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. 2022 Jun 28;14(13):2688. doi: 10.3390/nu14132688

Table 3.

Impact of chokeberry on blood pressure in intervention studies.

Number of Participants (n)
(Women/Men)
Characteristics of the Group Type of Chokeberry Product Dose of Chokeberry Product per Day Time of Intervention (Weeks) Changes in Diet Results References
n = 44
(11/33)
Myocardialinfarction and statin therapy for at least 6 months (mean age 66, BMI 26.5 kg/m2) Chokeberry flavonoid extract (Aronox, Agropharm, Pieńków, Poland) 3 × 85 mg 6 No changes SBP↓,
DBP↓
[78]
n = 58
(0/58)
Mild hypocholesterolemia (TC > 200 mg/dL) without pharmacological treatment (mean age 54.1, BMI 27.7 kg/m2) Organic chokebery juice (A. M. Lech, Dzieciolowo, Poland) 250 mL 18 (12 weeks with drinking chokeberry juice) No changes SBP↓,
DBP↓
[103]
n = 47
(32/15)
MetS (n = 25, age 42–65, BMI 31.05 kg/m2),
healthy (n = 22, BMI 24.15 kg/m2)
Chokeberry extract (Aronox, Agropharm, Pieńków, Poland) 3 × 100 mg 8 No changes SBP↓,
DBP↓
endthoteline-1↓
[77]
n = 70
(42/28)
Group I: patients with MetS who received chokeberry extract supplements
(n = 25, age 50–69, BMI 30.9 kg/m2)
Group II: healthy—control group
(n = 45, age 55–71, BMI 23 kg/m2)
Group III: patients with MetS treated with ACE inhibitors—control group
(n = 25, age 50–69, BMI 29.2 kg/m2)
Chokeberry extract (Aronox, Agropharm, Pieńków, Poland) 3 × 100 mg 8 No changes (inhibition product containing chokeberry) SBP↓,
DBP↓,
ACE↓
[75]
n = 20
(20/0)
Postmenopausal women withabdominal obesity (WC > 88 cm, age 45–65, BMI 36.1 kg/m2) Chokeberry supplement (Nutrika d.o.o., Belgrade,
Serbia), prepared from pure chokeberry juice
enriched with 2 g of stable glucomannan fibers (Luralean, Shimizu, Japan)
100 mL 4 No changes SBP↓,
DBP↔
[72]
n = 23
(11/12)
High normal BP or grade I hypertension: SBP = 130–159 mmHg, DBP = 85–99 mmHg, no regular use
of antihypertensive drugs (mean age 47.5, BMI nd)
Organic chokeberry juice (Conimex Trade
d.o.o., Belgrade, Serbia)
200 mL 4 No changes 24 h SBP↓,
24 h DBP↔,
awake SBP↓,
awake DBP↓,
sleep SBP↔,
sleep DBP↔
24 h pulse blood pressure↔,
sleep pulse blood pressure↔, awake pulse blood pressure↓
[79]
n = 38
(24/14)
Mildly elevated BP: SBP 130–159 mmHg,
DBP 85–99 mmHg (mean age 55.8, BMI < 35 kg/m2) without DM2
Cold-pressed 100% chokeberry juice (Kiantama
Ltd., Finland) or convection oven-dried chokeberry
powder (Finnish Berry Powders Ltd., Finland)
300 mL chokeberry juice or 3 g dried chokeberry powder 8 No changes daytime ambulatory DBP↓
24 h SBP/DBP↔,
daytime ambulatory SBP↔,
night SBP/DBP↔,
awake SBP/DBP↔,
sleep SBP/DBP↔
[76]
n = 35
(23/12)
DM2 and oral antidiabetic drugs
therapy for at least 6 months (mean age 56.3, BMI 28.8 kg/m2)
Chokeberry juice (Nutrica d.o.o., Belgrade, Serbia) 150 mL (three times daily for 50 mL) 12 No changes SBP↔, DBP↔ [100]
n = 84
(52/32)
Subjects with cardiovascular risks (mean age 40.6, BMI 27.29 kg/m2) Chokeberry
juice with a high dose of polyphenols and
chokeberry juice with a low dose of polyphenols (Nutrika LTD, Belgrade, Serbia)
100 mL 4 Avoiding excessive quantities of other foods rich in polyphenols low-dose of polyphenols group:
SBP↔, DBP↔
high-dose of polyphenols group:
SBP↓, DBP↓
[73]
n = 144
(74/70)
MetS according to the AHA guidelines
(age 50–60, BMI 30.1–34.4 kg/m2)

I. n = 42, fMetS
II. n = 42, mMetS
III. n = 32, fMetS-DM
IV. n = 28, mMetS-DM
Standarized chokeberry extract (Alixir 400 PROTECT, Pharmanova, Belgrade, Serbia) 30 mL of extract (prior or during dinner) 4 No changes fMetS:
SBP↓, DBP↓, HR↔

mMetS:
SBP↓, DBP↓, HR↔

fMetS-DM:
SBP↓, DBP↓, HR↔

mMetS-DM:
SBP↓, DBP↓, HR↔
[71]

↑—increase, ↓—decrease, ↔—no changes, ACE—angiotensin-converting enzyme; AHA—American Heart Association; BMI—body mass index; BP—blood pressure; DBP—diastolic blood pressure; DM2—diabetes mellitus 2; fMetS—female with metabolic syndrome; fMetS-DM—female with metabolic syndrome and confirmed type 2 diabetes mellitus; HR—heart rate; MetS—metabolic syndrome; mMetS—male with metabolic syndrome; mMetS-DM—male with metabolic syndrome and type 2 diabetes mellitus; nd—no data; SBP—systolic blood pressure; WC—waist circumference.