ABSTRACT
Introducción: los extractos lipídicos de los frutos de Serenoa repens, una palma nativa de los EE. UU., se usan para tratar la hiperplasia prostática benigna. Aunque esta especie fue introducida en el Jardín Botánico Nacional de Cuba hace algunos años, los extractos lipídicos de sus frutos aún no habían sido estudiados. Objetivo: determinar las principales características organolépticas, físicas y químicas de extractos lipídicos obtenidos de frutos de S. repens recolectados en Cuba. Métodos: se recolectaron frutos secos y frutos maduros frescos de S. repens, los últimos se secaron a temperatura ambiente y a 80 ºC. Los 3 grupos de frutos secos se molieron y extrajeron con hexano en Söxhlet. Los extractos lipídicos se secaron y se determinaron sus principales características. Los componentes estudiados se determinaron mediante cromatografía de gases, en algunos casos con detección por espectrometría de masas. Resultados: los extractos presentaron características organolépticas y físicas, así como contenidos de ácidos grasos (componentes mayoritarios) y ésteres etílicos que coincidieron con lo descrito en la literatura, mientras que los contenidos de esteroles y alcoholes grasos resultaron superiores a los publicados antes para esta especie. También se identificaron alcoholes grasos no encontrados previamente en estos extractos: 1-eicosanol, 1-docosanol, 1-heptacosanol, 1-nonacosanol, 1-dotriacontanol y 1-tetratriacontanol. Conclusiones: de manera general, los extractos lipídicos de frutos de S. repens recolectados en Cuba presentaron características similares a las reportadas para los extractos de esta especie, aunque se encontraron algunas diferencias, como son mayores contenidos de esteroles y alcoholes grasos, y la presencia de algunos alcoholes grasos no identificados antes.
Introduction: lipid extracts from the fruits of Serenoa repens, a native palm from the United States of America, are used to treat benign prostate hyperplasia. Although this species was introduced in the National Botanic Garden of Cuba some years ago, the lipid extracts of its fruits had not been studied yet. Objective: to determine the main organoleptic, physical and chemical characteristics of lipid extracts from the fruits of S. repens harvested in Cuba. Methods: dried fruits and fresh ripe fruits of S. repens were harvested. Fresh fruits were dried at room temperature and at 80 ºC. The three groups of dried fruits were grounded and extracted with hexane in Söxhlet equipment. The main characteristics of the dried lipid extracts were determined. The studied components were determined by gas chromatography, in some cases with mass spectrometry detection. Results: organoleptic and physical characteristics as well as the contents of fatty acids (major components) and ethyl esters of the studied extracts agreed with that described in literature, whereas those of sterols and fatty alcohols were higher than those previously reported for this species. some fatty alcohols not previously reported in these extracts, that is, 1-eicosanol, 1-docosanol, 1-heptacosanol, 1-nonacosanol, 1-dotriacontanol and 1-tetratriacontanol.were also identified. Conclusions: Generally speaking, the lipid extracts from the fruits of S. repens harvested in Cuba presented characteristics similar to those reported for the extracts of this species, although some differences were also found, such as the content of sterols and fatty alcohols and the presence of some fatty alcohols not previously reported in the literature.
ABSTRACT
O objetivo deste trabalho foi avaliar a utilização de fitoterápicos a base de saw palmetto na terapia sintomática da hiperplasia benigna da próstata (HBP) por médicos urologistas da cidade de Porto Alegre. Consistiu em um estudo transversal, exploratório, por meio de entrevista semi-estruturada aplicada a urologistas de Porto Alegre. A amostra foi obtida utilizando catálogo do plano de saúde UNIMED- Porto Alegre. A randomização foi realizada através de sistemática aleatória, sendo sorteados trinta e cinco médicos, dos quais 21 foram selecionados para realização da pesquisa através de questionário. Todos os urologistas entrevistados avaliam e tratam pacientes com hiperplasia benigna da próstata. O saw palmetto não foi citado como terapia medicamentosa de 1ª ou 2ª escolhas no tratamento da HBP. O grupo farmacológico mais freqüentemente utilizado para o tratamento da HBP foi ∝-bloqueadores. Mais da metade dos médicos entrevistados relata ter conhecimento sobre a utilização do saw palmetto, principalmente através de artigos científicos. Os resultados indicam que o saw palmetto não é prescrito pelos urologistas em Porto Alegre, todavia a maior parte destes profissionais tem conhecimento sobre sua utilização.
The aim of this work was to assess the prescription of saw palmetto phytomedicines for improving symptoms of benign prostatic hyperplasia (BPH) by urologists in Porto Alegre (Brazil). The study was transversal and exploratory consisting of a semi-structured interview with urologists. The sample was obtained from the UNIMED Catalog - Porto Alegre (Brazil). The randomization was made by chance, being selected thirty-five physicians. The first twenty-one who accepted to participate were interviewed. All the interviewed urologists treat patients with benign prostatic hyperplasia. The saw palmetto was not mentioned as the first or second choice for treating BPH. The α-blockers were the most mentioned pharmacological group. However, more than half of urologists have heard about the use of saw palmetto and most of them gathered the information in scientific papers. The results indicate that saw palmetto is not prescribed for urologists in Porto Alegre, although most of them have knowledge about this phytomedicine.