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. 2022 Dec 30;15(1):173. doi: 10.3390/nu15010173

Table 2.

Studies carried out with both non-alcoholic beer and conventional beer.

Author Participants Intervention Study and Duration Measured Parameters Results
Bassus
et al.
(2004)
[14]
12 healthy non-smoker men, aged
19–36 years
Conventional
beer
Non-alcoholic
beer
Ethanol
Intake of 3 L of the corresponding beverage in 3 h
4-week rest
periods between
each intervention
Coagulation-related parameters:
PAC-1
CD62
MPA
FVIIc
ETP
Fibrinogen
Prothrombin time
MPA
Conventional beer vs. baseline:
↑ FVIIc
↓ MPA
↑ ETP
Non-alcoholic beer vs. baseline:
↓ PAC-1
↓ CD62
↓ MPA
↓ ETP
Ethanol vs. baseline:
↑ PAI-1
↓ MPA
↑ ETP
Imhof
et al.
(2008)
[15]
49 healthy men
and women, non-smokers,
aged
22–56 years
Beer (5.6% ethanol, polyphenols 169 mg/L)
Non-alcoholic beer (polyphenols 171 mg/L)
Pure water
Amounts equivalent to 30 g/d for men and 20 g/d for women
Intervention period: 3 weeks Serum lipids:
HDL-cholesterol
Monocyte
migration
Inflammatory biomarkers:
TNF-α
E-selectin
ICAM
Conventional beer:
No significant effects on HDL-cholesterol,
monocyte migration
and inflammatory
markers
Non-alcoholic beer:
No significant effects on HDL-cholesterol,
monocyte migration
and inflammatory
markers
Imhof
et al.
(2009)
[16]
72 healthy men
and women, non-smokers,
aged
22–56 years
Beer (5.6% ethanol, polyphenols 169 mg/L)
Non-alcoholic beer (polyphenols 171 mg/L)
Pure water
Amounts equivalent to 30 g/d for men and 20 g/d for women
Intervention period: 3 weeks Plasma adiponectin levels Conventional beer:
↑ Adiponectin
Non-alcoholic beer: no significant effect
Beulens
et al. (2008a)
[17]
20 healthy, non-smoker men, aged
18–25 years
Conventional
beer
Non-alcoholic
beer
3 cans
(990 mL)/d
Intervention
period:
3 weeks with a washout period of 1 week
Serum parameters:
Glucose
FFA
Insulin
Glucagon
OGTT
Adipokines:
Adiponectin
Ghrelin
ASP
Leptin
Resistin
Conventional beer vs. non-alcoholic beer:
↓ Glucose
↑ Adiponectin
↑ Ghrelin
↓ ASP
Insulin: no changes
↑ FFA
↑ Glucagon
Beulens
et al. (2008b)
[18]
20 healthy, non-smoker
men, aged
18–25 years,
distributed in normal weight
or overweight
Conventional
beer
Non-alcoholic
beer
3 cans
(990 mL)/d
Intervention
period:
3 weeks with a washout period of 1 week
Serum lipids
Serum enzymes
Serum Lp-PLA2
Blood pressure
Serum inflammation parameter: CRP
Urinary oxidative
stress parameter: F2-isoprostanes
Conventional beer vs. non-alcoholic beer:
↑ HDL-c cholesterol
↓ LDL-c cholesterol
↑ GGT, AST (only in overweight subjects)
↑ F2-isoprostanes (tendency)
Joosten
et al.
(2011)
[19]
24 pre-menopausal healthy, non-smoker
women,
aged 20–40 years, under treatment with oral contraceptives
BMI: 22.2 ± 1.6 kg/m2
Conventional
beer
Non-alcoholic
beer
2 cans/d
(660 mL)/d
Intervention
period:
3 weeks with 1-week washout
Serum lipids:
HDL-c
LDL-c
TG
FFA
Adiponectin
Parameters related
to insulin resistance
Serum enzymes: ALAT, AST, AP, γ-glutamyltrans-
peptidase
Conventional beer vs. non-alcoholic beer:
↑ HDL-c
↑ Adiponectin:
↑ γ-glutamyltrans-
peptidase
No significant effects in serum enzymes
Karatzi et al.
(2013)
[20]
17 male, healthy volunteers, non-smokers,
28.5 ± 5.2 years of age,
BMI = 24.4 ± 2.5 kg/m2
Conventional beer (20 g ethanol,
48 mg poly
phenols)
+ water
Non-alcoholic
beer (48 mg polyphenols)
Amounts that
provided 30 g/d
for men and
20 g/d for women or the same
amount of non-alcoholic
beer
400 mL/d conventional beer + 400 mL/d water
800 mL/d non-alcoholic
beer
Intervention
periods: 4 weeks
Aortic stiffness
Endothelial function
Pressure wave
reflexes (Aix)
Aortic/brachial
pressure
Conventional beer:
↓ Aortic stiffness
Improvement in endothelial function
↓ Aix
↑ Aortic/brachial
pressure
Non-alcoholic beer:
↓ Aortic stiffness
Improvement in endothelial function
↓ Aix
↑ Aortic/brachial
pressure
Chiva-
Blanch et al. (2014)
[21]
36 men with high cardiovascular risk (DM2, smokers,
hypertension, dyslipidemia, overweight or
obesity, or a family history of cardiovascular disease), aged 55–75
years
Conventional beer lager type
660 mL/d
(30g of alcohol)
Non-alcoholic beer lager type
Intervention
periods: 4 weeks
Atherosclerosis
biomarkers:
Progenitor
endothelial cells (EPC)
Soluble factors
Conventional and non-alcoholic beer:
↑ Number of EPC
↑ Serum soluble
stromal cell-derived
factor 1
Chiva-
Blanch
et al.
(2015)
[22]
36 men with high cardiovascular risk (DM2, smokers,
hypertension, dyslipidemia, overweight or
obesity, or
a family history
of cardiovascular
disease),
aged 55–75
years
Conventional beer lager type
660 mL/d (30 g of alcohol)
Non-alcoholic beer lager type
990 mL/d
Intervention
periods: 4 weeks
Blood pressure
Serum lipid
parameters
Serum adipokines
Coagulation
parameters:
Fibrinogen, FVIIc, PAI,
prothrombin and thromboplastin
times
Serum and cell adhesion molecules
Conventional beer:
↑ HDL, ApoA-I, ApoA-II
↑ Adiponectin
↓ Serum fibrinogen
↓ Lymphocyte expression of LFA-1 and SLex
↓ Monocyte expression of SLex and CCR2
↑ IL-1ra
↓ IL-5
Non-alcoholic beer:
↓ Systolic blood
pressure
↓ Apo A-I, Apo A-II
↓ Homocysteine
↑ Folic acid
↓ Lymphocyte expression of LFA-1 and SLex
↓ Monocyte expression of SLex and CCR2
↓ E-Selectin, IL-6r, IL-15 and TNF-β
Padro
et al.
(2018)
[23]
36 subjects (21 men and 15 women), overweight or obese without other
cardiovascular
risk factors,
aged 40–60 years
Conventional
lager beer (15 g ethanol and
604 mg polyphenols/can)
Non-alcoholic
lager beer (0.0 g alcohol and
414 mg polyphenols/can)
2 cans/day
(660 mL of beer, i.e., 30 g of alcohol) in men
1 can/day
(330 mL of beer, i.e., 15 g of alcohol) in women
Intervention
period: 4 weeks with 4-week washout period and 4-week
adaptation
period
Serum lipids:
TC
HDL-c
LDL-c
TG
Inflammatory
parameters: CRP
IL-6
TNF-α
Vascular parameter: Framingham Risk Score
No significant effects in serum lipids
No significant effects in inflammatory parameters
No significant effects in vascular parameters
Muñoz-
Garcia
et al.
(2021)
[24]
21 men and 15 women aged
40–60 years.
Healthy, non-smokers with normal weight or first grade
overweight
Conventional
beer
Non-alcoholic
beer
Exposition of cultured macrophages exposed to
LPS and to serum obtained after the intervention with conventional beer or non-alcoholic
beer
Inflammation parameters: Pro-IL-1β
IL-1β
TNFα
Conventional beer:
↓ IL-1β protein release
Non-alcoholic beer:
↓ IL-1β expression
↓ TNFα

Aix: pressure wave reflexes; ALAT: alanine transaminase; AP: alkaline phosphatase; Apo I and II: apoprotein I and II; ASP: acylation-stimulating protein; AST: Aspartate transaminase; CCR2: C-C chemokine receptor type 2; CD62: cluster of differentiation 62; CRP: C-reactive protein; DM2: diabetes mellitus type 2; EPC: progenitor endothelial cells; ETP: endogenous thrombin potential; FVIIc: factor VII coagulant; FFA: Free fatty acids; GGT: Gamma-glutamyl transferase; ICAM: intercellular adhesion molecule-1; IL-6/1β: interleukin 6/1β; LFA-1: lymphocyte function-associated antigen 1; Lp-PLA2: lipoprotein-associated phospholipase A2; MPA: monocyte platelet aggregates; OGTT: oral glucose tolerance test; PAC-1: first procaspase activating compound; PAI-1: Plasminogen activator inhibitor-1; SDF1: serum soluble stromal cell-derived factor 1; SLex: Sialyl LewisX; TNFα: tumor necrosis factor α; ↑: significant increase; ↓: significant decrease.