Cardiovascular Protection of Nephropathic Male Patients by Oral Food Supplements

Nephropathic patients show elevated cardiovascular morbidity and mortality compared to the general population. In order to delve deeper into the understanding of this phenomenon, it is necessary to recognize risk factors that are distinctive to the uremic state, such as oxidative stress and chronic...

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Main Authors: Annalisa Noce, Giulia Marrone, Manuela Di Lauro, Silvia Urciuoli, Anna Pietroboni Zaitseva, Georgia Wilson Jones, Nicola Di Daniele, Annalisa Romani
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Cardiovascular Therapeutics
Online Access:http://dx.doi.org/10.1155/2020/1807941
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author Annalisa Noce
Giulia Marrone
Manuela Di Lauro
Silvia Urciuoli
Anna Pietroboni Zaitseva
Georgia Wilson Jones
Nicola Di Daniele
Annalisa Romani
author_facet Annalisa Noce
Giulia Marrone
Manuela Di Lauro
Silvia Urciuoli
Anna Pietroboni Zaitseva
Georgia Wilson Jones
Nicola Di Daniele
Annalisa Romani
author_sort Annalisa Noce
collection DOAJ
description Nephropathic patients show elevated cardiovascular morbidity and mortality compared to the general population. In order to delve deeper into the understanding of this phenomenon, it is necessary to recognize risk factors that are distinctive to the uremic state, such as oxidative stress and chronic low-grade inflammation. Moreover, gender differences have been reported in nephrology, as it has been observed that chronic kidney disease has higher prevalence in males than in females. The use of an oral food supplement (OFS) containing natural active compounds from Capsicum annuum L., Garcinia cambogia, Centella asiatica L., artichoke, and Aesculus hippocastanum L. which are virtually devoid from side effects, but rich in antioxidant and antiradical properties, could represent a valid therapeutic adjunct in the clinical management of nephropathic patients. Moreover, quantitative analysis performed in vitro on such compounds showed that they expressed good total antioxidant (7.28 gallic acid equivalents) and antiradical activity (above 80%). In this study, 23 male nephropathic patients and 10 age and body composition parameter matched healthy males (control group) were enrolled and took 3 cps/day of OFS for 5 weeks. At the end of the study, the nephropathic patient group showed a statistically significant reduction in the following laboratory parameters: total cholesterol (TC) (p=0.044), atherogenic index TC/high-density lipoprotein cholesterol (p=0.010), inflammatory parameters (C-reactive protein, p=0.048, and erythrocyte sedimentation rate, p=0.019), systolic (p=0.044), and diastolic arterial blood pressure (p=0.003). Regarding body composition, there was an increase in total body water % (p=0.035) with redistribution of extracellular water % (p=0.030) and intracellular water % (p=0.049). In the control group, there was a reduction in fat mass % (p=0.017) and extracellular water % (p=0.047). Therefore, this OFS may represent a valid adjunct therapy to counteract comorbidities related to uremia.
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spelling doaj-art-42257e7049b0465d86ae9facdd6ea57a2025-02-03T01:03:58ZengWileyCardiovascular Therapeutics1755-59141755-59222020-01-01202010.1155/2020/18079411807941Cardiovascular Protection of Nephropathic Male Patients by Oral Food SupplementsAnnalisa Noce0Giulia Marrone1Manuela Di Lauro2Silvia Urciuoli3Anna Pietroboni Zaitseva4Georgia Wilson Jones5Nicola Di Daniele6Annalisa Romani7UOC of Internal Medicine-Center of Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyUOC of Internal Medicine-Center of Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyUOC of Internal Medicine-Center of Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyPHYTOLAB (Pharmaceutical, Cosmetic, Food Supplement, Technology and Analysis)-DiSIA, University of Florence, Via U. Schiff, 6, 50019 Sesto Fiorentino, ItalyUOC of Internal Medicine-Center of Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyUOC of Internal Medicine-Center of Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyUOC of Internal Medicine-Center of Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133 Rome, ItalyPHYTOLAB (Pharmaceutical, Cosmetic, Food Supplement, Technology and Analysis)-DiSIA, University of Florence, Via U. Schiff, 6, 50019 Sesto Fiorentino, ItalyNephropathic patients show elevated cardiovascular morbidity and mortality compared to the general population. In order to delve deeper into the understanding of this phenomenon, it is necessary to recognize risk factors that are distinctive to the uremic state, such as oxidative stress and chronic low-grade inflammation. Moreover, gender differences have been reported in nephrology, as it has been observed that chronic kidney disease has higher prevalence in males than in females. The use of an oral food supplement (OFS) containing natural active compounds from Capsicum annuum L., Garcinia cambogia, Centella asiatica L., artichoke, and Aesculus hippocastanum L. which are virtually devoid from side effects, but rich in antioxidant and antiradical properties, could represent a valid therapeutic adjunct in the clinical management of nephropathic patients. Moreover, quantitative analysis performed in vitro on such compounds showed that they expressed good total antioxidant (7.28 gallic acid equivalents) and antiradical activity (above 80%). In this study, 23 male nephropathic patients and 10 age and body composition parameter matched healthy males (control group) were enrolled and took 3 cps/day of OFS for 5 weeks. At the end of the study, the nephropathic patient group showed a statistically significant reduction in the following laboratory parameters: total cholesterol (TC) (p=0.044), atherogenic index TC/high-density lipoprotein cholesterol (p=0.010), inflammatory parameters (C-reactive protein, p=0.048, and erythrocyte sedimentation rate, p=0.019), systolic (p=0.044), and diastolic arterial blood pressure (p=0.003). Regarding body composition, there was an increase in total body water % (p=0.035) with redistribution of extracellular water % (p=0.030) and intracellular water % (p=0.049). In the control group, there was a reduction in fat mass % (p=0.017) and extracellular water % (p=0.047). Therefore, this OFS may represent a valid adjunct therapy to counteract comorbidities related to uremia.http://dx.doi.org/10.1155/2020/1807941
spellingShingle Annalisa Noce
Giulia Marrone
Manuela Di Lauro
Silvia Urciuoli
Anna Pietroboni Zaitseva
Georgia Wilson Jones
Nicola Di Daniele
Annalisa Romani
Cardiovascular Protection of Nephropathic Male Patients by Oral Food Supplements
Cardiovascular Therapeutics
title Cardiovascular Protection of Nephropathic Male Patients by Oral Food Supplements
title_full Cardiovascular Protection of Nephropathic Male Patients by Oral Food Supplements
title_fullStr Cardiovascular Protection of Nephropathic Male Patients by Oral Food Supplements
title_full_unstemmed Cardiovascular Protection of Nephropathic Male Patients by Oral Food Supplements
title_short Cardiovascular Protection of Nephropathic Male Patients by Oral Food Supplements
title_sort cardiovascular protection of nephropathic male patients by oral food supplements
url http://dx.doi.org/10.1155/2020/1807941
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