Background: Capillary blood flow supplies oxygen and nutrients to tissues throughout the body and removes metabolic waste; however, it declines with unhealthy lifestyles and aging. Therefore, maintaining adequate capillary blood flow is important. In this study, we aimed to evaluate the effects of consuming food containing pine bark extract on capillary blood flow in healthy adults. Methods: A randomized, double-blind, placebo-controlled, parallel-group study was conducted to evaluate the effect of pine bark extract on capillary blood flow in healthy participants. Fifty healthy women aged 40 - 59 years who were troubled by cold sensitivity were enrolled and randomly assigned to two groups. The active food group consumed food containing pine bark extract (2.4 mg/day as procyanidins B1 and B3) for 8 weeks, whereas the placebo food group consumed food without pine bark extract for the same period. The primary outcome was capillary blood flow velocity. The secondary outcome was capillary congestion, which was evaluated by a physician using a visual analog scale (VAS) based on capillary images. Results: After 8 weeks, compared with the placebo food group, the active food group showed a significant increase in capillary blood flow velocity and a significant decrease in capillary congestion. No adverse events related to the test food were observed. Conclusions: Intake of food containing pine bark extract may improve capillary blood flow in healthy women troubled by cold sensitivity.
References
[1]
Godwin, L., Tariq, M.A. and Crane, J.S. (2023) Histology, Capillary. StatPearls. https://europepmc.org/article/nbk/nbk546578#__NBK546578_dtls__
[2]
Komai, M., Takeno, D., Fujii, C., Nakano, J., Ohsaki, Y. and Shirakawa, H. (2024) Nailfold Capillaroscopy: A Comprehensive Review on Its Usefulness in Both Clinical Diagnosis and Improving Unhealthy Dietary Lifestyles. Nutrients, 16, Article 1914. https://doi.org/10.3390/nu16121914
[3]
Jin, K. (2019) A Microcirculatory Theory of Aging. Aginganddisease, 10, 676-683. https://doi.org/10.14336/ad.2019.0315
[4]
Østergaard, L. (2020) Blood Flow, Capillary Transit Times, and Tissue Oxygenation: The Centennial of Capillary Recruitment. JournalofAppliedPhysiology, 129, 1413-1421. https://doi.org/10.1152/japplphysiol.00537.2020
[5]
Young, A.J., Sawka, M.N. and Pandolf, K.B. (1996) 7 Physiology of Cold Exposure. In: Marriott B.M. and Carlson S.J., Eds., Nutritional Needs in Cold and in High-Altitude Environments: Applications for Military Personnel in Field Operations, National Academies Press, 127-148.
[6]
Tsuboi, S., Mine, T., Tomioka, Y., Shiraishi, S., Fukushima, F. and Ikaga, T. (2019) Are Cold Extremities an Issue in Women’s Health? Epidemiological Evaluation of Cold Extremities among Japanese Women. InternationalJournalofWomen’sHealth, 11, 31-39. https://doi.org/10.2147/ijwh.s190414
[7]
Bae, K., Go, H., Park, K., Ahn, I., Yoon, Y. and Lee, S. (2018) The Association between Cold Hypersensitivity in the Hands and Feet and Chronic Disease: Results of a Multicentre Study. BMCComplementaryandAlternativeMedicine, 18, Article No. 40. https://doi.org/10.1186/s12906-018-2082-3
[8]
Imai, M., Akasofu, K. and Fukunishi, H. (2007) Subjective Chills and Their Related Factors in Adult Women. Ishikawa Journal of Nursing, 4, 55-64.
[9]
Ikeguchi, M., Tsubata, M., Tabata, A. and Takagaki, K. (2006) Effects of Pine Bark Extract on Lipid Metabolism in Rats. NipponEiyoShokuryoGakkaishi, 59, 89-95. https://doi.org/10.4327/jsnfs.59.89
[10]
Samejima, M. and Yoshimoto, T. (1982) Accumulation and Structural Changes of Flavanols in the Barks of Cryptomeria Japonica D. Don and Pinus Densiflora Sieb. and Zucc. Bulletin, Tokyo University Forests, 72, 17-29.
[11]
Tubata, M., Takagaki, K. and Nakayama, J. (2013) The Powerful Antioxidant, Pine Bark Extract (FLAVANGENOL®) Suppresses Histamine Release from Mast Cell and Moisturizes Skin Surface. The Allergy in Practice, 33, 53-56.
[12]
Nagamine, R., Takano, A., Hama, R., Suzuki, M., Kamiya, T. and Takagaki, K., et al. (2019) LDL-Cholesterol Lowering Effect of a Functional Food Containing Pine Bark Extract: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study. Japanese Pharmacology & Therapeutics, 47, 629-635.
[13]
Fujiki, K., Takano, A., Tomozawa, H., Kamiya, T., Takagaki, K. and Tokushima, M. (2020) A Study on the Effect of Food Containing Pine Bark Extract on Vascular Endothelial Function—A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study. Japanese Pharmacology & Therapeutics, 48, 853-858.
[14]
Fujiki, K., Takahashi, Y., Suzuki, M., Takano, A., Kamiya, T. and Takagaki, K., et al. (2021) The Effect of Food Containing Pine Bark Extract on Platelet Aggregation: A Randomized, Double-Blinded, Placebo-Controlled, Parallel-Group Study. Japanese Pharmacology & Therapeutics, 49, 1749-1755.
[15]
Fujiki, K., Mashiki, S., Motooka, K., Takahashi, Y., Takano, A. and Takashima, S., et al. (2023) Effect of Pine Bark Extract on Capillary Blood Flow. Japanese Pharmacology & Therapeutics, 51, 129-134.
[16]
Chiken, Y., Matsuoka, N., Inoue, M., Takahashi, Y., Takano, A. and Takashima, S., et al. (2022) Effects of Food Supplementation with Pine Bark Extract on Skin Health Parameters: A Randomized, Double-Blinded, Placebo-Controlled, Parallel-Group Study. Japanese Pharmacology & Therapeutics, 50, 2257-2265.
[17]
Haddadin, R., Aboujaoude, C. and Trad, G. (2024) Congestive Hepatopathy: A Review of the Literature. Cureus, 16, e58766. https://doi.org/10.7759/cureus.58766
[18]
Popel, A.S. and Johnson, P.C. (2005) Microcirculation and Hemorheology. AnnualReviewofFluidMechanics, 37, 43-69. https://doi.org/10.1146/annurev.fluid.37.042604.133933
[19]
Rubba, P., Iannuzzi, A., Postiglione, A., Scarpato, N., Montefusco, S., Gnasso, A., et al. (1990) Hemodynamic Changes in the Peripheral Circulation after Repeat Low Density Lipoprotein Apheresis in Familial Hypercholesterolemia. Circulation, 81, 610-616. https://doi.org/10.1161/01.cir.81.2.610
[20]
van der Zwan, L.P., Teerlink, T., Dekker, J.M., Henry, R.M.A., Stehouwer, C.D.A., Jakobs, C., et al. (2009) Circulating Oxidized LDL: Determinants and Association with Brachial Flow-Mediated Dilation. JournalofLipidResearch, 50, 342-349. https://doi.org/10.1194/jlr.p800030-jlr200
[21]
Shiraisi, A., Katayama, T., Kusanagi, Y., Matsubara, K., Ochi, H. and Ito, M. (2001) The Investigation of Ox-LDL-Induced Leukocyte Behavior in Pregnancy-Rat Microcirculation. Japan Society for the Study of Toxemia of Pregnancy, 9, 169-170.
[22]
Nakayama, S., Kishimoto, Y., Saita, E., Sugihara, N., Toyozaki, M., Taguchi, C., et al. (2015) Pine Bark Extract Prevents Low-Density Lipoprotein Oxidation and Regulates Monocytic Expression of Antioxidant Enzymes. NutritionResearch, 35, 56-64. https://doi.org/10.1016/j.nutres.2014.10.010
[23]
Ishikawa, S., Kubo, T., Fujiwara, H., Sunagawa, M., Tawaratsumida, Y., Ishino, T., et al. (2011) Influence to Blood Fluidity by Exercise in Rat: Influence of Training in High Temperature Environments. JapaneseJournalofPhysicalFitnessandSportsMedicine, 60, 475-482. https://doi.org/10.7600/jspfsm.60.475
[24]
Durand, M.J. and Gutterman, D.D. (2013) Diversity in Mechanisms of Endothelium‐dependent Vasodilation in Health and Disease. Microcirculation, 20, 239-247. https://doi.org/10.1111/micc.12040