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Quercetin reduces systolic blood pressure and plasma oxidised low-density lipoprotein concentrations in overweight subjects with a high-cardiovascular disease risk phenotype: a double-blinded, placebo-controlled cross-over study

British Journal of Nutrition
Q1
Apr 2009
Citations: 537
Influential: 32
Interventional (Human) Studies
67

What this study found

Quercetin produced modest cardiovascular benefits, most clearly lowering systolic blood pressure and plasma oxidised LDL, but it did not improve most other metabolic or inflammatory markers. In the quercetin period, systolic blood pressure fell from 126.5 to 123.9 mmHg (P<0.01), oxidised LDL fell from 1192.8 to 1021.9 (P<0.001), and oxidised LDL decreased more than with placebo (P<0.05). HDL-cholesterol also declined from 1.35 to 1.28 mmol/L (P<0.001), while hs-TNF-a decreased from 2.62 to 2.37 (P<0.001) and many other biomarkers were unchanged. No adverse effects were observed and liver,…

Study & population
Double-blind, randomized, placebo-controlled cross-over trial in overweight or obese adults with metabolic syndrome traits from Kiel, Germany.
Intervention
Oral quercetin dihydrate, 150 mg/day, given as six capsules per day with the main meals for 6 weeks.
Key limitation
The intervention was short, with only 6-week treatment periods, so durability of effects is uncertain.
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Original abstract

Regular consumption of flavonoids may reduce the risk for CVD. However, the effects of individual flavonoids, for example, quercetin, remain unclear. The present study was undertaken to examine the effects of quercetin supplementation on blood pressure, lipid metabolism, markers of oxidative stress, inflammation, and body composition in an at-risk population of ninety-three overweight or obese subjects aged 25–65 years with metabolic syndrome traits. Subjects were randomised to receive 150 mg quercetin/d in a double-blinded, placebo-controlled cross-over trial with 6-week treatment periods separated by a 5-week washout period. Mean fasting plasma quercetin concentrations increased from 71 to 269 nmol/l (P < 0·001) during quercetin treatment. In contrast to placebo, quercetin decreased systolic blood pressure (SBP) by 2·6 mmHg (P < 0·01) in the entire study group, by 2·9 mmHg (P < 0·01) in the subgroup of hypertensive subjects and by 3·7 mmHg (P < 0·001) in the subgroup of younger adults aged 25–50 years. Quercetin decreased serum HDL-cholesterol concentrations (P < 0·001), while total cholesterol, TAG and the LDL:HDL-cholesterol and TAG:HDL-cholesterol ratios were unaltered. Quercetin significantly decreased plasma concentrations of atherogenic oxidised LDL, but did not affect TNF-α and C-reactive protein when compared with placebo. Quercetin supplementation had no effects on nutritional status. Blood parameters of liver and kidney function, haematology and serum electrolytes did not reveal any adverse effects of quercetin. In conclusion, quercetin reduced SBP and plasma oxidised LDL concentrations in overweight subjects with a high-CVD risk phenotype. Our findings provide further evidence that quercetin may provide protection against CVD.