Effect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patients

Background/Aim: Hypertension is a consequence of a neuromodulatory imbalance and is directly associated with cardiovascular diseases. Oxidative stress constitutes an intermediate pathophysiological mechanism for hypertension and cardiovascular disease. Evidence suggests that there is a proportional...

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Main Authors: Novaes-Gaeta Ludmila N., Moraes Mariele C., Katayama Keyla Y., Sangaletti Carine T., Irigoyen Maria Claudia, Freitas Sarah, Viana Ariane, de Angelis Katia, Caldini Elia G., Lopes Heno F.
Format: Article
Language:English
Published: Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine 2024-01-01
Series:Scripta Medica
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Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2024/2490-33292406685N.pdf
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author Novaes-Gaeta Ludmila N.
Moraes Mariele C.
Katayama Keyla Y.
Sangaletti Carine T.
Irigoyen Maria Claudia
Freitas Sarah
Viana Ariane
de Angelis Katia
Caldini Elia G.
Lopes Heno F.
author_facet Novaes-Gaeta Ludmila N.
Moraes Mariele C.
Katayama Keyla Y.
Sangaletti Carine T.
Irigoyen Maria Claudia
Freitas Sarah
Viana Ariane
de Angelis Katia
Caldini Elia G.
Lopes Heno F.
author_sort Novaes-Gaeta Ludmila N.
collection DOAJ
description Background/Aim: Hypertension is a consequence of a neuromodulatory imbalance and is directly associated with cardiovascular diseases. Oxidative stress constitutes an intermediate pathophysiological mechanism for hypertension and cardiovascular disease. Evidence suggests that there is a proportional relationship between diets high in antioxidants and a reduced risk of cardiovascular events. A high antioxidant diet could scavenge the free radicals and other toxic radicals offering better protection to the cardiovascular system. The primary study objective was to evaluate the impact of dietary supplementation with fruit extract capsules on markers of oxidative stress and antioxidant capacity in hypertensive and normotensive individuals; a secondary objective was to evaluate the impact of dietary supplementation on insulin resistance, markers of inflammation and haemodynamic variables in treated hypertensive and normotensive patients. Methods: This clinical trial comprised 30 hypertensive patients and 29 normotensive volunteers. Study participants received placebo capsules for 4 weeks, then fruit extract capsules (blueberry, cranberry and pomegranate), one capsule of each per day for 4 weeks. Blood pressure was measured at baseline, after the use of placebo and antioxidant capsules. Catalase, thiobarbiturate acid reactive substances (TBARS), superoxide dismutase (SOD), carbonyl and ferric-reducing antioxidant powder (FRAP) were used to evaluate oxidative stress. Results: The mean age among hypertensive participants was 49.3 ± 9.3 years. Catalase increased in both groups; reduction of TBARs, FRAP and carbonyls occurred in the hypertensive group. A significant intragroup difference in homeostatic model assessment of insulin resistance (HOMAir) was noted between normotensive and hypertensive individuals at different times. No significant difference occurred regarding inflammatory cytokines, adipocytokines and haemodynamic data after antioxidant consumption. Conclusion: The study results suggest that supplementation with fruit capsules rich in antioxidants for 4 weeks significantly reduces oxidative stress in hypertensive patients. Studies with a larger number of patients are needed to confirm the findings.
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publishDate 2024-01-01
publisher Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
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spelling doaj-art-e731686006044d648018be2383cd61292025-02-05T13:19:48ZengMedical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of MedicineScripta Medica2490-33292303-79542024-01-0155668569510.5937/scriptamed55-542002490-33292406685NEffect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patientsNovaes-Gaeta Ludmila N.0https://orcid.org/0000-0003-3374-4914Moraes Mariele C.1https://orcid.org/0009-0009-9852-1966Katayama Keyla Y.2https://orcid.org/0009-0002-7525-4999Sangaletti Carine T.3https://orcid.org/0000-0002-0696-325XIrigoyen Maria Claudia4https://orcid.org/0000-0003-2097-3662Freitas Sarah5https://orcid.org/0000-0003-2802-8753Viana Ariane6https://orcid.org/0000-0003-3866-5000de Angelis Katia7https://orcid.org/0000-0002-3640-9049Caldini Elia G.8https://orcid.org/0000-0001-5322-3812Lopes Heno F.9https://orcid.org/0000-0002-9591-3093University of São Paulo, Faculty of Medicine, Hospital das Clínicas HCFMUSP, Heart Institute (InCor), São Paulo, SP, BrazilUniversity of São Paulo, Faculty of Medicine, Hospital das Clínicas HCFMUSP, Heart Institute (InCor), São Paulo, SP, Brazil9th of July University - UNINOVE, São Paulo, SP, BrazilUniversity of São Paulo, Faculty of Medicine, Hospital das Clínicas HCFMUSP, Heart Institute (InCor), São Paulo, SP, BrazilUniversity of São Paulo, Faculty of Medicine, Hospital das Clínicas HCFMUSP, Heart Institute (InCor), São Paulo, SP, Brazil9th of July University - UNINOVE, São Paulo, SP, Brazil9th of July University - UNINOVE, São Paulo, SP, Brazil9th of July University - UNINOVE, São Paulo, SP, BrazilUniversity of São Paulo, Faculty of Medicine, Department of Pathology, São Paulo, SP, BrazilUniversity of São Paulo, Faculty of Medicine, Hospital das Clínicas HCFMUSP, Heart Institute (InCor), São Paulo, SP, BrazilBackground/Aim: Hypertension is a consequence of a neuromodulatory imbalance and is directly associated with cardiovascular diseases. Oxidative stress constitutes an intermediate pathophysiological mechanism for hypertension and cardiovascular disease. Evidence suggests that there is a proportional relationship between diets high in antioxidants and a reduced risk of cardiovascular events. A high antioxidant diet could scavenge the free radicals and other toxic radicals offering better protection to the cardiovascular system. The primary study objective was to evaluate the impact of dietary supplementation with fruit extract capsules on markers of oxidative stress and antioxidant capacity in hypertensive and normotensive individuals; a secondary objective was to evaluate the impact of dietary supplementation on insulin resistance, markers of inflammation and haemodynamic variables in treated hypertensive and normotensive patients. Methods: This clinical trial comprised 30 hypertensive patients and 29 normotensive volunteers. Study participants received placebo capsules for 4 weeks, then fruit extract capsules (blueberry, cranberry and pomegranate), one capsule of each per day for 4 weeks. Blood pressure was measured at baseline, after the use of placebo and antioxidant capsules. Catalase, thiobarbiturate acid reactive substances (TBARS), superoxide dismutase (SOD), carbonyl and ferric-reducing antioxidant powder (FRAP) were used to evaluate oxidative stress. Results: The mean age among hypertensive participants was 49.3 ± 9.3 years. Catalase increased in both groups; reduction of TBARs, FRAP and carbonyls occurred in the hypertensive group. A significant intragroup difference in homeostatic model assessment of insulin resistance (HOMAir) was noted between normotensive and hypertensive individuals at different times. No significant difference occurred regarding inflammatory cytokines, adipocytokines and haemodynamic data after antioxidant consumption. Conclusion: The study results suggest that supplementation with fruit capsules rich in antioxidants for 4 weeks significantly reduces oxidative stress in hypertensive patients. Studies with a larger number of patients are needed to confirm the findings.https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2024/2490-33292406685N.pdfvaccinium macrocarponblueberry plantspomegranatehypertensionoxidative stressantioxidantscardiovascular diseases
spellingShingle Novaes-Gaeta Ludmila N.
Moraes Mariele C.
Katayama Keyla Y.
Sangaletti Carine T.
Irigoyen Maria Claudia
Freitas Sarah
Viana Ariane
de Angelis Katia
Caldini Elia G.
Lopes Heno F.
Effect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patients
Scripta Medica
vaccinium macrocarpon
blueberry plants
pomegranate
hypertension
oxidative stress
antioxidants
cardiovascular diseases
title Effect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patients
title_full Effect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patients
title_fullStr Effect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patients
title_full_unstemmed Effect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patients
title_short Effect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patients
title_sort effect of antioxidant capsule supplementation on oxidative stress markers in hypertensive patients
topic vaccinium macrocarpon
blueberry plants
pomegranate
hypertension
oxidative stress
antioxidants
cardiovascular diseases
url https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2024/2490-33292406685N.pdf
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