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Journal of Functional Foods 21 (2016) 113132

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Review of dried fruits: Phytochemicals,


antioxidant efficacies, and health benefits

Sui Kiat Chang a, Cesarettin Alasalvar a,*, Fereidoon Shahidi b


a
TBITAK Marmara Research Center, Food Institute, P.O. Box 21, 41470 Gebze-Kocael, Turkey
b
Department of Biochemistry, Memorial University of Newfoundland, St. Johns, NL A1B 3X9, Canada

A R T I C L E I N F O A B S T R A C T

Article history: Dried fruits, which serve as important healthful snacks worldwide, provide a concentrated
Received 10 August 2015 form of fresh fruits. They are nutritionally equivalent to fresh fruits in smaller serving sizes,
Received in revised form 6 ranging from 30 to 43 g depending on the fruit, in current dietary recommendation in dif-
November 2015 ferent countries. Daily consumption of dried fruits is recommended in order to gain full
Accepted 11 November 2015 benefit of essential nutrients, health-promoting phytochemicals, and antioxidants that they
Available online contain, together with their desirable taste and aroma. Recently, much interest in the health
benefits of dried fruits has led to many in vitro and in vivo (animal and human interven-
Keywords: tion) studies as well as the identification and quantification of various groups of
Dried fruits phytochemicals. This review discusses phytochemical compositions, antioxidant effica-
Phytochemicals cies, and potential health benefits of eight traditional dried fruits such as apples, apricots,
Phenolic compounds dates, figs, peaches, pears, prunes, and raisins, together with dried cranberries. Novel product
Antioxidant activity formulations and future perspectives of dried fruits are also discussed. Research findings
Health benefits from the existing literature published within the last 10 years have been compiled and
summarised.
2015 Elsevier Ltd. All rights reserved.

Contents

1. Introduction ...................................................................................................................................................................................... 114


2. Phytochemicals and antioxidant efficacies of dried fruits ........................................................................................................ 114
2.1. Total phenolics ...................................................................................................................................................................... 115
2.2. Flavonoids .............................................................................................................................................................................. 115
2.3. Phenolic acids ........................................................................................................................................................................ 118
2.4. Phytoestrogens ...................................................................................................................................................................... 119
2.5. Carotenoids ............................................................................................................................................................................ 120
2.6. Antioxidant efficacies of dried fruits ................................................................................................................................. 120
2.7. Bioaccessibility of bioactive compounds from dried fruits ............................................................................................ 121
3. Beneficial health effects of dried fruits ........................................................................................................................................ 122
3.1. Improved diet quality and overall health ......................................................................................................................... 122
3.2. Anti-glaucoma effect ............................................................................................................................................................ 125

* Corresponding author. TBITAK Marmara Research Center, Food Institute, P.O. Box 21, 41470 Gebze-Kocael, Turkey. Tel.: +90 262 677
3200; fax: +90 262 641 2309.
E-mail address: cesarettin.alasalvar@tubitak.gov.tr (C. Alasalvar).
http://dx.doi.org/10.1016/j.jff.2015.11.034
1756-4646/ 2015 Elsevier Ltd. All rights reserved.
114 Journal of Functional Foods 21 (2016) 113132

3.3. Anticancer effect ................................................................................................................................................................... 125


3.4. Lipid-lowering effect ............................................................................................................................................................. 125
3.5. Antioxidative and anti-inflammation effects ................................................................................................................... 125
3.6. Antibiotic/anti-pathogenic effect ....................................................................................................................................... 125
3.7. Cardioprotection effect ......................................................................................................................................................... 126
3.8. Bone protection ..................................................................................................................................................................... 126
3.9. Anti-diabetic/hypoglycaemic effect .................................................................................................................................... 126
4. Novel product formulations and future perspectives ................................................................................................................ 126
5. Conclusion ........................................................................................................................................................................................ 127
References ......................................................................................................................................................................................... 127

tonnes (MT), followed by dates (756,000 MT), prunes (216,853


1. Introduction MT), cranberries (152,000 MT), figs (135,744 MT), and apricots
(88,129 MT). However, statistics on the production of other dried
Nutrition plays a major role in the primary and secondary pre- fruits, such as berries, citrus fruits, and cherries are generally
vention of non-communicable diseases (NCDs). Consumption scarce (INC, 2014).
of fruits and vegetables is one of the essential nutritional rec- Although raisins, figs, dates, prunes, and apricots are the
ommendations to prevent NCDs. Numerous studies have most common dried fruits in the marketplace, food stores and
demonstrated that the intake of 35 daily servings of fruits and local markets offer many more choices such as dried apples,
vegetables would protect against NCDs (He, Nowson, Lucas, & pineapples, berries, mangoes, and papayas, among others. They
MacGregor, 2007; Lichtenstein et al., 2006; Slavin & Lloyd, 2012). are rich sources of essential nutrients and health-promoting
The 2010 Dietary Guidelines for Americans also recommended bioactive compounds. Epidemiological evidence have demon-
to make one half of food plates with fruits and vegetables (US strated an association between dried fruit consumption and
Department of Health and Human Services, 2010). Fruits con- diet quality (Coleman et al., 2008; Keast, ONeil, & Jones, 2011).
stitute a major part of the human diet. Besides, fruits may be Raisins are the most studied among all dried fruits, followed
consumed as a part of religious practices and as nutritional by dates, prunes, figs, apricots, peaches, apples, pears, and other
therapy in different human traditions around the world (Slavin fruits (Alasalvar & Shahidi, 2013a, 2013b). This review dis-
& Lloyd, 2012; Vayalil, 2012). Studies indicate that the role of cusses the phytochemical compositions, antioxidant efficacies,
fruits together with their nutrients in the prevention of NCDs and potential health-promoting properties of traditional dried
could be stronger than vegetables (Habauzit & Morand, 2012). fruits as well as cranberries. The potential of several non-
This happens because fruits provide essential vitamins, min- tropical dried fruits (apples, apricots, figs, peaches, pears, prunes,
erals, as well as various phytochemicals that confer significant and raisins) and a selected tropical dried fruit, dates, as func-
health benefits other than basic nutrition (Slavin & Lloyd, 2012; tional or healthy foods have been highlighted. This review is
US Department of Health and Human Services, 2010). intended to stimulate large-scale commercial exploitation and
Most of the common fruits are produced on a seasonal basis generate interest among researchers in various scientific fields
and hence may not be available in fresh conditions through- to study dried fruits as functional foods.
out the year. Thus, fresh fruits are processed by various
techniques to become dried fruits to prolong their shelf life. Dried
fruits are a concentrated form of fresh fruits, albeit with lower
moisture content than that of their fresh counterparts since a 2. Phytochemicals and antioxidant efficacies
large proportion of their moisture content has been removed of dried fruits
through sun-drying or various modern drying techniques, such
as mechanical devices (Alasalvar & Shahidi, 2013a, 2013b). Fruits Phytochemicals are non-nutritive, naturally occurring, and bio-
can be dried whole (e.g., grapes, berries, apricots, and plums), logically active compounds found in the plant kingdom.
in halves, or as slices (e.g., mangoes, papayas, and kiwis). Dried However, a large percentage of phytochemicals is still unknown
fruits are important healthy snacks worldwide. They also have and remains to be identified by the scientific community
the advantage of being easy to store and distribute, available (Quideau, Deffieux, Douat-Casassus, & Pouysgu, 2011;
throughout the year, and healthier alternative to salty or sugary Toms-Barbern & Andrs-Lacueva, 2012). Non-specific methods
snacks. Apples, apricots, dates, figs, peaches, pears, prunes, and such as determination of total phenolics and anthocyanins by
raisins are referred to as conventional or traditional dried pH differential, and specific methods such as high perfor-
fruits. Meanwhile, some fruits, such as blueberries, cranber- mance liquid chromatography (HPLC), ultraviolet-visible
ries, cherries, strawberries, and mangoes are usually infused with spectroscopy (UV-VIS), and mass spectrometry (MS) have been
sugar solutions or fruit juice concentrate before drying (Alasalvar used to characterise phytochemicals in dried fruits (Alasalvar
& Shahidi, 2013a, 2013b). & Shahidi, 2013a, 2013b; Vayalil, 2012). Dried fruits provide a
In terms of production, raisins and currants rank first ac- wide range of phytochemicals, such as phenolic acids,
cording to 2014 statistics on global production of commercially flavonoids, phytoestrogens, and carotenoids (Alasalvar &
important dried fruits with a production of 1,394,566 metric Shahidi, 2013a, 2013b). There are a number of review articles
Journal of Functional Foods 21 (2016) 113132 115

reporting the nutritional and functional properties as well as are given in Table 2. Apricots contain all the above-mentioned
phytochemicals (carotenoids, phytosterols, polyphenols, phe- classes of flavonoids (Erdogan & Erdemoglu, 2011; Schmitzer
nolic acids, flavonoids, anthocyanins, and phytoestrogen) of et al., 2011). The chemical structures of the representative fla-
dates (Al-Farsi & Lee, 2008; Vayalil, 2012). Williamson and vonoids reported in dried fruits are shown in Fig. 1. Dried fruits
Carughi (2010) reviewed the polyphenols and health benefits contain undetectable amounts of anthocyanins, which are likely
of raisins. However, literature on phenolic acid, flavonoid, degraded to phenolic acids. Dates contain one anthocyanidin
phytoestrogen, and carotenoid profiles of other dried fruits are (cyanidin) and one flavonol (quercetin) (Harnly et al., 2006). No
still scarce. The reported phytochemicals in dried fruits and anthocyanins have been detected in dried pears (Ferreira et al.,
their corresponding antioxidant activities vary considerably ac- 2002) and raisins (Chiou et al., 2007; Meng et al., 2011;
cording to the cultivars as well as climatic and agricultural Williamson & Carughi, 2010). However, a number of anthocy-
practices (Alasalvar & Shahidi, 2013a, 2013b; Al-Farsi & Lee, 2008; anin (delphinidin-3-glucoside, cyanidin-3-glucoside, petunidin-
Pellegrini et al., 2006; Vayalil, 2012; Wu et al., 2004). 3-glucoside, pelargonidin-3-glucoside, peonidin-3-glucoside, and
malvidin-3-glucoside) and anthocyanin-derived compounds
2.1. Total phenolics (vitisin A, acetylvitisin A, B-type vitisin of malvidin-3-glucoside,
peonidin-3-glucoside, peonidin-3-acetylglucoside, A-type vitisin
FolinCiocalteu reagent assay is the common method used to of malvidin-3-acetylglucoside, and malvidin-3-acetylglucoside)
determine the total phenolic content (TPC) of dried fruits. TPCs have been detected in raisins from Spanish Merlot and Syrah
of dried fruits, expressed as mg of ascorbic acid equivalents varieties (Table 2) (Marquez, Dueas, Serratosa, & Merida, 2012).
(AAE)/100 g dry weight (DW), were reported by Ishiwata, These anthocyanin-derived compounds resulted from the cy-
Yamaguchi, Takamura, and Matoba (2004) with a range of 916 cloaddition of pyruvic acid (A-type vitisin) and acetaldehyde
2414. Raisins contained the highest TPC (2414 mg AAE/100 g), (B-type vitisin) to anthocyanin molecules due to enzymatic
followed by dried apricots, cranberries, peaches, figs, pears, and transformations (Marquez et al., 2012). Dihydrochalcones, such
prunes (Table 1). In another study conducted by Wu et al. (2004), as phloridzin and phloretin, are reported only in dried apples
TPC [expressed as mg of gallic acid equivalents (GAE)/g] of dried and apricots (Erdogan & Erdemoglu, 2011; Joshi, Rupasinghe,
fruits decreased in the order of prunes > raisins > figs > dates. & Khanizadeh, 2011). Rutin is the predominant flavonol in
However, in another study (Vinson, Zubik, Bose, Samman, & prunes (Donovan, Meyer, & Waterhouse, 1998). Dried fruits also
Proch, 2005), dates demonstrated the highest TPC [1959 mg cat- contain traces of proanthocyanidins (USDA, 2004; Vallejo, Marn,
echin equivalents (CE)/100 g fresh weight (FW)], while figs had & Toms-Barbern, 2012). Proanthocyanidins are detected in
the lowest TPC (320 mg CE/100 g FW) among six dried fruits plums and grapes, but not in prunes and raisins, suggesting
(apricots, cranberries, dates, figs, plums, and raisins) studied. that these compounds are degraded during the drying process
A recent study reported the TPC of two Turkish dried fig vari- (Franke, Custer, Arakaki, & Murphy, 2004; Harnly et al., 2006).
eties of Sarlop and Bursa Siyah to be 193 and 417 mg GAE/ Flavonols have been reported in all selected dried fruits,
100 g DW, respectively (Kamiloglu & Capanoglu, 2015). except dried pears and peaches (Ferreira et al., 2002; Rababah,
Ereifej, & Howard, 2005; Silva, Shahidi, & Coimbra, 2013;
2.2. Flavonoids Villarino, Sandn-Espaa, Melgarejo, & De Cal, 2011). In another
study conducted by Vallejo et al. (2012), four flavonols
The major flavonoids reported in dried fruits are antho- (kaempferol rutinoside, quercetin-acetylglucoside, quercetin-
cyanidins, dihydrochalcones, flavonols, flavones, and flavan- rutinoside, and quercetin-glucoside) were reported in three dried
3-ols. The reported flavonoid contents in selected dried fruits fig cultivars, among which quercetin-rutinoside was the major

Table 1 Phytochemicals in selected dried fruits.


Dried fruit Total phenolicsa Flavonoidsb Flavonolsb Phytoestrogensc Isoflavonesc Total lignansc Carotenoidsd
Apples 916 nr nr nr nr nr nr
Apricots 2256 56.8f nr 445 39.8 401 2.2
Cranberries 1819 7.66 4.50 nr nr nr nr
Dates 661e 2.63 0.93 330 5.1 324 0.97
Figs 1234 105f nr nr nr nr 0.032
Peaches 1260 nr nr nr nr nr 2.08
Pears 1196 nr nr nr nr nr nr
Prunes 1032 2.58 1.80 184 4.2 178 0.69
Raisins 2414 0.85 0.26 30.2 8.1 22.0 nd
a
Data are expressed as mg of AAE/100 g DW and obtained from Ishiwata et al. (2004).
b
Data are expressed as mg/100 g edible portion and obtained from Bhagwat, Haytowitz, and Holden (2014).
c
Data are expressed as g/100 g edible portion and obtained from Thompson et al. (2006).
d
Data are expressed as mg/100 g FW and obtained from Al-Farsi and Lee (2008).
e
Data are expressed as mg of GAE/100 g and obtained from Wu et al. (2004).
f
Data are expressed as mg of QE/100 g and obtained from Ouchemoukh, Hachoud, Boudraham, Mokrani, and Louaileche (2012).
AAE, ascorbic acid equivalents; DW, dry weight; FW, fresh weight; GAE, gallic acid equivalents; nd, not detected; nr, not reported; QE, quercetin
equivalents.
116 Journal of Functional Foods 21 (2016) 113132

Table 2 Comparison of phenolic compounds in selected dried fruits.


Dried fruit Types of phenolic compounds Unit Content References
Apples Dihydrochalcones Phloridzin mg/100 g DW 35.44 Joshi et al. (2011)
Phloretin 0.32
Flavan-3-ols Catechin mg/100 g DW 0.26 Joshi et al. (2011)
Epicatechin 3.11
Flavonols Cyanidin-3-O-galactoside mg/100 g DW 2.97 Joshi et al. (2011)
Quercetin-3-O-rutinoside 1.71
Quercetin-3-O-galactoside 10.49
Quercetin-3-O-glucoside 5.93
Quercetin-3-O-rhamnoside 9.21
Phenolic acids Chlorogenic acid mg/100 g DW 139 Joshi et al. (2011)
Flavonols Quercetin-3-O-galactoside % of total quercetin 36.2 Schulze, Hubbermann, and
Quercetin-3-O-glucoside derivatives 12.2 Schwarz (2014)
Quercetin-3-O-xyloside 6.7
Quercetin-3-O-arabinoside 25.9
Quercetin-3-O-rhamnoside 14.1
Quercetin 4.9
Apricots Flavan-3-olsa Catechin mg/kg DW 47.3 Madrau et al. (2009)
Epicatechin 21.5
Flavonolsa Quercetin-3-O-glucoside mg/kg DW 8.14 Madrau et al. (2009)
Rutin 34.6
Phenolic acidsa Chlorogenic acid mg/kg DW 365 Madrau et al. (2009)
Neochlorogenic acid 221
Dihydrochalconesb Phloridzin mg/kg DW 0.17 Erdogan and Erdemoglu
(2011)
Flavan-3-olsb Catechin mg/kg DW 3.9 Erdogan and Erdemoglu
Epicatechin 20.96 (2011)
Epicatechin gallate 13.26
Epigallocatechin 8.19
Epigallocatechin gallate 8.21
Gallocatechin 2955
Procyanidin B2 5.19
Flavonolsb Myricetin mg/kg DW 1.29 Erdogan and Erdemoglu
Quercetin 0.29 (2011)
Rutin 75.01
Flavoneb Luteolin mg/kg DW 0.43 Erdogan and Erdemoglu
(2011)
Cranberries Flavan-3-ols Catechin mg/100 g FW 0.8 Harnly et al. (2006)
Epicatechin 4.5
Epigallocatechin gallate 1.9
Flavonols Myricetin mg/100 g FW 16.6 Harnly et al. (2006)
Quercetin 19.4
Phenolic acids Caffeic acid mg/100 g FW 2.31 Palikova et al. (2010); Prior
Chlorogenic acid 10.3 et al. (2010)
Ferulic acid 2.96
Gallic acid 14.5
p-Coumaric acid 25.2
Protocatechuic acid 51.2
3-Hydroxybenzoic acid 1.9
3-Hydroxyphenylpropionic acid 1.53
4-Hydroxybenzoic acid 3.42
4-Hydroxyphenylacetic 3.21
Dates Anthocyanins Cyanidin mg/100 g FW 1.7 Harnly et al. (2006)
Flavonols Quercetin mg/100 g FW 0.9 Harnly et al. (2006)
Phenolic acidsc Caffeic acid mg/100 g FW 2.52 Al-Farsi et al. (2005)
Ferulic acid 11.83
Gallic acid 1.56
o-Coumaric acid 2.88
p-Coumaric acid 5.77
Protocatechuic acid 4.94
Syringic acid 2.89
Vanillic acid 2.26
(continued on next page)
Journal of Functional Foods 21 (2016) 113132 117

Table 2 (continued)
Dried fruit Types of phenolic compounds Unit Content References
d
Figs Flavan-3-ols Catechin mg/100 g FW 1.58.67 Slatnar, Klancar, Stampar,
Epicatechin 0.621.83 and Veberic (2011)
Flavonolsd Kaempferol-3-O-glucoside mg/100 g FW 0.39 Slatnar et al. (2011)
Kaempferol-rutinosidee,f 0.22.0
Luteolin-8-C-glucosidee 0.14
Quercetin-acetylglucosidee 2.6
Quercetin-rutinosidee 10.2
Quercetin-3-O-glucosidee 2.87
Quercetin-3-glucosidef 0.20.7
Quercetin-glucosidee 2.5
Rutine,f 9.015
Anthocyanins Cyanidin-3-O-rutinosidee mg/100 g FW 0.19 Vallejo et al. (2012)
Cyanidin-3-glucosidef 0.1
Cyanidin-3-rutinosidef 1.5
Phenolic acidsg Chlorogenic acidg mg/100 g FW 0.83.0 Aegean Exporters
Ellagic acidg 0.2 Associations (2009)
Ferulic acidg 7.19
Gallic acidg 0.1
p-Coumaric acidf,g 1.19.89
Protocatechuic acidg 1.96
Syringic acidg 1.44
Vanillic acidg 33.35
Peaches Anthocyanins Cyanidin-3-glucoside mg/100 g FW 5.1 Rababah et al. (2005)
Phenolic acids Chlorogenic acid mg/kg FW 151 Villarino et al. (2011)
Neochlorogenic acid 85.27
Pears Flavan-3-ols Catechin mg/g DW 2.6 Ferreira et al. (2002)
Epicatechin 15.2
Procyanidins Arbutin mg/g DW 7.5 Ferreira et al. (2002)
Caffeoylquinic acid 6.1
p-Coumarylmallic acid 0.7
Prunes Flavan-3-ols Epicatechin mg/kg DW 7.2 Kayano et al. (2002)
Flavonols Cyanidin 3-rutinoside mg/kg DW 15 Del Caro, Piga, Pinna, Fenu,
Rutin 389 and Agabbio (2004);
Donovan et al. (1998)
Phenolic acids Caffeic acid mg/kg DW 135h Del Caro et al. (2004);
Chlorogenic acid 67562h Donovan et al. (1998);
Neochlorogenic acid 9283045h Kayano et al. (2004);
p-Coumaric acid 243h Kayano et al. (2002)
Protocatechuic acid 0.52.0h
Raisins Anthocyaninsi Cyanidin-3-glucoside mg/L 1.161.56 Marquez et al. (2012)
Delphinidin-3-glucoside 1.451.75
Malvidin-3-glucoside 47.274.1
Pelargonidin-3-glucoside 0.871.04
Peonidin-3-glucoside 20.022.7
Petunidin-3-glucoside 9.3411.4
A-type vitisin of malvidin-3-acetylglucoside 0.440.53
B-type vitisin of peonidin-3-glucoside 0.380.75
Vitisin A 0.110.12
Vitisin B 0.760.84
Cyanidin-3-acetylglucoside 0.670.98
Delphinidin-3-acetylglucoside 0.390.40
Malvidin-3-acetylglucoside 14.316.7
Malvidin-3-caffeoylglucoside 1.561.73
Peonidin-3-acetylglucoside 3.815.57
Petunidin-3-acetylglucoside 5.176.33
Petunidin-3-caffeoylglucoside 2.862.95
Petunidin-3-coumaroylglucoside 2.362.54
Flavonolsj Isorhametin 3-O-glucoside mg/100 g FW 1.25 Williamson and Carughi
Kaempferolk 0.06k (2010)
Quercetin-3-O-rutinoside 0.71
Quercetin-3-O-glucuronide 0.06
Quercetin-3-O-glucoside 2.1
Quercetin 0.29
(continued on next page)
118 Journal of Functional Foods 21 (2016) 113132

Table 2 (continued)
Dried fruit Types of phenolic compounds Unit Content References
Phenolic acids Caffeic acid mg/100 g FW 0.63 Chiou et al. (2007)
Cinnamic acid 0.16
Ferulic acid 0.32
Gallic acid 0.69
p-Coumaric acid 0.36
p-Hydroxybenzoic acid 0.23
p-Hydroxyphenylacetic acid 0.12
Protocatechuic acid 0.44
Syringic acid 0.34
Vanillic acid 1.21
3,4-Dihydroxyphenylacetic 0.1
acid
Flavonolsl Quercetin g/g DW 253 Meng et al. (2011)
Rutin 44.76
Phenolic acidsl Gallic acid g/g DW 1.59 Meng et al. (2011)
Ferulic acid 17.37
p-Coumaric acid 8.6
Salicylic acid 61.23
Syringic acid 17.87
3,4-Dihydroxybenzoic acid 510.94
a
Cafona variety from Italy where data are obtained from Madrau et al. (2009).
b
Unknown from Turkey where data are obtained from Erdogan and Erdemoglu (2011).
c
Three varieties from Oman where data are obtained from Al-Farsi et al. (2005).
d
Unknown from Spain where data are obtained from Slatnar et al. (2011).
e
Autumn free cultivar from Spain where data are obtained from Vallejo et al. (2012).
f
Sarlop and Bursa Siyah varieties of yellow and purple figs from Turkey where data are obtained from Kamiloglu and Capanoglu (2015).
g
Unknown from Turkey where data are obtained from Aegean Exporters Associations (2009).
h
Range (minimum maximum) where data are obtained from Del Caro et al. (2004); Donovan et al. (1998); Kayano et al. (2002); Kayano et al.
(2004).
i
Merlot and Syrah varieties from Spain where data are obtained from Marquez et al. (2012).
j
California variety where data are obtained from Williamson and Carughi (2010).
k
Data are obtained from Chiou et al. (2007).
l
Chinese Thompson seedless where data are obtained from Meng et al. (2011).
DW, dry weight; FW, fresh weight.

one. In a recent study, the total flavonoids, total raisins, the most abundant phenolic acids are caftaric and
proanthocyanidins, and total anthocyanin contents of dried figs coumaric acids (Williamson & Carughi, 2010). In addition, Cali-
from Sarlop and Bursa Siyah varieties were 1452 mg GAE/ fornian and Chinese raisins have been reported to contain gallic,
100 g DW, 1216 mg cyanidin equivalents (CE)/100 g DW, and vanillic, syringic, ferulic, chlorogenic, 3,4-dihydroxybenzoic, cin-
0.114.5 mg cyanidin-3-glycoside equivalents (C3GE)/100 g DW, namic, protocatechuic, and phloretic acids (Meng et al., 2011;
respectively (Kamiloglu & Capanoglu, 2015). Specifically, Parker, Wang, Pazmio, & Engeseth, 2007; Williamson & Carughi,
rutin and cyanidin-3-rutinoside were the major flavonol and 2010; Zhao & Hall, 2008). However, Greek raisins contained va-
anthocyanin in both Turkish dried figs varieties. Anthocyan- nillic, caffeic, gallic, syringic, p-coumaric, and protocatechuic
ins, such as cyanidin-3-glucoside and cyanidin-3-rutinoside, acids (Chiou et al., 2007). Raisins of nine grape genotypes from
were reported in Turkish dried figs (Kamiloglu & Capanoglu, Xinjiang Province of China were studied by Meng et al. (2011),
2015), but these anthocyanins were not found in Spanish dried where 3,4-dihydroxybenzoic acid was the most predominant
figs (Vallejo et al., 2012). Flavones, such as luteolin, were re- phenolic acid in a majority of raisin samples. Besides, sali-
ported only in dried apricots (Erdogan & Erdemoglu, 2011), while cylic acid was found in raisins from nine Chinese varieties
apigenin was detected in dried figs (Kamiloglu & Capanoglu, (Meng et al., 2011), which was different from that reported by
2015). Williamson and Carughi (2010), Zhao and Hall (2008), and Parker
et al. (2007).
2.3. Phenolic acids Four free phenolic acids (protocatechuic, vanillic, syringic,
and ferulic) and nine bound phenolic acids [five of which are
The reported phenolic acids determined in selected dried fruits hydroxylated derivatives of benzoic acid (e.g., gallic, protocat-
are given in Table 2, while the structures of the representa- echuic, p-hydroxybenzoic, vanillic, and syringic acids) and four
tive phenolic acids in selected dried fruits are shown in Fig. 1. of which are cinnamic acid derivatives (e.g., caffeic, p-coumaric,
Phenolic acids such as hydroxycinnamic and hydroxybenzoic ferulic, and o-coumaric acids)] have been reported in fresh and
acids have been reported in selected dried fruits, except in dried sun-dried Omani dates of three native varieties (Al-Farsi,
pears (Ferreira et al., 2002; Silva, Shahidi, & Coimbra, 2013). In Alasalvar, Morris, Baron, & Shahidi, 2005). Meanwhile, seven
Journal of Functional Foods 21 (2016) 113132 119

Fig. 1 Chemical structures of representative phenolic compounds (phenolic acids, flavonols, and anthocyanidins) reported
in dried fruits.

phenolic acids (free and bound), four of which being hydrox- 2.4. Phytoestrogens
ylated benzoic acid derivatives (gallic, protocatechuic, syringic,
and vanillic acids) and three being cinnamic acid derivatives Dietary phytoestrogens present in dried fruits have attracted
(chlorogenic, ferulic, and p-coumaric acids), have been iden- much interest due to their potential protective effects against
tified in Turkish dried figs. Bound phenolics were most abundant various disease conditions such as cancer, cardiovascular
in dried figs where their amounts were much higher than those disease (CVD), osteoporosis, and menopausal symptoms
of free phenolics (Aegean Exporters Associations, 2009; (Bradford & Awad, 2007; John, Sorokin, & Thompson, 2007). They
Al-Farsi et al., 2005). However, Vallejo et al. (2012) found only comprise three major classes: isoflavones, lignans, and
one phenolic acid (chlorogenic acid) in Spanish dried fig cul- coumestan (John et al., 2007). Some dried fruits, such as apri-
tivars at 1.42.0 mg/100 g edible portion. cots, currants, dates, prunes, and raisins, contain phytoestrogens
Prunes are unique in their combination and overall content [e.g., isoflavones (formononetin, daidzein, genistein, and
of polyphenols (Neveu et al., 2010; Vrhovsek, Rigo, Tonon, & glycitein), lignans (e.g., matairesinol, lariresinol, pinoresinol,
Mattivi, 2004) and are rich in hydroxycinnamic acids, such as and secoisolariciresinol), and coumestan (coumestrol)]. The
neochlorogenic, cryptochlorogenic, and chlorogenic acids (Neveu structures of the representative phytoestrogens of dried fruits
et al., 2010; Piga, Del Caro, & Corda, 2003). Prunes also contain are shown in Fig. 2.
quinic acid that is metabolised to hippuric acid, which may Apricots contain the highest amount of phytoestrogens
help alleviate urinary tract infection (Fang, Yu, & Prior, 2002; (445 g/100 g) among dried fruits, followed by dates (330 g/
Kayano, Kikuzaki, Fukutsuka, Mitani, & Nakatani, 2002). Another 100 g), prunes (184 g/100 g), and raisins (30.2 g/100 g) (Table 1)
study reported the presence of different caffeoylquinic acid (Thompson, Boucher, Liu, Cotterchio, & Kreiger, 2006). Dried
isomers in prunes (Kayano et al., 2004). Rutin and chloro- fruits contain a higher concentration of lignans (ranging from
genic acid have also been identified as the main phenolic 22.0 to 401 g/100 g) than isoflavones (ranging from 4.2 to
compounds responsible for the in vitro anti-cancer (lung, breast, 39.8 g/100 g) (Table 1). Coumestan, expressed as coumestrol,
liver, and colon) activities of prunes, as recently shown by Li is generally present in low amounts in dried fruits (Thompson
et al. (2013). et al., 2006). Dried apricots contain daidzein, genistein, and
120 Journal of Functional Foods 21 (2016) 113132

Fig. 2 Chemical structures of representative phytoestrogens reported in dried fruits.

biochanin A in trace amounts (Kuhnle et al., 2009; Liggins et al., reducing antioxidant power (FRAP), oxygen radical absor-
2000). Meanwhile, dried figs contain a relatively low amount bance capacity (ORAC), 2,2-azino-bis(3-ethylbenzothiazoline-
of isoflavones (5.97 g/100 g) compared to other dried fruits, 6-sulphonic acid) (ABTS), cupric ion reducing antioxidant
except dried apricots (4.27 g/100 g) (Liggins et al., 2000). capacity (CUPRAC), and 2,2-diphenyl-1-picrylhydrazyl (DPPH)
However, detailed quantitative analysis on different classes of radical scavenging activity. Dried fruits are rich sources of
phytoestrogens in different forms and varieties of other dried antioxidant polyphenols. The ORAC values for selected dried
fruits remains unexplored. Thus, more research should be con- fruits are given in Table 3. Raisins (golden seedless) have the
ducted to fill this knowledge gap. highest ORAC value [10,450 mol trolox equivalents (TE)/
100 g], followed by dried pears, prunes, apples, peaches, figs,
2.5. Carotenoids and apricots. Interestingly, dates have the lowest ORAC
(2387 mol TE/100 g) and TPC (661 mg GAE/100 g) among nine
Five carotenoids, namely, -carotene, -carotene, tested dried fruits (USDA, 2010; Wu et al., 2004). The DPPH
-cryptoxanthin, lutein, and zeaxanthin, have been reported radical scavenging activity and the TPC of selected dried fruits
in some dried fruits. Of these, -carotene, which acts as pro- (apples, apricots, cranberries, figs, raisins, peaches, pears, and
vitamin A, is most abundant in dried apricots (2163 g/100 g), prunes) have been determined by Ishiwata et al. (2004) (Tables 1
followed by peaches (1074 g/100 g), and prunes (394 g/ and 3). Apricots contained the highest DPPH radical scaveng-
100 g). Lutein + zeaxanthin (559 g/100 g) and -cryptoxanthin ing activity, followed by prunes and cranberries (Table 3). The
(444 g/100 g) are detected only in dried peaches. Dates are the TPC of dried fruits were highly correlated with DPPH radical-
third richest source of carotenoids after dried apricots and scavenging activity (Ishiwata et al., 2004). Pellegrini et al.
peaches (Table 1) (Al-Farsi & Lee, 2008; USDA, 2014). Dates can (2006) determined the total antioxidant activity (using three
be considered a moderate source of carotenoids (Vayalil, 2012). different in vitro assays) of some dried fruits (apricots, figs,
No carotenoids have been reported in raisins, while small or prunes, and raisins) in which prunes had the highest value
trace amounts of carotenoids have been found in dried apples, followed by apricots. However, limited information is avail-
figs, pears, and prunes (Al-Farsi & Lee, 2008; Delgado-Pelayo, able on the phenolic profiles and antioxidant components of
Gallardo-Guerrero, & Hornero-Mndez, 2014; USDA, 2014). The other dried fruits in the study conducted by Pellegrini et al.
low level of carotenoids in dried fruits may be due to the drying (2006).
process since carotenoids are sensitive to heat (Namitha & Negi, Various studies have reported the bioactive compounds and
2010; Rawson et al., 2011). However, USDA (2014) Nutrient Da- corresponding antioxidant activities of dried fruits (e.g., peaches
tabase reported that drying significantly increased carotenoids and dates) which are always higher than those of their corre-
concentration (-carotene, -cryptoxanthin, and lutein) in dried sponding fresh counterparts (Ishiwata et al., 2004; Rababah et al.,
peaches compared to its fresh counterpart.This happens because 2005; Threlfall, Morris, & Meullenet, 2007; Vinson et al., 2005).
of the removal of water that concentrates the phytochemicals. This is because antioxidants are concentrated after the dehy-
dration process. Even though there is a loss or change of some
2.6. Antioxidant efficacies of dried fruits phytochemicals during drying, antioxidant activity and TPC of
dried fruits remain relatively unaffected during the process,
A number of methods have been used to determine the anti- but many of the phenolic compounds remain to be identified
oxidant activity of selected dried fruits. These include ferric (Madrau, Sanguinetti, Del Caro, Fadda, & Piga, 2010).
Journal of Functional Foods 21 (2016) 113132 121

Table 3 Antioxidant activities of selected dried fruits.


Dried fruit DPPH ORAC TAC L-ORACFL H-ORACFL FRAP
(mg AAE/100 g DW)a (mol TE/100 g)b (mol TE/g)c (mol TE/g)c (mol TE/g)c (mmol Fe2+E/kg)d
Apples 875 6681 nr nr nr nr
Apricots 3846 3234 nr nr nr 36.64
Cranberries 3079 nr nr nr nr nr
Dates nr 2387 23.87 0.27 23.6 nr
Figs 1087 3383 33.83 1.83 32.0 14.43
Peaches 1442 4222 67.6f nr nr nr
Pears 1301 9496 nr nr nr nr
Prunes 3112 8578 85.78 1.79 83.99 60.54
Raisins 1346 10450e 30.37 0.35 30.02 23.26
a
Data are obtained from Ishiwata et al. (2004).
b
Data are obtained from USDA (2010).
c
Data are obtained from Wu et al. (2004).
d
Data are obtained from Pellegrini et al. (2006).
e
Golden seedless raisins.
f
Data are obtained from Rababah et al. (2005).
AAE, ascorbic acid equivalents; DPPH, 2,2-diphenyl-1-picrylhydrazyl; DW, dry weight; Fe2+E, Fe2+equivalents; FRAP, ferric-reducing antioxidant
power; H-ORACFL, hydrophilic-oxygen radical absorbance capacity; L-ORACFL, lipophilic-oxygen radical absorbance capacity; nr, not reported;
ORAC, oxygen radical absorbance capacity; TAC, total antioxidant capacity; TE, trolox equivalents.

The lipophilic and hydrophilic ORAC (L-ORAC and H-ORAC)


values for dates, figs, prunes, and raisins are shown in Table 3.
For those dried fruits, the hydrophilic antioxidants contrib-
Table 4 Changes in TPC and antioxidant activities of
uted more than 94% to the total antioxidant activity (Wu et al.,
selected dried fruits during different stages of in vitro
2004). Recently, the antioxidant activities of Turkish dried apri- gastrointestinal digestion.a
cots, figs, and raisins have been determined using ABTS,
Dried fruits Unit Apricots Figs Raisins
CUPRAC, DPPH, and FRAP assays. The antioxidant activities were
in the descending order of raisins > apricots > figs (Table 4) TPC (mg GAE/100 g)
Initial 211 9.4 123 7.8 1322 59
(Kamiloglu, Pasli, Ozcelik, & Capanoglu, 2014). Meanwhile, the
PG 694 50 575 56 1294 95
quality of antioxidants reported as IC50 [expressed in the con-
IN 133 8.9 85 8.8 104 4.4
centration needed to inhibit in vitro oxidation of low-density OUT 619 15 369 45 1355 129
lipoprotein (LDL) particles by 50%] in dried cranberries, raisins, ABTS (mg TE/100 g)
and prunes were 2.38, 3.45, and 4.38, respectively (Vinson et al., Initial 238 4.4 163 14 2262 186
2005). Antioxidants of dried figs have been reported to protect PG 291 34 280 9.0 887 119
plasma lipoproteins from subsequent oxidation. In addition, IN 77 4.3 68 5.3 79 2.0
OUT 380 13 340 64 1071 189
these antioxidants increased the plasma antioxidant capac-
DPPH (mg TE/100 g)
ity up to 4 h after consumption, alleviating the oxidative stress Initial 82 3.8 44 4.4 1204 70
induced after consumption of high fructose corn syrup in a PG 281 48 247 25 1818 50
carbonated soft drink (Vinson et al., 2005). IN 33 2.4 14 1.7 54 2.5
OUT 123 10 81 18 2132 314
CUPRAC (mg TE/100 g)
2.7. Bioaccessibility of bioactive compounds from dried Initial 374 71 152 19 2351 58
fruits PG 627 48 486 42 2274 242
IN 183 35 124 13 214 7.8
Dried fruits are popular due to their high nutrient and phar- OUT 680 67 404 70 2723 243
maceutical values (Alasalvar & Shahidi, 2013a, 2013b). However, FRAP (mg TE/100 g)
limited information is available on the absorption, distribu- Initial 108 9.7 46 4.4 646 12
PG 218 50 142 9.6 987 69
tion, metabolism, and excretion of their bioactive compounds
IN 36 3.5 21 0.5 72 3.7
in humans, especially about the bioaccessibility and bio- OUT 219 34 67 0.9 896 131
availability of antioxidant polyphenols from dried fruits. a
Data are obtained with permission from Kamiloglu et al. (2014).
Kamiloglu and Capanoglu (2013) have evaluated the total an-
ABTS, [2,2-azino-bis(3-ethylbenzothiazoline-6-sulphonic acid)];
tioxidant activity, total proanthocyanidins, and major phenolic CUPRAC, cupric ion reducing antioxidant capacity; DPPH 2,2-diphenyl-
compounds of Turkish dried fig varieties at different phases 1-picrylhydrazyl; FRAP, ferric-reducing antioxidant power; GAE, gallic
of simulated gastrointestinal (GI) tract digestion [(after gastric acid equivalents; IN, dialysed fraction after intestinal digestion; Initial,
digestion (PG), dialysed fraction after intestinal digestion (IN), as initially determined from sample matrix using 75% aqueous-
and non-dialysed fraction after intestinal digestion (OUT)] using methanol containing 0.1% formic acid; OUT, non-dialysed fraction
after intestinal digestion; PG, compounds remaining after gastric di-
an in vitro model. The dialysed fraction after intestinal diges-
gestion; and TE, trolox equivalents.
tion represents serum bioavailability of dried fruits (Kamiloglu
122 Journal of Functional Foods 21 (2016) 113132

& Capanoglu, 2013). They found that dried figs rendered higher dietary allowances (RDA) or adequate intake (AI) for adults
bioavailability of chlorogenic acid compared to fresh figs after (Alasalvar & Shahidi, 2013a, 2013b). High intake of potassium
intestinal digestion (IN fraction). On the other hand, lower can help in reducing blood pressure (Lichtenstein et al., 2006).
bioavailability of rutin from dried figs after intestinal diges- High fibre diets are recommended to reduce the risk of devel-
tion (IN fraction) was evident. Besides, an increase in the oping various NCDs, including type II diabetes, obesity,
amounts of both cyanidin-3-glucoside and cyanidin-3-rutinoside diverticulitis, colorectal cancer, and CVD (Anderson et al., 2009).
of dried purple figs was observed after gastric digestion (PG frac- Dried fruits are excellent sources of carbohydrates and
tion). However, no anthocyanins were detected in dried figs after sugars, such as glucose and fructose (Alasalvar & Shahidi, 2013a,
intestinal digestion (IN fraction), indicating low bioaccessibility 2013b). Due to their sweetness, dried fruits are expected to exert
of anthocyanins (Kamiloglu & Capanoglu, 2013). The antioxi- a high glycaemic index (GI) (70 and above) and insulin re-
dant activity (determined using ABTS assay) and total sponse. However, various studies have demonstrated that dried
proanthocyanidin content of dried figs decreased 83% and in- fruits have a low (55 and lower) to moderate (5669) glycaemic
creased 140%, respectively, after intestinal digestion (IN fraction). and insulin indices, and hence, good glycaemic and insulin re-
Recently, the impact of GI digestion on the TPC and anti- sponse comparable to those of fresh fruits (Anderson et al.,
oxidant activities of dried apricots, figs, and raisins have been 2011a, 2011b; Esfahani, Lam, & Kendall, 2014; Kim, Hertzler,
determined, as summarised in Table 4 (Kamiloglu et al., 2014). Byrne, & Mattern, 2008). This could be due to the presence of
There was an increase in TPC (0.4-4.5-fold) for all samples after fibre, phenolic compounds, and tannins that are able to mod-
the gastric digestion (PG fraction). The antioxidant activities erate the response. Thus, dried fruits with a low GI may help
of dried apricots and figs were increased determined using to reduce the risk of diabetes and are useful for the medical
ABTS, CUPRAC, DPPH, and FRAP assays (Table 4). This indi- nutritional therapy of hyperglycaemic conditions (Alasalvar &
cates an increase in the amount of polyphenols after the gastric Shahidi, 2013a, 2013b).
phase of the in vitro digestion process. However, after the pan- Dietary phytoestrogens in dried fruits also play beneficial
creatic digestion phase (IN fraction), these antioxidants were roles in diabetes, bone health, breast cancer, CVD, and meta-
degraded by the alkaline pH, giving rise to a significant loss bolic syndrome (Poluzzi et al., 2014). Isoflavones and lignans
in antioxidant activity after in vitro digestion. These results are from dates appear to act through various mechanisms that
consistent with a recent study on Turkish dried fig varieties modulate pancreatic insulin secretion or through antioxi-
(Kamiloglu & Capanoglu, 2015), demonstrating higher TPC, total dant action. Besides, they may also act via estrogen receptor-
flavonoids, and total anthocyanin contents after gastric diges- mediated mechanisms. Recently, it has been shown that
tion (PG fraction). However, low bioavailabilities of TPC, total genistein and daidzein from dates play important roles in the
flavonoids, and total anthocyanins were noted after intesti- regulation of glucose homeostasis (Choi, Jung, Yeo, Kim, & Lee,
nal digestion. Interestingly, total antioxidant activity of dried 2008). Besides, genistein and daidzein also improve plasma
figs increased after intestinal digestion (Kamiloglu & Capanoglu, triacylglycerol (TAG) and free fatty acid (FFA) concentrations
2015). by reducing intestinal cholesterol absorption (John et al., 2007).
Even though simulated in vitro GI tract digestion model Hence, it may be presumed that high amounts of phyto-
cannot directly imitate the human in vivo conditions, this model esterogens contained in dried fruits may potentially help to
might be helpful for investigating the effect of food matrix and maintain normal glucose and lipid metabolism in both healthy
enzymes on polyphenol bioaccessibility. In addition, determi- populations as well as in obese/diabetic patients (Choi et al.,
nation of bioaccessibility by in vitro models can be well- 2008; John et al., 2007).
correlated with the results from human studies and animal Various scientific evidence suggest that individuals who
models (Kamiloglu & Capanoglu, 2013, 2015; Kamiloglu et al., consume dried fruits regularly have a lower risk of CVD, obesity,
2014). More research should be carried out to determine the certain types of cancer, type II diabetes, metabolic syndrome,
metabolites of bioactive compounds from dried fruits after inflammatory bowel disease, and osteoporosis as well as other
urinary excretion coupled together with cellular models such NCDs (Al-Farsi & Lee, 2008; Anderson & Waters, 2013; Kundu
as Caco-2 in order to obtain more qualitatively well-correlated & Surh, 2013; Lever, Cole, Scott, Emery, & Whelan, 2014; Vayalil,
results with human/clinical studies. These data are essential 2012). Table 5 summarises the health benefits of selected dried
for demonstrating the true biological relevance of these com- fruits and their active components using only well-designed
pounds in the context of nutrition and human health (Kamiloglu animal or human studies. The health benefits of dried fruits
& Capanoglu, 2015; Kamiloglu et al., 2014). are mainly due to the additive and synergistic combinations
of their essential nutrients and phytochemicals (such as
anthocyanidins, carotenoids, phytoestrogens, flavan-3-ols, fla-
vones, flavonols, and phenolic acids) related to their antioxidant
3. Beneficial health effects of dried fruits activities (Liu, 2003; Parker et al., 2007; Rankin, Andreae, Oliver
Chen, & OKeefe, 2008; Vinson et al., 2005). A number of studies
Since numerous health-beneficial phytochemicals are found demonstrating the health benefits of various dried fruits have
even after processing of fruits, regular intake of dried fruits can been undertaken and these are outlined below.
exert various health benefits. Dried fruits are essential sources
of potassium and dietary fibre with a low amount of fat (0.32 3.1. Improved diet quality and overall health
0.93 g/100 g). It has been reported that consuming 40 g (on a
per serving basis) of dried fruits supplies 3.89.9% of potas- Epidemiological studies, specifically, the National Health
sium and more than 9% of dietary fibre for recommended and Nutrition Examination Survey (NHANES) (19992004)
Table 5 Health promoting properties and mechanism of actions demonstrated by selected dried fruits determined in humans and animals.
Health effects Dried fruits/bioactives Study design Results/mechanisms Reference

Cardio Cranberries/phenolics Randomised, double-blind, and placebo- Improvement in lipid profiles, liver function indices as well as antioxidant defences. Valentov et al. (2007)
protective controlled trial
Artherogenic-induced rats Improvement in lipid profiles, liver function indices as well as pro-inflammatory Kim, Ohn, Kim, and Kwak
biomarkers. (2011)
Raisins Randomised and controlled intervention Improved lipid profiles and inflammatory biomarkers. Puglisi et al. (2008)
trial
Apricots/phenolics Ischeamia-reperfusion (I/R) rats model Alleviation of I/R injury in hearts by enhancement of antioxidant defences with Parlakpinar et al. (2009)
reduced lipid peroxidation.
Prunes/pectin Apolipoprotein E-deficient mice Improved arterial atherosclerotic lesion with lowered plasma lipid profiles. Gallaher and Gallaher (2009)
Anti- Cranberries/phenolics Prospective, longitudinal, and followed-up Improved antioxidant defence in vivo, relief and remission from urological symptoms Bailey, Dalton, Daugherty, and
pathogenic study during regular and frequent urination, and reduced severity and prevalence of urinary Tempesta (2007)
/antibiotic problems.

Journal of Functional Foods 21 (2016) 113132


Cranberry/A-type Randomised, double blind, controlled, and Reduced severity of urinary tract infections with antibiotic effects. Sengupta et al. (2011)
cranberry dose dependent clinical trial
proanthocyanidins
Apricots Prospective, longitudinal, and followed-up Reduced the severity and prevalence of urinary problems. Debre et al. (2010)
epidemiological study
Randomised and controlled intervention Protection against Helicobacter pylori-induced chronic atrophic gastritis, which leads to Enomoto et al. (2010)
trial gastric cancer.
Prunes Growing broiler chicks Beneficial effects in intestinal and immunity. Jang, Kang, and Ko (2013)
Anti-diabetic/ Cranberries/ Normal aging rats Improved antioxidant status, protection and enhancement of pancreatic functions, Zhu et al. (2011)
hypoglycaemic flavonoids and maintenance of insulin release in normal aging rats.
Dates Randomised and controlled clinical trial Improved glycaemic and lipid controls in both healthy and diabetic patients. Famuyiwa et al. (1992); Miller,
Dunn, and Hashim (2003)
Type I diabetic rats Improved glucose homeostasis in type I diabetes and lipid profiles. Choi et al. (2008)
Raisins (Corinthian)/p- Two-armed, randomised, and controlled, Improved diastolic blood pressure and total antioxidant potential in patients with Kanellos et al. (2014)
hydroxybenzoic acid prospective intervention trial well-controlled type II diabetes.
Raisins Randomised and controlled clinical trial Reduced glycaemia, systolic blood pressure, and cardiovascular risk factors. Anderson et al. (2014)
Raisins (Corinthian) Randomised and controlled clinical trial Improved glycaemic and insulin emic responses in healthy people and diabetic Kanellos et al. (2013)
patients.
Raisins Single cross-over clinical trial Improved glycaemic and insulin response in diabetic patients and college aged Anderson et al. (2011a);
students. Anderson et al. (2011b)
Raisins Randomised and controlled clinical trial Improved blood pressure, glycaemic, and insulin response in diabetic patients. Bays et al. (2015)
Raisins Partial randomised and crossover controlled Improved glycaemic and insulin response in healthy individuals. Esfahani et al. (2014)
trial
Cranberries Obese-diabetic rats Improved insulin emic and glycaemic control with enhanced antioxidant defence. Kim, Chung, Kim, and Kwak
(2013)
Antioxidative Apricots, cranberries, Randomised and controlled clinical trial Enhancement in plasma antioxidant capacity, alleviating postprandial oxidative stress Vinson et al. (2005)
dates, figs, plums, and after high sugar-drink intake.
raisins/phenolics
Raisins Randomised, controlled, and cross-over Protect plasma lipoproteins from oxidation. Parker et al. (2007)
clinical trial Increased serum antioxidant capacity after postprandial oxidative stress. Cao et al. (1998)
Randomised, placebo-controlled, and Moderate enhancement in serum antioxidant capacity, alleviating pro-inflammatory Rankin et al. (2008)
crossover clinical trial biomarkers.
Cranberries Randomised, double-blind, and placebo Prevention of urinary tract infection as together with oxidative stress in vivo. Valentov et al. (2007)
controlled trial
Apricots Methotrexate-induced nephrotoxic rats Alleviation of nephrotoxicity by up-regulating endogenous antioxidant enzymes, Vardi, Parlakpinar, Ates,
increasing blood antioxidant capacity. Cetin, and Otlu (2013)
Prevented apoptosis and glomerulosclerosis in kidney. Vardi et al. (2013)

123
(continued on next page)
124
Table 5 (continued)
Health effects Dried fruits/bioactives Study design Results/mechanisms Reference

Lipid-lowering Peach, apple, and Obese-induced rats Improved plasma and liver lipid profiles as well as antioxidant status (apple). Gorinstein et al. (2002)
effects pear/phenolics
Raisins Randomised, controlled, and cross-over Improved lipid profiles, oxidative defence mechanisms, and colon function. Bruce et al. (1997); Bruce et al.
intervention trial (2000)
Dates Hyper-cholesterolaemic rats Modulate cholesterol absorption or metabolism by improving lipid profiles and body Alsaif et al. (2007)

Journal of Functional Foods 21 (2016) 113132


weight.
Apples Normal and artherogenic rats Improved lipid profiles and reduced lipid peroxidation. Aprikian et al. (2001);
Leontowicz, Leontowicz,
Gorinstein, Martin-Belloso,
and Trakhtenberg (2007)
Prunes Ovariectomy-induced hypercholesterolaemic Improved lipid profiles. Lucas, Juma, Stoecker, and
rats Arjmandi (2000)
Bone health/ Prunes/phenolics Randomised and controlled clinical trial Improved biochemical markers of bone turnover and muscular strength in breast Simonavice et al. (2013)
osteoprotective cancer survivors.
C57BL/6J mice Prevents ovariectomy-induced bone loss while modulating the immune response. Rendina et al. (2012)
Randomised, controlled, and clinical trial Improved bone mineral density in postmenopausal women by partly suppressing the Hooshmand et al. (2011)
rate of bone turnover.
Orchidectomised osteopenic rats Reversed bone loss by improving bone mineral density due to osteoporosis. Bu et al. (2007)
Male osteoporotic rats Prevents bone loss by increasing bone formation. Franklin et al. (2006)
Randomised, controlled, and intervention Improved indices of bone formation in postmenopausal women. Arjmandi et al. (2002)
trial
Hepatoprotective Apricots Ethanol-induced rats Alleviated ethanol-induced liver damage in rats, enhanced liver antioxidant defences, Yurt and Celik (2011)
and prevented liver carcinogenesis.
Prunes Randomised, controlled, and clinical trial Improved levels of liver enzymes for better control of hepatitis. Ahmed, Sadia, Khalid, Batool,
and Janjua (2010)
Appetite and Prunes/fibre Randomised within-subject crossover Better control of hunger, desire, and motivation to eat between snack and meal. Farajian, Katsagani, and
satiety intervention trial Zampelas (2010)
control Raisins Randomised, controlled, and intervention Altering hormones influencing satiety by reducing hunger and improved lipid profiles. Puglisi et al. (2009)
trial
Metabolic Cranberries/ Metabolic syndrome rats model Improved plasma glucose, lipid profiles, and kidney function associated with Khanal, Rogers, Wilkes,
syndrome procyanidins metabolic syndrome. Howard, and Prior (2010)
Gastrointestinal Prunes Randomised, controlled, and intervention Managing constipation by improving the frequency of bowel movements, ease on Pasalar and Lankarani (2015);
function trial defecation. Pasalar, Lankarani,
Mehrabani, Tolide-ie, and
Nasri (2013)
Inflammatory Cranberries/phenolics Dextran sulphate sodium induced-colitis Reduced inflammatory responses and prevented symptoms in colitis. Xiao et al. (2015)
bowel and fibre rats model
disease
Journal of Functional Foods 21 (2016) 113132 125

demonstrate the association of dried fruit consumption and 3.4. Lipid-lowering effect
reduced risks of NCDs (Keast et al., 2011). In the diet study, com-
prising 13,292 participants, dried fruit consumers are defined An in vivo study was carried out in rats fed on a diet with or
as those who consume at least one-eighth cup-equivalent of without 1% cholesterol and 10% dried peaches, apples, or pears.
fruit per day. Diet quality was measured using the Healthy Dried peach supplementation of a cholesterol-containing diet
Eating Index 2005. Dried fruit consumers had improved significantly prevented the increase in plasma and liver lipids,
MyPyramid food intake, including lower solid fats/alcohol/ although the values were still higher than those of rats fed
added sugars intake than non-consumers. The total Healthy cholesterol-free diets (Gorinstein et al., 2002). However, dried
Eating Index 2005 score was significantly higher (p < 0.01) in peach supplementation had no effect on plasma antioxidant
consumers (59.3 0.5) than non-consumers (49.4 0.3). The capacity and serum lipid oxidation levels. Meanwhile, dried
average energy intake of dried fruit consumers was 1038 kJ apples were more effective than dried peaches and pears in
higher than non-consumers. However, weight, body mass index alleviating lipid levels and markers of oxidative stress. The
(BMI), waist circumference, subscapular skinfolds, and risk of authors suggest that this may be due to higher concentra-
overweight were all inversely related to dried fruit consump- tions of phenolic compounds found in dried apples, where the
tion. Additionally, diastolic and systolic blood pressures were effects on lipid levels may also be dependent on the fibre
also inversely associated with dried fruit consumption in this content, which was high in all dried fruits (Gorinstein et al.,
population (Keast et al., 2011). The prevalence and risk for 2002).
overweight/obesity (56.2 2.3 vs 65.8 0.7; p < 0.01; odds ratio,
0.65; and 95% confidence interval, 0.520.81) were both lower 3.5. Antioxidative and anti-inflammation effects
in dried fruit consumers than non-consumers. In short, dried
fruit consumption was associated with improved nutrient Study of serum antioxidant capacity after consumption of
intakes (vitamins A, E, and K, magnesium, phosphorus, and po- raisins was conducted by Parker et al. (2007). Consumption of
tassium), a higher overall diet quality score, and lower body raisins for 4 weeks increased serum antioxidant capacity by
weight/adiposity measures (Keast et al., 2011). the second and third week during the study duration. However,
antioxidant capacity fell again in the fourth week. The authors
postulated that there may be a physiological plateau of 2 or 3
3.2. Anti-glaucoma effect weeks after consistent consumption. At the same time, Cao,
Booth, Sadowski, and Prior (1998) reported similar results. It
Specific health benefit of dried peach consumption was dem- was speculated that the high sugar content of raisins may have
onstrated by another cohort study (Coleman et al., 2008). The affected the antioxidant capacity of blood by inducing post-
association between glaucoma and the consumption of spe- prandial oxidative stress (Parker et al., 2007). A more recent
cific fruits and vegetables was studied in a cohort of women study found that serum antioxidant capacity was modestly in-
aged 65 and older, with osteoporotic fractures. The odds ratio creased by daily consumption of raisins, but this did not alter
for the risk of glaucoma were lowered by 47% in women who postprandial inflammatory response in these relatively healthy
consumed at least one serving per week of dried peaches com- but overweight individuals (Rankin et al., 2008). In another study,
pared to those who consumed less than one serving per month. feeding sun-dried raisins prior to and during a triathlon to
However, consumption of one, two, or more servings of fresh trained athletes significantly lowered the urinary pro-
peaches per week did not have any effect (Coleman et al., 2008). inflammatory biomarkers compared to feeding of a glucose
The protective effect of dried peaches may be due to their drink with the same energy content, suggesting the excellent
content of vitamin A or provitamin A carotenoids, especially antioxidant capacity of raisins in vivo (Spiller, Schultz, Spiller,
-cryptoxanthin, which may become more bioavailable after & Ou, 2002). Meanwhile, the effect of diets containing raisins
processing (Coleman et al., 2008; Namitha & Negi, 2010). The alone or together with other plant materials with improved
authors recommended that randomised controlled trials are blood lipid profiles have also been reported (Bruce, Spiller, &
needed to determine whether the intake of specific nutrients Farquhar, 1997; Bruce, Spiller, Klevay, & Gallagher, 2000). These
from dried peaches changes the risk of glaucoma (Coleman imply that inclusion of raisins in the daily diet could reduce
et al., 2008). the risk of CVD by increasing plasma antioxidant capacity, low-
ering the total and LDL cholesterol concentrations and reducing
inflammation (Shahidi & Tan, 2013).
3.3. Anticancer effect
3.6. Antibiotic/anti-pathogenic effect
The potential anticancer effects of dried fruits were reported
by Mills, Beeson, Phillips, and Fraser (1989) in a cohort study Dried cranberries are particularly effective in reducing reoc-
of diet, lifestyle, and prostate cancer risk of approximately 14,000 currence and severity of urinary tract infections (UTIs), as
Seventh-day Adventist men. During a 6-year follow-up period, already reviewed in the existing literature (Howell, 2007; Howell
they found that increased consumption of raisins, dates, and et al., 2005; Jepson & Craig, 2007; Vasileiou, Katsargyris,
other dried fruits were significantly associated with de- Theocharis, & Giaginis, 2013). This approach has attracted in-
creased prostate cancer risk. Moreover, the decreased risk of creasing attention due to antibiotic resistance which leads to
prostate cancer was not related to exposure to vegetarian life- ineffective treatment and persistent reoccurrence of UTIs. In
style during childhood, suggesting the potential benefits of dried a recent review by Micali et al. (2014), after evaluation of the
fruits in the prevention of prostate cancer (Mills et al., 1989). efficacy/safety ratio of dried cranberry in the prevention of UTIs,
126 Journal of Functional Foods 21 (2016) 113132

the use of dried cranberry in the prevention of recurrent UTIs in healthy individuals. In addition, dried fruits consumption
in young and middle-aged women is strongly recommended. would benefit the control of diabetes in patients (Anderson et al.,
However, evidence of its clinical use among other patients 2011a; Famuyiwa et al., 1992). Some recent well-controlled clini-
remains to be investigated. cal trials have shown the beneficial effects of raisins compared
to fresh fruits and processed snacks in improving glycaemic
3.7. Cardioprotection effect and insulin response in diabetic patients with cardiovascular
risk factors (Table 5) (Anderson, Weiter, Christian, Ritchey, &
A 1-year randomised cross-over clinical trial was conducted Bays, 2014; Bays, Weiter, & Anderson, 2015; Kanellos et al., 2013,
to evaluate the effect of dried apples vs prunes consumption 2014).
(75 g/day) in reducing CVD risk factors in postmenopausal In summary, well-designed human intervention studies are
women (Chai et al., 2012). The authors found that there was needed to further validate the health effects of various dried
no significant difference (p > 0.05) between the effects of dried fruits, especially dried peaches, where studies on their poten-
apples and prunes in altering serum levels of cholesterols except tial health benefits are scarce (Table 5). Some limitations from
total cholesterol after 6 months. However, when within treat- previous studies need to be addressed to demonstrate more
ment group comparisons are made, consumption of dried affirming results. It has been suggested that future human
apples (about two medium-sized apples) can significantly lower studies should address subject characteristics, their health
atherogenic cholesterol levels as early as 3 months. Both dried status, and other confounding factors before making any re-
apples and prunes were able to lower serum levels of lipid hy- liable conclusions for the health effects of dried fruits
droperoxides and C-reactive protein (CRP). However, serum CRP (Burton-Freeman, 2010). Various new analytical methods, such
levels were significantly lower in prunes group compared with as nanotechnology or nutrigenetics, might be promising tools
the dried apples group at the end of 3 months. The authors to get a clearer picture about the interactions between diet com-
conclude that the consumption of dried apples and prunes is ponents from dried fruits and human genetic susceptibility to
beneficial to human health in terms of anti-inflammatory and disease development (Toms-Barbern & Andrs-Lacueva, 2012).
antioxidative properties.

3.8. Bone protection


4. Novel product formulations and future
A recent study compared the efficacies of several dried fruits perspectives
(prunes, apples, apricots, raisins, and mangoes) in the resto-
ration of bone in an osteopenic ovariectomised (OVX) mouse To the best of our knowledge, limited information is avail-
model (Rendina et al., 2013). As a result, whole body and spine able regarding the functional characteristics and potential
bone mineral density improved in mice consuming prune, applications of various dried fruits and their by-products.
apricot, and raisin diets compared to the OVX control mice. Raisins, dried apricots, and dried figs are an indispensable in-
However, prunes were the only dried fruits that had an ana- gredient in breads, cakes, cookies, pies, puddings, tarts, pastries,
bolic effect on trabecular bone in the vertebra that prevents jams, marmalades, and sugar and confectionery products as
bone loss in the tibia. Additionally, restoration of biomechani- a delicious ingredient. They are mixed or added to several
cal properties occurred in conjunction with changes in cereals and cereal-based products, such as muesli logs, fruit
trabecular bone in spine. Compared to other dried fruits in this filled cereals, nuggets, yogurts, ice creams, and even in some
study, prunes were unique in their ability to down-regulate os- types of cheeses (Alasalvar, 2013; California Prune Board, 2005;
teoclast differentiation coincident with up-regulating osteoblast Gncoglu, Mogol, & Gkmen, 2013; Shahidi & Tan, 2013).
and glutathione activity (Rendina et al., 2013). The authors sug- Prune puree, obtained from whole prunes by extrusion, in
gested that these alterations in bone metabolism and the form of homogenous paste, has a number of applications
antioxidant status compared to other dried fruits provide insight such as fat replacer for reducing fat content in a series of goods
into prunes unique effects in bone health. In addition, the while imparting delicious flavour (California Prune Board, 2005).
bioactive component(s) in prunes remain to be identified as Besides, the particular composition of prunes also confers them
to whether it is a single component or the unique combina- other technological functionalities, such as antioxidant effect
tion of nutrients and phytochemicals in prunes that is in roast beef (Osburn, 2009) and preservative effect in bread,
responsible for the osteoprotective effects (Rendina et al., 2013). or for inhibiting pathogen growth in extending shelf life in
baked goods (Fung & Thompson, 2009). Dried peaches are
3.9. Anti-diabetic/hypoglycaemic effect utilised as pie, tart, and turnover filling, while their powders
provide excellent purees, spreads, or glazes, after proper de-
The acute glycaemic and insulin response to dates in dia- hydration and preparation (Alvarez-Parrilla, de la Rosa,
betic and non-diabetic subjects was carried out by Famuyiwa Gonzlez-Aguilar, & Ayala-Zavala, 2013).
et al. (1992). Results demonstrated that the well-controlled dia- Dried peach by-products have been used as food additives
betic patients had significantly lower glucose levels after the as antioxidants, antimicrobials, colorants, flavourings, and thick-
consumption of Sukkari dates. In addition, stimulation of insulin eners, where this also applies to the by-products of other dried
secretion in healthy volunteers after dates consumption was fruits, such as apricots (Alvarez-Parrilla et al., 2013). More re-
2.7 times less than that of dextrose. The same results were also search is needed to enhance the potential functionalities of
obtained by Anderson et al. (2011a) using raisins. This shows the by-products of other dried fruits in the future, where these
that dried fruits do not adversely affect the glucose tolerance by-products have been shown to contain numerous phyto-
Journal of Functional Foods 21 (2016) 113132 127

chemicals that may be beneficial to human health (Pelentir, tioxidants. However, ingested sulphites have been shown to
Block, Monteiro Fritz, Reginatto, & Amante, 2011). These aspects cause several mild to severe, and even fatal, adverse effects to
should be examined to identify other possible value-added uses the asthmatic population, including broncho-constriction, ur-
for human nutrition, in addition to minimising the cost of waste ticarial, and anaphylaxis (Alvarez-Parrilla et al., 2013). Therefore,
management for the agro-business industry. Utilisation of the consumption of dried peaches (possibly other dried fruits) con-
by-products as sources for developing functional foods and taining high levels of sulphites may pose a threat to sensitive
nutraceuticals may also help to improve the quality of life by individuals. The use of alternative treatments to help pre-
preventing the occurrence of diseases and maintaining the well- serve the quality of fruits throughout dehydration and storage
ness of human beings (Galanakis, 2012). is recommended (DiPersio, Kendall, & Sofos, 2004).
One of the major safety concerns with regard to dried fruits With the advancement in food processing technologies, a
is the potential microbial spoilage during storage and the po- wide variety of dried fruits and their combinations are now
tential health hazard resulting from natural/microbial toxins available in the shelves of supermarkets, indicating their in-
(Iamanaka, Taniwaki, Menezes, Vicente, & Fungaro, 2005; Iqbal, creased popularity (Vayalil, 2012). There is a great opportunity
Asi, & Jinap, 2014; Luttfullah & Hussain, 2011; Masood, Iqbal, to develop functional foods from dried fruits evolving and
Asi, & Malik, 2015). It has been shown that dried fruits can be growing at different rates both within and across various coun-
contaminated with aflatoxins (aflatoxins B1, B2, G1, and G2), tries. However, the development is not spread evenly due to
ochratoxin-A, kojic acid, and occasionally patulin or zearalenone consumer resistance, legislative barriers, ethical variations, cost
(Iqbal et al., 2014; Karaca & Nas, 2006; Luttfullah & Hussain, effectiveness, and technological issues (Sun-Waterhouse, 2011).
2011; Masood et al., 2015; Trucksess & Scott, 2008; Van de Perre, The future of functional foods based on dried fruits depends
Jacxsens, Lachat, El Tahan, & De Meulenaer, 2015). A recent on their efficacy in promoting health. Hence, a structured ap-
study documented the occurrence of high levels of total afla- proach for designing and developing dried fruit-based functional
toxins (3.286.32 g/kg) and aflatoxin B1 (2.424.5 g/kg) in dried finished products should be used to address the technical chal-
apricots, dates, figs, prunes, and raisins from Pakistan, of which lenges and their associated solutions during food design,
the levels were above the European Union (EU) limits (4 and formulation, processing, and storage. In addition, a consumer-
2 g/kg, respectively) (Masood et al., 2015). The same results oriented food product development process should also be used
were also found among five varieties of dates and four date to control the interactions among the targeted bioactive com-
products from Pakistan (Iqbal et al., 2014). The authors have pounds and other food components in dried fruits during
urged the relevant authorities to screen for the contamina- processing, handling, and storage. This is the key to ensure that
tion of aflatoxins in dried fruits and their products, where strict a stable and appealing functional food is produced from dried
regulations should be implemented to minimise fungal con- fruit. In short, controlling the beneficial synergies among food
tamination (Iqbal et al., 2014; Masood et al., 2015). ingredients and food formulation/processing methods has the
Besides, drying of fresh fruits at high temperatures may gen- potential to lead to substantial food innovations for dried fruit-
erate Maillard reaction products (MRP) due to non-enzymatic based functional foods (Sun-Waterhouse, 2011). The scientific
browning reactions, which are potentially genotoxic (Rawson community is expecting more exciting results on the prod-
et al., 2011). Metabolites of 5-(hydroxymethyl)-2-furfural, an MRP, ucts in the coming years.
have been detected in the urine of human volunteers receiv-
ing dried prunes or dried prune juices (Prior, Wu, & Gu, 2006).
However, Lavelli and Vantaggi (2009) found that Maillard re-
5. Conclusion
action occurs very slowly in dried fruits, most probably due to
the low mobility of water and the rate of reaction increases
upon a critical water activity level where mobility of water is Dried fruits are nutritionally equivalent to fresh fruits in smaller
higher. Hence, the hydroxymethylfurfural content of dehy- serving sizes. They have unique combination of taste/aroma,
drated apples was found to be lower than those of apple juice essential nutrients, fibre, and phytochemicals. Dried fruits are
concentrates and apple pomace (Lavelli & Vantaggi, 2009). The important for human health in providing great nourishment
difference between the level of MRP detected in dried prunes and health benefits. More research should be carried out to de-
and dehydrated apples could be due to different samples and termine the complete profiles of phytochemicals, such as
different processing methods. Besides, heat-catalysed Maillard phenolic acids, flavonoids, phytoestrogens, and carotenoids of
reaction, an enzymatic browning reaction, has also been re- other dried fruits in relation to their antioxidant activities or
ported to occur in dried fruits (Rawson et al., 2011). To avoid other bioactivities. Considerable opportunities exist in the dried
non-enzymatic browning reactions, processing of dried fruits fruit-based functional food products for expansion and inno-
should be carried out at relatively low temperatures. Appro- vation. Hence, more sophisticated human intervention studies
priate processing can prevent browning of dried fruits. For or clinical trials are needed to validate the health benefits of
example, pre-treatment of apples with pineapple juice has been various dried fruits.
shown to reduce the rate and extent of enzymatic browning
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