Aronia juice consumption prior to half-marathon race can acutely affect platelet activation in recreational runners

Appl Physiol Nutr Metab. 2020 Apr;45(4):393-400. doi: 10.1139/apnm-2019-0267. Epub 2019 Sep 20.


Long-distance running, especially in non-professional runners, can increase cardiac arrest risk by enhancing platelet activation and aggregation. Polyphenols can exert cardioprotective effects by positively influencing platelet function. This study aimed to examine the acute effects of polyphenol-rich aronia juice consumption, before simulation of a half-marathon race, on platelet activation and aggregation with leukocytes in recreational runners. In this acute crossover study,10 healthy male runners (age 30.8 ± 2.3 years) consumed breakfast with 200 mL of aronia juice or 200 mL of placebo. They warmed-up and ran a simulated half-marathon race (21.1 km). Blood was collected at baseline, and at 15 min, 1 h, and 24 h after the run. All variables were analyzed with 4 (time) × 2 (group) ANOVA with repeated measures on both factors. Results revealed a significant effect of group on platelet activation parameters: P-selectin and GPIIb-IIIa expressions significantly decreased in the aronia group compared with the placebo group (F[1,9] = 10.282, p = 0.011 and F[1,9] = 7.860, p = 0.021, respectively). The effect of time was significant on both platelet aggregation markers: platelet-monocyte and platelet-neutrophil aggregates were significantly lower after the race (F[3,7] = 4.227, p = 0.014 and F[3,7] = 70.065, p = 0.000, respectively), with changes more pronounced in the later. All effects remained when platelets were exposed to an agonist. These results suggest that aronia consumption could counteract the half-marathon race-induced changes in platelet function. Novelty Aronia juice consumption significantly decreased the expression of platelet activation markers but did not affect platelet aggregation. The race itself did significantly reduce platelet-neutrophil aggregation. Aronia juice may serve as a supplement beverage for recreational runners to alleviate enhanced platelet reactivity caused by prolonged running.

Keywords: activation; aggregation; agrégation; aronia; course à pied; demi-marathon; half-marathon; plaquettes; platelets; running.

Publication types

  • Clinical Trial

MeSH terms

  • Adenosine Diphosphate / pharmacology
  • Adult
  • Blood Platelets / drug effects
  • Blood Platelets / physiology
  • Cross-Over Studies
  • Fruit and Vegetable Juices*
  • Humans
  • Male
  • Photinia*
  • Physical Endurance
  • Platelet Activation / drug effects*
  • Running


  • Adenosine Diphosphate