Short-term red wine consumption promotes differential effects on plasma levels of high-density lipoprotein cholesterol, sympathetic activity, and endothelial function in hypercholesterolemic, hypertensive, and healthy subjects

Authors

  • Ana CM Andrade Universidade de São Paulo; Faculdade de Medicina; Heart Institute
  • Fernando HY Cesena Universidade de São Paulo; Faculdade de Medicina; Heart Institute
  • Fernanda M Consolim-Colombo Universidade de São Paulo; Faculdade de Medicina; Heart Institute
  • Silmara R Coimbra Universidade de São Paulo; Faculdade de Medicina; Heart Institute
  • Alexandre M Benjó Universidade de São Paulo; Faculdade de Medicina; Heart Institute
  • Eduardo M Krieger Universidade de São Paulo; Faculdade de Medicina; Heart Institute
  • Protasio Lemos da Luz Universidade de São Paulo; Faculdade de Medicina; Heart Institute

DOI:

https://doi.org/10.1590/S1807-59322009000500011

Keywords:

Alcohol, Red Wine, Endothelial Function, Flow-mediated Dilation, Sympathetic Activity

Abstract

OBJECTIVES: To compare the metabolic, hemodynamic, autonomic, and endothelial responses to short-term red wine consumption in subjects with hypercholesterolemia or arterial hypertension, and healthy controls. METHODS: Subjects with hypercholesterolemia (n=10) or arterial hypertension (n=9), or healthy controls (n=7) were given red wine (250 mL/night) for 15 days. Analyses were performed before and after red wine intake. RESULTS: Red wine significantly increased the plasma levels of HDL-cholesterol in the controls, but not in the other groups. The effects on hemodynamic measurements were mild, non-significantly more prominent in healthy subjects, and exhibited high interindividual variability. Across all participants, mean blood pressure decreased 7 mmHg (p <0.01) and systemic vascular resistance decreased 7% (p = 0.05). Heart rate and cardiac output did not significantly change in any group. Red wine enhanced muscle sympathetic fibular nerve activity in hypercholesterolemic and hypertensive patients, but not in controls. At baseline, brachial artery flow-mediated dilation was impaired in patients with hypercholesterolemia and arterial hypertension; red wine restored the dilation in the hypercholesterolemic group but not in the hypertensive group. CONCLUSIONS: Red wine elicits different metabolic, autonomic, and endothelial responses among individuals with hypercholesterolemia or arterial hypertension and healthy controls. Our findings highlight the need to consider patient characteristics when evaluating the response to red wine.

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Published

2009-05-01

Issue

Section

Clinical Sciences

How to Cite

Andrade, A. C., Cesena, F. H., Consolim-Colombo, F. M., Coimbra, S. R., Benjó, A. M., Krieger, E. M., & Luz, P. L. da. (2009). Short-term red wine consumption promotes differential effects on plasma levels of high-density lipoprotein cholesterol, sympathetic activity, and endothelial function in hypercholesterolemic, hypertensive, and healthy subjects . Clinics, 64(5), 435-442. https://doi.org/10.1590/S1807-59322009000500011