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Orange juice suppresses oxidative stress from high-fat, high-carb meal | Flavonoids in orange juice neutralize the oxidative and inflammatory stress generated by high-fat, high-carb meals and help prevent blood vessel damage,
claims a new study. Free radicals, or reactive oxygen species, are known to induce
inflammation in blood vessel linings and contribute to the risk of heart attack
and stroke. In the new study, University at Buffalo endocrinologists say the potent
preventative effect of orange juice likely is linked to its heavy load of the
flavonoids naringenin and hesperidin, which are major antioxidants. "Our data
show, for the first time to our knowledge, that drinking orange juice with a meal
high in fat and carbohydrates prevented the marked increases in reactive oxygen
species and other inflammatory agents," says UB's Husam Ghanim, PhD, first author
on the study. "This did not happen when participants drank water or a sugary drink
with the meal," he says. "These issues of inflammation following a meal are important
because the resultant high glucose and high triglycerides are known to be related
to the development of cardiovascular events." The study appears in the March issue
of the American Journal of Clinical Nutrition and appeared online ahead of print.
The study involved three groups of 10 normal-weight healthy men and women between
the ages of 20 and 40. After an overnight fast, participants ate a 900-calorie
breakfast composed of an egg "muffin" sandwich, a sausage "muffin" sandwich and
a serving of hash browns. The meal contained 81 grams of carbohydrates, 51 grams
of fat and 32 grams protein. Along with the breakfast, one group drank 300 calories
of "not-from-concentrate" orange juice, a second group drank a 300-calorie glucose
drink and the third group drank an equal amount of water. All participants were
given 15 minutes to finish their food and drink. Blood samples were collected
before the meal and at 1, 3 and 5 hours afterwards. There was no significant difference
in inflammatory mediators among the groups before the meal. Analysis of the samples
after the meal showed that oxygen free radicals increased an average of 62 percent
with water, 63 percent with the glucose and 47 percent with orange juice. There
also was an increase in blood components known as toll-like receptors, which play
an important role in the development of inflammation, atherosclerosis, obesity,
insulin resistance, and injury to cardiac cells than can occur after a blocked
vessel is reopened. Orange juice also prevented a significant increase in SOCS-3,
an important mediator of insulin resistance, which contributes to development
of type 2 diabetes. "These data emphasize that a high-fat, high-carbohydrate meal
is profoundly and rapidly proinflammatory, and that this process occurs at the
cellular and molecular level," says Paresh Dandona, MD, UB distinguished professor
of medicine, director of the Diabetes-Endocrinology Center of Western New York
at Kaleida Health and senior author on the study. "In addition, specific proinflammatory
genes are activated after the intake of glucose and a high-fat, high-carbohydrate
meal, and these changes are observed in mononuclear cells that participate in
vascular inflammation and insulin resistance," he says.
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