New Zealand Listener

Nutrition

The link between eating apples and a reduced risk of cardiovasc­ular disease is worth noting.

- by Jennifer Bowden

The link between eating apples and a reduced risk of cardiovasc­ular disease is worth noting.

Question:

I read recently that apples are good for heart health. Is this true? Answer:

Berries and other brightly coloured fruits tend to hog the health headlines, but an apple a day may still keep the doctor away when it comes to cardiovasc­ular health. According to a 2019 review, observatio­nal studies found a significan­t reduction in the risk of cerebrovas­cular disease (including strokes), cardiovasc­ular disease and type 2 diabetes as a result of eating apples and pears.

The review also included randomised controlled trials – considered the gold standard for proving cause and effect – and they found that apples significan­tly reduced body mass index in the short term but did not significan­tly affect cardiovasc­ular health.

However, a recent clinical trial has demonstrat­ed that eating two apples a day lowered cholestero­l levels and improved other cardiometa­bolic biomarkers in adults with high cholestero­l.

The trial, published in February in the American Journal of

Clinical Nutrition, involved 23 women and 17 men aged about 50. One group ate two renetta canada apples a day and the other drank a sugar-and-energy-matched apple beverage for eight weeks. After a fourweek washout period, the groups swapped over.

The trial revealed that eating two of the proanthocy­anidins-rich apples each day resulted in reduced total cholestero­l, LDL cholestero­l and triglyceri­des. It also improved other cardiovasc­ular biomarkers, but it didn’t reduce blood pressure.

These findings are consistent with those of laboratory studies demonstrat­ing the health benefits of apples. Although the compositio­n of phytochemi­cals in apples varies greatly between varieties, laboratory studies have found apples typically have very strong antioxidan­t activity, inhibit cancercell proliferat­ion, decrease lipid oxidation and lower cholestero­l. This is possibly due to the presence of flavonoids, anthocyani­ns and other antioxidan­ts. Indeed, these bioactive compounds, along with dietary fibre, have been individual­ly linked to reductions in various cardiovasc­ular disease risk factors and events.

Storage has little to no effect on the levels of phytochemi­cals in apples. For example, antiinflam­matory and anti-allergic quercetin remained constant in four apple varieties, even after 52 weeks of controlled atmospheri­c

Apples typically have very strong antioxidan­t activity, inhibit cancer-cell proliferat­ion and lower cholestero­l.

storage, in one study. Another study found the total volume of phenolic compounds, of which flavonoid antioxidan­ts are a sub-group, remained much the same after 200 days of storage.

However, processing of apples does result in a significan­t decrease in their antioxidan­t content. Anywhere from 58% to 97% of antioxidan­t activity is lost when apples are juiced. Most antioxidan­ts are found in the apple skin, so peeling them causes significan­t losses, too.

So you’re better off choosing apple juice based on its taste rather than any supposed health benefits advertised for it.

If you prefer to eat produce in season only, most fruits and vegetables provide a generous supply of vitamins, minerals and dietary fibre as well as many other phytonutri­ents, says the Ministry of Health.

It recommends we eat at least three servings of vegetables and two or more servings of fruit a day. However, nearly half of New Zealand adults (43%) were not meeting the guidelines for fruit when a 2013/14 survey was conducted. One serving of fruit is equivalent to: 1 medium-sized apple, pear, banana or orange 2 small apricots or plums ½ cup of fresh fruit salad ½ cup stewed fruit (fresh, frozen or canned)

For a portable nutritious snack, it’s hard to go past an apple.

Email your nutrition questions to nutrition@ listener.co.nz

Anti-inflammato­ry quercetin remained constant in four apple varieties, even after 52 weeks of controlled atmospheri­c storage.

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