pectins and Cardiovascular-Diseases

One well-established way to reduce the risk of developing cardiovascular disease (CVD) is to lower serum LDL cholesterol levels by reducing saturated fat intake. However, the importance of other dietary approaches, such as increasing the intake of water-soluble dietary fibers is increasingly recognized. Well-controlled intervention studies have now shown that four major water-soluble fiber types-beta-glucan, psyllium, pectin and guar gum-effectively lower serum LDL cholesterol concentrations, without affecting HDL cholesterol or triacylglycerol concentrations. It is estimated that for each additional gram of water-soluble fiber in the diet serum total and LDL cholesterol concentrations decrease by -0.028 mmol/L and -0.029 mmol/L, respectively. Despite large differences in molecular structure, no major differences existed between the different types of water-soluble fiber, suggesting a common underlying mechanism. In this respect, it is most likely that water-soluble fibers lower the (re)absorption of in particular bile acids. As a result hepatic conversion of cholesterol into bile acids increases, which will ultimately lead to increased LDL uptake by the liver. Additionally, epidemiological studies suggest that a diet high in water-soluble fiber is inversely associated with the risk of CVD. These findings underlie current dietary recommendations to increase water-soluble fiber intake.

Topics: Animals; Anticholesteremic Agents; beta-Glucans; Cardiovascular Diseases; Diet; Diet Surveys; Dietary Fiber; Fatty Acids; Galactans; Humans; Lipid Metabolism; Lipogenesis; Liver; Mannans; Pectins; Plant Gums; Psyllium

Epidemiologic reports have linked how intakes of dietary fiber with numerous diseases and abnormal conditions. They range from diverticulitis to coronary thrombosis, from simple constipation to possible carcinoma of the colon. The supposed etiology underlying these and other conditions is discussed in terms of the properties of cellulose, lignin, and hemicelluloses, including pectin, which collectively make up dietary fiber. Other major organic components of plant foods, apart from fiber, protein, fat, sugars and starches, are considered briefly. The desirability of improved nomenclature is emphasized. Urgently needed is a thorough study of the biochemistry and metabolism, using experimental animals, of dietary fiber in foods. Only when this is done can there be a good understanding of the mechanisms involved and a realization of the possibilities suggested by the epidemiologic studies.

Topics: Cardiovascular Diseases; Cathartics; Cellulose; Colon; Colonic Diseases; Dental Caries; Diabetes Mellitus; Dietary Fiber; Digestion; Food Analysis; Gastrointestinal Diseases; Humans; Lignin; Male; Obesity; Pectins; Polysaccharides; Terminology as Topic

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.. 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.. 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).. 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.

Topics: Adolescent; Adult; Aged; Beverages; Blood Pressure; Body Weight; Cardiovascular Diseases; Cholesterol, HDL; Cholesterol, LDL; Cross-Over Studies; Dietary Fiber; Female; Fruit; Gastrointestinal Tract; Healthy Volunteers; Humans; Insulin; Male; Malus; Microbiota; Middle Aged; Pectins; Polyphenols; Single-Blind Method; Triglycerides; Waist-Hip Ratio; Young Adult

Seventeen years after the nuclear power accident at Chernobyl, most of the radio-contamination among the population of Southern Belarus is caused by incorporation of long-lived radioisotopes. The varying levels of 137Cs observed among children in this area are explained by the source of their food, especially by the consumption of contaminated milk produced privately. We stratified children from rural areas of Belarus (caesium [137Cs] contamination >5 Ci/km(2)) by their 137Cs loads into three distinct groups (group 1, <5 Bq/kg body weight [BW]; group 2, 38.4 +/- 2.4 Bq/kg BW; group 3, 122 +/- 18.5 Bq/kg BW). We determined the relationship between the 137Cs load and the children's main source of food and recorded their cardiovascular symptoms. Cardiovascular symptoms, ECG alterations, and arterial hypertension were significantly more frequent in children with high 137Cs burden than in children with very low 137Cs burden. Children with moderate and high 137Cs loads (groups 2 and 3) received apple pectin, a food additive, for 16 days. Apple pectin significantly decreased 137Cs loads in these groups (39% and 28%, respectively). ECG alterations improved, while cardiovascular symptoms and hypertension did not change in any group.

Topics: Administration, Oral; Adolescent; Age Factors; Cardiovascular Diseases; Cesium Radioisotopes; Chernobyl Nuclear Accident; Child; Electrocardiography; Female; Food Contamination, Radioactive; Fruit; Humans; Hypertension; Male; Pectins; Republic of Belarus; Rural Population; Sex Factors; Ukraine

Supplementation with the prebiotic pectin is associated with beneficial health effects. We aimed to characterize the cardioprotective actions of chronic high-esterified pectin (HEP) supplementation (10%) in a model of metabolic malprogramming in rats, prone to obesity and associated disorders: the progeny of mild calorie-restricted dams during the first half of pregnancy. Results show that pectin supplementation reverses metabolic malprogramming associated with gestational undernutrition. In this sense, HEP supplementation improved blood pressure, reduced heart lipid content, and regulated cardiac gene expression of atrial natriuretic peptide and lipid metabolism-related genes. Moreover, it caused an elevation in circulating levels of fibroblast growth factor 21 and a higher expression of its co-receptor β-klotho in the heart. Most effects are correlated with the gut levels of beneficial bacteria promoted by HEP. Therefore, chronic HEP supplementation shows cardioprotective actions, and hence, it is worth considering as a strategy to prevent programmed cardiometabolic alterations.

Topics: Animals; Atrial Natriuretic Factor; Biomarkers; Blood Pressure; Cardiovascular Diseases; Female; Heart Disease Risk Factors; Lipids; Pectins; Prebiotics; Pregnancy; Rats; Risk Factors

Many functional foods and dietary supplements have been reported to be beneficial for the management of dyslipidaemia, one of the major risk factors for CVD. Soluble fibres and legume proteins are known to be a safe and practical approach for cholesterol reduction. The present study aimed at investigating the hypocholesterolaemic effect of the combinations of these bioactive vegetable ingredients and their possible effects on the expression of genes regulating cholesterol homeostasis. A total of six groups of twelve rats each were fed, for 28 d, Nath's hypercholesterolaemic diets, differing in protein and fibre sources, being, respectively, casein and cellulose (control), pea proteins and cellulose (pea), casein and oat fibres (oat), casein and apple pectin (pectin), pea proteins and oat fibres (pea+oat) and pea proteins and apple pectin (pea+pectin). Administration of each vegetable-containing diet was associated with lower total cholesterol concentrations compared with the control. The combinations (pea+oat and pea+pectin) were more efficacious than fibres alone in modulating cholesterolaemia ( - 53 and - 54%, respectively, at 28 d; P< 0·005). In rats fed the diets containing oat fibres or apple pectin, alone or in combination with pea proteins, a lower hepatic cholesterol content (P< 0·005) and higher hepatic mRNA concentrations of CYP7A1 and NTCP were found when compared with the control rats (P< 0·05). In summary, the dietary combinations of pea proteins and oat fibres or apple pectin are extremely effective in lowering plasma cholesterol concentrations in rats and affect cellular cholesterol homeostasis by up-regulating genes involved in hepatic cholesterol turnover.

Topics: Animals; Avena; Bile Acids and Salts; Cardiovascular Diseases; Caseins; Cellulose; Cholesterol; Dietary Fiber; Dyslipidemias; Homeostasis; Liver; Male; Malus; Pectins; Pisum sativum; Plant Proteins; Rats; Rats, Sprague-Dawley; Risk Factors; Time Factors

In this study, we evaluated the effect of a highly methoxylated apple pectin (HMAP) on cardiometabolic risk factors in Zucker fatty rats. beta-Glucan, a fiber known for its hypocholesterolemic properties, also was used. The rats fed both fiber-enriched diets exhibited a reduction in body weight and in total cholesterol and triglycerides when compared to the Zucker fatty rats fed the standard diet. The effect on the lipid profile was more remarkable in the HMAP group. A decrease in blood glucose was only noticed in this group. Moreover, a decrease in plasma insulin, HOMA-IR, and HOMA-beta was noticed in the fiber groups, and in particular in the HMAP group, these variables being similar to the lean rats. Blood pressure and endothelial function were similar in all the Zucker fatty rats. These results warrant evaluation in humans to determine if HMAP could be used as a functional ingredient to reduce lipid profile, insulin resistance, and other cardiometabolic risk factors.

Topics: Animals; Blood Glucose; Blood Pressure; Cardiovascular Diseases; Dietary Fiber; Endothelium, Vascular; Female; Insulin; Insulin Resistance; Lipids; Malus; Metabolic Syndrome; Obesity; Pectins; Rats; Rats, Zucker; Risk Factors

Sixty-four workers having contact with fluorine compounds under industrial conditions showed a rise in urine fluorine concentration, prolongation of the period of left ventricle tension primarily due to the isometric tension phase. The ejection was shortened mainly due to the phase of rapid ejection. The shortening of the time of pulse wave distribution, a decrease in vascular elasticity, and an increase in the peripheral resistance index were noted. Intake of fruit gel from apple pectin promoted a decrease in urine fluorine concentration, improved the hemodynamics and myocardial contractility.

Topics: Adult; Cardiovascular Diseases; Chronic Disease; Fluoride Poisoning; Fluorine; Heart; Heart Rate; Hemodynamics; Humans; Middle Aged; Occupational Diseases; Pectins