J Nutr Health.  2017 Jun;50(3):203-216. 10.4163/jnh.2017.50.3.203.

A Comprehensive review of raisins and raisin components and their relationship to human health

Affiliations
  • 1Food & Nutrition Department, Whidbey Health Medical Center, WA 98239, United States of America.
  • 2College of Agriculture, California State Polytechnic University, Pomona, CA 91768, United States of America.
  • 3Department of Nutrition and Exercise Physiology, University of Missouri, MO 65211, United States of America.
  • 4School of Public Health, University of Texas-Houston, TX 77030, United States of America. jimpainterphd@gmail.com

Abstract

PURPOSE
This literature review was performed to assess the effect of raisins on human health.
METHODS
A review of Medline was conducted using the keywords: "˜raisins, raisins and health, raisins and cardiovascular disease (CVD), raisins and cancer, raisins and diabetes, raisins and fiber, raisins and colon health, raisins and antioxidants, raisins and inflammation, raisins and dental caries'. The reference lists from previous review articles on raisins and human health and the California Raisin Marketing Board files were reviewed for additional studies.
RESULTS
Raisins have one of the highest polyphenolic content and antioxidant ORAC levels compared to other traditional dried fruits. Many of the polyphenols in raisins are well assimilated and bioavailable. Raisin consumption reduces low density lipoprotein (LDL) cholesterol, blood pressure and blood sugar, when compared to equal caloric carbohydrate snacks and is associated with a reduced risk of CVD. The anti-inflammatory and cancer chemopreventive effects of raisins are mixed. Raisin consumption reduces intestinal transit time and positively affects gut microbiota. Raisins produce sustained energy during long term athletic competitions equal to traditional sports energy gels, shots and jelly beans. Raisins produce a non-cariogenic oral environment and do not fit the American Academy of Pediatrics criteria to be considered a choking hazard.
CONCLUSIONS
Based on the review of literature, consumption of raisins provide numerous health benefits for promoting general wellness and in the prevention of many chronic diseases including: CVD, type 2 diabetes mellitus (T2DM) gastrointestinal diseases, and dental caries.

Keyword

raisins; health; diabetes; cardiovascular disease; antioxidants

MeSH Terms

Airway Obstruction
Antioxidants
Blood Glucose
Blood Pressure
California
Cardiovascular Diseases
Cholesterol
Chronic Disease
Colon
Dental Caries
Diabetes Mellitus, Type 2
Fruit
Gastrointestinal Diseases
Gastrointestinal Microbiome
Gels
Humans*
Inflammation
Insurance Benefits
Lipoproteins
Marketing
Pediatrics
Polyphenols
Snacks
Sports
Vitis*
Antioxidants
Blood Glucose
Cholesterol
Gels
Lipoproteins
Polyphenols

Figure

  • Fig. 1 Total polyphenols in different fruits (per serving) adapted from Karakaya et al.15

  • Fig. 2 Polyphenols from raisins have similar bioavailability to those from grapes & wine. Values are mg/100 g “wet” weight.10 Unshaded bars indicate sun-dried raisins; light gray bars, golden raisins; dark gray bars, raisins; and black bars, green grapes.

  • Fig. 3 The amount (pmol) of ferulic acids conjugates (polyphenolic metabolites) in urine after consumption of wine, grapes and raisins 2425


Reference

1. Alasalvar C, Shahidi F. Composition, phytochemicals, and beneficial health effects of dried fruits: an overview. In : Alasalvar C, Shahidi F, editors. Dried Fruits: Phytochemicals and Health Effects. Ames (IA): Wiley-Blackwell;2013. p. 1–18.
2. International Nut and Dried Fruit Council Foundation (ES). Nuts & dried fruits global statistical review 2015/2016. Reus: International Nut and Dried Fruit Council Foundation;2015.
3. U.S. Department of Agriculture, Foreign Agriculture Service. Raisins: world markets and trade [Internet]. Washington, D.C.: U.S. Department of Agriculture;2016. cited 2017 May 10. Available from: https://apps.fas.usda.gov/psdonline/circulars/raisins.pdf.
4. Anderson JW, Waters AR. Raisin consumption by humans: effects on glycemia and insulinemia and cardiovascular risk factors. J Food Sci. 2013; 78:Suppl 1. A11–A17.
Article
5. Carughi A, Feeney MJ, Kris-Etherton P, Fulgoni V 3rd, Kendall CW, Bulló M, Webb D. Pairing nuts and dried fruit for cardiometabolic health. Nutr J. 2016; 15:23.
Article
6. Restani P, Frigerio G, Colombo F, de Sousa LP, Altindişli A, Pastor RF, Di Lorenzo C. Raisins in human health: a review. BIO Web Conf. 2016; 7:04005.
Article
7. Bell SJ. A review of dietary fiber and health: focus on raisins. J Med Food. 2011; 14(9):877–883.
Article
8. Kundu JK, Chun KS. The promise of dried fruits in cancer chemoprevention. Asian Pac J Cancer Prev. 2014; 15(8):3343–3352.
Article
9. Hardin-Fanning F. The effects of a Mediterranean-style dietary pattern on cardiovascular disease risk. Nurs Clin North Am. 2008; 43(1):105–115.
Article
10. Williamson G, Carughi A. Polyphenol content and health benefits of raisins. Nutr Res. 2010; 30(8):511–519.
Article
11. Karadeniz F, Durst RW, Wrolstad RE. Polyphenolic composition of raisins. J Agric Food Chem. 2000; 48(11):5343–5350.
Article
12. Yilmaz Y, Göksel Z, Erdoğan SS, Öztürk A, Atak A, Özer C. Antioxidant activity and phenolic content of seed, skin and pulp parts of 22 grape (Vitis vinifera L.) cultivars (4 common and 18 registered or candidate for registration). J Food Process Preserv. 2015; 39(6):1682–1691.
13. Breksa AP 3rd, Takeoka GR, Hidalgo MB, Vilches A, Vasse J, Ramming DW. Antioxidant activity and phenolic content of 16 raisin grape (Vitis vinifera L.) cultivars and selections. Food Chem. 2010; 121(3):740–745.
Article
14. Barnes JL, Brooks TL, Painter JE. Comparing raisins to 10 frequently consumed fruits using the new USDA oxygen radical absorbance capacity (ORAC) data: antioxidant compounds of raisins. J Am Diet Assoc. 2011; 111(9):A46.
Article
15. Karakaya S, El SN, Taş AA. Antioxidant activity of some foods containing phenolic compounds. Int J Food Sci Nutr. 2001; 52(6):501–508.
Article
16. Chang SK, Alasalvar C, Shahidi F. Review of dried fruits: phytochemicals, antioxidant efficacies, and health benefits. J Funct Foods. 2016; 21:113–132.
Article
17. Jeszka-Skowron M, Zgoła-Grześkowiak A, Stanisz E, Waśkiewicz A. Potential health benefits and quality of dried fruits: Goji fruits, cranberries and raisins. Food Chem. 2017; 221:228–236.
Article
18. Kaliora AC, Kountouri AM, Karathanos VT. Antioxidant properties of raisins (Vitis vinifera L.). J Med Food. 2009; 12(6):1302–1309.
19. Kelebek H, Jourdes M, Selli S, Teissedre PL. Comparative evaluation of the phenolic content and antioxidant capacity of sun-dried raisins. J Sci Food Agric. 2013; 93(12):2963–2972.
Article
20. Parker TL, Wang XH, Pazmiño J, Engeseth NJ. Antioxidant capacity and phenolic content of grapes, sun-dried raisins, and golden raisins and their effect on ex vivo serum antioxidant capacity. J Agric Food Chem. 2007; 55(21):8472–8477.
Article
21. Barnes JL, Holt R, Schramm D, Waters AR, Painter JE, Keen C. Raisin consumption may lower circulating oxidized LDL levels, potentially decreasing the risk for coronary artery disease. J Am Diet Assoc. 2011; 111(9):A46.
Article
22. Kanellos PT, Kaliora AC, Gioxari A, Christopoulou GO, Kalogeropoulos N, Karathanos VT. Absorption and bioavailability of antioxidant phytochemicals and increase of serum oxidation resistance in healthy subjects following supplementation with raisins. Plant Foods Hum Nutr. 2013; 68(4):411–415.
Article
23. Liu J, Wang Y, Liu RH, He X. Novel triterpenoids isolated from raisins exert potent antiproliferative activities by targeting mitochondrial and Ras/Raf/ERK signaling in human breast cancer cells. Food Funct. 2016; 7(7):3244–3251.
Article
24. Murphy D. Raisin polyphenols and their bioavailability in humans. FASEB J. 2012; 26(S1):lb421.
Article
25. Carughi A, Murphy D, Williamson G. Polyphenols from raisins have similar bioavailability to those from grapes and white wine: a human intervention study. Ann Nutr Metab. 2013; 62:14.
26. Rababah TM, Al-u’datt M, Almajwal A, Brewer S, Feng H, Al-Mahasneh M, Ereifej K, Yang W. Evaluation of the nutraceutical, physiochemical and sensory properties of raisin jam. J Food Sci. 2012; 77(6):C609–C613.
Article
27. Zhao B, Hall CA 3rd. Composition and antioxidant activity of raisin extracts obtained from various solvents. Food Chem. 2008; 108(2):511–518.
Article
28. Kaliora AC, Kountouri AM, Karathanos VT, Koumbi L, Papadopoulos NG, Andrikopoulos NK. Effect of Greek raisins (Vitis vinifera L.) from different origins on gastric cancer cell growth. Nutr Cancer. 2008; 60(6):792–799.
Article
29. Kountouri AM, Gioxari A, Karvela E, Kaliora AC, Karvelas M, Karathanos VT. Chemopreventive properties of raisins originating from Greece in colon cancer cells. Food Funct. 2013; 4(3):366–372.
Article
30. Weyant MJ, Carothers AM, Dannenberg AJ, Bertagnolli MM. (+)-Catechin inhibits intestinal tumor formation and suppresses focal adhesion kinase activation in the min/+ mouse. Cancer Res. 2001; 61(1):118–125.
31. Di Lorenzo C, Sangiovanni E, Fumagalli M, Colombo E, Frigerio G, Colombo F, Peres de, Altindişli A, Restani P, Dell'Agli M. Evaluation of the anti-inflammatory activity of raisins (Vitis vinifera L.) in human gastric epithelial cells: a comparative study. Int J Mol Sci. 2016; 17(7):E1156.
Article
32. Rankin JW, Andreae MC, Oliver Chen CY, O'Keefe SF. Effect of raisin consumption on oxidative stress and inflammation in obesity. Diabetes Obes Metab. 2008; 10(11):1086–1096.
Article
33. Puglisi MJ, Vaishnav U, Shrestha S, Torres-Gonzalez M, Wood RJ, Volek JS, Fernandez ML. Raisins and additional walking have distinct effects on plasma lipids and inflammatory cytokines. Lipids Health Dis. 2008; 7:14.
Article
34. Institute of Medicine, Panel on Macronutrients (US). Institute of Medicine, Standing Committee on the Scientific Evaluation of Dietary Reference Intakes (US). Dietary reference intakes for energy, carbohydrates, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington, D.C.: National Academies Press;2005.
35. Ministry of Health and Welfare (KR). The Korean Nutrition Society. Dietary reference intakes for Koreans 2015. Sejong: Ministry of Health and Welfare;2016.
36. Yu KH, Chung CE, Cho SS, Ly SY. Analysis of dietary fiber intake in the Korean adult population using 2001 Korean National Health and Nutrition Survey data and newly established dietary fiber database. Korean J Nutr. 2008; 41(1):100–110.
37. U.S. Department of Agriculture, Agricultural Research Service. Dietary fiber: usual intakes from food and water, 2003-2006, compared to adequate intakes [Internet]. Washington, D.C.: U.S. Department of Agriculture;2009. cited 2017 May 5. Available from: https://www.ars.usda.gov/ARSUserFiles/80400530/pdf/0506/usual_nutrient_intake_dietary_fiber_2003-06.pdf.
38. Barnes JL, Painter JE, Knoll SE, Carughi A. Preliminary results using the association of official analytical chemists (AOAC) analysis method 2009.01 for fiber: raisins now contain 10% of the daily value. J Am Diet Assoc. 2011; 111(9):A47.
Article
39. U.S. Department of Agriculture, Agricultural Research Service. Full report (all nutrients): 45051312, California Raisins, UPC: 071022251909 [Internet]. Washington, D.C: U.S. Department of Agriculture;2014. cited 2017 May 5. Available from: https://ndb.nal.usda.gov/ndb/foods/show/15871?manu=&fgcd=&ds=.
40. Camire ME, Dougherty MP. Raisin dietary fiber composition and in vitro bile acid binding. J Agric Food Chem. 2003; 51(3):834–837.
Article
41. Spiller GA, Story JA, Furumoto EJ, Chezem JC, Spiller M. Effect of tartaric acid and dietary fibrefrom sun-dried raisins on colonic function and on bile acid and volatile fatty acid excretion in healthy adults. Br J Nutr. 2003; 90(4):803–807.
42. Spiller GA, Story JA, Lodics TA, Pollack M, Monyan S, Butterfield G, Spiller M. Effect of sun-dried raisins on bile acid excretion, intestinal transit time, and fecal weight: a dose-response study. J Med Food. 2003; 6(2):87–91.
Article
43. ESHA Research (US). Dietary fiber on the nutrition facts label [Internet]. Salem (OR): ESHA Research;2016. cited 2017 May 5. Available from:http://www.esha.com/labeling-compliance/dietary-fiber-nutrition-facts-label/.
44. Delzenne NM, Williams CM. Prebiotics and lipid metabolism. Curr Opin Lipidol. 2002; 13(1):61–67.
Article
45. Mandalari G, Chessa S, Bisignano C, Chan L, Carughi A. The effect of sun-dried raisins (Vitis vinifera L.) on the in vitro composition of the gut microbiota. Food Funct. 2016; 7(9):4048–4060.
Article
46. Wijayabahu A, Waugh S, Ukhanova M, Caraughi A, Mai V. Effects of sun-dried raisin consumption on gut microbiota composition. FASEB J. 2017; 31(S1):965.7.
47. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014; 37:Suppl 1. S81–S90.
48. Esfahani A, Lam J, Kendall CW. Acute effects of raisin consumption on glucose and insulin reponses in healthy individuals. J Nutr Sci. 2014; 3:e1.
Article
49. Wheeler ML, Daly A, Evert A, Franz MJ, Geil P, Holzmeister LA, Kulkarni K, Loghmani E, Ross TA, Woolf P. Choose your foods: exchange lists for diabetes, sixth edition, 2008: description and guidelines for use. J Am Diet Assoc. 2008; 108(5):883–888.
Article
50. Jenkins DJ, Wolever TM, Taylor RH, Barker H, Fielden H, Baldwin JM, Bowling AC, Newman HC, Jenkins AL, Goff DV. Glycemic index of foods: a physiological basis for carbohydrate exchange. Am J Clin Nutr. 1981; 34(3):362–366.
Article
51. Kim Y, Hertzler SR, Byrne HK, Mattern CO. Raisins are a low to moderate glycemic index food with a correspondingly low insulin index. Nutr Res. 2008; 28(5):304–308.
Article
52. Bell SJ. Glycemic index for the management of chronic disease: why certain foods like raisin may be beneficial. Open Nutr J. 2011; 5:7–12.
53. Suwannaphet W, Meeprom A, Yibchok-Anun S, Adisakwattana S. Preventive effect of grape seed extract against high-fructose diet-induced insulin resistance and oxidative stress in rats. Food Chem Toxicol. 2010; 48(7):1853–1857.
Article
54. Oettlé GJ, Emmett PM, Heaton KW. Glucose and insulin responses to manufactured and whole-food snacks. Am J Clin Nutr. 1987; 45(1):86–91.
Article
55. Kanellos PT, Kaliora AC, Tentolouris NK, Argiana V, Perrea D, Kalogeropoulos N, Kountouri AM, Karathanos VT. A pilot, randomized controlled trial to examine the health outcomes of raisin consumption in patients with diabetes. Nutrition. 2014; 30(3):358–364.
Article
56. Bays H, Weiter K, Anderson J. A randomized study of raisins versus alternative snacks on glycemic control and other cardiovascular risk factors in patients with type 2 diabetes mellitus. Phys Sportsmed. 2015; 43(1):37–43.
Article
57. Zunino S. Type 2 diabetes and glycemic response to grapes or grape products. J Nutr. 2009; 139(9):1794S–1800S.
Article
58. American Heart Association. What is cardiovascular disease? [Internet]. Dallas (TX): American Heart Association;2014. [cited 2017 Apr 7. Available from: http://www.heart.org/HEARTORG/Support/Resources/WhatisCardiovascularDisease/What-is-Cardiovascular-Disease_UCM_301852_Article.jsp#.WOf3oPnyu00.
59. Puglisi MJ, Mutungi G, Brun PJ, McGrane MM, Labonte C, Volek JS, Fernandez ML. Raisins and walking alter appetite hormones and plasma lipids by modifications in lipoprotein metabolism and up-regulation of the low-density lipoprotein receptor. Metabolism. 2009; 58(1):120–128.
Article
60. Abdel-Hamid GA, Ayuob NN. Can raisins ameliorate the hypercholesterolaemia-induced cardiac affection? Folia Morphol (Warsz). 2015; 74(1):106–117.
Article
61. Anderson JW, Weiter KM, Christian AL, Ritchey MB, Bays HE. Raisins compared with other snack effects on glycemia and blood pressure: a randomized, controlled trial. Postgrad Med. 2014; 126(1):37–43.
Article
62. Bruce B, Spiller GA, Klevay LM, Gallagher SK. A diet high in whole and unrefined foods favorably alters lipids, antioxidant defenses, and colon function. J Am Coll Nutr. 2000; 19(1):61–67.
Article
63. Sacheck JM, Kafka T, Rasmussen H, Blumberg JB, Economos CD. The impact of pre exercise snacks on exercise intensity, stress, and fatigue in children. Med Sci Sports Exerc. 2009; 41(5):105.
Article
64. Kern M, Heslin CJ, Rezende RS. Metabolic and performance effects of raisins versus sports gel as pre-exercise feedings in cyclists. J Strength Cond Res. 2007; 21(4):1204–1207.
Article
65. Rietschier HL, Henagan TM, Earnest CP, Baker BL, Cortez CC, Stewart LK. Sun-dried raisins are a cost-effective alternative to sports jelly beans in prolonged cycling. J Strength Cond Res. 2011; 25(11):3150–3156.
Article
66. Too BW, Cicai S, Hockett KR, Applegate E, Davis BA, Casazza GA. Natural versus commercial carbohydrate supplementation and endurance running performance. J Int Soc Sports Nutr. 2012; 9(1):27.
Article
67. Apfel KE, Painter J, Waters A, Too B, Cicia S, Hockett K, Applegate E, Davis B, Casazza G. Comparing nutrient density of raisins to sports chews. J Acad Nutr Diet. 2013; 113(9):A21.
Article
68. Byrne HK, Kim Y, Hertzler SR, Watt CA, Mattern CO. Glycemic and insulinemic responses to different preexercise snacks in participants with impaired fasting glucose. Int J Sport Nutr Exerc Metab. 2011; 21(1):1–10.
Article
69. Kalman D, Feldman S, Samson A, Krieger DR. A comparative study evaluating raisins versus granola bars on feelings of energy in healthy mothers. FASEB J. 2013; 27(S1):lb370.
Article
70. Patel BP, Bellissimo N, Luhovyy B, Bennett LJ, Hurton E, Painter JE, Anderson GH. An after-school snack of raisins lowers cumulative food intake in young children. J Food Sci. 2013; 78:Suppl 1. A5–A10.
Article
71. Patel BP, Luhovyy B, Mollard R, Painter JE, Anderson GH. A premeal snack of raisins decreases mealtime food intake more than grapes in young children. Appl Physiol Nutr Metab. 2013; 38(4):382–389.
Article
72. Wong A, Young DA, Emmanouil DE, Wong LM, Waters AR, Booth MT. Raisins and oral health. J Food Sci. 2013; 78:Suppl 1. A26–A29.
Article
73. Rivero-Cruz JF, Zhu M, Kinghorn AD, Wu CD. Antimicrobial constituents of Thompson seedless raisins (Vitis vinifera) against selected oral pathogens. Phytochem Lett. 2008; 1(3):151–154.
Article
74. Wu CD. Grape products and oral health. J Nutr. 2009; 139(9):1818S–1823S.
Article
75. Utreja A, Lingström P, Evans CA, Salzmann LB, Wu CD. The effect of raisin-containing cereals on the pH of dental plaque in young children. Pediatr Dent. 2009; 31(7):498–503.
76. Issa AI, Toumba KJ, Preston AJ, Duggal MS. Comparison of the effects of whole and juiced fruits and vegetables on enamel demineralisation in situ. Caries Res. 2011; 45(5):448–452.
Article
77. Kashket S, Van Houte J, Lopez LR, Stocks S. Lack of correlation between food retention on the human dentition and consumer perception of food stickiness. J Dent Res. 1991; 70(10):1314–1319.
Article
78. Hindi NK, Yasir A, Al-Mahdi ZK, Jebur MH. Evaluation of antibacterial activity: anti adherence, anti biofilm and anti swarming of the aquatic extract of black raisins and vinegar of black raisins in Hilla City, Iraq. Int J Pharmtech Res. 2016; 9(9):271–280.
79. Greenberg JA, Newmann SJ, Howell AB. Consumption of sweetened dried cranberries versus unsweetened raisins for inhibition of uropathogenic Escherichia coli adhesion in human urine: a pilot study. J Altern Complement Med. 2005; 11(5):875–878.
Article
80. Committee on Injury, Violence, and Poison Prevention. Prevention of choking among children. Pediatrics. 2010; 125(3):601–607.
81. Altkorn R, Chen X, Milkovich S, Stool D, Rider G, Bailey CM, Haas A, Riding KH, Pransky SM, Reilly JS. Fatal and non-fatal food injuries among children (aged 0-14 years). Int J Pediatr Otorhinolaryngol. 2008; 72(7):1041–1046.
Article
82. Keast DR, O'Neil CE, Jones JM. Dried fruit consumption is associated with improved diet quality and reduced obesity in US adults: National Health and Nutrition Examination Survey, 1999-2004. Nutr Res. 2011; 31(6):460–467.
Article
83. McGill CR, Keast DR, Painter JE, Romano CS, Wightman JD. Improved diet quality and increased nutrient intakes associated with grape product consumption by U.S. children and adults: National Health and Nutrition Examination Survey 2003 to 2008. J Food Sci. 2013; 78:Suppl 1. A1–A4.
Article
84. Fulgoni VL, O'Neil CE, Painter J, Carughi A. Raisin consumption is associated with increased nutrient intake, better diet quality, and lower body mass index in adult participants (19+ years) from the NHANES (2001-2012). FASEB J. 2016; 30(S1):1154.20.
Article
85. Fulgoni VL, Painter JE, Carughi A. Raisin consumption is associated with increased nutrient intake and better diet quality in children (2-18 years): an analyses of NHANES (2001-2012). J Acad Nutr Diet. Forthcoming 2017.
Article
86. Fulgoni VL, Painter JE, Carughi A. Consumption of raisin-containing foods is associated with increased nutrient intake and better diet quality in adult participants (19+ y) from the NHANES (2001-2012). FASEB J. 2017; 31(S1):788.14.
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