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Urinary tartaric acid as a biomarker of wine consumption and cardiovascular risk: the PREDIMED trial

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Resumen del artículo

Título de Paperzilla
Got Tartaric Acid? Wine Might Be Fine (for Your Heart, in Moderation, Maybe)

This case-cohort study found that light-to-moderate wine consumption, as measured by urinary tartaric acid levels, was associated with a lower risk of cardiovascular disease events in older Mediterranean adults at high risk. The strongest association was found for moderate wine consumption (estimated as up to 1 drink/day), specifically with a lower risk of myocardial infarction.

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Scientists found that older people who drank a little bit of wine, which they could tell from a special pee test, had a lower chance of getting heart problems.

Posibles conflictos de intereses

Some authors disclosed receiving grants, personal fees, and non-financial support from various organizations, including the California Walnut Commission, Alexion, Amarin, Cerveceros de España, UNIDECO, Adventia, Wine in Moderation, Ecoveritas S.A., Fundación Dieta Mediterránea, Cerveza y Salud, Pernaud-Ricard, Instituto Cervantes, Lilly Laboratories, and the Wine and Culinary International Forum. This level of industry involvement warrants careful consideration but may not invalidate the study's findings. Further investigation is needed.

Limitaciones identificadas

Limited generalizability
The study population consisted of older individuals at high risk of CVD living in a Mediterranean country. Thus, the results might not be generalizable to other populations.
Potential residual confounding
Although the authors adjusted for several potential confounders, residual confounding cannot be completely ruled out.
Observational design
The observational design limits the ability to establish a causal relationship between wine consumption and CVD risk.
Non-specificity of the biomarker
Tartaric acid is not exclusively found in wine. Other dietary sources like grapes, raisins, and grape juice, though consumed in low quantities by the study participants, could contribute to urinary tartaric acid levels and confound the results.
Indirect measurement of alcohol intake
The study measured wine consumption indirectly through a biomarker, excluding other alcoholic beverages. This does not reflect the total alcohol intake, potentially misrepresenting the association between alcohol and CVD risk.

Explicación de la calificación

This study used an objective biomarker to assess wine consumption, strengthening the evidence for the potential cardioprotective effects of light-to-moderate wine intake. However, the limitations regarding generalizability, potential confounding, and observational design prevent a definitive conclusion about causality. The disclosed conflicts of interest also warrant some caution in interpreting the findings.

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Jerarquía temática

Campo: Medicina

Información del archivo

Título original: Urinary tartaric acid as a biomarker of wine consumption and cardiovascular risk: the PREDIMED trial
Subido: 8 jul 2025, 11:42:33
Privacidad: Público