The equivalent of one cup of fresh blueberries, given as 22 g of freeze-dried blueberries, may beneficially affect areas of health in overweight men with type 2 diabetes, according to new research study.
The double-blind study was conducted at the Stratton Veterans Affairs (VA) Medical Center in Albany, New York. It found that intake of the equivalent of one U.S. cup of fresh blueberries (given as 22 g freeze-dried blueberries) resulted in clinically significant improvements in measurable indicators of type 2 diabetes – Hemoglobin A1c (HbA1c) and fructosamine – compared to a placebo.
These indicators represent two ways to measure glycemic control in those living with diabetes. First, measuring HbA1c levels provides insight into long-term glycemic control, with the ability to reflect the cumulative glucose level history of the preceding two-to-three months. Testing fructosamine levels provides information on average blood glucose levels over a two-to-three-week time period.
The results also showed significantly decreased levels of serum triglycerides after blueberry consumption compared to placebo. Left untreated or uncontrolled, elevated blood triglyceride levels may increase the risk of serious complications such as cardiovascular disease – the leading cause of morbidity and mortality for individuals with diabetes.
“To date few human clinical trials have evaluated the potential beneficial health effects of blueberries in populations with type 2 diabetes,” said Kim Stote, Ph.D, MPH, RDN, who has a research appointment at the Albany Stratton VA Medical Center, and is the study’s lead investigator.
“While the results cannot be generalized to all populations, the evidence that a dietary intervention with a realistic serving of blueberries may be an effective strategy to improve metabolic factors associated with type 2 diabetes.”
Over an eight-week period, researchers studied 52 overweight male participants between the ages of 51 and 75 who had a medical diagnosis of type 2 diabetes for at least six months as indicated by hemoglobin A1c (HbA1c) > 6.5 and < 9 and BMI > 25 kg/m2. During the study, non-insulin diabetes medications were prescribed to 100% of the participants.
Other inclusion criteria for subjects included no insulin use and no heavy exercise. Participants were randomly assigned one of two interventions: either 1) 22 g of freeze-dried blueberries (the equivalent of one U.S. cup/d fresh blueberries) along with their regular diet or 2) 22 g of a placebo powder (matched in energy and carbohydrate content to the freezedried blueberries) along with their regular diet.
Of note, fiber was not controlled in the study, which is known to influence glycemic response. Fasting plasma glucose and serum insulin were not significantly different after eight weeks of consumption of freeze-dried blueberries, compared with placebo.
Total cholesterol, LDL cholesterol, HDL cholesterol, CRP concentrations, blood pressure and body weight were not significantly different after eight weeks of consumption of freezedried blueberries, compared with the placebo.
According to the Centers for Disease Control and Prevention, more than 34 million Americans have diabetes (about 1 in 10). Approximately 90-95% of them have type 2 diabetes, which occurs when insulin is made by the pancreas, but the body’s cells gradually lose the ability to absorb and use the insulin. The prevalence of type 2 diabetes is increasing in the U.S. population due to aging, physical inactivity, being overweight and obesity status, all of which are serious risk factors.
Chilean exports of fresh blueberries will hit record export volume in the 2019-2020 season, as the country expects to export 115,000 tons this season, 4 percent more than a year ago.
The export increase results from new plantations registered in recent years. Chile has increased by more than 9,880 acres in the last 4 seasons, which will reach full production in the coming years.
Chilean blueberry producers created the winter market for blueberries in the United States, however in recent years there has increasing competition from other couinries including Peru and Mexico.
While Chile was still the number one supplier of imported blueberries to the U.S. market during the 2018-19 season, Chile had a 52 percent market share with Peru at 38 percent and continuing to gain.
FOLSOM, Calif. – A new research study published in the American Journal of Clinical Nutrition found that participants with metabolic syndrome who consumed the equivalent of one cup of fresh blueberries, given as 26g of freeze-dried blueberries, showed clinically relevant changes in measures of heart health. The study, “Blueberries improve biomarkers of cardiometabolic function in participants with metabolic syndrome – results from a 6-month, double blind, randomized controlled trial,” was conducted at the University of East Anglia in the United Kingdom in collaboration with Harvard T.H. Chan School of Public Health and other UK institutions.
The study found that intake of the equivalent of one US cup per day of blueberries (given as 26g freeze-dried blueberries) resulted in clinically significant improvements in heart health measures, particularly markers of vascular function (blood flow and elasticity of the blood vessels by measuring endothelial function and arterial stiffness). Improved endothelial function and reduced arterial stiffness are associated with a reduced risk of cardiovascular events such as heart attack and stroke.[i]Importantly, the observed increases in nitric oxide bioactivity in the blood provided a potential mechanism for the endothelial function benefits observed.
Intake of one cup of blueberries per day also resulted in significantly increased HDL-C levels, also known as “good cholesterol,” compared to the placebo. Additional lipid biomarkers researched in the study support these findings, such as significant increases in HDL particle number and APO-A1 levels, which are other predictors of heart disease risk.
Insulin resistance, pulse wave velocity, blood pressure, and other lipid levels (including total cholesterol) were unaffected by any of the interventions. There were also no observed clinical benefits from the intake of one-half cup of blueberries in this at-risk participant group.
Over a six-month period, 115 participants (78 men and 37 women) between the ages of 50 and 75 with metabolic syndrome, were randomly assigned to receive one of three daily treatments: 26g freeze-dried blueberries (the equivalent of one US cup/d); 13g freeze-dried blueberries (the equivalent of one-half US cup/d); or a placebo powder matched for color, taste and consistency. All study subjects were instructed to limit intake of other anthocyanin (the main natural flavonoid constituent present in blueberries) containing foods to one portion per week and other foods known to modify vascular function. Participants also refrained from blueberry intake beyond the assigned daily treatments.
Metabolic syndrome is a group of risk factors which includes low levels of HDL-C, or “good cholesterol,” high blood pressure, increased abdominal obesity, high triglyceride levels, high blood pressurerisk for heart disease and other health problems, such as type 2 diabetes and stroke.[ii] It represents a health challenge that impacts more than one-third of the U.S. population. According to the Centers for Disease Control and Prevention, the percentage of Americans living with metabolic syndrome substantially increased from 25 percent between 1999 and 2006 to 34.2 percent between 2007-2012.[iii]
“The results of this study provide the first evidence from a long-term study examining the impact of blueberry intake on clinically relevant measures of cardiometabolic health,” said Aedin Cassidy, Ph.D., Head of Nutrition & Preventive Medicine Department and Chair of Nutritional Biochemistry at Norwich Medical School, University of East Anglia and the study’s lead investigator. “While the conclusions drawn are from a single study that cannot be generalized to all populations, the data add weight to the evidence that a dietary intervention with a realistic serving of blueberries may be an effective strategy to decrease important risk factors for heart disease.”
The research was funded by the U.S. Highbush Blueberry Council (USHBC). The USHBC had no role in study design, data collection, data analysis, data interpretation, or writing of the study. For more information on blueberry nutrition research visit blueberrycouncil.org/health-professionals/health-research/.
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About the U.S. Highbush Blueberry Council
The U.S. Highbush Blueberry Council is an agriculture promotion group, representing blueberry growers and packers in North and South America who market their blueberries in the United States and overseas, and works to promote the growth and well-being of the entire blueberry industry. The blueberry industry is committed to providing blueberries that are grown, harvested, packed and shipped in clean, safe environments.