Evidence map›Paper›PMID 41377232›Full record

ArticleAnnals of medicine and surgery (2012)2025

Examining the French paradox: a systematic review of red wine consumption and cardiovascular risk.

Danyal Bakht, Syed Faqeer Hussain Bokhari, Muhammad Khan Buhadur Ali, Ali Akram Qureshi, Muhammad Roshaan, Muhammad Shahzaib, Muhammad Tayyab, Yumna Rafiq, Khansa Mahmood, Muhammad Ahmad Qureshi and 3 more

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Danyal BakhtDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Syed Faqeer Hussain BokhariDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Muhammad Khan Buhadur AliDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Ali Akram QureshiDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Muhammad RoshaanDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Muhammad ShahzaibDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Muhammad TayyabDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Yumna RafiqDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Khansa MahmoodDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Muhammad Ahmad QureshiDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Zarwa RashidDepartment of Medicine, King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Rabia YousafDepartment of Medicine, Shifa College of Medicine, Shifa International Hospitals Ltd, Islamabad, Pakistan.
Muhammad Numan AwaisDepartment of Medicine, Shaheed Ziaur Rahman Medical College and Hospital, Bogura, Bangladesh.ORCID https://orcid.org/0009-0004-9644-2272

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The French paradox, characterized by a lower prevalence of coronary heart disease (CHD) despite a diet rich in saturated fats, challenges conventional beliefs linking saturated fat intake to CHD risk. Despite high saturated fat consumption, the French exhibit lower CHD rates, sparking interest in the potential cardiovascular benefits of red wine (RW), a staple of the Mediterranean diet rich in polyphenols like resveratrol. Objectives: The objective of this systematic review is to examine the potential advantages of RW and its components in enhancing cardiovascular health among patients with CHD. Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a thorough search of PubMed, Cochrane, ScienceDirect, and Google Scholar was conducted to identify relevant studies published from inception to July 2024. Eligible studies investigating the association between RW consumption and cardiovascular risk factors/outcomes within the French paradox context were included. Data extraction and eligibility criteria ensured methodological rigor. Results: Of the 812 studies initially screened, 36 met the inclusion criteria in accordance with the PRISMA guidelines. Among these, 28 reported positive effects of RW on cardiovascular parameters, including improvements in lipid profiles, reductions in inflammatory markers, enhanced endothelial function, and modulation of gut microbiota. Two studies identified adverse effects, while six found no significant associations. Collectively, these findings suggest that moderate RW consumption - attributable primarily to its polyphenolic compounds such as resveratrol - may confer cardioprotective benefits, particularly in patients with CHD. Conclusion: This review supports the French paradox by highlighting that moderate RW consumption may improve cardiovascular health through lipid modulation, endothelial function, and anti-inflammatory effects - mainly due to its polyphenols rather than alcohol. However, individual responses and lifestyle factors may influence outcomes, warranting further research.

Indexed as

atherosclerosiscardiovascularfrench paradoxreviewRWsaturated fats

Identifiers

PMID41377232
PMCPMC12688875

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.