Flavanone-rich citrus beverages counteract the transient decline in postprandial endothelial function in humans: a randomised, controlled, double-masked, cross-over intervention study

Br J Nutr. 2016 Dec;116(12):1999-2010. doi: 10.1017/S0007114516004219. Epub 2017 Jan 9.

Abstract

Specific flavonoid-rich foods/beverages are reported to exert positive effects on vascular function; however, data relating to effects in the postprandial state are limited. The present study investigated the postprandial, time-dependent (0-7 h) impact of citrus flavanone intake on vascular function. An acute, randomised, controlled, double-masked, cross-over intervention study was conducted by including middle-aged healthy men (30-65 years, n 28) to assess the impact of flavanone intake (orange juice: 128·9 mg; flavanone-rich orange juice: 272·1 mg; homogenised whole orange: 452·8 mg; isoenergetic control: 0 mg flavanones) on postprandial (double meal delivering a total of 81 g of fat) endothelial function. Endothelial function was assessed by flow-mediated dilatation (FMD) of the brachial artery at 0, 2, 5 and 7 h. Plasma levels of naringenin/hesperetin metabolites (sulphates and glucuronides) and nitric oxide species were also measured. All flavanone interventions were effective at attenuating transient impairments in FMD induced by the double meal (7 h post intake; P<0·05), but no dose-response effects were observed. The effects on FMD coincided with the peak of naringenin/hesperetin metabolites in circulation (7 h) and sustained levels of plasma nitrite. In summary, citrus flavanones are effective at counteracting the negative impact of a sequential double meal on human vascular function, potentially through the actions of flavanone metabolites on nitric oxide.

Keywords: FMD flow-mediated dilation; FROJ flavanone-rich orange juice; NO nitric oxide; OJ orange juice beverage; RXNO nitroso species including nitrosothiols; WO whole orange beverage; iron-nitrosylhaemoglobin and nitrosohaemoglobin; nitrosamines; Citrus flavanones; Endothelial function; High-fat meals; Nitric oxide; Postprandial state.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Biomarkers / blood
  • Brachial Artery
  • Breakfast
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / metabolism
  • Cardiovascular Diseases / physiopathology
  • Cardiovascular Diseases / prevention & control*
  • Citrus*
  • Cross-Over Studies
  • Diet, High-Fat / adverse effects
  • Dilatation, Pathologic / diagnostic imaging
  • Dilatation, Pathologic / etiology
  • Dilatation, Pathologic / prevention & control
  • Double-Blind Method
  • Endothelium, Vascular / diagnostic imaging
  • Endothelium, Vascular / metabolism
  • Endothelium, Vascular / physiopathology*
  • England / epidemiology
  • Flavanones / administration & dosage
  • Flavanones / blood
  • Flavanones / therapeutic use*
  • Fruit and Vegetable Juices*
  • Humans
  • Lunch
  • Male
  • Middle Aged
  • Nitric Oxide / agonists*
  • Nitric Oxide / blood
  • Patient Dropouts
  • Postprandial Period
  • Risk
  • Ultrasonography

Substances

  • Biomarkers
  • Flavanones
  • Nitric Oxide