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1.
Molecules ; 28(22)2023 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-38005338

RESUMO

Wine has a rich history dating back to 2200 BC, originally recognized for its medicinal properties. Today, with the aid of advanced technologies like metabolomics and sophisticated analytical techniques, we have gained remarkable insights into the molecular-level changes induced by wine consumption in the human organism. This review embarks on a comprehensive exploration of the alterations in human metabolome associated with wine consumption. A great number of 51 studies from the last 25 years were reviewed; these studies systematically investigated shifts in metabolic profiles within blood, urine, and feces samples, encompassing both short-term and long-term studies of the consumption of wine and wine derivatives. Significant metabolic alterations were observed in a wide variety of metabolites belonging to different compound classes, such as phenolic compounds, lipids, organic acids, and amino acids, among others. Within these classes, both endogenous metabolites as well as diet-related metabolites that exhibited up-regulation or down-regulation following wine consumption were included. The up-regulation of short-chain fatty acids and the down-regulation of sphingomyelins after wine intake, as well as the up-regulation of gut microbial fermentation metabolites like vanillic and syringic acid are some of the most important findings reported in the reviewed literature. Our results confirm the intact passage of certain wine compounds, such as tartaric acid and other wine acids, to the human organism. In an era where the health effects of wine consumption are of growing interest, this review offers a holistic perspective on the metabolic underpinnings of this centuries-old tradition.


Assuntos
Vinho , Humanos , Vinho/análise , Metaboloma , Fenóis/análise , Metabolômica/métodos , Dieta
2.
Heliyon ; 9(7): e17882, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37539305

RESUMO

Vine-growing for the production of wine constitutes one of the major areas of agriculture of Czechia, and in recent years it has been qualitatively improved. The purpose of this study is to express the effects of climate change on the structure of wine production and consumption in the Czech Republic in connection with the growing local popularity of white wine consumption. The current consumer preferences of wine consumers in the Czech Republic (characterized by the growing popularity of white wines) are not in line with the effects of future climate change associated with the assumption of growing vine varieties suitable for the production of red wines. The methodology of the following study is based especially on the evaluation of statistical data about vine growing and wine production of Czechia and a research investigation about consumers' preferences in the consumption of wines in Czechia. The effect of long-term climate change in the region are likely to lead to an increase in growing areas, especially in favour of vine varieties suitable for the production of red or rosé wines. The harvest of wine grapes, the hectare yield of grapes and the production of wine in Czechia do not show a significant development trend in the long-term time series of 2000-2019. Thus, in the future, the development of viticulture in Czechia will be influenced mainly by the location of the planted area of vineyards or the development of consumer habits and preferences.

3.
Nutrients ; 15(15)2023 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-37571327

RESUMO

BACKGROUND: Red wine and dairy products have been staples in human diets for a long period. However, the impact of red wine and dairy intake on brain network activity remains ambiguous and requires further investigation. METHODS: This study investigated the associations between dairy and red wine consumption and seven neural networks' connectivity with functional magnetic resonance imaging (fMRI) data from a sub-cohort of the UK Biobank database. Linear mixed models were employed to regress dairy and red wine consumption against the intrinsic functional connectivity for each neural network. Interactions with Alzheimer's disease (AD) risk factors, including apolipoprotein E4 (APOE4) genotype, TOMM40 genotype, and family history of AD, were also assessed. RESULT: More red wine consumption was associated with enhanced connectivity in the central executive function network and posterior default mode network. Greater milk intake was correlated with more left executive function network connectivity, while higher cheese consumption was linked to reduced posterior default mode network connectivity. For participants without a family history of Alzheimer's disease (AD), increased red wine consumption was positively correlated with enhanced left executive function network connectivity. In contrast, participants with a family history of AD displayed diminished network connectivity in relation to their red wine consumption. The association between cheese consumption and neural network connectivity was influenced by APOE4 status, TOMM40 status, and family history, exhibiting contrasting patterns across different subgroups. CONCLUSION: The findings of this study indicate that family history modifies the relationship between red wine consumption and network strength. The interaction effects between cheese intake and network connectivity may vary depending on the presence of different genetic factors.


Assuntos
Doença de Alzheimer , Humanos , Encéfalo/diagnóstico por imagem , Apolipoproteína E4/genética , Bancos de Espécimes Biológicos , Imageamento por Ressonância Magnética , Dieta , Reino Unido
4.
Nutr Neurosci ; 26(9): 901-912, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35943074

RESUMO

Red wine (RW) consumption has been proposed to have a potential health benefit. However, the effect of RW consumption on the brain is not entirely known, mainly when associated with aging. Regular red wine consumers (n = 30) and abstainers (ABST; n = 27) without cognitive impairment were evaluated for brain structural characteristics (Fazekas score and voxel-based morphometry) and for functional adaptations assessed by fMRI (using the Word Tasks Color Stroop (WCST) and Two-Back (TBT)), as well as by neuropsychological tests in different domains. There were no significant differences regarding brain morphological features. RW consumers showed greater activation in the thalamus during WCST and in paracingulate/anterior cingulate cortices, left superior frontal gyrus and frontal pole during TBT. ABST required higher activation of different cortical areas in the left parietal lobe during WCST. Age and intelligence quotient influenced those activations. In Stroop and trail-making neuropsychological tests, RW consumers performed slightly better than ABST. This study should be viewed as hypothesis-generating rather than conclusive.HighlightsWhite matter hyperintensities and gray matter volume did not differ between the RW and ABST groups.RW consumers could depend more on right thalamus during WSCT due to its role in visual integration.ABST could depend more on left parietal lobe during WSCT due to its role in sensory and phonological encoding.RW consumers with inferior cognitive abilities could depend more on letter recognition to solve a TBT correctly.Younger abstainers could depend more on different areas involved in integrating cognitive processes and attention regulation to solve a TBT correctly.


Assuntos
Imageamento por Ressonância Magnética , Vinho , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Substância Cinzenta , Testes Neuropsicológicos
5.
Foods ; 11(12)2022 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-35742003

RESUMO

Moderate wine consumption is often associated with healthy lifestyle habits. The role of wine as a healthy drink is mainly due to its bioactive compounds, which differ according to various viticultural and enological factors. The aim of the present study was to observe the differences in bioactive compounds of white and red autochthonous Croatian wines, differing in terms of the grape variety and production technology. Our further aim was to explore the effect of their moderate consumption (200 mL per day) over the course of six weeks on some aspects of health in sixty-six healthy individuals. Participants were divided into eight groups depending on the wines consumed, while one group formed a non-consuming control group. Medical examination and laboratory tests were performed before the start and at the end of the consumption period. Systolic and diastolic blood pressure, total cholesterol, and LDL concentrations decreased. Additionally, an increase in HDL concentrations, and serotonin and dopamine levels, was observed. ALT, ALP, and GGT levels did not significantly increase in consumer groups, although alcohol concentration was relatively high in all the wines. Such results support the beneficial effects of wine-derived bioactive compounds on some health aspects resulting from moderate white and red wine consumption.

6.
Mol Nutr Food Res ; 66(21): e2101073, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35633101

RESUMO

SCOPE: This paper explores the effects of moderate red wine consumption on the clinical status and symptomatology of patients with ulcerative colitis (UC), including the study of the oral and intestinal microbiome. METHODS AND RESULTS: A case control intervention study in UC patients is designed. Intervention patients (n = 5) consume red wine (250 mL day-1 ) for 4 weeks whereas control patients (n = 5) do not. Moderate wine consumption significantly (p < 0.05) improves some clinical parameters related to serum iron, and alleviates intestinal symptoms as evaluated by the IBDQ-32 questionnaire. 16S rRNA gene sequencing indicate a non-significant (p > 0.05) increase in bacterial alpha diversity after wine intervention in both saliva and fecal microbiota. Additional comparison of taxonomic data between UC patients (n = 10) and healthy subjects (n = 8) confirm intestinal dysbiosis for the UC patients. Finally, analysis of fecal metabolites (i.e., phenolic acids and SCFAs) indicates a non-significant increase (p > 0.05) for the UC patients that consumed wine. CONCLUSIONS: Moderate and regular red wine intake seems to improve the clinical status and symptoms of UC patients in the active phase of the disease. However, studies with a greater sample size are required to achieve conclusive results.


Assuntos
Colite Ulcerativa , Microbiota , Vinho , Humanos , Colite Ulcerativa/microbiologia , Polifenóis/análise , RNA Ribossômico 16S/genética , RNA Ribossômico 16S/análise , Vinho/análise , Fezes/microbiologia
7.
Am J Med ; 135(10): 1213-1230.e3, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35580715

RESUMO

BACKGROUND: Studies evaluating alcohol consumption and cardiovascular diseases have shown inconsistent results. METHODS: We performed a systematic review of peer-reviewed publications from an extensive query of Ovid MEDLINE, Ovid Embase, Ovid Cochrane Database of Systematic Reviews, Scopus, and Web of Science from database inception to March 2022 for all studies that reported the association between alcohol consumption in terms of quantity (daily or weekly amounts) and type of beverage (wine, beer or spirit) and cardiovascular disease events. RESULTS: The study population included a total of 1,579,435 individuals based on 56 cohorts from several countries. We found that moderate wine consumption defined as 1-4 drinks per week was associated with a reduction in risk for cardiovascular mortality when compared with beer or spirits. However, higher risk for cardiovascular disease mortality was typically seen with heavier daily or weekly alcohol consumption across all types of beverages. CONCLUSIONS: It is possible that the observational studies may overestimate the benefits of alcohol for cardiovascular disease outcomes. Although moderate wine consumption is probably associated with low cardiovascular disease events, there are many confounding factors, in particular, lifestyle, genetic, and socioeconomic associations with wine drinking, which likely explain much of the association with wine and reduced cardiovascular disease events. Further prospective study of alcohol and all-cause mortality, including cancer, is needed.


Assuntos
Doenças Cardiovasculares , Vinho , Consumo de Bebidas Alcoólicas/efeitos adversos , Consumo de Bebidas Alcoólicas/epidemiologia , Bebidas Alcoólicas/efeitos adversos , Cerveja , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/prevenção & controle , Etanol , Humanos , Estudos Prospectivos , Fatores de Risco
8.
Nutrients ; 15(1)2022 Dec 30.
Artigo em Inglês | MEDLINE | ID: mdl-36615832

RESUMO

Although it is clearly established that the abuse of alcohol is seriously harmful to health, much epidemiological and clinical evidence seem to underline the protective role of moderate quantities of alcohol and in particular of wine on health. This narrative review aims to re-evaluate the relationship between the type and dose of alcoholic drink and reduced or increased risk of various diseases, in the light of the most current scientific evidence. In particular, in vitro studies on the modulation of biochemical pathways and gene expression of wine bioactive components were evaluated. Twenty-four studies were selected after PubMed, Scopus and Google Scholar searches for the evaluation of moderate alcohol/wine consumption and health effects: eight studies concerned cardiovascular diseases, three concerned type 2 diabetes, four concerned neurodegenerative diseases, five concerned cancer and four were related to longevity. A brief discussion on viticultural and enological practices potentially affecting the content of bioactive components in wine is included. The analysis clearly indicates that wine differs from other alcoholic beverages and its moderate consumption not only does not increase the risk of chronic degenerative diseases but is also associated with health benefits particularly when included in a Mediterranean diet model. Obviously, every effort must be made to promote behavioral education to prevent abuse, especially among young people.


Assuntos
Doenças Cardiovasculares , Diabetes Mellitus Tipo 2 , Vinho , Humanos , Adolescente , Vinho/análise , Bebidas Alcoólicas/efeitos adversos , Bebidas Alcoólicas/análise , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/prevenção & controle , Etanol/análise , Consumo de Bebidas Alcoólicas/efeitos adversos
9.
Food Qual Prefer ; 98: 104489, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34924696

RESUMO

The onset of Covid-19 has been the most evident global crisis of the current decade so far. This study explores the difference between professionals in the drinks industry and non-professional wine lovers and the impact on their consumption behaviour of wine and other alcoholic beverages in the early stages of the pandemic, particularly in the context of anxiety. A survey by questionnaire was administered worldwide from the end of March to the end of June 2020 to test four research hypotheses. Results are relevant for the alcoholic beverage industry and public policy. They highlight a higher incidence of unchanged alcohol consumption among non-professionals. They also reveal similarities and differences in changes in consumption behaviour and trends among the two cohorts. Anxiety has an impact on the wine consumption of professionals, and on beer consumption of non-professionals, where the gender and age of respondents are also relevant. The findings of a short qualitative data-collection process enrich our understanding of the results.

10.
Licere (Online) ; 24(2): 707-725, 20210630.
Artigo em Português | LILACS | ID: biblio-1291977

RESUMO

A relação entre o lazer e consumo bebidas alcoólica é algo tão comum e inerente ao ser humano que praticamente não existe estudos que discutam o tema com profundidade. Geralmente, a relação está atrelada ao convívio e sociabilidade em momentos de festas, comemorações, encontros diversos sejam para celebrar alguma ocasião feliz ou mesmo triste, rituais religiosos ou fortalecer relacionamentos sociais. Contudo, é ainda mais difícil encontrar estudos que teorizem o aumento expressivo do consumo de bebidas alcoólicas relacionados ao lazer, em períodos de isolamento social provocado por pandemias, como o caso da que ocorre em 2020 em todo o mundo, provocada pelo novo Coronavírus. Dessa forma, o objetivo deste artigo é discutir os dados estatísticos apresentados por alguns estudos no primeiro semestre de 2020 que evidenciaram o aumento do consumo de vinho no Brasil à luz dos estudos do lazer sobre a fuga da realidade, fonte de prazer e status. A escolha do vinho entre tantas outras bebidas alcoólicas se deu pelo seguinte motivo: enquanto o consumo de cerveja, que ocorre principalmente entre amigos, apresentou uma queda no primeiro trimestre de 2020, no mesmo período, o consumo de vinho aumentou significativamente, com compras em compras através de e-commerce e lojas físicas, como supermercados e atacadistas.


The relationship between leisure and the consumption of alcoholic beverages is something so common and inherent to the human being that practically there are no studies that discuss the topic in its depth. Being, the relationship is linked to conviviality and sociability in moments of parties, celebrations, meetings whether to celebrate some happy or even sad occasion, religious rituals or social improvements. However, it is even more difficult to find that theorization the expressive increase in the consumption of alcoholic beverages related to leisure, in periods of social isolation caused by pandemics, as in the case of the occurrence in 2020 worldwide, caused by the new coronavirus. Thus, the objective of this article is to discuss the statistical data generated by some studies in the first half of 2020 that evidenced the increase in wine consumption in Brazil linking these with leisure studies such as escape from reality, source of pleasure and status. The choice of wine among so many other alcoholic beverages was due to the following reason: while beer consumption, which occurs mainly among friends, fell in the first quarter of 2020, in the same period, wine consumption increased, with purchases in purchases through e-commerce and physical stores, such as supermarkets and wholesalers.


Assuntos
Atividades de Lazer , Bebidas Alcoólicas
11.
Drug Alcohol Depend ; 225: 108847, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-34182375

RESUMO

BACKGROUND: Alcohol consumption is responsible for a significant number of road fatalities. To contrast this phenomenon, a more responsible attitude to the wine consumption, especially among young, inexperienced drivers prone to risky behaviour on the road must be promoted. METHOD: This is a simplified single-blind, placebo-controlled experiment aimed at evaluating 44 young drivers monitored during a driving simulation following the consumption of natural and conventional wines, with a reference blood alcohol concentration (BAC) of 0.5 g/l. Two hypotheses are tested: (1) the legal consumption of wine has no significant impact on young drivers' performance in both ordinary and unusual road events; (2) natural and conventional wines are expected to produce negligible and acceptable impairments in young drivers the same BAC. Two reference groups (BAC = 0 g/l), one a placebo-controlled group with drivers treated with a dealcoholized wine, were included. RESULTS AND CONCLUSIONS: Significant differences between the groups in terms of perception and reaction times (PRT) to visual and auditory stimuli, and to speeding were observed, with young drivers treated with conventional wine displaying more aggressive behaviours. In contrast, participants treated with natural wine showed PRT which were not significantly different from those belonging to control groups. The gaze attention levels of wine treated drivers were found to be dose dependant, with young drivers of the two control groups and those of the treated ones with BAC < 0.3 g/l able to focus on wider area ahead and, thereby, collect more information from the road environment.


Assuntos
Condução de Veículo , Vinho , Acidentes de Trânsito/prevenção & controle , Consumo de Bebidas Alcoólicas/epidemiologia , Concentração Alcoólica no Sangue , Humanos , Método Simples-Cego
12.
Public Health Nutr ; 23(11): 1939-1947, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32423509

RESUMO

OBJECTIVE: Compared with standard wines, low-alcohol wines may have several social and health benefits. Innovative production processes have led to high-quality light wines. It is, however, unclear how consumers perceive and consume these alcohol-reduced wines. The current study aimed to investigate how people evaluate low-alcohol wine (Sauvignon Blanc) and if the reduction in alcohol and the information that a wine is low in alcohol influences consumption. DESIGN: Randomised controlled trial (RCT). SETTING: Participants were invited to a wine tasting and randomised into one of the three conditions: they either tasted a 'new white wine' (12·5 % alcohol content), a 'new low-alcohol white wine' (8·0 % alcohol content) or they tasted the low-alcohol wine but were not aware that the wine was reduced in alcohol (low-alcohol, blinded). PARTICIPANTS: Ninety participants (42 % male, mean age = 41 (sd 14) years). RESULTS: Mean comparisons showed similar ratings for the low-alcohol conditions and the standard alcohol condition (mean > 5·6/7). The mean consumed amount across all conditions did not differ (162 (sd 71) ml, (F2,86 = 0·43, P > 0·05)), hence people who tasted the low-alcohol wine consumed approximately 30 % less alcohol. However, participants were willing to pay more for the normal wine compared with the low-alcohol wine, (F2,87 = 3·14, P < 0·05). CONCLUSIONS: Participants did not alter their drinking behaviour in response to the reduced alcohol content, and the low-alcohol wine was perceived positively. There might be an emerging market potential for wine of reduced alcohol content, but consumers may not be willing to pay the same price as for the standard wine.


Assuntos
Consumo de Bebidas Alcoólicas/psicologia , Comportamento do Consumidor , Etanol/análise , Percepção Gustatória , Vinho/análise , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
13.
Nutrients ; 12(1)2020 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-31941117

RESUMO

BACKGROUND: Alzheimer's disease (AD), the most threatening neurodegenerative disease, is characterized by the loss of memory and language function, an unbalanced perception of space, and other cognitive and physical manifestations. The pathology of AD is characterized by neuronal loss and the extensive distribution of senile plaques and neurofibrillary tangles (NFTs). The role of environment and the diet in AD is being actively studied, and nutrition is one of the main factors playing a prominent role in the prevention of neurodegenerative diseases. In this context, the relationship between dementia and wine use/abuse has received increased research interest, with varying and often conflicting results. Scope and Approach: With this review, we aimed to critically summarize the main relevant studies to clarify the relationship between wine drinking and AD, as well as how frequency and/or amount of drinking may influence the effects. Key Findings and Conclusions: Overall, based on the interpretation of various studies, no definitive results highlight if light to moderate alcohol drinking is detrimental to cognition and dementia, or if alcohol intake could reduce risk of developing AD.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Doença de Alzheimer/epidemiologia , Vinho , Humanos , Risco
14.
Food Res Int ; 121: 97-107, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31108831

RESUMO

An in-mouth headspace sorptive extraction (HSSE) procedure for the in-mouth volatile sampling of wine aroma compounds during wine tasting has been developed. The procedure is based on the application of a PDMS (polydimethylsiloxane) twister contained inside a tailored made glass tube placed into the headspace of the mouth after rinsing and spitting-off the wine, which is then followed by gas chromatography mass spectrometry analysis (GCMS). Various parameters that might affect the performance of the method (extraction time, aroma concentration) were firstly investigated. Despite the short selected in-mouth extraction time (30 s); the application of the in-mouth HSSE procedure using real wines allowed the detection of >30 volatile compounds from different chemical families in the oral cavity in a single run, and which are also present in the wine at very low concentrations. Additionally, the in-mouth HSSE profile allowed us to distinguish between wines types (with different non-volatile and volatile composition) in a similar way to that when using data from the headspace of the wine (wine-HSSE-GCMS). The simplicity, sensitivity, good repeatability and the easy automatization of this procedure, makes this technique a reliable and feasible tool to determine the chemical and biochemical changes of these compounds in the mouth in real physiological conditions providing useful -in vivo analytical data to better correlate with sensory studies.


Assuntos
Análise de Alimentos/instrumentação , Boca/fisiologia , Odorantes/análise , Vinho/análise , Desenho de Equipamento , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Polifenóis/análise , Proantocianidinas/análise , Reprodutibilidade dos Testes
15.
Ciênc. rural (Online) ; 49(3): e20180986, 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1045316

RESUMO

ABSTRACT: The goals of this study were to verify the occurrence of furfuryl alcohol (FA) and carbonyl compounds (acetaldehyde, acrolein, ethyl carbamate (EC), formaldehyde and furfural) in sparkling wines and to evaluate, for the first time, whether the consumption of the samples under study could represent risk to consumers health. These compounds are electrophilic; and therefore, may covalently bind to DNA, which may result in mutagenicity. EC and formaldehyde were present at low levels (<1μg L-1) in all samples. Acetaldehyde, furfural and acrolein were also found in low levels (<1.5, 1.4 and 1.0μg L-1, respectively) in 57, 71 and 76% of samples. In the other samples, levels of acetaldehyde, furfural and acrolein ranged from 5.2 to 54.8, 10.5 to 41.0 and 20.3 to 36.7μg L-1, respectively. Furfuryl alcohol was also reported in all samples in levels from 10.4 to 33.5μg L-1. Acrolein was the only compound reported at levels sufficient to represent risk to health, which occurred in 24% of the samples. A study focused on the origin of acrolein deserves attention, investigating the influence of the concentration of precursors and the role of fermentation in the formation of this aldehyde, besides the evaluation of possible environmental contamination of grapes during cultivation.


RESUMO: Os objetivos deste estudo foram verificar a ocorrência de álcool furfurílico (FA) e compostos carbonílicos (acetaldeído, acroleína, carbamato de etila (CE), formaldeído e furfural) em espumantes e avaliar, pela primeira vez, se o consumo das amostras em estudo poderia representar risco para a saúde do consumidor. Esses compostos são eletrofílicos e, portanto, podem se ligar covalentemente ao DNA, o que pode resultar em mutagenicidade. CE e formaldeído foram encontrados em baixos níveis (<1μg/L) em todas as amostras. Acetaldeído, furfural e acroleína também foram encontrados em baixos níveis (<1,5; 1,4 e 1,0μg L-1, respectivamente) em 57, 71 e 76% das amostras. Nas demais amostras, os níveis de acetaldeído, furfural e acroleína variaram de 5,2 a 54,8, 10,5 a 41,0 e 20,3 a 36,7μg L-1, respectivamente. O álcool furfurílico também foi encontrado em todas as amostras em níveis de 10,4 a 33,5μg L-1. A acroleína foi o único composto encontrado em níveis suficientes para representar risco à saúde, que ocorreu em 24% das amostras. Uma avaliação focada na origem da acroleína merece atenção, investigando a influência da concentração dos precursores e o papel da fermentação na formação do aldeído, além da avaliação da possível contaminação ambiental das uvas durante o cultivo.

16.
Nutr Metab Cardiovasc Dis ; 28(11): 1133-1139, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30143406

RESUMO

AIMS: To examine the association between wine consumption and the prevalence of chronic kidney disease (CKD) and cardiovascular disease (CVD). DATA SYNTHESIS: We performed a cross-sectional logistic regression analysis of National Health and Nutrition Examination Survey (NHANES) in participants 21 years of age or older from 2003 to 2006 in a large representative study of the U.S. POPULATION: Wine consumption was categorized as none (0 glass per day), light (<1 glass per day), or moderate (≥1 glasses per day). Prevalent CKD was defined as a urine albumin/creatinine ratio (UACR) ≥30 mg/g or estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m2. CVD was defined as history of CVD including angina, myocardial infarction, or stroke. Only 27 (0.5%) individuals reported moderate wine consumption, whereas 57.5% and 42% reported abstinence and light wine consumption, respectively. Light wine consumption was associated with a lower prevalence of CKD as opposed to abstinence in unadjusted analysis. After adjusting for demographics and CVD risk factors light wine consumption was associated with lower prevalence of CKD defined as UACR ≥30 mg/g but not with low eGFR. Furthermore, light wine consumption was associated with significantly lower rates of CVD in the general population and in subjects with CKD. The adjusted odd of CVD for those with light wine consumption was 0.72 (CI 0.52-0.99, p = 0.046) for the subjects with CKD. CONCLUSION: These data suggest that light wine consumption (compared to abstinence) is associated with lower prevalence of CKD and a lower odd of CVD in those with CKD in the U.S.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/prevenção & controle , Insuficiência Renal Crônica/epidemiologia , Vinho , Adulto , Albuminúria/epidemiologia , Albuminúria/fisiopatologia , Albuminúria/prevenção & controle , Abstinência de Álcool , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/fisiopatologia , Estudos Transversais , Feminino , Taxa de Filtração Glomerular , Humanos , Rim/fisiopatologia , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Prevalência , Prognóstico , Fatores de Proteção , Insuficiência Renal Crônica/diagnóstico , Insuficiência Renal Crônica/fisiopatologia , Insuficiência Renal Crônica/prevenção & controle , Medição de Risco , Fatores de Risco , Fatores de Tempo , Estados Unidos/epidemiologia , Adulto Jovem
17.
Nutr Aging (Amst) ; 2(2-3): 91-99, 2014 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-25705320

RESUMO

Moderate wine consumption has been associated with reduced cardiovascular (CV) risk, but most investigations have been conducted in Caucasian populations. To investigate the relationship of wine consumption to CV risk markers, we studied a multi-ethnic sample of middle-aged, healthy women (N = 2900; 48% white, 28% black, 7% Hispanic, 8% Chinese, 9% Japanese) participating in SWAN over 7 years with repeated assessments of CV risk factors. Consumption of wine was stable and common with 20% reporting none, 69% light (<1/day), 7% moderate ( = 1/day), and 4% heavy (>1/day). To guard against underreporting, we took the maximum reported wine consumption over 7 years as the predictor. We used mixed models with a random intercept and random time to assess the relationship between wine consumption and CV risk factors with moderate consumption as the reference. Outcome variables were log-transformed where necessary. Longitudinal models were adjusted for ethnicity, age, and time-varying menopausal status, hormone therapy use, overall alcohol consumption, high density lipoprotein (HDL), statin use, and a healthy lifestyle score based on physical activity, not smoking, and weight maintenance. Interactions of wine consumption with time were not significant. Moderate wine consumers had significantly lower levels of C-reactive protein (CRP, p < .001), fibrinogen (p < .001), factor VII (p < .01), and plasminogen activator inhibitor (PAI-1, p < .05) than women who drank no or little wine. These associations were independent of significant effects of healthy lifestyle and overall alcohol consumption and similar across ethnic groups. Moderate wine consumption may protect against CVD via inflammatory and clotting pathways.

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