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Ensayo controlado aleatorizado2013

Beneficial effects of polyphenol-rich olive oil in patients with early atherosclerosis

Widmer RJ, Freund MA, Flammer AJ, Sexton J, Lennon R, Romani A, Mulinacci N, Vinceri FF, Lerman LO, Lerman A

European journal of nutrition · 77 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
Mayo Clinic
Gobierno
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
Gobierno
National Institutes of Health
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
NHLBI NIH HHS
Gobierno
Swiss National Science Foundation
Subvenciones
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (132551); National Heart, Lung, and Blood Institute (R01 HL 092954); National Heart, Lung, and Blood Institute (P01HL085307); National Heart, Lung, and Blood Institute (HL085307)

Según 6 financiadores declarados.

Publicación

Publicado
2012-08-07 · Eur J Nutr · vol. 52 · número 3 · págs. 1223–1231
Editorial
Springer Science+Business Media
Citado
123 citas · más que el 95% de estudios similares · 4.5× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
40 trabajos
Acceso
Acceso abierto (copia en repositorio)
Áreas de investigación
Edible Oils Quality and Analysis · Cardiovascular Health and Disease Prevention · Phytochemicals and Antioxidant Activities
Palabras clave
olive oil, polyphenols, epigallocatechin gallate, early atherosclerosis, endothelial dysfunction, endothelial function, inflammation, oxidative stress, white blood cell count, monocytes, platelets, soluble intercellular adhesion molecule, cardiovascular disease prevention
MeSH
endothelium, vascular, humans, camellia sinensis, plant leaves, plant oils, anti-inflammatory agents, non-steroidal, antioxidants, severity of illness index, double-blind method, oxidative stress, diet, mediterranean, food, fortified, adult, middle aged, patient dropouts, minnesota, female, male, atherosclerosis, polyphenols, olive oil

10 autores

  • Robert Jay Widmer🇺🇸Mayo Clinic
  • M. A. Freund🇺🇸Mayo Clinic
  • Andreas J. Flammer🇺🇸Mayo Clinic
  • J. M. Sexton🇺🇸Mayo Clinic
  • Ryan J. Lennon🇺🇸Mayo Clinic
  • Annalisa Romani🇮🇹University of Florence
  • Nádia Mulinacci🇮🇹University of Florence
  • F. F. Vinceri🇮🇹University of Florence
  • Amir Lerman🇺🇸Mayo Clinic
  • Amir Lerman🇺🇸 · autor de correspondenciaMayo Clinic

Resumen

El texto original del estudio, en el idioma en que se publicó.

Purpose

Diets rich in plant-derived polyphenols such as olive oil (OO) and/or catechins such as epigallocatechin 3-gallate (EGCG) have been shown to reduce the incidence of cardiovascular diseases, potentially by improving endothelial function, an important surrogate for atherosclerosis. The possible augmentation of endothelial function with the combined efforts of OO and EGCG is intriguing, yet unknown.

Methods

Eighty-two patients with early atherosclerosis (presence of endothelial dysfunction) were enrolled in this double-blind, randomized trial with 52 completing the study. The aim of the study was to compare the effect of a daily intake of 30 ml simple OO, with 30 ml of EGCG-supplemented OO, on endothelial function as well as on inflammation and oxidative stress after a period of 4 months. Endothelial function was assessed noninvasively via peripheral arterial tonometry (Endo-PAT®).

Results

After 4 months, when OO and EGCG-supplemented OO groups were combined, OO significantly improved endothelial function (RHI, 1.59 ± 0.25-1.75 ± 0.45; p < 0.05). However, there were no significant differences in results between the two olive oil groups. Interestingly, with OO supplementation there was a significant reduction in inflammatory parameters: sICAM (196 to 183 ng/mL, p = < 0.001); white blood cells (WBCs) (6.0 × 10⁹/L-5.8 × 10⁹/L, p < 0.05); monocytes (0.48 × 10⁹/L to 0.44 × 10⁹/L, p = 0.05); lymphocytes (1.85 × 10⁹/L to 1.6 × 10⁹/L, p = 0.01); and platelets (242-229 × 10⁹/L, p = 0.047).

Conclusions

Improvement in endothelial dysfunction in patients with early atherosclerosis in association with significant reduction in leukocytes may suggest an important role of early cellular inflammatory mediators on endothelial function. The current study supports one potential mechanism for the role of olive oil, independent of EGCG, modestly supplemented to a healthy cardiovascular diet.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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