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Tuesday, 28 July 2015

Food as Medicine: Watermelon (Citrullus lanatus, Cucurbitaceae)

HerbalEGram: Volume 12, Issue 7, July 2015

Food as Medicine: 
Watermelon (Citrullus lanatus, Cucurbitaceae)


Editor’s Note:
 Each month, HerbalEGram highlights a conventional food and briefly explores its history, traditional uses, nutritional profile, and modern medicinal research. We also feature a nutritious recipe for an easy-to-prepare dish with each article to encourage readers to experience the extensive benefits of these whole foods. With this series, we hope our readers will gain a new appreciation for the foods they see at the supermarket and frequently include in their diets. The basic materials for this series were compiled by dietetic interns from Texas State University in San Marcos and the University of Texas at Austin through the American Botanical Council’s (ABC) Dietetic Internship Program, led by ABC Education Coordinator Jenny Perez. We thank Becky Nichols (TSU, 2013) for her research and work on watermelon.

History and Traditional Use

Range and Habitat


The watermelon is the largest edible fruit grown in the United States: an annual trailing plant with fruits that can can grow from 5-50 pounds and vines that can reach up to 20’ in length.1,2 Each fruit forms from a yellow flower, and the spherical or ovoid fruit is typically smooth and green, or green with lighter banded stripes. The watermelon is native to the Kalahari Desert in Africa, and it thrives in well-draining, sandy soil. Currently, watermelons are cultivated all over the world, with Asia producing 60% of watermelons globally.2,3 The United States ranks fifth in global watermelon production.4 Forty-four states grow watermelons, including Texas, Florida, Georgia, and California, which collectively produce 2/3 of all the watermelons domestically.


Phytochemicals and Constituents


Watermelon contains an array of important vitamins and minerals including vitamin A, vitamin C, vitamin B-6, potassium, and beta-carotene.1,5,6 Watermelon also contains the important bioactive compounds citrulline and lycopene. Vitamin C acts as an antioxidant and anti-cancer agent.7-9 Watermelon’s vitamin C content may be linked to reducing blood pressure, as does its smaller amounts of vitamins B6 and E.8 The human body converts beta-carotene into vitamin A, which promotes healthy eyes, a strong immune system, and healthy skin.10 Vine fruits like watermelon are a good source of potassium, a crucial electrolyte for nerve and muscle function. Potassium is an essential nutrient as the body ages, as it decreases high blood pressure and reduces the risk of kidney stones, stroke, and bone density loss.11,12


Citrulline is a precursor to the amino acid arginine and is involved in the process of removing nitrogen from the blood and eliminating it through urine.13,14 Arginine is a precursor for the synthesis of nitric oxide in the body, which is a vasodilator (blood vessel-widening agent). Conditions that benefit from vasodilation, such as cardiovascular diseases, erectile dysfunction, and headaches may benefit from increased arginine intake. Arginine also helps the body make protein, which boosts muscle growth, enhances wound healing, combats fat accumulation, and stimulates the immune system.


Though the tomato (Solanum lycopersicum) is more well-known as a source for lycopene (and in fact, its name is derived from lycopersicum), lycopene is a carotenoid found in many red foods, including watermelon, papaya (Carica papaya), pink grapefruit (Citrus x paradisi), and red carrots (Daucus carotasubsp. sativus).15 A powerful antioxidant, lycopene may help prevent heart disease and has shown a potent ability to protect the body from “free radicals,” which may play a role in the development of heart disease, Alzheimer’s disease, and many cancers. Lycopene may also boost sperm counts and lower the risk of prostate cancer.


Historical and Commercial Uses


Though native to the African Kalahari desert, where the watermelon gourd was often used as a canteen, the cultivation of watermelon spread quickly, and other cultures adopted it as a beneficial, healing food. Ancient Egyptians used watermelon to treat reproductive problems such as erectile dysfunction and prostate inflammation. The peoples of Russia and Central Asia used watermelon as a diuretic and to cleanse the blood.16,17 In Traditional Chinese Medicine, watermelon is considered cooling and moistening, producing a diuretic effect, and commonly is used to treat thirst, edema, and inflammation of the kidney and urinary tracts.18 Because watermelon is 92% water, many traditional uses of watermelon overlap with current uses, including hydration, cleansing, and eliminating impurities.4 Since watermelon is digested relatively quickly, the folk traditions of the Papua New Guinea aborigines known as Onabasulu advised against eating watermelon and other juicy fruits after a heavy meal or if suffering from a stomachache.19


African cuisine treats the watermelon as a vegetable and uses the entire fruit: seeds, rinds, and flesh.20The seeds are eaten as snacks, added to dishes, or ground into flour for use in baked goods. The rind can be stir-fried, stewed, candied, pickled, or grilled. The flesh is eaten or juiced, but it can also be fermented into alcohol; in the southern part of Russia, the juice is combined with hops to make beer.


Modern Research


The traditional uses for watermelon as a medicine are beginning to gain scientific confirmation, particularly in regards to its applications against erectile dysfunction, dehydration, kidney disease, and anti-aging concerns. Watermelon’s antioxidant and nutrient content defends against many different conditions.


Current research shows that citrulline in watermelons has beneficial effects on the heart, dilating the blood vessels and improving blood flow.6 In one clinical study, obese participants with pre-high blood pressure or stage-one high blood pressure significantly reduced their ankle and brachial systolic blood pressure, diastolic blood pressure, mean arterial pressure, and carotid wave reflection with ingestion of citrulline from watermelons.21 A review of consumption of citrulline from watermelon demonstrated improvements in glycemic control and circulatory problems in diabetics, a reduction in cardiovascular risk factors, and increased levels of arginine, an essential amino acid. Because arginine is involved in maintaining the health of the reproductive, pulmonary, renal, gastrointestinal, hepatic, and immune systems, citrulline is of increasing interest in the realm of scientific study. Studies show that citrulline is more bioavailable in the body than arginine, making it a better candidate for arginine deficiency diseases such as renal carcinoma, chronic inflammatory diseases, or blood cell diseases like sickle cell anemia and malaria.14,22 Citrulline research also has shown promising results of becoming a biomarker for bowel problems of the small intestine as well as kidney failure.13


Lycopene’s powerful antioxidant properties have been shown to reduce the risks of prostate, lung, gastric, and colorectal cancers. However, due to its antioxidant effect it seems to interfere with chemo and radiation therapy.7,23 In addition to being an antioxidant, lycopene has been shown to be heart-protective and lowers LDL cholesterol.23 In one study, lycopene ingestion showed a reduction in the risk for stroke, especially ischemic strokes in men.24 Finally, lycopene has been linked to a reduction in cardiovascular risks.25

Nutrient Profile26

Macronutrient Profile 
(Per 1 cup diced watermelon [approx. 152 g]):
46 calories
1 g protein
11.5 g carbohydrate
0.2 g fat
Secondary Metabolites (Per 1 cup diced watermelon [approx. 152 g]):
Excellent source of:

Vitamin C: 12.3 mg (20.5% DV)
Vitamin A: 865 IU (17.3% DV)
Very good source of:
Potassium: 170 mg (4.9% DV)

Also provides:
Magnesium: 15 mg (3.8% DV)
Vitamin B-6: 0.07 mg (3.5% DV)
Thiamin: 0.05 mg (3.3% DV)
Vitamin E: 0.08 mg (3% DV)
Manganese: 0.06 mg (3% DV)
Dietary Fiber: 0.6 g (2.4% DV)
Iron: 0.4 mg (2.2% DV)
Phosphorus: 17 mg (1.7% DV)
Folate: 5 mcg (1.3% DV)
Calcium: 11 mg (1.1% DV)
DV = Daily Value as established by the US Food and Drug Administration, based on a 2,000 calorie diet.

Recipe: Pickled Watermelon Rinds
Adapted from Bon Appétit27

For an equally delicious condiment without the wait, use these ingredients to make watermelon rind chutney: increase sugar to 1 ½ cups, water to 1 cup, and finely mince the ginger. Bring all ingredients to a boil in a large pan, then simmer for 45-60 minutes until the rind is translucent and tender and the liquid reduces and thickens. Remove whole spices before serving.
Ingredients:
  •  4 lbs of watermelon
  • 1 serrano chili, thinly sliced, seeds removed if desired
  • 1-inch piece of fresh ginger, peeled and thinly sliced
  • 2 star anise pods
  • 1 tablespoon kosher salt
  • 1 teaspoon black peppercorns
  • 1 cup sugar
  • 1 cup apple cider vinegar
Directions:
  1. Using a vegetable peeler, remove the tough green outer rind from watermelon; discard.
  2. Slice watermelon into 1”-thick slices. Cut away all but 1/4” of flesh from each slice; reserve flesh for another use. Cut rind into 1” pieces for roughly 4 cups of rind.
  3. Bring chili, ginger, star anise, salt, peppercorns, sugar, vinegar, and 1/2 cup of water to a boil in a large, non-reactive saucepan, stirring to dissolve sugar and salt.
  4. Add watermelon rind. Reduce heat and simmer until just tender, about 5 minutes. Remove from heat and let cool to room temperature, setting a small lid or plate directly on top of rind to keep submerged in brine, if needed.
  5. Transfer rind and liquid to an airtight container; cover and chill at least 12 hours.

—Hannah Bauman
References
  1. Graper D. Year of the Watermelon. March 25, 2013. IGrow site. Available here. Accessed June 22, 2015.
  2. Watermelons (Citrullus vulgaris). Botanical-Online website. Available here. Accessed June 22, 2015.
  3. Kiple AF, Ornelas KC. The Cambridge World History of Food. Cambridge, UK: Cambridge University Press; 2000.
  4. FAQs: Fun Facts. National Watermelon Promotion Board site. Available here. Accessed June 22, 2015.
  5. Pons L. Exploring Important Medicinal Uses for Watermelon Rinds. February 21, 2003. United States Department of Agriculture website. Available here. Accessed June 22, 2015.
  6. Santa Ana R. Watermelon May Have Viagra-Effect: Secrets of Phyto-nutrients Are Being Unraveled. June 30, 2008. AgriLife website. Available here. Accessed June 22, 2015.
  7. van Breemen RB, Pajkovic N. Multitargeted therapy of cancer by lycopene. Cancer Letters. 2008;269(2):339-351. 
  8. Das U. Exploring the actions of vitamin C. US National Library of Medicine National Institutes of Health. 2001;165(1):13-14.
  9. Herrera E, Barbas C. Vitamin E: action, metabolism and perspectives. Pubmed. 2001;57(2):43-56.
  10. Ehrlich SD. Beta-carotene. June 21, 2013. University of Maryland Medical Center website. Availablehere. Accessed June 22, 2015.
  11. Sefcik, L. Why is Potassium Important in the Diet? February 18, 2015. Livestrong.com website. Available here. Accessed June 22, 2015.
  12. Seth A, Mossavar-Rahmani Y, Kamensky V, et al. Potassium intake and risk of stroke in women with hypertension and nonhypertension in the Women's Health Initiative. Stroke. 2014;45(10):2874-80.
  13. Bahri S, Zerrouk N, Aussel C, Moinard C, Crenn P, Curis E. et al. Citrulline: From metabolism to therapeutic use. Nutrition. 2013;29(3):479-484.
  14. Diaz M, Viegas J, Martins M, Aguayo E. Bioactive compounds from flesh and by-product of fresh-cut watermelon cultivars. Journal of the Science of Food and Agriculture. 2010;91(5):805-812.
  15. Weil, A. Vitamin Library: Lycopene. Andrew Weil, MD website. Available here. Accessed June 22, 2015.
  16. Gordestsky J, O’Brien J. Urology and the scientific method in ancient Egypt. Urology. 2009;73(3):476-479.
  17. Pieroni A, Gray C. Herbal and food folk medicines of Russlanddeutschen living in Kunzelsau/Talacker, south-western Germany. Phytotherapy Research. 2008;22(7):889-901.
  18. Pitchford P. Healing with Whole Foods. Berkeley, California: North Atlantic Books; 1993.
  19. Meyer-Rochow V. Food taboos: their origins and purposes. Journal of Ethnobiology and Ethnomedicine Online. 2009;5(18):1-10.
  20. An African Native of World Popularity. Our Vegetable Travelers. Texas A&M University; 2000. Available here. Accessed June 22, 2015.
  21. Figueroa A, Sanchez-Gonzalez M, Wong A, Arjmandi B. Watermelon extract supplementation reduces ankle blood pressure and carotid augmentation index in obese adults with prehypertension or hypertension. American Journal of Hypertension. 2012;25(6):640-643.
  22. Morris M. Arginases and arginine deficiency symptoms. Curr Opin Clin Nutr Metab Care. 2012;15(1):64-70.
  23. Seren S, Liberman R, Bayraktar U, et al. Lycopene in cancer prevention and treatment. American Journal of Therapeutics. 2008;15(1):66-81.
  24. Karppi J, Laukkanen J, Sivenius J, Ronkainen K, Kurl S. Serum lycopene decreases the risk of stroke in men: A population-based study. Neurology. 2012;79(15):1540-1547.
  25. Palozza P, Catalano A, Simone RE, et al. Effect of lycopene and tomato products on cholesterol metabolism. Ann Nutr Metab. 2012;61:126-134.
  26. Basic Report: 09326, Watermelon, raw. Agricultural Research Service, United States Department of Agriculture website. Available here. Accessed June 22, 2015.
  27. Pickled Watermelon Rind. Bon Appétit. August 2014. Available here. Accessed June 22, 2015.