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The Power of Purple: Health Benefits of Polyphenols and How To Get More In the Diet June 20, 2017

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Page 1: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

The Power of Purple: Health Benefits of

Polyphenols and How To Get More In the Diet

June 20, 2017

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Today’s Speakers

2

Alex Caspero MA, RD, CLT, RYTTaylor C. Wallace, PhD, CFS, FACN

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Learning Objectives

• Identify the properties of polyphenols and the food sources

where you can find them

• Articulate the research behind the health benefits of foods

delivering polyphenols, like anthocyanins

• Help families get more purple-hued foods and beverages into

their diets with culinary tips and tools

3

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Polyphenols Behind the Power of

Purple Foods

Taylor C. Wallace, PhD, CFS, FACN

4

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Disclosures

• Think Healthy Group, Inc.

• George Mason University

• Journal of the American College of Nutrition

• Dr. Taylor Wallace – Food & Nutrition Blog

• Tone Media and NBC Universal

5

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Presentation Outline

• Nutrition Facts Panel

• Polyphenols

• Anthocyanins – My Love in Life!

• Health Benefits of Foods that Deliver Anthocyanins

– Case Study: The Concord Grape

6

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Nutrition Facts Panel

7

• Lists amounts of essential nutrients by law.

• No labeling of bioactives (i.e., phytonutrients) like polyphenols.

• Supplements can label the amount of a bioactive present.

Current and New Food Label

from FDA Website.

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Dietary Bioactive Compounds

8

• Often referred to as phytonutrients.

• Compounds that are constituents in foods and dietary

supplements, other than those needed to meet basic human

nutritional needs, which are responsible for changes in

health status.

– NIH, Federal Register, Vol 69, No. 179: Sept. 16, 2004, pp 55821-2.

– Examples include carotenoids, polyphenols, sulfonamides,

glucosinolates and etc.

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Polyphenols

• Abundant bioactives (i.e., phytonutrients) found in plants.

– Flavonoids are a major class of polyphenols

(over 7,000 identified).

• Their ring structure gives them the ability to promote

overall health.

• The gut microbiota often ferment

or metabolize polyphenols into

smaller compounds that have

health promoting properties.

9

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Polyphenols in Plants

10

Hydroxy-benzoic

Acids

Hydroxy-cinnamic

AcidsFlavonoids Stilbenes Lignans

Flavonols Flavones FlavanolsAnthocyanins FlavanonesIsoflavones

Proanthocyanidins

Polyphenols

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Anthocyanins

• Plant compounds formed in response to

environmental stress.

– UV light

– Frost

– Soil acidity

– Deter insects

– Pollination attractants

12

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Anthocyanins

• Members of the flavonoid family.

– (C6-C3-C6) skeleton

• Positive charge allows them

to absorb light in the visible

region.

• Their ring structure enables

them to promote health.

13

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Anthocyanins1

• > 700 anthocyanins identified

– 96% are glycosylated

– Approximately 50% are acylated

• 27 anthocyanidins (aglycons)

– 6 are predominant in nature and

make up 90% of those identified

14

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Anthocyanins1,2

• Stomach is major

absorption site.

– Anthocyanins tightly bind

to proteins like bilirubin.

• Anthocyanins and their

breakdown/metabolic

products can be found in

vascular tissue and

cross the blood-brain

barrier.

15

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Anthocyanins3

• Average intake of anthocyanins by U.S.

adults is estimated to be 11.6 mg/d

– 31% of adults have zero intake.

• Top sources of purple foods in the

U.S. diet include:

– Berries

– Wine

– Grapes

– Purple Vegetables

– 100% Grape Juice

16

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Anthocyanins and Heart Health4

17

Quintile Median Intake

of Anthocyanins

(mg/d)

Men Women All

1 3.8 (<5.5) 1.00 (-) 1.00 (-) 1.00 (-)

2 6.8 (5.5-8.1) 0.83 (0.70, 0.97) 0.79 (0.67, 0.94) 0.77 (0.69, 0.87)

3 9.8 (8.2-11.4) 0.82 (0.71, 0.96) 0.73 (0.62, 0.88) 0.77 (0.68, 0.86)

4 13.7 (11.5-16.6) 0.78 (0.67, 0.91) 0.67 (0.56, 0.80) 0.74 (0.66, 0.83)

5 22.2 (>16.7) 0.72 (0.62-0.84) 0.72 (0.61, 0.86) 0.72 (0.64, 0.80)

P-trend 0.0002 0.002 <0.0001

CPII Nutrition Cohort

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Anthocyanins and Heart Health

• Systematic Review5

– Healthy individuals experienced consistent but non-

significant improvements in total cholesterol, LDL-

cholesterol, HDL-cholesterol and triglycerides across studies.

– Hyperlipidemic individuals experienced consistent and

significant decreases in LDL-cholesterol with consistent but

non-significant improvements in total cholesterol, HDL-

cholesterol and triglycerides.

– No effect of on blood pressure.

– ~30-35 mg/d seems to be the sweet spot.

18

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Anthocyanins and Heart Health

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Anthocyanins and Heart Health

20

Purified Anthocyanins

• Anthocyanins

repaired

damage induced

by adding an

inflammatory

agent to human

endothelial cells.5

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Case Study: The Concord grape

• Thick skin

• Crunchy seeds

• Bold flavor

• In season 4-6 weeks in fall

• Can be hard to find fresh

• Used in 100% grape juice

21

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Polyphenols in Concord Grapes

• Three classes of polyphenols are in the

Concord grape:

– Phenolic Acids

– Flavonoids

• Anthocyanins

• Proanthocyanidins

– Stilbenes

The Power is in the Purple

722

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Squeezing the Goodness of the Grape

• 100% grape juice maximizes the polyphenol potential of

the Concord grape.

– Whole Concord grapes are crushed – skin, seeds and all – and

heated to help release polyphenols.

23

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Heart-Health Benefits of Concord Grapes

• Studies indicate Concord grapes may:

– Help support flexible arteries to promote healthy blood flow.

– Have an anti-clotting effect like red wine.

– Play a role in healthy blood pressure in certain populations.

• Nearly 20 years’ worth of research indicates that, thanks

to the Concord grape, 100% grape juice helps support

a healthy heart.6-18

24

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100% Grape Juice:Helps Support Healthy Circulation

25

Research has shown how the Concord grape benefits heart

health by promoting healthy circulation.7,8,10,13,18,19

• Studies indicate that Concord grapes may stimulate nitric oxide

(NO) production.7,10,19

– Increased NO leads to vasodilation, or the widening of the

arteries.

• A new study showed that circulation was improved when healthy

men and women drank 100% grape juice each day for 4 weeks vs.

when they drank a sugar sweetened beverage (placebo).18

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Emerging Research: Concord Grapes & Cognitive Health

Preliminary research suggests Concord grapes may help

promote a healthy cognition.20-25

• A pilot study of 12 older adults with early memory impairment found that

daily Concord grape juice consumption resulted in improved verbal

learning and memory measures.20

• Another study showed that Concord grape juice drinkers had increased

blood flow in two regions of the brain involved in working memory,

compared to a placebo.21

26

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New Concord Grape Science: Cognitive Health in Younger Adults25

Study Design:

• Subjects: 25 healthy, 40- to 50-year-old working women with pre-

teen children

• Test beverages: 12-oz./day of Concord grape juice and a placebo

(grape-flavored, added sugar drink)

Key Outcomes:

• Significant improvement in immediate spatial memory and driving

performance were seen when moms drank grape juice daily vs.

placebo.

• This shows for the first time that grape juice’s early cognitive benefits

may extend beyond older adults.

27

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To Summarize

• Polyphenols are plant nutrients that you won’t find on a

Nutrition Facts Panel.

• Anthocyanins are a class of polyphenols that give foods

their purple hue.

• 100% grape juice made with Concord grapes is a

convenient way to get anthocyanins and other

polyphenols.

• 100% grape juice can help support a healthy heart and

may offer other heath benefits.

28

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Thank You!

Taylor C. Wallace, PhD, CFS, FACN

Phone: 270-839-1776

Email: [email protected]

Website: www.thinkhealthygroup.com

29

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Harnessing the Power of Purple

in the Diet

Alexandra Caspero, MA, RD, CLT, RYT

Page 31: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

Disclosures

• PBH Everyday Chef

• Welch’s

• Other commodity/produce clients

31

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Produce Trends

• Overall, fruit & vegetable consumption low and on the decline26

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Fruit Intake in America

Families Are Not Meeting Fruit Group Goals

• The average American consumes only 1 cup,

or 50%, of recommended fruit servings

each day, including 100% fruit juice27

• Children ages 1-8 are the only population

meeting fruit recommendations – in part,

because they are enjoying all forms28

– 100% juice accounts for 40% of

their total fruit intake

• The percent of children and teens meeting

fruit goals (based on whole fruit alone) is

low and decreases with age

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Fruit Intake & 100% Fruit Juice

100% Fruit Juice Helps Fill the Gap

• When 100% fruit juice is added to

whole fruit intake, the proportion of

children and teens meeting

recommended goals doubles, and

triples for some age groups27

• Adding all forms to the diet can help

children and teens meet fruit goals

and establish healthy habits that

track into adulthood

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Amount and Variety Matters

• Variety of colorful produce =

variety of plant nutrients

• 2015-2020 Dietary Guidelines

for Americans call attention to

dark green and red/orange

vegetables, but all colors, of

both fruits and vegetables

are important

Page 36: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

Variety of Color Matters

• Encourage a variety of colors since

each offers various plant nutrients

which are linked with different

pigments, for example:30,31

– Red: Lycopene

– Orange/Yellow: Beta-carotene

– Green: Lutein

– Blue/purple: Anthocyanins

Page 37: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

Many Americans Know They

Should Care About Color but…32

• Only 32% often seek to include colorful produce in their diet.

• Why? It could be because 44% don’t know or aren’t sure that specific colors of produce offer unique health benefits.

• When it comes to purple, although 73% of Americans know purple produce is an option, only 18% can name more than three purple fruits or vegetables.

37

Page 38: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

Blue/Purple Color Group

• Only 3% of produce intake comes

from the blue/purple group.33

• Purple has unique plant nutrients

to benefit health.

− Purple is a cue that fruits and

vegetables – in all of their forms –

have certain polyphenols that can

help promote health, especially heart

health.

− In general, the darker the purple hue

the more polyphenols you’ll find.

Page 39: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

How Can We Boost Intake of Purple?

• Focus on whole fruit and vegetables

• Look for fresh Concord grapes, if you can find them!

− Short growing season, a few weeks in the fall

− Grow only in certain microclimates

− Very delicate, don’t ship easily

− 100% grape juice is a convenient, year-round way to get the goodness of Concord grapes

Just 4 oz. of 100% grape juice counts as one serving (1/2 cup) of fruit

Contains no added sugar; all sugars come straight from the grape

Page 40: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

And don’t forget:

All Forms Matter!

• In addition to fresh fruits and vegetables

(and their juices), all forms of produce

can add purple to the plate

− Frozen

− Dried

− Canned

• Look for no added sugars in the

ingredient list or Nutrition Facts label

Page 41: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

RD Tips to Get More Purple

• Use purple cabbage as a slaw or lettuce replacer

41

Sunflower Tacos in Collard Leaves

Mandy Enright, MS, RDN, RYT

NutritionNuptuals.com

Spicy + Sweet Cabbage & Radish Slaw with Yuzu Citrus Dressing

Gabriella Vitere, RDN

Macrobalanced.com

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RD Tips to Get More Purple

• Embrace eggplant

42

Spicy Miso Eggplant

Jessica Cording, MS, RD, CDN

jessicacordingnutrition.com

Quinoa Crusted Eggplant Chickpea Patties

Roxana Begum, PhD, RD

thedeliciouscrescent.com

Page 43: The Power of Purple: Health Benefits of Polyphenols and ...€¦ · 100% Grape Juice: Helps Support Healthy Circulation 25 Research has shown how the Concord grape benefits heart

Tips for Cooking Eggplant

• Eggplant contains saponins

• Fine line between tender and oily

when it comes to cooking eggplant

• Grill or pan-fry by brushing eggplant

with oil right before cooking

• Grill or bake whole eggplant for use in

dips or to add body to pasta sauces,

meatloaf or veggie burgers

43

Eggplant Teriyaki Stir-fry with Tofu

Alex Caspero, MA, RD

delishknowledge.com

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RD Tips to Get More Purple

• Dress up greens with purple

44

Brussels Sprouts with Grape-Honey Glaze

Amy Gorin, MS, RDN

amydgorin.com

Grape and Ginger Braised Kale

Lindsey Janiero, RDN, LDN, CLC

nutritiontofit.com

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RD Tips to Get More Purple

• Boost flavor with 100% grape juice and figs in smoothie bowls

45

Purple Power Smoothie Bowl

Liz Weiss, MS, RD

lizshealthytable.com

Pumpkin Fig Smoothie Bowl

Karman Meyer

thenutritionadventure.com

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More Tricks for Pumping Up Purple

• Swap in 100% grape juice for a flavor and color punch

− Replace water or milk in overnight oats and chia

− Use instead of honey or other liquids in salad dressing

Roasted Fennel, Pear and Arugula

Salad with Balsamic-Grape Dressing

welchs.com/recipesGrape Juice Chia Cups

welchs.com/recipes 46

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More Tricks for Pumping Up Purple

• Get saucy!

− Reduce 100% grape juice to use as a

syrup or sauce in savory dishes

− Create a tasty dip or side

47

Thai Spring Rolls with

Sweet & Spicy Grape

Dipping Sauce

Jessica Patel, RDN, LDN

Wellfednutrition.co

Poached Pears in Grape Juice

welchs.com/recipes

Spiced Salmon Filets with Grape

Juice Glaze

welchs.com/recipes

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More Tricks for Pumping Up Purple

• Make it an easy, everyday habit

− Keep frozen fruits, cooked veggies or

100% grape juice on hand for quick

smoothies

− Stock up with pouches of purple

pureed fruits for on-the-go snacks

− Freeze cubes of 100% grape juice

made with Concord grapes; plunk

into water or unsweetened iced tea for

a refreshing drink with no added sugars

48

Concord Grape Ice Cubes

welchs.com/recipes

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More Tricks for Pumping Up Purple

• Experiment with new trends

− Make purple zoodles or ribbons with

purple carrots or eggplant

− Switch out a bun or tortilla for a purple

“cabbage wrap”

− Create your own healthy veggie

chips by slicing and baking purple

vegetables (carrots, purple potatoes)

49

Thai Slaw Cabbage Wraps

Alex Caspero, MA, RD

delishknowledge.com

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Free Resources

50

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Summary

• Getting enough and a variety of colorful produce is important

• Only 3% of produce intake comes from the blue/purple group

• Purple foods and beverages have health benefits, and polyphenols are behind their natural benefits and purple hue

• 100% grape juice is the best way to get the purple power of the Concord grape

• From sweet to savory, there are many ways to creatively pump up the purple in your diet

51

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Thank You

Alexandra Caspero, MA, RD

Email: [email protected]

Website: delishknowledge.com

Social Media: @delishknowledge

52

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Questions?

Taylor C. Wallace, PhD, CFS, FACN

[email protected]

53

Alex Caspero MA, RD, CLT, RYT

[email protected]

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References

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2. He J, Wallace TC, Keatley KE, Failla ML and Guisti MM. Stability of black raspberry anthocyanins in the digestive tract lumen and

transport efficiency into gastric and small intestinal tissues in the rat. J Agric Food Chem. 2009. 57(8):3141-3148.

3. Sebastian RS, Wilkinson Enns C, Goldman JD, Martin CL, Steinfeldt LC, Murayi T and Moshfegh AJ. A New Database Facilitates

Characterization of Flavonoid Intake, Sources, and Positive Associations with Diet Quality among US Adults. J Nutr. 2015. 145:1239-

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4. McCullough ML, Peterson JJ, Patel R, Jacques PF, Shah R and Dwyer JT. Flavonoid intake and cardiovascular disease mortality in a

prospective cohort of US adults. Am J Clin Nutr. 2012. 95(2):454-464.

5. Wallace TC, Slavin M and Frankenfeld CL. Systematic review of anthocyanins and markers of cardiovascular disease. Nutrients.

2016. 8(1):32.

6. Albers AR, et al. The antiinflammatory effects of purple grape juice consumption in subjects with stable coronary artery disease.

Arterioscler Thromb Vasc Biol. 2004. 24(11):e179-180.

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eNOS. Cardiovasc Res. 2007. 73(2):404-413.

8. Chou EJ, et al. Effect of ingestion of purple grape juice on endothelial function in patients with coronary heart disease. Am J Cardiol.

2001. 88(5):553-555.

9. Fitzpatrick DF, et al. Endothelium-dependent vasorelaxing activity of wine and other grape products. Am J Physiol Heart Circ Physiol.

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10. Freedman JE, et al. Select flavonoids and whole juice from purple grapes inhibit platelet function and enhance nitric oxide release.

Circulation. 2001. 103(23):2792-2798.

11. Keevil JG, et al. Grape juice, but not orange juice or grapefruit juice, inhibits human platelet aggregation. J Nutr. 2000. 130(1):53-56.

12. O'Byrne DJ, et al. Comparison of the antioxidant effects of Concord grape juice flavonoids alpha-tocopherol on markers of oxidative

stress in healthy adults. Am J Clin Nutr. 2002. 76(6):1367-1374.

54

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References, cont.

13. Stein JH, et al. Purple grape juice improves endothelial function and reduces the susceptibility of LDL cholesterol to oxidation in

patients with coronary artery disease. Circulation. 1999. 100(10):1050-1055.

14. Vinson JA, et al. Grape juice, but not orange juice, has in vitro, ex vivo, and in vivo antioxidant properties. J Med Food. 2000. 3(4):167-

171.

15. Park YK, et al. Concord grape juice supplementation reduces blood pressure in Korean hypertensive men: double-blind, placebo

controlled intervention trial. Biofactors. 2004. 22(1-4):145-147.

16. Auger C, Pollet B, Arnold C, Marx C and Schini-Kerth VB. Great Heterogeneity of Commercial Fruit Juices to Induce Endothelium-

Dependent Relaxations in Isolated Porcine Coronary Arteries: Role of the Phenolic Content and Composition. J Med Food. 2015.

18(1):128–136.

17. Wightman JD and Heuberger RA. Effect of grape and other berries on cardiovascular health. J Sci Food Agric. 2015. 95: 1584–1597.

18. Dorsey PG, Holbrook M, Carey M, LeLeiko RM, Flint N, Rodrigues I, Aasen J, Eberhardt RT and Vita JA. Concord grape juice

improves endothelial function in overweight, older adults. Presented at the 55th Annual Conference of the American College of

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