Department of Internal Medicine, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, Barcelona, Spain.
Circ Res. 2012 Sep 28;111(8):1065-8. doi: 10.1161/CIRCRESAHA.112.275636. Epub 2012 Sep 6.
Experimental studies have shown a potential blood pressure (BP) lowering effect of red wine polyphenols, whereas the effects of ethanol and polyphenols on BP in humans are not yet clear.
The aim of the present work was to evaluate the effects of red wine fractions (alcoholic and nonalcoholic) on BP and plasma nitric oxide (NO) in subjects at high cardiovascular risk.
Sixty-seven men at high cardiovascular risk were studied. After a 2-week run-in period, subjects were randomized into 3 treatment periods in a crossover clinical trial, with a common background diet plus red wine (30g alcohol/day), the equivalent amount of dealcoholized red wine, or gin (30g alcohol/day), lasting 4 weeks each intervention. At baseline and after each intervention, anthropometrical parameters, BP and plasma NO were measured. Systolic and diastolic BP decreased significantly after the dealcoholized red wine intervention and these changes correlated with increases in plasma NO.
Dealcoholized red wine decreases systolic and diastolic BP. Our results point out through an NO-mediated mechanism. The daily consumption of dealcoholized red wine could be useful for the prevention of low to moderate hypertension. Trial registered at controlled-trials.com: ISRCTN88720134.
实验研究表明,红酒多酚具有潜在的降血压(BP)作用,而乙醇和多酚对人体 BP 的影响尚不清楚。
本研究旨在评估高心血管风险人群中红酒各部分(含酒精和无酒精)对 BP 和血浆一氧化氮(NO)的影响。
研究共纳入 67 名高心血管风险男性。在 2 周的导入期后,受试者以交叉临床试验的方式随机分为 3 个治疗期,分别接受含酒精的红酒(每天 30g 酒精)、相同量的去酒精红酒或杜松子酒(每天 30g 酒精),每个干预期持续 4 周。在基线和每个干预期结束时,测量人体测量参数、BP 和血浆 NO。去酒精红酒干预后,收缩压和舒张压均显著下降,这些变化与血浆 NO 的增加相关。
去酒精红酒可降低收缩压和舒张压。我们的结果表明,这一作用是通过一氧化氮介导的机制实现的。每天饮用去酒精红酒可能有助于预防轻度至中度高血压。试验在 controlled-trials.com 注册:ISRCTN88720134。