Apple Tree: Benefits, Dosage, Contraindications

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The apple tree is one of the oldest fruit trees cultivated by humans, recognized for both its delicious fruits and numerous medicinal properties. The apple tree belongs to the Rosaceae family and is characterized by white or pinkish flowers that give rise to the fruits we know well: apples. These fruits contain polyphenols, ursolic acid, and pectin, beneficial compounds for health. The peel of apples is particularly rich in polyphenols, more than the flesh, and the types and levels of these polyphenols vary according to the cultivar and degree of fruit processing. Historically, the first medicinal uses of apples date back to antiquity, where they were used for their anti-inflammatory and antibacterial properties. The term "pommade" comes from the use of apples to create balms mixed with olive oil. In gemmotherapy, it’s primarily the buds of the apple tree that are used for their therapeutic effects. They are reputed to stimulate cerebral circulation and brain oxygenation, enhancing cognitive functions. On a sexual level, apple bud extracts are used to regulate hormone secretion in both men and women, helping to treat conditions such as asthenia and frigidity. Although apples are commonly consumed for their nutritional values, current research explores their potential in treating various conditions such as Alzheimer's disease, diabetes, and obesity, even though scientific evidence remains insufficient to support these uses.

Other name(s) 

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Scientific name(s)

Malus Communis

Family or group: 

Plants

Active ingredients:

Pectin

Ursolic Acid


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Cognitive Decline
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In gemmotherapy, the apple tree is used to support cognitive functions. However, a clinical study shows that apple juice consumption does not improve cognitive function in patients with Alzheimer's disease, although it may improve mood and behavior according to caregivers' assessments.

Posologie

posologieOral route: buds, fruit

formulationgemmotherapy


Hypercholesterolemia
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Dried apple consumption has demonstrated a reduction in cholesterol in postmenopausal adults, attributed to the pectin in apples that increases intestinal viscosity, reducing cholesterol reabsorption and stimulating bile production.

Posologie

posologieOral route: buds, fruit

formulationgemmotherapy


Muscle Strength
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Clinical studies on resistance-trained men show that an apple extract modestly increases lower body strength and power, as well as muscle cross-section, compared to a placebo.

Posologie

posologieOral route: fruit


Sexual Disorders
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In gemmotherapy, the apple tree is appreciated for its effects on cerebral circulation and hormonal regulation, potentially positively influencing sexual functions by improving hormone secretion.

Posologie

posologieOral route: buds

formulationgemmotherapy


Properties


Cardiovascular

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Apples, particularly their polyphenol-rich skin, can help improve cardiovascular function. Polyphenols such as flavonoids and tannins are known for their antioxidant and anti-inflammatory properties, which can reduce cardiovascular risk. A small clinical study in healthy patients showed that daily consumption of two apples with their skin improves endothelial function, evaluated by flow-mediated dilation, immediately and after four weeks, compared to apples without skin.


Hypocholesterolemic

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The effect of apples on cholesterol varies depending on their form of consumption. The consumption of dried apples has been shown to lower cholesterol in postmenopausal women, likely due to the pectin present in apple fibers. This pectin increases intestinal viscosity, thereby reducing cholesterol reabsorption.

Usages associés

Hypercholesterolemia

Musculoskeletal Effects

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Ursolic acid, a triterpenoid found in apple skins, might influence muscle mass. Animal studies indicate an increase in muscle mass, exercise capacity, and grip strength following administration of ursolic acid. In humans, results are less evident, although a mixture with apple extract has shown an increase in plasma and muscle ATP.

Usages associés

Muscle Strength

Metabolic

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Ursolic acid in apple peel could enhance metabolism. Animal research shows that ursolic acid increases the amount of brown fat, thus elevating calorie expenditure and improving glucose tolerance, while decreasing weight. In humans, results vary: whole apple consumption increases satiety and slows gastric emptying compared to apple juice, suggesting positive effects on metabolism and weight management.


Safety dosage

Adult: 40 drops (gemmotherapy)

Gemmotherapy: the dosage is 40 to 100 drops per day in a 2 to 3-month cycle. There is no established dosage for other formulations.


Interactions

Médicaments

Organic Anion Transporting Polypeptide (OATP): strong interaction

The consumption of apple juice inhibits OATP, which reduces the bioavailability of oral medications that are OATP substrates, such as fexofenadine, atenolol, and aliskiren. Clinical studies have shown that co-administration of apple juice decreases the bioavailability of fexofenadine by up to 78%, aliskiren by up to 63%, and atenolol by up to 82%. It is recommended to separate medication intake and apple juice consumption by at least 4 hours to avoid this interaction.