations of triglycerides and oxidized LDL-cholesterol, as well as increase HDL cholesterol; and (4) promote glucose homeostasis. In addition, nutritional intervention with cranberries could confer antioxidant and anti-inflammatory properties and the ability to reduce biomarkers of atherosclerosis associated with the MetS, such as homocysteine. Short CONCLUSION: Although there has been promising results, particularly related to lipid profile and blood pressure, further research is needed to support the recommendation of cranberry intake as a nutritional intervention for the treatment of MetS
Assuntos
Humanos , Masculino , Feminino , Síndrome Metabólica/dietoterapia , Síndrome Metabólica/metabolismo , Vaccinium macrocarpon/química , Vaccinium macrocarpon/efeitos dos fármacos , Vaccinium macrocarpon/fisiologiaRESUMO
Esta revisión explora la posible relación entre metabolitos del arándano americano o cranberry (fruto de Vaccinium macrocarpon) y un efecto beneficioso sobre la salud humana. Estudios in vitro sobre E. coli han demostrado que el arándano americano posee efecto de antiadhesión bacteriana por su contenido en proantocianidinas (PAC) tipo A, de forma dosis-dependiente. Numerosos estudios en distintas poblaciones han demostrado su efecto preventivo en el desarrollo de infecciones urinarias. Su aparente falta de riesgo durante la gestación, su buena tolerancia y la ausencia de interacciones significativas con fármacos está permitiendo su uso generalizado. Existen estudios experimentales y preclínicos que sugieren posibles beneficios del arándano americano en el terreno antitumoral y antioxidativo. Ensayos clínicos lo vinculan a la prevención de la enfermedad gástrica por H. pylori y de la enfermedad periodontal. Para estas aplicaciones, sin embargo, se deberían desarrollar nuevos estudios que expliquen el mecanismo de acción y confirmen las expectativas clínicas (AU)
This review explores possible relationship between metabolites of cranberry (fruit of Vaccinium macrocarpon) and its beneficial effect on human health. In vitro studies in E. coli have shown that Cranberry has anti bacterial adhesion effect due to its content of proanthocyanidin (PAC) type A, in a dose-dependent way. Many studies have shown its preventive effect in the development of urinary infections in different populations. Its apparent lack of risk during gestation, good tolerability and absence of significative interactions with drugs are allowing their widespread use. Preclinic studies suggest possible benefits of cranberry in antitumoral and antioxidative fields. Clinical assays link cranberry with the prevention of both gastric disease caused by H. pylori and periodontal disease. However, for these applications, additional studies are needed to explain the mechanisms and to confirm clinical expectatives (AU)
Esta revisão aborda possíveis relações entre metabolitos do arando americano (fruto do Vaccinium macrocarpon) e um efeito benéfico sobre a saúde humana. Estudos in vitro em E. coli mostraram que o arando americano tem efeito de anti-adesão bacteriana pelo seu conteúdo em proantocianidinas (PAC) do tipo A, de forma dosedependente. Vários estudos em diferentes populações têm demonstrado o seu efeito preventivo sobre o desenvolvimento de infecções do tracto urinário. A sua aparente falta de risco durante a gravidez, boa tolerância e ausência de interacções significativas com fármacos tem permitido o seu uso generalizado. Existem estudos experimentais e pré-clínicos que sugerem possíveis benefícios do arando americano como anti-tumural e antioxidante. Ensaios clínicos associam-no à prevenção da doença gástrica por H. pylori e doença periodontal. Para estas aplicações, no entanto, mais estudos devem ser desenvolvidos para explicar o mecanismo de acção e confirmar as expectativas clínicas (AU)
Assuntos
Vaccinium macrocarpon/imunologia , Vaccinium macrocarpon/metabolismo , Vaccinium macrocarpon/fisiologia , Medicina Baseada em Evidências/métodos , Pesquisa/métodos , Ensaios de Seleção de Medicamentos Antitumorais/métodos , Proantocianidinas/síntese química , Proantocianidinas/uso terapêutico , Espectrofotometria/instrumentação , Doenças Periodontais/tratamento farmacológico , Pesquisa/normas , Pesquisa/tendências , Escherichia coli , Helicobacter pylori/fisiologia , Infecções Urinárias/tratamento farmacológico , Anti-Infecciosos Urinários/farmacologia , Anti-Infecciosos Urinários/farmacocinética , Aderência BacterianaRESUMO
We all know that fruits and vegetables are good for you. In fact, its been shown that a diet rich in fruits and vegetables may reduce the risk of some types of cancers and other chronic diseases. But cranberries are not your average fruit. Since 1984, many studies have indicated that cranberries have a number of health benefits, the foremost being the "anti-adhesion" effect on certain bacteria.