Benefits
Absorption and metabolites of pelargonidin from strawberries
After 200 g of strawberries, the main form in blood was a pelargonidin glucuronide, peaking about an hour after eating, and only about 1 to 2 percent of the pelargonidin-3-glucoside eaten was recovered in urine, mostly as glucuronides. Eating the berries with cream delayed the peak but did not lower it.
Blood lipids in whole-strawberry trials
These trials gave whole strawberry powder, not isolated pelargonidin. In adults with metabolic syndrome, 50 g a day for 8 weeks lowered total and LDL cholesterol versus a water control, and a placebo-controlled meal study found lower after-meal triglycerides and oxidized LDL. In adults with raised LDL, 4 weeks did not change fasting LDL versus a matched control.
Blood pressure and artery widening in whole-strawberry trials
In a placebo-controlled crossover in healthy older adults, 8 weeks of 26 g a day of freeze-dried strawberry reduced systolic blood pressure. In adults with raised LDL, fasting blood pressure and artery widening did not differ from control after 4 weeks, though widening was higher 1 hour after a strawberry drink. A trial in metabolic syndrome saw no blood pressure change.
After-meal inflammation markers and insulin in strawberry studies
In overweight adults, a strawberry drink with a high-carbohydrate meal raised blood pelargonidin-3-glucoside and lowered the after-meal rise in hsCRP, IL-6 and insulin versus a placebo drink; glucose did not differ. Taking the drink 2 hours before a meal gave lower after-meal glucose than taking it with the meal. Longer studies found no change in CRP.
Blood antioxidant markers after strawberry intake
In a placebo-controlled crossover in older adults, total antioxidant capacity rose during the strawberry phase and fell during the control phase. Uncontrolled two- to four-week studies reported higher plasma antioxidant capacity and lower lipid peroxidation markers after daily strawberries. None of these studies tested pelargonidin on its own.
Mechanism of action
Glucuronide and sulfate conjugates in blood and urine
In people who ate strawberries, pelargonidin-3-glucoside appeared in blood and urine mainly as pelargonidin glucuronides, with smaller amounts of a sulfate conjugate, the glucoside and free pelargonidin. These conjugates, rather than the parent pigment, are what tissues are exposed to after eating the fruit.
Nrf2 antioxidant defenses in liver cells (laboratory)
In HepG2 liver cells, pretreatment with pelargonidin chloride reduced toxin-induced reactive oxygen species and cell death, raised the activity of antioxidant and detoxification enzymes such as heme oxygenase 1 and superoxide dismutase, and moved Nrf2 into the nucleus. This is cell work only.
Plasma metabolites and immune cell cytokines (laboratory)
In monocyte cultures, protocatechuic acid, which the authors list as a plasma metabolite of pelargonidin-3-glucoside, lowered IL-6, while pelargonidin-3-glucoside and 4-hydroxybenzoic acid had no effect. The authors describe the effects as modest and preliminary; they have not been shown to explain any human result.
NF-κB and COX-2 in endothelial cells (laboratory)
In human endothelial cells exposed to the pollutant acrolein, pelargonidin blocked NF-κB activation and COX-2 and lowered PGE2, IL-1 beta, IL-6, IL-8 and TNF-alpha. These are cell results with the pure compound; they have not been shown to explain the results of the strawberry trials.
Clotting and platelet activity (laboratory and mouse)
Pure pelargonidin, but not pelargonidin-3-glucoside, lengthened clotting times, inhibited thrombin, factor Xa and platelet aggregation in laboratory tests, and had anticoagulant effects in mice. Whether amounts reached in people do the same has not been studied.
Clinical trials
Human absorption study with plasma and urine collected for 24 hours after eating strawberries alone or with cream; no health outcome was measured. (Mullen et al. 2008, J Agric Food Chem)
Healthy volunteers who ate 200 g of strawberries containing 222 micromol of pelargonidin-3-O-glucoside.
The main metabolite in blood, a pelargonidin-O-glucuronide, peaked at 274 nmol/L about 1.1 hours after strawberries alone. Cream delayed the peak to about 2.4 hours but did not change its height. Anthocyanin metabolites in urine came to about 1 percent of the amount eaten.
Randomized controlled trial of 4 cups a day of a drink made from 50 g of freeze-dried strawberries (about 3 cups fresh) versus the same volume of water, which was not matched for calories or fiber; the California Strawberry Commission donated the powder and the work was supported in part by an NIH-funded General Clinical Research Center grant at the University of Oklahoma Health Sciences Center and by Oklahoma State University. (Basu et al. 2010, Nutr Res)
27 adults with metabolic syndrome (25 women, 2 men; mean age 47, mean BMI 37.5).
Versus control at 8 weeks, total cholesterol fell from 5.8 to 5.2 mmol/L and LDL cholesterol from 3.5 to 3.1 mmol/L, and small LDL particles and the adhesion molecule VCAM-1 also fell (all P < .05). Glucose, triglycerides, HDL cholesterol, blood pressure and waist circumference did not change.
Randomized, single-blind, placebo-controlled crossover: a drink with 10 g of freeze-dried strawberry or a placebo drink matched for energy and macronutrients, 6 weeks each, with high-fat meal challenges before randomization and at crossover; the abstract does not state the funding source. (Burton-Freeman et al. 2010, J Am Coll Nutr)
24 adults with raised blood lipids (14 women, 10 men; mean age 51).
After the high-fat meal, triglycerides and oxidized LDL were lower with the strawberry drink than with placebo. After 6 weeks, after-meal lipid levels were lower with strawberry, with a sex by treatment interaction for oxidized LDL.
Randomized crossover meal study: a high-carbohydrate, moderate-fat meal with a milk-based drink containing 10 g of freeze-dried strawberry (about 100 g fresh) or a placebo drink matched for flavor, energy and nutrients, with blood followed for 6 hours; funded by a California Strawberry Commission grant. (Edirisinghe et al. 2011, Br J Nutr)
24 overweight adults (10 men, 14 women) analyzed; 26 recruited.
Plasma pelargonidin-3-glucoside and pelargonidin sulfate rose with strawberry (P < 0.001). The after-meal rise in high-sensitivity CRP and IL-6 and the insulin response were lower with strawberry than placebo (P < 0.05). Glucose, TNF-alpha, IL-1 beta and PAI-1 did not differ between drinks.
Single-blind crossover in which a strawberry drink was given 2 hours before, with, or 2 hours after a standard meal, with control drinks at the other times; secondary comparisons were with a separate matched reference group that had only control drinks; PubMed lists an FDA grant. (Huang et al. 2016, Food Funct)
14 overweight healthy adults.
After-meal glucose was lower when the drink came before the meal than with it (p < 0.05). Versus the reference group, the before-meal and after-meal drinks lowered after-meal glucose without extra insulin, and IL-6 was lower with the before-meal drink (p = 0.048).
Randomized, controlled, double-blind crossover of drinks with 2 x 25 g/day of freeze-dried strawberry or an energy- and volume-matched control powder, 4 weeks each with a 4-week washout; fasting LDL cholesterol was the primary outcome; the registry (NCT02612090) lists the Clinical Nutrition Research Center of the Illinois Institute of Technology as sponsor. (Huang et al. 2021, J Nutr)
34 adults with moderately raised LDL cholesterol (half men, half women; mean age 53, mean BMI 31).
Fasting LDL cholesterol, the primary outcome, did not differ after 4 weeks, and neither did total cholesterol, triglycerides, glucose, insulin, hsCRP, flow-mediated dilation or blood pressure. In acute tests, flow-mediated dilation was 1.5% higher 1 hour after a 50 g strawberry drink than after control, and systolic pressure was 3.1 mmHg lower at 2 hours.
Randomized, double-blind, placebo-controlled crossover of 26 g/day of freeze-dried strawberry (about 2 cups fresh) or a control powder, 8 weeks each with a 4-week washout; the registry (NCT04786665) lists San Diego State University as sponsor and the authors declare no conflicts of interest. (Delaney et al. 2025, Nutr Metab Cardiovasc Dis)
35 healthy older adults (17 women, 18 men; mean age 72, mean BMI 26.4).
Strawberry lowered systolic blood pressure (p = 0.044) and improved processing speed (p < 0.001), while episodic memory improved during the control phase instead. Total antioxidant capacity rose during the strawberry phase and fell during the control phase, and triglycerides rose during control but not with strawberry.
Single-arm before and after study with no placebo or control group, two cups a day of a drink with 25 g of freeze-dried strawberry powder in each. (Basu et al. 2009, Nutr J)
16 women with at least 3 features of metabolic syndrome.
Compared with baseline, total cholesterol was 5% lower, LDL cholesterol 6% lower and malondialdehyde plus hydroxynonenal 14% lower at 4 weeks; oxidized LDL showed only a trend (p = 0.123). CRP and adiponectin did not change. Without a control group these are within-group changes.