Effects of Intake of Apples, Pears, or Their Products on Cardiometabolic Risk Factors and Clinical Outcomes: A Systematic Review and Meta-Analysis

ABSTRACT Apples and pears contain nutrients that have been linked to cardiovascular health. We conducted a systematic review and meta-analysis to summarize related research. Medline, Cochrane Central, and Commonwealth Agricultural Bureau databases were searched for publications on apple or pear intake and cardiovascular disease (CVD)/ cardiometabolic disease (CMD). Studies in adults (healthy or at risk for CVD) that quantified apple or pear intake were included. Random-effects models meta-analysis was used when ≥3 studies reported the same outcome. In total, 22 studies were eligible including 7 randomized controlled trial, 1 nonrandomized trial, and 14 prospective observational studies. In RCTs, apple intake significantly decreased BMI, but made no difference in body weight, serum lipids, blood glucose, or blood pressure. In observational studies, apple or pear intake significantly decreased risk of cerebrovascular disease, cardiovascular death, type 2 diabetes mellitus, and all-cause mortality. No association was reported for cerebral infarction or intracerebral hemorrhage. In conclusion, apple or pear intake significantly decreased BMI and risk for CVD outcomes.

Keys to the Trematoda. Volume II (ed. Jones, A., Bray, R. A. and Gibson, D. I.), pp. 768. Commonwealth Agricultural Bureau International (CABI Publishing), UK and The Natural History Museum, London, UK, 2005. ISBN 0 85199 587 X. £150.00.

Trematodes (flukes or digeneans) are by far the most abundant group of parasitic flatworms (Neodermata), and their importance for human and animal health is indisputable. In addition, they exhibit a variety of unique adaptations to parasitism and, probably most remarkably, possess extraordinarily complicated life-cycles. Classification of trematodes represents a very difficult task due to the huge number of existing species and variety of morphological forms, sites of infection within invertebrate and vertebrate hosts and ability to infect a wide spectrum of animals. Therefore, identification of any trematode may represent a problem even for an experienced specialist. This is the reason why I appreciated so much the publication of the first volume of the Keys to the Trematoda in 2002.