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Published in: European Journal of Nutrition 8/2013

01-12-2013 | Original Contribution

Intake of whole apples or clear apple juice has contrasting effects on plasma lipids in healthy volunteers

Authors: Gitte Ravn-Haren, Lars O. Dragsted, Tine Buch-Andersen, Eva N. Jensen, Runa I. Jensen, Mária Németh-Balogh, Brigita Paulovicsová, Anders Bergström, Andrea Wilcks, Tine R. Licht, Jarosław Markowski, Susanne Bügel

Published in: European Journal of Nutrition | Issue 8/2013

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Abstract

Purpose

Fruit consumption is associated with a decreased risk of CVD in cohort studies and is therefore endorsed by health authorities as part of the ‘5 or more a day’ campaigns. A glass of fruit juice is generally counted as one serving. Fruit may cause protection by affecting common risk factors of CVD.

Methods

Apples are among the most commonly consumed fruits and were chosen for a comprehensive 5 × 4 weeks dietary crossover study to assess the effects of whole apples (550 g/day), apple pomace (22 g/day), clear and cloudy apple juices (500 ml/day), or no supplement on lipoproteins and blood pressure in a group of 23 healthy volunteers.

Results

The intervention significantly affected serum total and LDL-cholesterol. Trends towards a lower serum LDL-concentration were observed after whole apple (6.7 %), pomace (7.9 %) and cloudy juice (2.2 %) intake. On the other hand, LDL-cholesterol concentrations increased by 6.9 % with clear juice compared to whole apples and pomace. There was no effect on HDL-cholesterol, TAG, weight, waist-to-hip ratio, blood pressure, inflammation (hs-CRP), composition of the gut microbiota or markers of glucose metabolism (insulin, IGF1 and IGFBP3).

Conclusions

Apples are rich in polyphenols and pectin, two potentially bioactive constituents; however, these constituents segregate differently during processing into juice products and clear juice is free of pectin and other cell wall components. We conclude that the fibre component is necessary for the cholesterol-lowering effect of apples in healthy humans and that clear apple juice may not be a suitable surrogate for the whole fruit in nutritional recommendations.
Appendix
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Literature
1.
go back to reference Bazzano LA, He J, Ogden LG, Loria CM, Vupputuri S, Myers L, Whelton PK (2002) Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr 76:93–99 Bazzano LA, He J, Ogden LG, Loria CM, Vupputuri S, Myers L, Whelton PK (2002) Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr 76:93–99
2.
go back to reference Joshipura KJ, Hu FB, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, Colditz G, Ascherio A, Rosner B, Spiegelman D, Willett WC (2001) The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med 134:1106–1114CrossRef Joshipura KJ, Hu FB, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, Colditz G, Ascherio A, Rosner B, Spiegelman D, Willett WC (2001) The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med 134:1106–1114CrossRef
3.
go back to reference Ness AR, Powles JW (1997) Fruit and vegetables, and cardiovascular disease: a review. Int J Epidemiol 26:1–13CrossRef Ness AR, Powles JW (1997) Fruit and vegetables, and cardiovascular disease: a review. Int J Epidemiol 26:1–13CrossRef
4.
go back to reference Bazzano LA, He J, Ogden LG, Loria CM, Whelton PK (2003) Dietary fiber intake and reduced risk of coronary heart disease in US men and women: the National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study. Arch Intern Med 163:1897–1904CrossRef Bazzano LA, He J, Ogden LG, Loria CM, Whelton PK (2003) Dietary fiber intake and reduced risk of coronary heart disease in US men and women: the National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study. Arch Intern Med 163:1897–1904CrossRef
5.
go back to reference Hertog MG, Feskens EJ, Hollman PC, Katan MB, Kromhout D (1993) Dietary antioxidant flavonoids and risk of coronary heart disease: the Zutphen Elderly Study. Lancet 342:1007–1011CrossRef Hertog MG, Feskens EJ, Hollman PC, Katan MB, Kromhout D (1993) Dietary antioxidant flavonoids and risk of coronary heart disease: the Zutphen Elderly Study. Lancet 342:1007–1011CrossRef
6.
go back to reference Hertog MG, Kromhout D, Aravanis C, Blackburn H, Buzina R, Fidanza F, Giampaoli S, Jansen A, Menotti A, Nedeljkovic S (1995) Flavonoid intake and long-term risk of coronary heart disease and cancer in the seven countries study. Arch Intern Med 155:381–386CrossRef Hertog MG, Kromhout D, Aravanis C, Blackburn H, Buzina R, Fidanza F, Giampaoli S, Jansen A, Menotti A, Nedeljkovic S (1995) Flavonoid intake and long-term risk of coronary heart disease and cancer in the seven countries study. Arch Intern Med 155:381–386CrossRef
7.
go back to reference Bazzano LA, Serdula MK, Liu S (2003) Dietary intake of fruits and vegetables and risk of cardiovascular disease. Curr Atheroscler Rep 5:492–499CrossRef Bazzano LA, Serdula MK, Liu S (2003) Dietary intake of fruits and vegetables and risk of cardiovascular disease. Curr Atheroscler Rep 5:492–499CrossRef
8.
go back to reference Brown L, Rosner B, Willett WW, Sacks FM (1999) Cholesterol-lowering effects of dietary fiber: a meta-analysis. Am J Clin Nutr 69:30–42 Brown L, Rosner B, Willett WW, Sacks FM (1999) Cholesterol-lowering effects of dietary fiber: a meta-analysis. Am J Clin Nutr 69:30–42
9.
go back to reference Erkkila AT, Lichtenstein AH (2006) Fiber and cardiovascular disease risk: how strong is the evidence? J Cardiovasc Nurs 21:3–8CrossRef Erkkila AT, Lichtenstein AH (2006) Fiber and cardiovascular disease risk: how strong is the evidence? J Cardiovasc Nurs 21:3–8CrossRef
10.
go back to reference Fernandez ML (2001) Soluble fiber and nondigestible carbohydrate effects on plasma lipids and cardiovascular risk. Curr Opin Lipidol 12:35–40CrossRef Fernandez ML (2001) Soluble fiber and nondigestible carbohydrate effects on plasma lipids and cardiovascular risk. Curr Opin Lipidol 12:35–40CrossRef
11.
go back to reference Theuwissen E, Mensink RP (2008) Water-soluble dietary fibers and cardiovascular disease. Physiol Behav 94:285–292CrossRef Theuwissen E, Mensink RP (2008) Water-soluble dietary fibers and cardiovascular disease. Physiol Behav 94:285–292CrossRef
12.
go back to reference Groudeva J, Kratchanova MG, Panchev IN, Kratchanov C (1997) Application of granulated apple pectin in the treatment of hyperlipoproteinaemia. I. Deriving the regression equation to describe the changes. Zeitschrift-fuer-Lebensmittel-Untersuchung-und–Forschung-A 204:374–378 Groudeva J, Kratchanova MG, Panchev IN, Kratchanov C (1997) Application of granulated apple pectin in the treatment of hyperlipoproteinaemia. I. Deriving the regression equation to describe the changes. Zeitschrift-fuer-Lebensmittel-Untersuchung-und–Forschung-A 204:374–378
13.
go back to reference Hillman LC, Peters SG, Fisher CA, Pomare EW (1985) The effects of the fiber components pectin, cellulose and lignin on serum cholesterol levels. Am J Clin Nutr 42:207–213 Hillman LC, Peters SG, Fisher CA, Pomare EW (1985) The effects of the fiber components pectin, cellulose and lignin on serum cholesterol levels. Am J Clin Nutr 42:207–213
14.
go back to reference Jenkins DJ, Newton C, Leeds AR, Cummings JH (1975) Effect of pectin, guar gum, and wheat fibre on serum-cholesterol. Lancet 1:1116–1117CrossRef Jenkins DJ, Newton C, Leeds AR, Cummings JH (1975) Effect of pectin, guar gum, and wheat fibre on serum-cholesterol. Lancet 1:1116–1117CrossRef
15.
go back to reference Judd PA, Truswell AS (1982) Comparison of the effects of high- and low-methoxyl pectins on blood and faecal lipids in man. Br J Nutr 48:451–458CrossRef Judd PA, Truswell AS (1982) Comparison of the effects of high- and low-methoxyl pectins on blood and faecal lipids in man. Br J Nutr 48:451–458CrossRef
16.
go back to reference Kay RM, Truswell AS (1977) Effect of citrus pectin on blood lipids and fecal steroid excretion in man. Am J Clin Nutr 30:171–175 Kay RM, Truswell AS (1977) Effect of citrus pectin on blood lipids and fecal steroid excretion in man. Am J Clin Nutr 30:171–175
17.
go back to reference Keys A, Grande F, Anderson JT (1961) Fiber and pectin in the diet and serum cholesterol concentration in man. Proc Soc Exp Biol Med 106:555–558CrossRef Keys A, Grande F, Anderson JT (1961) Fiber and pectin in the diet and serum cholesterol concentration in man. Proc Soc Exp Biol Med 106:555–558CrossRef
18.
go back to reference Palmer GH, Dixon DG (1966) Effect of pectin dose on serum cholesterol levels. Am J Clin Nutr 18:437–442 Palmer GH, Dixon DG (1966) Effect of pectin dose on serum cholesterol levels. Am J Clin Nutr 18:437–442
19.
go back to reference Stasse-Wolthuis M, Albers HF, van Jeveren JG, Wil DJ, Hautvast JG, Hermus RJ, Katan MB, Brydon WG, Eastwood MA (1980) Influence of dietary fiber from vegetables and fruits, bran or citrus pectin on serum lipids, fecal lipids, and colonic function. Am J Clin Nutr 33:1745–1756 Stasse-Wolthuis M, Albers HF, van Jeveren JG, Wil DJ, Hautvast JG, Hermus RJ, Katan MB, Brydon WG, Eastwood MA (1980) Influence of dietary fiber from vegetables and fruits, bran or citrus pectin on serum lipids, fecal lipids, and colonic function. Am J Clin Nutr 33:1745–1756
20.
go back to reference Chandalia M, Garg A, Lutjohann D, von Bergmann K, Grundy SM, Brinkley LJ (2000) Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 342:1392–1398CrossRef Chandalia M, Garg A, Lutjohann D, von Bergmann K, Grundy SM, Brinkley LJ (2000) Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 342:1392–1398CrossRef
21.
go back to reference McKeown NM, Meigs JB, Liu S, Saltzman E, Wilson PW, Jacques PF (2004) Carbohydrate nutrition, insulin resistance, and the prevalence of the metabolic syndrome in the Framingham Offspring Cohort. Diabetes Care 27:538–546CrossRef McKeown NM, Meigs JB, Liu S, Saltzman E, Wilson PW, Jacques PF (2004) Carbohydrate nutrition, insulin resistance, and the prevalence of the metabolic syndrome in the Framingham Offspring Cohort. Diabetes Care 27:538–546CrossRef
22.
go back to reference Ylonen K, Saloranta C, Kronberg-Kippila C, Groop L, Aro A, Virtanen SM (2003) Associations of dietary fiber with glucose metabolism in nondiabetic relatives of subjects with type 2 diabetes: the Botnia Dietary Study. Diabetes Care 26:1979–1985CrossRef Ylonen K, Saloranta C, Kronberg-Kippila C, Groop L, Aro A, Virtanen SM (2003) Associations of dietary fiber with glucose metabolism in nondiabetic relatives of subjects with type 2 diabetes: the Botnia Dietary Study. Diabetes Care 26:1979–1985CrossRef
23.
go back to reference Lairon D, Bertrais S, Vincent S, Arnault N, Galan P, Boutron MC, Hercberg S (2003) Dietary fibre intake and clinical indices in the French Supplementation en Vitamines et Mineraux AntioXydants (SU.VI.MAX) adult cohort. Proc Nutr Soc 62:11–15CrossRef Lairon D, Bertrais S, Vincent S, Arnault N, Galan P, Boutron MC, Hercberg S (2003) Dietary fibre intake and clinical indices in the French Supplementation en Vitamines et Mineraux AntioXydants (SU.VI.MAX) adult cohort. Proc Nutr Soc 62:11–15CrossRef
24.
go back to reference Lairon D, Arnault N, Bertrais S, Planells R, Clero E, Hercberg S, Boutron-Ruault MC (2005) Dietary fiber intake and risk factors for cardiovascular disease in French adults. Am J Clin Nutr 82:1185–1194 Lairon D, Arnault N, Bertrais S, Planells R, Clero E, Hercberg S, Boutron-Ruault MC (2005) Dietary fiber intake and risk factors for cardiovascular disease in French adults. Am J Clin Nutr 82:1185–1194
25.
go back to reference Jenkins DJ, Kendall CW, Marchie A, Faulkner DA, Wong JM, de Souza R, Emam A, Parker TL, Vidgen E, Lapsley KG, Trautwein EA, Josse RG, Leiter LA, Connelly PW (2003) Effects of a dietary portfolio of cholesterol-lowering foods vs lovastatin on serum lipids and C-reactive protein. JAMA 290:502–510CrossRef Jenkins DJ, Kendall CW, Marchie A, Faulkner DA, Wong JM, de Souza R, Emam A, Parker TL, Vidgen E, Lapsley KG, Trautwein EA, Josse RG, Leiter LA, Connelly PW (2003) Effects of a dietary portfolio of cholesterol-lowering foods vs lovastatin on serum lipids and C-reactive protein. JAMA 290:502–510CrossRef
26.
go back to reference Dragsted LO, Pedersen A, Hermetter A, Basu S, Hansen M, Haren GR, Kall M, Breinholt V, Castenmiller JJ, Stagsted J, Jakobsen J, Skibsted L, Rasmussen SE, Loft S, Sandstrom B (2004) The 6-a-day study: effects of fruit and vegetables on markers of oxidative stress and antioxidative defense in healthy nonsmokers. Am J Clin Nutr 79:1060–1072 Dragsted LO, Pedersen A, Hermetter A, Basu S, Hansen M, Haren GR, Kall M, Breinholt V, Castenmiller JJ, Stagsted J, Jakobsen J, Skibsted L, Rasmussen SE, Loft S, Sandstrom B (2004) The 6-a-day study: effects of fruit and vegetables on markers of oxidative stress and antioxidative defense in healthy nonsmokers. Am J Clin Nutr 79:1060–1072
27.
go back to reference Young JF, Nielsen SE, Haraldsdottir J, Daneshvar B, Lauridsen ST, Knuthsen P, Crozier A, Sandstrom B, Dragsted LO (1999) Effect of fruit juice intake on urinary quercetin excretion and biomarkers of antioxidative status. Am J Clin Nutr 69:87–94 Young JF, Nielsen SE, Haraldsdottir J, Daneshvar B, Lauridsen ST, Knuthsen P, Crozier A, Sandstrom B, Dragsted LO (1999) Effect of fruit juice intake on urinary quercetin excretion and biomarkers of antioxidative status. Am J Clin Nutr 69:87–94
28.
go back to reference Nielsen SE, Young JF, Daneshvar B, Lauridsen ST, Knuthsen P, Sandstrom B, Dragsted LO (1999) Effect of parsley (Petroselinum crispum) intake on urinary apigenin excretion, blood antioxidant enzymes and biomarkers for oxidative stress in human subjects. Br J Nutr 81:447–455 Nielsen SE, Young JF, Daneshvar B, Lauridsen ST, Knuthsen P, Sandstrom B, Dragsted LO (1999) Effect of parsley (Petroselinum crispum) intake on urinary apigenin excretion, blood antioxidant enzymes and biomarkers for oxidative stress in human subjects. Br J Nutr 81:447–455
29.
go back to reference Ravn-Haren G, Olsen A, Tjonneland A, Dragsted LO, Nexo BA, Wallin H, Overvad K, Raaschou-Nielsen O, Vogel U (2006) Associations between GPX1 Pro198Leu polymorphism, erythrocyte GPX activity, alcohol consumption and breast cancer risk in a prospective cohort study. Carcinogenesis 27:820–825CrossRef Ravn-Haren G, Olsen A, Tjonneland A, Dragsted LO, Nexo BA, Wallin H, Overvad K, Raaschou-Nielsen O, Vogel U (2006) Associations between GPX1 Pro198Leu polymorphism, erythrocyte GPX activity, alcohol consumption and breast cancer risk in a prospective cohort study. Carcinogenesis 27:820–825CrossRef
30.
go back to reference Tang NP, Wang LS, Yang L, Gu HJ, Sun QM, Cong RH, Zhou B, Zhu HJ, Wang B (2008) Genetic variant in glutathione peroxidase 1 gene is associated with an increased risk of coronary artery disease in a Chinese population. Clin Chim Acta 395:89–93CrossRef Tang NP, Wang LS, Yang L, Gu HJ, Sun QM, Cong RH, Zhou B, Zhu HJ, Wang B (2008) Genetic variant in glutathione peroxidase 1 gene is associated with an increased risk of coronary artery disease in a Chinese population. Clin Chim Acta 395:89–93CrossRef
31.
go back to reference Hamanishi T, Furuta H, Kato H, Doi A, Tamai M, Shimomura H, Sakagashira S, Sakagashira S, Nishi M, Sasaki H, Sanke T, Nanjo K (2004) Functional variants in the glutathione peroxidase-1 (GPx-1) gene are associated with increased intima-media thickness of carotid arteries and risk of macrovascular diseases in japanese type 2 diabetic patients. Diabetes 53:2455–2460CrossRef Hamanishi T, Furuta H, Kato H, Doi A, Tamai M, Shimomura H, Sakagashira S, Sakagashira S, Nishi M, Sasaki H, Sanke T, Nanjo K (2004) Functional variants in the glutathione peroxidase-1 (GPx-1) gene are associated with increased intima-media thickness of carotid arteries and risk of macrovascular diseases in japanese type 2 diabetic patients. Diabetes 53:2455–2460CrossRef
32.
go back to reference Nemoto M, Nishimura R, Sasaki T, Hiki Y, Miyashita Y, Nishioka M, Fujimoto K, Sakuma T, Ohashi T, Fukuda K, Eto Y, Tajima N (2007) Genetic association of glutathione peroxidase-1 with coronary artery calcification in type 2 diabetes: a case control study with multi-slice computed tomography. Cardiovasc Diabetol 6:23CrossRef Nemoto M, Nishimura R, Sasaki T, Hiki Y, Miyashita Y, Nishioka M, Fujimoto K, Sakuma T, Ohashi T, Fukuda K, Eto Y, Tajima N (2007) Genetic association of glutathione peroxidase-1 with coronary artery calcification in type 2 diabetes: a case control study with multi-slice computed tomography. Cardiovasc Diabetol 6:23CrossRef
33.
go back to reference Winter JP, Gong Y, Grant PJ, Wild CP (2003) Glutathione peroxidase 1 genotype is associated with an increased risk of coronary artery disease. Coron Artery Dis 14:149–153CrossRef Winter JP, Gong Y, Grant PJ, Wild CP (2003) Glutathione peroxidase 1 genotype is associated with an increased risk of coronary artery disease. Coron Artery Dis 14:149–153CrossRef
34.
go back to reference Fagt S, Matthiessen J, Biltoft-Jensen A, Groth MV, Christensen T, Hinsch H-J, Hartkopp HB, Trolle E, Lyhne N, Møller A (2004) Udviklingen i danskernes kost 1985–2001—med fokus på sukker og alkohol samt motivation og barrierer for en sund livsstil [Development in the Danish diet 1985–2001—with focus on added sugars and alcohol and motivation and barriers for a healthy lifestyle]. In: Danish with an English summary. 2004. Danish Institute for Food and Veterinary Research Fagt S, Matthiessen J, Biltoft-Jensen A, Groth MV, Christensen T, Hinsch H-J, Hartkopp HB, Trolle E, Lyhne N, Møller A (2004) Udviklingen i danskernes kost 1985–2001—med fokus på sukker og alkohol samt motivation og barrierer for en sund livsstil [Development in the Danish diet 1985–2001—with focus on added sugars and alcohol and motivation and barriers for a healthy lifestyle]. In: Danish with an English summary. 2004. Danish Institute for Food and Veterinary Research
35.
go back to reference Boyer J, Liu RH (2004) Apple phytochemicals and their health benefits. Nutr J 3:5CrossRef Boyer J, Liu RH (2004) Apple phytochemicals and their health benefits. Nutr J 3:5CrossRef
36.
go back to reference Mink PJ, Scrafford CG, Barraj LM, Harnack L, Hong CP, Nettleton JA, Jacobs DR Jr (2007) Flavonoid intake and cardiovascular disease mortality: a prospective study in postmenopausal women. Am J Clin Nutr 85:895–909 Mink PJ, Scrafford CG, Barraj LM, Harnack L, Hong CP, Nettleton JA, Jacobs DR Jr (2007) Flavonoid intake and cardiovascular disease mortality: a prospective study in postmenopausal women. Am J Clin Nutr 85:895–909
37.
go back to reference Sesso HD, Gaziano JM, Liu S, Buring JE (2003) Flavonoid intake and the risk of cardiovascular disease in women. Am J Clin Nutr 77:1400–1408 Sesso HD, Gaziano JM, Liu S, Buring JE (2003) Flavonoid intake and the risk of cardiovascular disease in women. Am J Clin Nutr 77:1400–1408
38.
go back to reference Licht TR, Hansen M, Bergstrom A, Poulsen M, Krath BN, Markowski J, Dragsted LO, Wilcks A (2010) Effects of apples and specific apple components on the cecal environment of conventional rats: role of apple pectin. BMC Microbiol 10:13CrossRef Licht TR, Hansen M, Bergstrom A, Poulsen M, Krath BN, Markowski J, Dragsted LO, Wilcks A (2010) Effects of apples and specific apple components on the cecal environment of conventional rats: role of apple pectin. BMC Microbiol 10:13CrossRef
39.
go back to reference Tsao R, Yang R (2003) Optimization of a new mobile phase to know the complex and real polyphenolic composition: towards a total phenolic index using high-performance liquid chromatography. J Chromatogr A 1018:29–40CrossRef Tsao R, Yang R (2003) Optimization of a new mobile phase to know the complex and real polyphenolic composition: towards a total phenolic index using high-performance liquid chromatography. J Chromatogr A 1018:29–40CrossRef
40.
go back to reference Markowski J, Plocharski W (2006) Determination of phenolic compounds in apples and processed apple products. J Fruit Ornam Plant Res 14:133–142 Markowski J, Plocharski W (2006) Determination of phenolic compounds in apples and processed apple products. J Fruit Ornam Plant Res 14:133–142
41.
go back to reference Leser TD, Lindecrona RH, Jensen TK, Jensen BB, Moller K (2000) Changes in bacterial community structure in the colon of pigs fed different experimental diets and after infection with Brachyspira hyodysenteriae. Appl Environ Microbiol 66:3290–3296CrossRef Leser TD, Lindecrona RH, Jensen TK, Jensen BB, Moller K (2000) Changes in bacterial community structure in the colon of pigs fed different experimental diets and after infection with Brachyspira hyodysenteriae. Appl Environ Microbiol 66:3290–3296CrossRef
42.
go back to reference Walter J, Tannock GW, Tilsala-Timisjarvi A, Rodtong S, Loach DM, Munro K, Alatossava T (2000) Detection and identification of gastrointestinal Lactobacillus species by using denaturing gradient gel electrophoresis and species-specific PCR primers. Appl Environ Microbiol 66:297–303CrossRef Walter J, Tannock GW, Tilsala-Timisjarvi A, Rodtong S, Loach DM, Munro K, Alatossava T (2000) Detection and identification of gastrointestinal Lactobacillus species by using denaturing gradient gel electrophoresis and species-specific PCR primers. Appl Environ Microbiol 66:297–303CrossRef
43.
go back to reference Matsuki T, Watanabe K, Fujimoto J, Miyamoto Y, Takada T, Matsumoto K, Oyaizu H, Tanaka R (2002) Development of 16S rRNA-gene-targeted group-specific primers for the detection and identification of predominant bacteria in human feces. Appl Environ Microbiol 68:5445–5451CrossRef Matsuki T, Watanabe K, Fujimoto J, Miyamoto Y, Takada T, Matsumoto K, Oyaizu H, Tanaka R (2002) Development of 16S rRNA-gene-targeted group-specific primers for the detection and identification of predominant bacteria in human feces. Appl Environ Microbiol 68:5445–5451CrossRef
44.
go back to reference Vanhoutte T, Huys G, Brandt E, Swings J (2004) Temporal stability analysis of the microbiota in human feces by denaturing gradient gel electrophoresis using universal and group-specific 16S rRNA gene primers. FEMS Microbiol Ecol 48:437–446CrossRef Vanhoutte T, Huys G, Brandt E, Swings J (2004) Temporal stability analysis of the microbiota in human feces by denaturing gradient gel electrophoresis using universal and group-specific 16S rRNA gene primers. FEMS Microbiol Ecol 48:437–446CrossRef
45.
go back to reference Vanhoutte T, De Preter V, De Brandt E, Verbeke K, Swings J, Huys G (2006) Molecular monitoring of the fecal microbiota of healthy human subjects during administration of lactulose and Saccharomyces boulardii. Appl Environ Microbiol 72:5990–5997CrossRef Vanhoutte T, De Preter V, De Brandt E, Verbeke K, Swings J, Huys G (2006) Molecular monitoring of the fecal microbiota of healthy human subjects during administration of lactulose and Saccharomyces boulardii. Appl Environ Microbiol 72:5990–5997CrossRef
46.
go back to reference Bernbom N, Norrung B, Saadbye P, Molbak L, Vogensen FK, Licht TR (2006) Comparison of methods and animal models commonly used for investigation of fecal microbiota: effects of time, host and gender. J Microbiol Methods 66:87–95CrossRef Bernbom N, Norrung B, Saadbye P, Molbak L, Vogensen FK, Licht TR (2006) Comparison of methods and animal models commonly used for investigation of fecal microbiota: effects of time, host and gender. J Microbiol Methods 66:87–95CrossRef
47.
go back to reference Benzie IF, Strain JJ (1996) The ferric reducing ability of plasma (FRAP) as a measure of “antioxidant power”: the FRAP assay. Anal Biochem 239:70–76CrossRef Benzie IF, Strain JJ (1996) The ferric reducing ability of plasma (FRAP) as a measure of “antioxidant power”: the FRAP assay. Anal Biochem 239:70–76CrossRef
48.
go back to reference Ou B, Hampsch-Woodill M, Prior RL (2001) Development and validation of an improved oxygen radical absorbance capacity assay using fluorescein as the fluorescent probe. J Agric Food Chem 49:4619–4626CrossRef Ou B, Hampsch-Woodill M, Prior RL (2001) Development and validation of an improved oxygen radical absorbance capacity assay using fluorescein as the fluorescent probe. J Agric Food Chem 49:4619–4626CrossRef
49.
go back to reference Roldan-Marin E, Krath BN, Poulsen M, Binderup ML, Nielsen TH, Hansen M, Barri T, Langkilde S, Cano MP, Sanchez-Moreno C, Dragsted LO (2009) Effects of an onion by-product on bioactivity and safety markers in healthy rats. Br J Nutr 102:1574–1582CrossRef Roldan-Marin E, Krath BN, Poulsen M, Binderup ML, Nielsen TH, Hansen M, Barri T, Langkilde S, Cano MP, Sanchez-Moreno C, Dragsted LO (2009) Effects of an onion by-product on bioactivity and safety markers in healthy rats. Br J Nutr 102:1574–1582CrossRef
50.
go back to reference Wheeler CR, Salzman JA, Elsayed NM, Omaye ST, Korte DW Jr (1990) Automated assays for superoxide dismutase, catalase, glutathione peroxidase, and glutathione reductase activity. Anal Biochem 184:193–199CrossRef Wheeler CR, Salzman JA, Elsayed NM, Omaye ST, Korte DW Jr (1990) Automated assays for superoxide dismutase, catalase, glutathione peroxidase, and glutathione reductase activity. Anal Biochem 184:193–199CrossRef
51.
go back to reference Mayer B, Schumacher M, Brandstatter H, Wagner FS, Hermetter A (2001) High-throughput fluorescence screening of antioxidative capacity in human serum. Anal Biochem 297:144–153CrossRef Mayer B, Schumacher M, Brandstatter H, Wagner FS, Hermetter A (2001) High-throughput fluorescence screening of antioxidative capacity in human serum. Anal Biochem 297:144–153CrossRef
52.
go back to reference Girault A, Bled F, Bouvier J-M, Cornet D, Girault M (1988) Effets bénéfiques de la consommation de pommes sur le métabolisme lipidique chez l’homme. Cardiologie 12:76–79 Girault A, Bled F, Bouvier J-M, Cornet D, Girault M (1988) Effets bénéfiques de la consommation de pommes sur le métabolisme lipidique chez l’homme. Cardiologie 12:76–79
53.
go back to reference Gormley TR, Kevany J, Egan JP, McFarlane R (1977) Effect of apples on serum cholesterol levels in humans. Ir J Food Sci Technol 1:117–128 Gormley TR, Kevany J, Egan JP, McFarlane R (1977) Effect of apples on serum cholesterol levels in humans. Ir J Food Sci Technol 1:117–128
54.
go back to reference Sable-Amplis R, Sicart R, Agid R (1983) Further studies on the cholesterol-lowering effect of apple in human. Biochemical mechanism involved. Nutr Res 3:325–328CrossRef Sable-Amplis R, Sicart R, Agid R (1983) Further studies on the cholesterol-lowering effect of apple in human. Biochemical mechanism involved. Nutr Res 3:325–328CrossRef
55.
go back to reference Hyson D, Studebaker-Hallman D, Davis PA, Gerschwin E (2000) Apple juice consumption reduces plasma low-density lipoprotein oxidation in healthy men and women. J Med Food 3:159–166CrossRef Hyson D, Studebaker-Hallman D, Davis PA, Gerschwin E (2000) Apple juice consumption reduces plasma low-density lipoprotein oxidation in healthy men and women. J Med Food 3:159–166CrossRef
56.
go back to reference Mahalko JR, Sandstead HH, Johnson LK, Inman LF, Milne DB, Warner RC, Haunz EA (1984) Effect of consuming fiber from corn bran, soy hulls, or apple powder on glucose tolerance and plasma lipids in type II diabetes. Am J Clin Nutr 39:25–34 Mahalko JR, Sandstead HH, Johnson LK, Inman LF, Milne DB, Warner RC, Haunz EA (1984) Effect of consuming fiber from corn bran, soy hulls, or apple powder on glucose tolerance and plasma lipids in type II diabetes. Am J Clin Nutr 39:25–34
57.
go back to reference Mayne PD, McGill AR, Gormley TR, Tomkin GH, Julian TR, O’Moore RR (1982) The effect of apple fibre on diabetic control and plasma lipids. Ir J Med Sci 151:36–41CrossRef Mayne PD, McGill AR, Gormley TR, Tomkin GH, Julian TR, O’Moore RR (1982) The effect of apple fibre on diabetic control and plasma lipids. Ir J Med Sci 151:36–41CrossRef
58.
go back to reference Mee KA, Gee DL (1997) Apple fiber and gum arabic lowers total and low-density lipoprotein cholesterol levels in men with mild hypercholesterolemia. J Am Diet Assoc 97:422–424CrossRef Mee KA, Gee DL (1997) Apple fiber and gum arabic lowers total and low-density lipoprotein cholesterol levels in men with mild hypercholesterolemia. J Am Diet Assoc 97:422–424CrossRef
59.
go back to reference Davidson MH, Dugan LD, Stocki J, Dicklin MR, Maki KC, Coletta F, Cotter R, McLeod M, Hoersten K (1998) A low-viscosity soluble-fiber fruit juice supplement fails to lower cholesterol in hypercholesterolemic men and women. J Nutr 128:1927–1932 Davidson MH, Dugan LD, Stocki J, Dicklin MR, Maki KC, Coletta F, Cotter R, McLeod M, Hoersten K (1998) A low-viscosity soluble-fiber fruit juice supplement fails to lower cholesterol in hypercholesterolemic men and women. J Nutr 128:1927–1932
60.
go back to reference de Conceicao OM, Sichieri R, Sanchez MA (2003) Weight loss associated with a daily intake of three apples or three pears among overweight women. Nutrition 19:253–256CrossRef de Conceicao OM, Sichieri R, Sanchez MA (2003) Weight loss associated with a daily intake of three apples or three pears among overweight women. Nutrition 19:253–256CrossRef
61.
go back to reference Nagasako-Akazome Y, Kanda T, Ikeda M, Shimasaki H (2005) Serum cholesterol-lowering effect of apple polyphenols in healthy subjects. J Oleo Sci 54:143–151CrossRef Nagasako-Akazome Y, Kanda T, Ikeda M, Shimasaki H (2005) Serum cholesterol-lowering effect of apple polyphenols in healthy subjects. J Oleo Sci 54:143–151CrossRef
62.
go back to reference Nagasako-Akazome Y, Kanda T, Ohtake Y, Shimasaki H, Kobayashi T (2007) Apple polyphenols influence cholesterol metabolism in healthy subjects with relatively high body mass index. J Oleo Sci 56:417–428CrossRef Nagasako-Akazome Y, Kanda T, Ohtake Y, Shimasaki H, Kobayashi T (2007) Apple polyphenols influence cholesterol metabolism in healthy subjects with relatively high body mass index. J Oleo Sci 56:417–428CrossRef
63.
go back to reference Aleixandre A, Miguel M (2008) Dietary fiber in the prevention and treatment of metabolic syndrome: a review. Crit Rev Food Sci Nutr 48:905–912CrossRef Aleixandre A, Miguel M (2008) Dietary fiber in the prevention and treatment of metabolic syndrome: a review. Crit Rev Food Sci Nutr 48:905–912CrossRef
64.
go back to reference Aprikian O, Duclos V, Guyot S, Besson C, Manach C, Bernalier A, Morand C, Remesy C, Demigne C (2003) Apple pectin and a polyphenol-rich apple concentrate are more effective together than separately on cecal fermentations and plasma lipids in rats. J Nutr 133:1860–1865 Aprikian O, Duclos V, Guyot S, Besson C, Manach C, Bernalier A, Morand C, Remesy C, Demigne C (2003) Apple pectin and a polyphenol-rich apple concentrate are more effective together than separately on cecal fermentations and plasma lipids in rats. J Nutr 133:1860–1865
65.
go back to reference Sembries S, Dongowski G, Mehrlander K, Will F, Dietrich H (2004) Dietary fiber-rich colloids from apple pomace extraction juices do not affect food intake and blood serum lipid levels, but enhance fecal excretion of steroids in rats. J Nutr Biochem 15:296–302CrossRef Sembries S, Dongowski G, Mehrlander K, Will F, Dietrich H (2004) Dietary fiber-rich colloids from apple pomace extraction juices do not affect food intake and blood serum lipid levels, but enhance fecal excretion of steroids in rats. J Nutr Biochem 15:296–302CrossRef
66.
go back to reference Kay RM (1982) Dietary fiber. J Lipid Res 23:221–242 Kay RM (1982) Dietary fiber. J Lipid Res 23:221–242
67.
go back to reference Hill MJ, Taylor AJ, Thompson MH, Wait R (1982) Fecal steroids and urinary volatile phenols in four Scandinavian populations. Nutr Cancer 4:67–73CrossRef Hill MJ, Taylor AJ, Thompson MH, Wait R (1982) Fecal steroids and urinary volatile phenols in four Scandinavian populations. Nutr Cancer 4:67–73CrossRef
68.
go back to reference Wilms LC, Hollman PC, Boots AW, Kleinjans JC (2005) Protection by quercetin and quercetin-rich fruit juice against induction of oxidative DNA damage and formation of BPDE-DNA adducts in human lymphocytes. Mutat Res 582:155–162CrossRef Wilms LC, Hollman PC, Boots AW, Kleinjans JC (2005) Protection by quercetin and quercetin-rich fruit juice against induction of oxidative DNA damage and formation of BPDE-DNA adducts in human lymphocytes. Mutat Res 582:155–162CrossRef
69.
go back to reference Cao G, Prior RL (1998) Comparison of different analytical methods for assessing total antioxidant capacity of human serum. Clin Chem 44:1309–1315 Cao G, Prior RL (1998) Comparison of different analytical methods for assessing total antioxidant capacity of human serum. Clin Chem 44:1309–1315
70.
go back to reference Delroisse JM, Boulvin AL, Parmentier I, Dauphin RD, Vandenbol M, Portetelle D (2008) Quantification of Bifidobacterium spp. and Lactobacillus spp. in rat fecal samples by real-time PCR. Microbiol Res 163:663–670CrossRef Delroisse JM, Boulvin AL, Parmentier I, Dauphin RD, Vandenbol M, Portetelle D (2008) Quantification of Bifidobacterium spp. and Lactobacillus spp. in rat fecal samples by real-time PCR. Microbiol Res 163:663–670CrossRef
Metadata
Title
Intake of whole apples or clear apple juice has contrasting effects on plasma lipids in healthy volunteers
Authors
Gitte Ravn-Haren
Lars O. Dragsted
Tine Buch-Andersen
Eva N. Jensen
Runa I. Jensen
Mária Németh-Balogh
Brigita Paulovicsová
Anders Bergström
Andrea Wilcks
Tine R. Licht
Jarosław Markowski
Susanne Bügel
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 8/2013
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-012-0489-z

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