The effect of a barley-based food product in alleviating knee osteoarthritis discomfort symptoms in Egyptian female patients

Background/aim Osteoarthritis is a common joint condition that causes cartilage to erode. There are numerous conventional treatments available, including nonsteroidal anti-inflammatory medicines and pharmaceuticals containing glucosamine; however, taking them can result in serious side effects. The...

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Main Authors: Suzanne Fouad, Rasha Monir, Fatma A. Ibrahim, Ahmed M.S. Hussein, Heba F. Shafei, Aliaa El Gendy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-12-01
Series:Journal of the Arab Society for Medical Research
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Online Access:https://journals.lww.com/10.4103/jasmr.jasmr_12_23
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author Suzanne Fouad
Rasha Monir
Fatma A. Ibrahim
Ahmed M.S. Hussein
Heba F. Shafei
Aliaa El Gendy
author_facet Suzanne Fouad
Rasha Monir
Fatma A. Ibrahim
Ahmed M.S. Hussein
Heba F. Shafei
Aliaa El Gendy
author_sort Suzanne Fouad
collection DOAJ
description Background/aim Osteoarthritis is a common joint condition that causes cartilage to erode. There are numerous conventional treatments available, including nonsteroidal anti-inflammatory medicines and pharmaceuticals containing glucosamine; however, taking them can result in serious side effects. The aim of this study was to prepare barley-based food product enriched with ginger, curcumin, garlic powder, and onion powder and to evaluate the effect of consumption of the prepared macaroni for 2 months, in alleviating knee osteoarthritis discomfort symptoms in female patients complaining of grade 2–3 knee osteoarthritis. Patients and methods The present study enrolled 51 Egyptian middle age females patients with a mean age of 51±8.37 years, diagnosed with bilateral grade two to three knee osteoarthritis were recruited from the National Research Centre rheumatology and rehabilitation clinic. Anthropometric measurements and blood samples were collected after 8 weeks of daily barley based macaroni supplementation (75 grams raw). Serum levels of IL1β, IL4 and IL6 were measured using Elisa techniques, while Total Antioxidant Capacity, Malondialdehyde, and Glutathione S-transferase were measured by the colorimetric methods. Results Chemical composition analysis of the prepared barley-based macaroni demonstrated a decrease in total carbohydrate content and an increase in crude fiber, protein, and fat content compared with the control (semolina wheat-based macaroni); 100 grams of the prepared uncooked barley macaroni provided 342.46 Kcal. The reevaluation of the anthropometric parameters after 8 weeks of daily macaroni supplementation denoting improvement without statistical significance (P>0.05), and the clinical characteristics of knee joint osteoarthritis (Lequesne Index, WOMAC score, and Timed Up and Go test) significantly improved which meant less pain and stiffness. The serum pro-inflammatory cytokines IL1β and IL6 declined significantly and the serum anti-inflammatory cytokine IL4 raised significantly (P≤0.05), besides, barley based macaroni supplementation significantly improved the antioxidant status, which was achieved through the rise of serum Total Antioxidant Capacity and the decline of Malondialdehyde and Glutathione S-transferase activity (P≤0.05). Conclusion Barley-based prepared macaroni enriched with curcumin and ginger must be considered in alleviating the severity of knee OA symptoms to aid patients in getting their life back to near normal.
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spelling doaj-art-1efa445e3d3142a88d0b38cb2e88dfcd2025-01-20T04:24:30ZengWolters Kluwer Medknow PublicationsJournal of the Arab Society for Medical Research1687-42932023-12-0118218219010.4103/jasmr.jasmr_12_23The effect of a barley-based food product in alleviating knee osteoarthritis discomfort symptoms in Egyptian female patientsSuzanne FouadRasha MonirFatma A. IbrahimAhmed M.S. HusseinHeba F. ShafeiAliaa El GendyBackground/aim Osteoarthritis is a common joint condition that causes cartilage to erode. There are numerous conventional treatments available, including nonsteroidal anti-inflammatory medicines and pharmaceuticals containing glucosamine; however, taking them can result in serious side effects. The aim of this study was to prepare barley-based food product enriched with ginger, curcumin, garlic powder, and onion powder and to evaluate the effect of consumption of the prepared macaroni for 2 months, in alleviating knee osteoarthritis discomfort symptoms in female patients complaining of grade 2–3 knee osteoarthritis. Patients and methods The present study enrolled 51 Egyptian middle age females patients with a mean age of 51±8.37 years, diagnosed with bilateral grade two to three knee osteoarthritis were recruited from the National Research Centre rheumatology and rehabilitation clinic. Anthropometric measurements and blood samples were collected after 8 weeks of daily barley based macaroni supplementation (75 grams raw). Serum levels of IL1β, IL4 and IL6 were measured using Elisa techniques, while Total Antioxidant Capacity, Malondialdehyde, and Glutathione S-transferase were measured by the colorimetric methods. Results Chemical composition analysis of the prepared barley-based macaroni demonstrated a decrease in total carbohydrate content and an increase in crude fiber, protein, and fat content compared with the control (semolina wheat-based macaroni); 100 grams of the prepared uncooked barley macaroni provided 342.46 Kcal. The reevaluation of the anthropometric parameters after 8 weeks of daily macaroni supplementation denoting improvement without statistical significance (P>0.05), and the clinical characteristics of knee joint osteoarthritis (Lequesne Index, WOMAC score, and Timed Up and Go test) significantly improved which meant less pain and stiffness. The serum pro-inflammatory cytokines IL1β and IL6 declined significantly and the serum anti-inflammatory cytokine IL4 raised significantly (P≤0.05), besides, barley based macaroni supplementation significantly improved the antioxidant status, which was achieved through the rise of serum Total Antioxidant Capacity and the decline of Malondialdehyde and Glutathione S-transferase activity (P≤0.05). Conclusion Barley-based prepared macaroni enriched with curcumin and ginger must be considered in alleviating the severity of knee OA symptoms to aid patients in getting their life back to near normal.https://journals.lww.com/10.4103/jasmr.jasmr_12_23barleydiet therapyknee osteoarthritismacaronipasting properties
spellingShingle Suzanne Fouad
Rasha Monir
Fatma A. Ibrahim
Ahmed M.S. Hussein
Heba F. Shafei
Aliaa El Gendy
The effect of a barley-based food product in alleviating knee osteoarthritis discomfort symptoms in Egyptian female patients
Journal of the Arab Society for Medical Research
barley
diet therapy
knee osteoarthritis
macaroni
pasting properties
title The effect of a barley-based food product in alleviating knee osteoarthritis discomfort symptoms in Egyptian female patients
title_full The effect of a barley-based food product in alleviating knee osteoarthritis discomfort symptoms in Egyptian female patients
title_fullStr The effect of a barley-based food product in alleviating knee osteoarthritis discomfort symptoms in Egyptian female patients
title_full_unstemmed The effect of a barley-based food product in alleviating knee osteoarthritis discomfort symptoms in Egyptian female patients
title_short The effect of a barley-based food product in alleviating knee osteoarthritis discomfort symptoms in Egyptian female patients
title_sort effect of a barley based food product in alleviating knee osteoarthritis discomfort symptoms in egyptian female patients
topic barley
diet therapy
knee osteoarthritis
macaroni
pasting properties
url https://journals.lww.com/10.4103/jasmr.jasmr_12_23
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