A randomized controlled trial of topical benzoyl peroxide 2.5% gel with a low glycemic load diet versus topical benzoyl peroxide 2.5% gel with a normal diet in acne (grades 1-3)

Background: The improvement in insulin resistance and acne lesions on low glycemic load diets in various studies suggests that diet plays a significant role in acne pathogenesis. Aims: To compare the efficacy of a low glycemic load diet plus topical benzoyl peroxide 2.5% gel with that of only topical benzoyl peroxide 2.5% gel in grades 1, 2 and 3 of acne vulgaris. Methods: In a randomized controlled trial, 84 patients with grades 1, 2 and 3 acne vulgaris were divided into two groups, to receive a low glycemic load diet and no dietary intervention respectively. Acne lesions (face) were scored and graded at baseline and 4, 8 and 12 weeks. Homeostasis model assessment of insulin resistance and body mass index were measured during the first and last visits. Statistical analysis was done with Statistical Package for the Social Sciences, version 17.0. Results: Both groups showed significant reduction in acne counts at 12 weeks (P = 0.931) with no statistically significant difference between the groups. The differences in body mass index and homeostasis model assessment of insulin resistance between the groups were statistically significant (P = 0.0001). Group 1 showed reductions in body mass index and homeostasis model assessment of insulin resistance values at the end of the study, whereas group 2 did not. Limitations: Application of mild topical cleanser in both the groups might have contributed to the improvement in epidermal barrier function, and topical application of 2.5% of benzoyl peroxide gel in both groups contributed to the improvement in acne counts. Conclusions: A low glycemic load diet did not result in any significant improvement in acne counts.

Effectiveness of a community-based intervention on nutrition education of mothers of malnourished children in a rural coastal area of South India

Background: There is a paucity of evidence on improvement in malnutrition status after follow-up intervention among malnourished under-five children. Objective: The objective of the study is to assess the effect of community-based follow-up health education intervention on the awareness level of mothers, calorie intake, protein intake, and weight gain of malnourished children. Methods: This intervention study was conducted from December 2012 to October 2014 in three phases at rural Puducherry, coastal South India. The intervention group (57 mothers of 64 children) and control group (60 mothers of 64 children) included moderate and severely malnourished children aged 13� months. Children in the control group were taken from different areas and matched for age (�months) and sex. Health education intervention and follow-up supervision for 15 months were given to the mothers. Results: Awareness level in all domains increased significantly in the intervention group. In the intervention group, 81% (52) of malnourished children turned out to normal, whereas in the control group, 64% (41) of them became normal. There was a statistically significant difference between the mean changes in the protein intake among boys (15.34 g to 19.91 g in the intervention group against 13.6 g to 16.24 g in the control group) and girls (15.09 g to 19.57 g in the intervention group against 13.36 g to 16.51 g in the control group) and calorie intake among girls (993.86 kcal to 1116.55 kcal in the intervention group against 992.65 kcal to 1078.75 kcal in the control group) between the two groups. Conclusion: There was comparatively marginal increase in protein intake, calories' intake, and weight gain in the intervention group.

Antimicrobial and antioxidant activities of a macrolichen Usnea pictoides G. Awasthi (Parmeliaceae).

Lichens are self-sufficient symbioses between an alga and a fungus. In the present study, we have determined total phenolic content, antimicrobial and antioxidant efficacy of a macrolichen Usnea pictoides G.Awasthi (Parmeliaceae) collected at Mullayanagiri, Western Ghats of Chikmagalur, Karnataka, India. The lichen was powdered and extracted sequentially using solvents of increasing polarity viz., petroleum ether, chloroform, ethyl acetate and methanol. Total phenolic content of solvent extracts was estimated by Folin-Ciocalteau reagent method. Antimicrobial activity of solvent extracts was tested against two bacteria viz., Staphylococcus aureus and Pseudomonas aerugionsa and two fungi viz., Candida albicans and Cryptococcus neoformans by Agar well diffusion assay. Antioxidant activity of solvent extracts was determined by DPPH free radical scavenging assay and Ferric reducing assay. Thin layer chromatogram showed the presence of usnic acid. The total phenolic content was highest in methanol extract followed by ethyl acetate, chloroform and petroleum ether extracts. S. aureus and C. neoformans showed high susceptibility to solvent extracts among bacteria and fungi. A dose dependent scavenging of DPPH radicals by solvent extracts was observed. The scavenging potential of methanol extract was higher than other extracts. In ferric reducing assay, methanol extract showed stronger reducing power than other extracts. Overall, extracts containing high phenolic contents exhibited stronger antioxidant activity. The inhibitory potential of the lichen extracts might be attributed to the presence of usnic acid. The radical scavenging and ferric reducing potential of solvent extracts could be attributed to the phenolic compounds. A positive correlation was observed between total phenolic content and the antioxidant activity of lichen extracts. The lichen U. pictoides can be a potential candidate for the development of bioactive agents.

Antioxidant and antimicrobial activity of flowers of Wendlandia thyrsoidea, Olea dioica, Lagerstroemia speciosa and Bombax malabaricum.

Flowers of higher plants have been used for centuries for several purposes such as medicine, food and garnishing food in many parts of the world. In the present study, we have determined the antioxidant and antimicrobial activity of methanol extract of flowers of Wendlandia thyrsoidea (Roemer & Schultes) Steudel (Rubiaceae), Olea dioica Roxb. (Oleaceae), Lagerstroemia speciosa L. (Lythraceae) and Bombax malabaricum DC. (Bombacaceae). Antioxidant efficacy of various concentrations of flower extracts was evaluated by DPPH free radical scavenging assay and Ferric reducing assay. Antimicrobial activity was determined against four bacteria and two fungi by agar well diffusion method. Total phenolic and flavonoid contents were determined by Folin-Ciocalteau reagent and Aluminium chloride colorimetric estimation methods respectively. The DPPH free radical scavenging effect of flower extracts was concentration dependent and was higher in case of extract of L. speciosa followed by W. thyrsoidea, B. malabaricum and O. dioica. In ferric reducing assay, it was shown that the absorbance of reaction mixture at 700nm increased on increasing the concentrations of flower extracts indicating reducing power of extracts. The reducing ability was also highest in L. speciosa extract. Extract of L. speciosa displayed marked inhibitory activity against bacteria and fungi than other flower extracts. Gram positive bacteria have shown more susceptibility than Gram negative bacteria. Among fungi, C. neoformans was more inhibited than C. albicans. Extracts of B. malabaricum and O. dioica were not effective against C. albicans. The phenolic and flavonoid contents were higher in L. speciosa and O. dioica respectively. A positive correlation has been observed between total phenolic content of flower extracts and antioxidant and antimicrobial activity. The flowers can be employed as a remedy for treatment of infectious diseases and oxidative damage. Further, isolation of active components from flower extracts and their biological activity determinations are under progress.

Anticariogenic Activity of Gnidia glauca (Fresen.) Gilg, Pothos scandens L. and Elaegnus kologa Schlecht.

The present study was conducted to estimate total phenolic and flavonoid content and to determine anticariogenic efficacy of methanol extract of Gnidia glauca (Fresen.) Gilg (Thymelaeaceae), Pothos scandens L. (Araceae) and Elaegnus kologa Schlecht (Elaeagnaceae) leaves. Total phenolic and flavonoid content of leaf extracts was determined by Folin-Ciocalteau method and Aluminium chloride colorimetric estimation method respectively. Anticariogenic activity of leaf extracts was assessed against 13 clinical isolates of Streptococcus mutans by Agar well diffusion technique. The contents of total phenolics and flavonoids were higher in G. glauca followed by P. scandens and E. kologa. The extract of G. glauca showed greater inhibition of cariogenic isolates than P. scandens and E. kologa as revealed by wider inhibition zones. The study revealed a correlation between the amount of phenolics and flavonoids present in the extracts and the anticariogenic activity of the extracts. The plants used in this study could be used against dental caries.