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APPLE AND HUMAN
HEALTH
Dr. Waqas Ahmed Awan
Is there a nutritional difference
between red and green apples
 The link between plant bioactives and human
health is highly complex and includes a wide
array of non-nutritional secondary metabolites,
including the three major classes:
 Polyphenols
 Terpenoids
 Nitrogen-containing compounds, such as alkaloids
 In a comprehensive study of 10,000
individuals conducted in Finland, only one of
the food types considered, apple, was
associated with a positive reduction in the
incidence of nearly all the chronic diseases
reported
 Much of the research has been conducted on
polyphenol absorption, metabolism or
degradation and it has been shown to mainly
occur in the small intestine and colon
 For apple, which has many bioactive
compounds and is a rich source of sometimes
hard to characterize polyphenols,
elucidating bioavailability can be highly
complex
 Each bioactive may have a different potential
for bioavailability according to its source. For
example, a study measuring plasma
concentrations of quercetin in healthy
individuals showed that the bioavailability of
apple quercetin was just 30% that of onion
Antioxidant activity of apple and apple
products
 A common theme for the putative health
benefits of fruit, including apple, is the
evidence for antioxidant activity.
Epidemiological studies have linked apple
consumption with a reduction in the risk of
chronic diseases such as cancer,
cardiovascular diseases (CVD), asthma and
diabetes
 the level of total phenolics in fruit does
appear to be correlated with antioxidant
 In terms of tissue type, apple peel contains a
significantly greater concentration of
phytochemicals than apple flesh (cortex) and
has a corresponding greater effect on
antioxidant capacity
 In rats, intervention with apple juice induced
higher levels of antioxidant response element
genes
 A comparison of apple, peach and pear found
that apple, particularly apple peel, was
significantly higher in bioactive compounds
and was the most effective at raising
antioxidant capacity in rats fed
Apple and Cancer
 The relationship between apple consumption
and decreased risks of developing chronic
diseases has been well reviewed, particularly
with reference to cancer
 From a number of fruits tested in in vitro trials,
apple was the second most effective bioactive
in antiproliferation and antioxidant activity
(shown as a bioactivity index) after cranberry
 Many studies conclude that flavonoids are the
most likely bioactive in cancer prevention,
other apple secondary metabolites, such as
triperpenoids (e.g. ursolic acid), have also
been implicated as antiproliferation agents
Cardiovascular disease and
Apple
 A large survey of some 40 000 women showed
that apple consumption lowered the risk of
CVD disease by up to 22%
 The mechanism of this association is still not
understood, although it seems that apples’
bioactives may exert some effect on blood
pressure and blood lipids
Diabetes and Apple
 A Finnish study showed an association
between a lower risk of type 2 diabetes and
apple consumption, with quercetin showing the
highest association of all the flavonoids tested
 Anthocyanins have been associated with a
lower risk of type 2 diabetes
 Conversely, a study into the incidence of type
2 diabetes in postmenopausal women found
no association between apple and incidence
rate, or for any of the flavonoids considered
Asthma and Apple
 Interestingly, one report showed a lower
incidence of asthma symptoms amongst five-
year-old children whose mothers had
consumed apples during pregnancy,
suggesting some protection for infants from
maternal apple consumption
 However, the specific apple bioactives
responsible for this association are not yet
known
Cognitive processes and Apple
 Combating age-related cognitive decline and
neurodegeneration is of increasing importance
to societies with lengthening life spans
 The effects of flavanols, flavanones and
anthocyanins from fruit have all been
implicated in neural protection
Gastrointestinal health and
Apple
 Studies have shown that anthocyanin-rich
extracts in the diet of rats increased total faecal
mass and moisture
 This increase would reduce endogenous
tumour-promoting compounds in the colon
 In particular, faecal bile acids, which are known
to promote colon cancer in rodent models
(Magnuson et al., 1993) were significantly
reduced.
 These results may be due
 to modulation of the gut microbiota, changing levels of the overall bacterial
population or the
 levels of individual bacterial species. In studies using bioactive extracts and in vitro
model gut
 systems it has been shown, for example, that both flavanols and anthocyanins can
modulate
 bacterial metabolism (Tzounis et al., 2008; Hidalgo et al., 2012), to a greater or
lesser extent
 depending on the food matrix presented (Aprikian et al., 2003; Bazzocco et al.,
2008), so it
 is quite possible that a phenolic-rich whole fruit such as apple may exert similar
modulation.
 The composition of microbiota in the human gut influences the incidence of disease
and
 general gut health and is largely determined by the complex interaction of
gastrointestinal
 Microbiota
 In effect, this could account for increased faecal output where
 Health Properties of Apple and Pear 93
 these apple-derived bioactives are acting in a prebiotic manner. Previous studies

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Apple and Human Health.pptx

  • 1. APPLE AND HUMAN HEALTH Dr. Waqas Ahmed Awan
  • 2.
  • 3.
  • 4. Is there a nutritional difference between red and green apples
  • 5.  The link between plant bioactives and human health is highly complex and includes a wide array of non-nutritional secondary metabolites, including the three major classes:  Polyphenols  Terpenoids  Nitrogen-containing compounds, such as alkaloids
  • 6.  In a comprehensive study of 10,000 individuals conducted in Finland, only one of the food types considered, apple, was associated with a positive reduction in the incidence of nearly all the chronic diseases reported
  • 7.  Much of the research has been conducted on polyphenol absorption, metabolism or degradation and it has been shown to mainly occur in the small intestine and colon  For apple, which has many bioactive compounds and is a rich source of sometimes hard to characterize polyphenols, elucidating bioavailability can be highly complex
  • 8.  Each bioactive may have a different potential for bioavailability according to its source. For example, a study measuring plasma concentrations of quercetin in healthy individuals showed that the bioavailability of apple quercetin was just 30% that of onion
  • 9. Antioxidant activity of apple and apple products  A common theme for the putative health benefits of fruit, including apple, is the evidence for antioxidant activity. Epidemiological studies have linked apple consumption with a reduction in the risk of chronic diseases such as cancer, cardiovascular diseases (CVD), asthma and diabetes  the level of total phenolics in fruit does appear to be correlated with antioxidant
  • 10.  In terms of tissue type, apple peel contains a significantly greater concentration of phytochemicals than apple flesh (cortex) and has a corresponding greater effect on antioxidant capacity  In rats, intervention with apple juice induced higher levels of antioxidant response element genes
  • 11.  A comparison of apple, peach and pear found that apple, particularly apple peel, was significantly higher in bioactive compounds and was the most effective at raising antioxidant capacity in rats fed
  • 12. Apple and Cancer  The relationship between apple consumption and decreased risks of developing chronic diseases has been well reviewed, particularly with reference to cancer  From a number of fruits tested in in vitro trials, apple was the second most effective bioactive in antiproliferation and antioxidant activity (shown as a bioactivity index) after cranberry
  • 13.  Many studies conclude that flavonoids are the most likely bioactive in cancer prevention, other apple secondary metabolites, such as triperpenoids (e.g. ursolic acid), have also been implicated as antiproliferation agents
  • 14. Cardiovascular disease and Apple  A large survey of some 40 000 women showed that apple consumption lowered the risk of CVD disease by up to 22%  The mechanism of this association is still not understood, although it seems that apples’ bioactives may exert some effect on blood pressure and blood lipids
  • 15. Diabetes and Apple  A Finnish study showed an association between a lower risk of type 2 diabetes and apple consumption, with quercetin showing the highest association of all the flavonoids tested  Anthocyanins have been associated with a lower risk of type 2 diabetes
  • 16.  Conversely, a study into the incidence of type 2 diabetes in postmenopausal women found no association between apple and incidence rate, or for any of the flavonoids considered
  • 17. Asthma and Apple  Interestingly, one report showed a lower incidence of asthma symptoms amongst five- year-old children whose mothers had consumed apples during pregnancy, suggesting some protection for infants from maternal apple consumption  However, the specific apple bioactives responsible for this association are not yet known
  • 18. Cognitive processes and Apple  Combating age-related cognitive decline and neurodegeneration is of increasing importance to societies with lengthening life spans  The effects of flavanols, flavanones and anthocyanins from fruit have all been implicated in neural protection
  • 19. Gastrointestinal health and Apple  Studies have shown that anthocyanin-rich extracts in the diet of rats increased total faecal mass and moisture  This increase would reduce endogenous tumour-promoting compounds in the colon  In particular, faecal bile acids, which are known to promote colon cancer in rodent models (Magnuson et al., 1993) were significantly reduced.
  • 20.  These results may be due  to modulation of the gut microbiota, changing levels of the overall bacterial population or the  levels of individual bacterial species. In studies using bioactive extracts and in vitro model gut  systems it has been shown, for example, that both flavanols and anthocyanins can modulate  bacterial metabolism (Tzounis et al., 2008; Hidalgo et al., 2012), to a greater or lesser extent  depending on the food matrix presented (Aprikian et al., 2003; Bazzocco et al., 2008), so it  is quite possible that a phenolic-rich whole fruit such as apple may exert similar modulation.  The composition of microbiota in the human gut influences the incidence of disease and  general gut health and is largely determined by the complex interaction of gastrointestinal  Microbiota  In effect, this could account for increased faecal output where  Health Properties of Apple and Pear 93  these apple-derived bioactives are acting in a prebiotic manner. Previous studies

Notas do Editor

  1. Apples are very rich in fiber. A single medium-sized apple contains about 4 grams of fiber, about 17% of the recommended daily intake.
  2. Small mammal studies have demonstrated the role of apple or apple juice consumption on lowered total cholesterol, changes to cholesterol absorption and lipid modulation
  3. One explanation for the possible antidiabetic association of apple is the inhibitory effect on -glucosidase, an enzyme implicated in the control of hyperglycemia and linked to type 2 diabetes (Adyanthaya et al., 2010). Previous mouse model studies have shown that anthocyanins can help to reduce or inhibit elevation of blood glucose levels stimulated by a high fat diet (Tsuda et al., 2003). Obesity has also been linked with insulin sensitivity and type 2 diabetes (Kahn et al., 2006) and there is some evidence for an association with weight loss and apple and pears (de Oliveira et al., 2003). Other fruits have also been shown to help inhibit weight gain, such as cherry and blood orange (Seymour et al., 2009; Titta et al., 2010), so it is possible that fruit, including apple, may play an important role in weight reduction.