Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome

Background: There have been antidiabetic claims for Aloe vera (AG) Barbadensis Mill. gel and infusion of Cnidoscolus chayamansa (CC) McVaugh. Objectives: To determine if the ingestion of total process AG concentrated 5:1 (TA), AG, CC or placebo can reduce hyperglycemia in women with early metabolic...

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Autores principales: Cárdenas Ibarra, Lilia, Villarreal Pérez, Jesús Zacarías, Lira Castillo, J. Carlos, Nava Alemán, Aram
Formato: Artículo
Lenguaje:inglés
Publicado: Elsevier Health Sciences 2017
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Acceso en línea:http://eprints.uanl.mx/14519/1/31.pdf
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author Cárdenas Ibarra, Lilia
Villarreal Pérez, Jesús Zacarías
Lira Castillo, J. Carlos
Nava Alemán, Aram
author_facet Cárdenas Ibarra, Lilia
Villarreal Pérez, Jesús Zacarías
Lira Castillo, J. Carlos
Nava Alemán, Aram
author_sort Cárdenas Ibarra, Lilia
collection Repositorio Institucional
description Background: There have been antidiabetic claims for Aloe vera (AG) Barbadensis Mill. gel and infusion of Cnidoscolus chayamansa (CC) McVaugh. Objectives: To determine if the ingestion of total process AG concentrated 5:1 (TA), AG, CC or placebo can reduce hyperglycemia in women with early metabolic syndrome (EMS). Methods: One hundred-twenty five women from two outpatient university clinics were randomly assigned to a three assay doubleblind crossover procedure. Subjects were adult women with EMS by ATP III criteria assigned to assay 1: AG&CC vs P1&P2; assay 2: AG&P2 vs P1&CC; or assay 3: TA vs P3. All assays included the ingestion of one, then zero (washout period), then two gelatins/day, for 4, 1, 4 weeks, respectively. The expected outcome was an HbA1c decrease ≥4.2 mmol/mol or lower but sustaining euglycemia. Results: Participants had a mean age of 46.8 ± 9.7 years and a mean HbA1c of 47.8 ± 12.7 mmol/mol at the start of the study. The least tolerated combination was AG&P2. Patients complained of bad taste and mild stomach pain because of the double dose of this treatment; this caused withdrawals: 4/25 vs. 9/21, respectively, Chi square ¼ 4.1, df ¼ 1, P < 0.05. Changes in HbA1c (mmol/mol) were assay 1, 1.8 ± 7.5 vs 1.6 ± 6.9, P > 0.05; assay 2, 1.3 ± 6.6 vs 1.4 ± 7.6, P > 0.05; assay 3, 4.9 ± 8.3 vs 0.44 ± 5.4, P < 0.01, respectively. TA concomitantly reduced high-sensitive C-reactive protein (hs-CRP) (P < 0.05). Conclusions: Data suggest that TA decreases blood glucose levels by reducing the proinflammatory state. The infusion of microwave dehydrated CC leaves did not reduce blood glucose or HDL and triglyceride levels.
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spelling eprints-145192025-07-10T16:16:33Z http://eprints.uanl.mx/14519/ Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome Cárdenas Ibarra, Lilia Villarreal Pérez, Jesús Zacarías Lira Castillo, J. Carlos Nava Alemán, Aram RM Terapéutica, Farmacología Background: There have been antidiabetic claims for Aloe vera (AG) Barbadensis Mill. gel and infusion of Cnidoscolus chayamansa (CC) McVaugh. Objectives: To determine if the ingestion of total process AG concentrated 5:1 (TA), AG, CC or placebo can reduce hyperglycemia in women with early metabolic syndrome (EMS). Methods: One hundred-twenty five women from two outpatient university clinics were randomly assigned to a three assay doubleblind crossover procedure. Subjects were adult women with EMS by ATP III criteria assigned to assay 1: AG&CC vs P1&P2; assay 2: AG&P2 vs P1&CC; or assay 3: TA vs P3. All assays included the ingestion of one, then zero (washout period), then two gelatins/day, for 4, 1, 4 weeks, respectively. The expected outcome was an HbA1c decrease ≥4.2 mmol/mol or lower but sustaining euglycemia. Results: Participants had a mean age of 46.8 ± 9.7 years and a mean HbA1c of 47.8 ± 12.7 mmol/mol at the start of the study. The least tolerated combination was AG&P2. Patients complained of bad taste and mild stomach pain because of the double dose of this treatment; this caused withdrawals: 4/25 vs. 9/21, respectively, Chi square ¼ 4.1, df ¼ 1, P < 0.05. Changes in HbA1c (mmol/mol) were assay 1, 1.8 ± 7.5 vs 1.6 ± 6.9, P > 0.05; assay 2, 1.3 ± 6.6 vs 1.4 ± 7.6, P > 0.05; assay 3, 4.9 ± 8.3 vs 0.44 ± 5.4, P < 0.01, respectively. TA concomitantly reduced high-sensitive C-reactive protein (hs-CRP) (P < 0.05). Conclusions: Data suggest that TA decreases blood glucose levels by reducing the proinflammatory state. The infusion of microwave dehydrated CC leaves did not reduce blood glucose or HDL and triglyceride levels. Elsevier Health Sciences 2017 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/14519/1/31.pdf http://eprints.uanl.mx/14519/1.haspreviewThumbnailVersion/31.pdf Cárdenas Ibarra, Lilia y Villarreal Pérez, Jesús Zacarías y Lira Castillo, J. Carlos y Nava Alemán, Aram (2017) Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome. Clinical nutrition experimental, 14. pp. 1-12. ISSN 23529393 http://doi.org/10.1016/j.yclnex.2017.05.003 doi:10.1016/j.yclnex.2017.05.003
spellingShingle RM Terapéutica, Farmacología
Cárdenas Ibarra, Lilia
Villarreal Pérez, Jesús Zacarías
Lira Castillo, J. Carlos
Nava Alemán, Aram
Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome
title_full Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome
title_fullStr Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome
title_full_unstemmed Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome
title_short Randomized double blind crossover trial of Aloe vera , Cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome
title_sort randomized double blind crossover trial of aloe vera cnidoscolus chayamansa and placebo for reducing hyperglycemia in women with early metabolic syndrome
topic RM Terapéutica, Farmacología
url http://eprints.uanl.mx/14519/1/31.pdf
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