Feasibility and Safety of Perilla Seed Oil as an Additional Antioxidative Therapy in Patients with Mild to Moderate Dementia

Dementia is a broad-spectrum terminology for a degenerate in cognitive function severe enough to intervene in activities of daily living. Oxidative stress plays a major role in the neurodegenerative cascade, leading to the irreversible mechanism in dementia. Perilla seed oil is extracted from its se...

Full description

Saved in:
Bibliographic Details
Main Authors: Chuntida Kamalashiran, Junya Pattaraarchachai, Sombat Muengtaweepongsa
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2018/5302105
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545522443878400
author Chuntida Kamalashiran
Junya Pattaraarchachai
Sombat Muengtaweepongsa
author_facet Chuntida Kamalashiran
Junya Pattaraarchachai
Sombat Muengtaweepongsa
author_sort Chuntida Kamalashiran
collection DOAJ
description Dementia is a broad-spectrum terminology for a degenerate in cognitive function severe enough to intervene in activities of daily living. Oxidative stress plays a major role in the neurodegenerative cascade, leading to the irreversible mechanism in dementia. Perilla seed oil is extracted from its seeds and contains a high source of antioxidative substances such as omega-3 fatty acid. With its prominent antioxidative property, perilla seed oil demonstrates neuroprotective effects against dementia in preclinical studies. We aim to prove the feasibility and safety of perilla seed oil as an additional antioxidative therapy in patients with dementia. This single-centered, double-blinded, placebo-controlled trial randomized 239 patients with clinical diagnosis of mild to moderate dementia according to the Thai Mini-Mental State Examination (TMSE) score of 10 to 23 or the Thai Montreal Cognitive Assessment score of 12 to 25. Either two capsules containing 500 milligrams of perilla seed oil or similarly appearing two capsules containing 500 milligrams of olive oil (placebo) four times daily was added to conventional standard treatment of dementia for six months. Clinical side effects and routine laboratory results at baseline and after treatment were compared between both groups. Nausea and vomiting were the most common clinical side effects (3%) found equally in both groups. Three patients in the placebo group prematurely discontinued the medication, while only one patient in the treatment group quit the medication early. However, about 5% of patients in both groups could not comply with the regimen of the treatment. The routine laboratory results, including complete blood counts, kidney function tests, and liver function panels, at baseline and after treatment, were not significantly different in both groups. In conclusion, perilla seed oil was feasible and safe to add on with standard treatment in patients with mild to moderate dementia. Further study is needed to confirm its benefit to use as additional antioxidative therapy in patients with dementia.
format Article
id doaj-art-9636d9ae39d643eb932495ec332d61c4
institution Kabale University
issn 2090-2204
2090-2212
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Journal of Aging Research
spelling doaj-art-9636d9ae39d643eb932495ec332d61c42025-02-03T07:25:38ZengWileyJournal of Aging Research2090-22042090-22122018-01-01201810.1155/2018/53021055302105Feasibility and Safety of Perilla Seed Oil as an Additional Antioxidative Therapy in Patients with Mild to Moderate DementiaChuntida Kamalashiran0Junya Pattaraarchachai1Sombat Muengtaweepongsa2Chulabhron International College of Medicine, Thammasat University, Pathum Thani, ThailandChulabhron International College of Medicine, Thammasat University, Pathum Thani, ThailandFaculty of Medicine, Thammasat University, Pathum Thani, ThailandDementia is a broad-spectrum terminology for a degenerate in cognitive function severe enough to intervene in activities of daily living. Oxidative stress plays a major role in the neurodegenerative cascade, leading to the irreversible mechanism in dementia. Perilla seed oil is extracted from its seeds and contains a high source of antioxidative substances such as omega-3 fatty acid. With its prominent antioxidative property, perilla seed oil demonstrates neuroprotective effects against dementia in preclinical studies. We aim to prove the feasibility and safety of perilla seed oil as an additional antioxidative therapy in patients with dementia. This single-centered, double-blinded, placebo-controlled trial randomized 239 patients with clinical diagnosis of mild to moderate dementia according to the Thai Mini-Mental State Examination (TMSE) score of 10 to 23 or the Thai Montreal Cognitive Assessment score of 12 to 25. Either two capsules containing 500 milligrams of perilla seed oil or similarly appearing two capsules containing 500 milligrams of olive oil (placebo) four times daily was added to conventional standard treatment of dementia for six months. Clinical side effects and routine laboratory results at baseline and after treatment were compared between both groups. Nausea and vomiting were the most common clinical side effects (3%) found equally in both groups. Three patients in the placebo group prematurely discontinued the medication, while only one patient in the treatment group quit the medication early. However, about 5% of patients in both groups could not comply with the regimen of the treatment. The routine laboratory results, including complete blood counts, kidney function tests, and liver function panels, at baseline and after treatment, were not significantly different in both groups. In conclusion, perilla seed oil was feasible and safe to add on with standard treatment in patients with mild to moderate dementia. Further study is needed to confirm its benefit to use as additional antioxidative therapy in patients with dementia.http://dx.doi.org/10.1155/2018/5302105
spellingShingle Chuntida Kamalashiran
Junya Pattaraarchachai
Sombat Muengtaweepongsa
Feasibility and Safety of Perilla Seed Oil as an Additional Antioxidative Therapy in Patients with Mild to Moderate Dementia
Journal of Aging Research
title Feasibility and Safety of Perilla Seed Oil as an Additional Antioxidative Therapy in Patients with Mild to Moderate Dementia
title_full Feasibility and Safety of Perilla Seed Oil as an Additional Antioxidative Therapy in Patients with Mild to Moderate Dementia
title_fullStr Feasibility and Safety of Perilla Seed Oil as an Additional Antioxidative Therapy in Patients with Mild to Moderate Dementia
title_full_unstemmed Feasibility and Safety of Perilla Seed Oil as an Additional Antioxidative Therapy in Patients with Mild to Moderate Dementia
title_short Feasibility and Safety of Perilla Seed Oil as an Additional Antioxidative Therapy in Patients with Mild to Moderate Dementia
title_sort feasibility and safety of perilla seed oil as an additional antioxidative therapy in patients with mild to moderate dementia
url http://dx.doi.org/10.1155/2018/5302105
work_keys_str_mv AT chuntidakamalashiran feasibilityandsafetyofperillaseedoilasanadditionalantioxidativetherapyinpatientswithmildtomoderatedementia
AT junyapattaraarchachai feasibilityandsafetyofperillaseedoilasanadditionalantioxidativetherapyinpatientswithmildtomoderatedementia
AT sombatmuengtaweepongsa feasibilityandsafetyofperillaseedoilasanadditionalantioxidativetherapyinpatientswithmildtomoderatedementia