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. 2023 Aug 2;14(5):1005–1028. doi: 10.1016/j.advnut.2023.07.010

TABLE 10.

Intake of strawberries on cardiovascular and gut health, 2017–2023

Reference Study design Study duration Subject characteristics n Berry type, quantity Control Relevant outcomes
Cardiovascular health
Feresin 2017 [62] Randomized, double-blind, controlled, parallel-arm trial 8 wk Postmenopausal females (mean age 59 y) with pre- or stage 1 hypertension 60 FDSP, 25 g/d or 50 g/d Control powder 25 g/d: ↓ SysBP1 and PWV1
50 g/d: ↑ NO metabolites1
Holt 2020 [63] Randomized, controlled, double-blind, crossover trial Acute (1 h), Short-term (1 wk) Adolescent males (mean age 16 y) 25 FDSP, 50 g/d Isocaloric control powder, devoid of polyphenols ↑ plasma nitrate and nitrite2 and RHI1
No Δ in platelet reactivity
Basu 2021 [64] Randomized, controlled crossover trial 14 wk Males and females (mean age 53 y) with one or more characteristics of MetS 33 FDSP, 13 g/d or 32 g/d Isocaloric control powder ↓ Total VLDL and chylomicrons2, small VLDL2, and total and small LDL particles2
No Δ in conventional lipid profile
Huang 2021 [65] Randomized, controlled, double-blinded, 2-arm, 2-period crossover trial 4 wk Males and females (mean age 53 y) with moderate hypercholesterolemia 34 FDSP, 25 g/d Isocaloric control powder ↑ FMD (treatment-by-hour effect)1
↓ SysBP1
No Δ in lipid profile, ApoA, or ApoB
Gut health
Ezzat-Zadeh 2021 [66] Single arm intervention trial (placebo group omitted due to prebiotic content) 4 wk Males and females (mean age 30 y) 14 FDSP, 26 g/d N/A 20 OTUs1
4 OTUs1
No Δ in fecal microbial metabolites or SCFA

Includes human clinical trials that focus on only one functional food (ie, a single type of nut or berry) with outcomes of known physiologically relevant measures related to vascular function and gut health over the past 5 y (2017–2023). Excludes interventions using mixtures of different types of nuts or berries, nut- or berry-containing meals, and nut or berry extracts or oils. Also excludes interventions where nut or berry intake was in combination with other potentially confounding factors (ie, diet or lifestyle modifications including physical activity and dietary counseling).

Abbreviations: AIx, augmentation index; ALA, alpha-linolenic acid; BP, blood pressure; FDBP, freeze-dried blueberry powder; FDRP, freeze-dried raspberry powder; FDSP, freeze-dried strawberry powder; FMD, flow-mediated dilation; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; LDL:HDL, LDL cholesterol to HDL-cholesterol ratio; MetS, metabolic syndrome; N/a, not applicable; OTU, operational taxonomic unit; OW, overweight; PWV, pulse wave velocity; SCFA, short-chain fatty acids; SysBP, systolic blood pressure; TC, total cholesterol; TC:HDL, total cholesterol to HDL-cholesterol ratio; T2DM, type 2 diabetes mellitus.

1

denotes statistical significance <0.05.

2

denotes statistical significance <0.001.