Healthy, Postprandial
Conditions
Keywords
wine, inflammation, oxidative stress, randomized control trial, postprandial intervention, platelet aggregation, haemostasis, robola, cabernet sauvignon, alcohol, PAF metabolism
Brief summary
The purpose of this study is to investigate whether red and white wine consumption has acute effects on postprandial biochemical markers related to platelet aggregation, inflammation and oxidative stress compared to water or 12.5% ethanol aqueous solution consumption.
Detailed description
The last few years, epidemiologic studies indicate that regular moderate consumption of alcohol is associated with lower risk of coronary heart disease and heart attack, as well as with lower mortality. More specific, a J or U-shaped association between alcohol consumption and the incidence of coronary heart disease have been suggested, which means that there was lower disease risk in moderate alcohol consumers than in abstainers or heavy drinkers. The scientific interest was focused on wine after the term French paradox was introduced, in order to describe the epidemiological observation that the French suffer a relatively low incidence of coronary heart disease, despite having a diet relatively rich in saturated fats. The paradox was attributed to the moderate consumption of red wine by French. Even though many clinical studies have occurred since then, only few of them report the postprandial effect of wine, mainly focusing on the study of oxidative stress markers and endothelium dysfunction. Also, a limited number of publications refer to the postprandial wine effect upon platelet aggregation, which is an indicative marker for inflammation / thrombosis and atherosclerosis. The limited clinical evidence prompted us to investigate the postprandial effect of wine consumption upon platelet aggregation, inflammation and oxidation markers, by undertaking a clinical study of crossover design. The subjects randomly consumed 4ml of drink \[Robola or Cabernet Sauvignon or 12.5% ethanol or water\]/kg of individual, parallel with a standardized meal, which consisted of 30.8% carbohydrates, 12.0% proteins and 53.1% fat. The meal total energy was 787.2 kcal.
Interventions
4 treatments on separate days: the subjects randomly consumed 4ml of drink \[white wine or red wine or 12.5% ethanol or water\]/kg of individual, parallel with a standardized meal.
Sponsors
Study design
Eligibility
Inclusion criteria
* healthy * non-obese
Exclusion criteria
* smokers * those who reported slimming or any other dietary regime * abstainers from alcohol consumption * heavy drinkers * athletes * subjects who were on medication, such as aspirin, that may have an impact on platelet aggregation or surgical events that may have affected the study outcomes * participants with a known diagnosis of either hypertension or diabetes * subjects on medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| platelet aggregation | baseline | In each time point platelet rich plasma (PRP) was isolated from the blood of volunteers and platelet aggregation upon Platelet activating factor (PAF) was measured in CHRONO-LOG aggregometer. |
| markers of inflammation | baseline | — |
| markers of oxidative stress | baseline | TBARS, ex vivo serum oxidation etc |
| PAF metabolism | 0 min after standardized meal plus tested drink consumption | Measurement of PAF biosynthetic / catabolic enzymes in leucocytes and LpPLA2 in serum |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Insulin levels | 0 min after standardized meal plus tested drink consumption | — |
| lipids | baseline | HDL-cholesterol, LDL-cholesterol, total chlesterol, triglycerides |
| Glucose levels | baseline | — |
Countries
Greece