van de Wiel A
Meander Medisch Centrum, afd. Interne Geneeskunde, Postbus 1502, 3800 BM Amersfoort.
Ned Tijdschr Geneeskd. 2002 Dec 21;146(51):2466-9.
Epidemiological studies have shown a favourable effect of moderate alcohol consumption with regard to atherosclerotic disorders. In addition to alcohol, wine contains a large number of other components including polyphenols. These polyphenols mainly originate from the skins and seeds of grapes and, because of differences in vinification, their variety and concentration is higher in red wine than in white wine. In vitro and ex vivo studies have shown that some of these polyphenols are able to slow down LDL-cholesterol oxidation, stimulate NO production, influence prostaglandin synthesis and inhibit platelet aggregation. However, little is known about their resorption, bioavailability and effectiveness in vivo. Since data from intervention studies with wine polyphenols are also lacking, no statement can yet be made about any clinically relevant effect of these components, in either red or white wine, in terms of cardiovascular diseases.
流行病学研究表明,适度饮酒对动脉粥样硬化疾病有积极作用。除酒精外,葡萄酒还含有大量其他成分,包括多酚。这些多酚主要来源于葡萄皮和葡萄籽,由于酿造方法的不同,其种类和浓度在红葡萄酒中比白葡萄酒中更高。体外和离体研究表明,其中一些多酚能够减缓低密度脂蛋白胆固醇的氧化,刺激一氧化氮的产生,影响前列腺素的合成并抑制血小板聚集。然而,关于它们在体内的吸收、生物利用度和有效性知之甚少。由于也缺乏葡萄酒多酚干预研究的数据,因此就心血管疾病而言,还无法说明这些成分(无论是红葡萄酒还是白葡萄酒中的成分)是否具有任何临床相关作用。