November 8, 2008: Wine's antioxidant assets
By Dr. Harvey Finkel
Of late, there has been a spate of reports emanating from
the medical community citing wine's effects upon health
based on the presence of those components other than
alcohol.
Much of the new data supports the basic premise discussed
in my past commentaries: Moderate consumption of wine and
other alcoholic beverages is associated with a longer and
healthier life than that of abstainers (an observation
supported by a great mass of published evidence). While at
least half of the benefits associated with wine consumption
appear to be derived from the alcohol itself (conversely,
alcohol, when abused, is the only component of wine that
adversely affects health), there are other components of
wine that contribute to the same benefits, but they are more
complex and variable, and less precisely defined.
Alcohol's health benefits chiefly favor the
cardiovascular system, and are dramatically reflected in
reduced risks of atherosclerotic heart attacks, ischemic
strokes and limb amputations due to compromised blood
supply. Scientific views on the healthful effects of wine's
other compounds are not as unanimous, however, but are under
increased scrutiny. We are just beginning to peel back the
layers of understanding.
Most intriguing are the poly-phenolic flavonoids, which
can be referred to as antioxidants, according to their most
attractive function. Found in grapes, chiefly the skins,
their concentrations tend to be higher in red wines (when
skins are included in fermentation) than white (when skins
are culled). Their functions in the vine are only partially
known, antifungal for one.
These antioxidants are less available in other alcoholic
beverages. Among the best known, and most biologically
active, are resveratrol, quercetin and the catechins.
The antioxidants with which we are concerned are a class
of phytochemicals, compounds of vegetable origin. They are
not exclusive to grapes, although grapes are richly endowed
with them. They are also found in allium vegetables (onions,
leeks, garlic, shallots), broccoli, spinach, blueberries,
strawberries, tea and chocolate.
For some time, there was doubt about whether antioxidants
could be absorbed when ingested as foods and whether they
were biologically potent. The most current research has
erased any doubt that the antioxidants remain vital when
consumed this way. They appear to be even more active than
the more renowned antioxidant vitamins A, C and E.
At or near the top of the list of causes of death and
disability (some the product of human instigation, others
not) are diseases of the heart and blood vessels, cancer and
degenerative disorders. While the cause and aggravation of
these ills may be multiple and varied, free radicals and the
process of oxidation also figure heavily into the formula.
Free radicals (not a political term!) are highly reactive
compounds produced normally as the body uses oxygen. Factors
such as smoking, radiation and certain chemicals enhance
their production, thus straining, and sometimes
over-whelming, the body's natural, enzyme-mediated
antioxidant defense system. For this reason, there is much
interest in supplementing the anti-oxidants derived from
food and drink.
Some of mankind's most insidious diseases are suspected
of being able to be relieved to some degree by antioxidants,
among them heart attack, stroke, other complications of
blood-vessel disease, cancer, Alzheimer's disease and other
dementias and degenerative disorders, immune dysfunction,
cataract and macular degeneration. Aging itself may be
retarded by antioxidants. Precise formulas for the relief of
these conditions are not yet known. There is reason to
believe that antioxidants may not always be entirely benign.
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Recent studies of the cardio-vascular system report reduction of
the risk of heart attack in the elderly by a diet high in
vitamin A (but not vitamins C or E), reduction in the risk
of ischemic stroke associated with the antioxidants found in
fruits and vegetables (but no benefit from vitamins A, C or
E), and improved coronary artery function apparently due to
vitamin C.
The antioxidants in wine and grape juice favorably
modulate the blood clotting that climaxes heart attacks and
strokes; they help further by relaxing blood vessels and
inhibiting the oxidation of LDL (the "bad") cholesterol to
its dangerous form. Similar, but less-established, benefits
may result from the antioxidant flavonoids found in tea and
chocolate, virtually identical to those of wine.
Second in importance to their cardiovascular benefits are
wine's antioxidant actions against cancer. As a consequence
of its antibacterial effects and the scavenging of
destructive superoxides to reduce tissue injury, these
compounds may prevent cancers of the stomach and other
organs.
The antioxidant quercetin has been noted to inhibit the
growth of cancer and leukemia cells, and to potentiate
anti-cancer chemotherapy. One report has resveratrol
initiating a process one might term cancer-cell suicide, but
another suggests that antioxidant vitamins may do the
opposite, resulting in larger brain tumors in mice. (No harm
comes to cancer-free mice of this strain.)
While the above mentioned data is solid, the demonstrated
or suspected benefits of the antioxidants discussed below
are still preliminary.
• Improved brain and muscle
function also has been associated with moderate wine
consumption and with inclusion of blueberries, strawberries
and spinach in one's diet. One of the most compelling
studies compared sets of aging twins. The co-twin of each
pair who consumed an average of one to two drinks a day
scored higher intellectually than their counterparts who
drank significantly more or less.
• A number of very nasty bacteria and viruses are
inactivated by wine and by grapes (but, surprisingly, in
some cases not by alcohol).
• One report suggests that antioxidants may help
prevent toxemia in pregnancy.
• Long noted, but unexplained, has been a disparity
between the number of alcohol calories ingested and weight
gain. A peek into the mystery may be offered by the recent
observation that catechin polyphenols (flavonoid
antioxidants, as found in wine and green tea), stimulate the
"burning" of body fat.
An ascetic teetotaler might be inclined to ask, why not
eat just fruits and veggies, and shun alcohol?
Fear not, there are reasons enough to quaff. Alcohol, in
moderation, contributes at least half of wine's
cardiovascular benefits, and likely provides numerous other
health benefits, and little, if any, risk. In fact, it may
even enhance the desired actions of the antioxidants in the
enriching form of wine, which is a package that can't be
beat.
Dr. Harvey Finkel
Dr. Harvey E. Finkel is a
clinical professor of medicine at Boston University Medical
Center and chairman of the Committee on Health of the
Society of Wine Educators.

Προσθήκη:
8/11/2008
Τελευταία Ανανέωση:
8/11/2008
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