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1.
Nutr. hosp ; 31(2): 764-771, feb. 2015. tab, graf
Article in English | IBECS | ID: ibc-133466

ABSTRACT

Introduction: Inflammation is one of the main contributory factors to the etiopathogenesis of multiple sclerosis (MS). Dietary interventions with Lipia citriadora (lemon verbena) extracts have been proved to be effective in the prevention of inflammatory diseases. Objectives: The aim of this study is to evaluate the effect of lemon verbena supplementation in pro- and anti- inflammatory serum biomarkers of patients with different clinical subtypes of multiple sclerosis. Methods: The effect of lemon verbena supplementation (10% w/w verbascoside) was evaluated in a randomized, double-blinded placebo-controlled study with 30 participants classified in relapsing-remitting (n=10), primary progressive (n=5) and secondary progressive (n=15) MS presentations. Serum cytokine and C reactive protein levels were assessed in intervention and control groups for each MS clinical subtype after 28 days of dietary supplementation. Results: Serum levels of C reactive protein and 8 cytokines/ inflammatory (IFN-γ, IL-12, IL-23, IL-6, TNF-α, TGF-β, IL-4 and IL-10) markers were studied. Secondary progressive MS- supplemented patients showed C reactive protein concentrations significantly lower compared to the placebo group (p<0.005). IFN-γ levels decreased for all MS-treated groups whereas IL-12 diminished levels were observed for relapsing-remitting type (p<0.05). Anti-inflammatory cytokine concentrations of IL-4 (difference 2.98 ± 2.99 pg/mL) and IL-10 (difference 1.78 ± 5.54 pg/mL) increased in secondary progressive MS patients (p<0.05). Conclusion: The variation of several pro- and anti-inflammatory markers after supplementation suggests that lemon verbena extracts may affect cytokine profiles in multiple sclerosis. Further investigation on dietary components with antioxidant and anti-inflammatory properties may contribute to understand MS pathogenesis and ameliorate MS symptoms (AU)


Introducción: La inflamación es uno de los principales factores que contribuyen en la etiopatogénesis de la esclerosis múltiple (EM). Se ha demostrado que las intervenciones en la dieta con extractos de Lipia citriadora (hierbaluisa) son efectivas en la prevención de las enfermedades inflamatorias. Objectivos: El objetivo de este estudio es evaluar el efecto de la suplementación con extractos de hierbaluisa en los biomarcadores de inflamación en suero de pacientes con diferentes subtipos clínicos de esclerosis múltiple. Métodos: El efecto de la suplementación con hierbaluisa (10 % p/p verbascósido) se evaluó mediante un estudio aleatorizado de doble ciego controlado con grupo placebo, constituido por 30 participantes clasificados según la forma de presentación de EM en: remitentes-recaídas (n=10), primaria progresiva (n=5) y secundaria progresiva (n=15). Los niveles de citoquinas y proteína C reactiva en suero se valoraron en los grupos intervención y control de cada uno de los subtipos clínicos de EM después de 28 días de suplementación en la dieta. Resultados: Se estudiaron los niveles en suero de proteína C reactiva y de 8 citoquinas como biomarcadores deinflamación (IFN-γ, IL-12, IL-23, IL-6, TNF-α, TGF-β, IL-4 e IL-10). Los pacientes del grupo de intervención con EM secundaria progresiva presentaron concentraciones de proteína C reactiva significativamente más bajos comparados con el grupo placebo (p<0.005). Los niveles de IFN-γ disminuyeron en todos los grupos tratados a la vez que se detectaron niveles inferiores de IL-12 en las formas secundaria progresiva y remitente-recaídas (p<0.05). Las concentraciones de las citoquinas anti-inflamatorias: IL-4 (diferencia 2,98 ± 2,99 pg/mL) y IL-10 (diferencia 1,78 ± 5,54 pg/mL) aumentaron en los pacientes con EM secundaria progresiva (p<0.05). Conclusión: La variación en la concentración de varias citoquinas pro- y anti-inflamatorias después de la suplementación con los extractos de hierbaluisa puede afectar al perfil de las citoquinas en la esclerosis múltiple. La investigación futura de los componentes de la dieta con propiedades anti-inflamatorias y antioxidantes puede contribuir a entender la patógenesis de la esclerosis múltiple así como a disminuir sus síntomas (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Plant Extracts/pharmacology , Multiple Sclerosis/blood , Verbena/chemistry , Cytokines/blood , Biomarkers/blood , Infant Nutritional Physiological Phenomena/standards , Antioxidants/pharmacology
2.
Nutr Hosp ; 31(2): 764-71, 2014 Nov 04.
Article in English | MEDLINE | ID: mdl-25617561

ABSTRACT

INTRODUCTION: Inflammation is one of the main contributory factors to the etiopathogenesis of multiple sclerosis (MS). Dietary interventions with Lipia citriadora (lemon verbena) extracts have been proved to be effective in the prevention of inflammatory diseases. OBJECTIVES: The aim of this study is to evaluate the effect of lemon verbena supplementation in pro- and anti- inflammatory serum biomarkers of patients with different clinical subtypes of multiple sclerosis. METHODS: The effect of lemon verbena supplementation (10% w/w verbascoside) was evaluated in a randomized, double-blinded placebo-controlled study with 30 participants classified in relapsing-remitting (n=10), primary progressive (n=5) and secondary progressive (n=15) MS presentations. Serum cytokine and C reactive protein levels were assessed in intervention and control groups for each MS clinical subtype after 28 days of dietary supplementation. RESULTS: Serum levels of C reactive protein and 8 cytokines/ inflammatory (IFN-γ, IL-12, IL-23, IL-6, TNF-α, TGF-ß, IL-4 and IL-10) markers were studied. Secondary progressive MS- supplemented patients showed C reactive protein concentrations significantly lower compared to the placebo group (p.


Introducción: La inflamación es uno de los principales factores que contribuyen en la etiopatogénesis de la esclerosis múltiple (EM). Se ha demostrado que las intervenciones en la dieta con extractos de Lipia citriadora (hierbaluisa) son efectivas en la prevención de las enfermedades inflamatorias. Objectivos: El objetivo de este estudio es evaluar el efecto de la suplementación con extractos de hierbaluisa en los biomarcadores de inflamación en suero de pacientes con diferentes subtipos clínicos de esclerosis múltiple. Métodos: El efecto de la suplementación con hierbaluisa (10 % p/p verbascósido) se evaluó mediante un estudio aleatorizado de doble ciego controlado con grupo placebo, constituido por 30 participantes clasificados según la forma de presentación de EM en: remitentes-recaídas (n=10), primaria progresiva (n=5) y secundaria progresiva (n=15). Los niveles de citoquinas y proteína C reactiva en suero se valoraron en los grupos intervención y control de cada uno de los subtipos clínicos de EM después de 28 días de suplementación en la dieta. Resultados: Se estudiaron los niveles en suero de proteína C reactiva y de 8 citoquinas como biomarcadores de inflamación (IFN-, IL-12, IL-23, IL-6, TNF-, TGF-, IL-4 e IL-10). Los pacientes del grupo de intervención con EM secundaria progresiva presentaron concentraciones de proteína C reactiva significativamente más bajos comparados con el grupo placebo (p.


Subject(s)
Cytokines/blood , Multiple Sclerosis/blood , Plant Extracts/pharmacology , Verbena/chemistry , Adult , Anti-Inflammatory Agents/pharmacology , Antioxidants/pharmacology , Biomarkers/blood , Dietary Supplements , Double-Blind Method , Female , Humans , Male , Middle Aged
3.
Psicothema (Oviedo) ; 23(1): 44-50, ene.-mar. 2011.
Article in Spanish | IBECS | ID: ibc-84751

ABSTRACT

El estudio pretende evaluar la eficacia del ‘Big Brain Academy’ (BBA), un programa de entrenamiento cognitivo (EC) computarizado basado en un videojuego, frente al Programa de Psicoestimulación Integral (PPI), un instrumento típico de EC, en pacientes con Enfermedad de Alzheimer (EA). Un total de 45 pacientes con EA, en fase leve, fueron asignados de manera aleatoria a tres condiciones experimentales. Se establecieron dos grupos de tratamiento, donde los pacientes recibieron o bien un programa de estimulación con BBA (EABB), o bien un programa estimulación tradicional (EAPI), basado en tareas de papel y lápiz, durante doce semanas. Un tercer grupo, que no recibió ningún tratamiento durante este período, se le asignó la condición de grupo control (EANT). La eficacia diferencial de los programas se evaluó mediante un diseño pre-post, a través de medidas neuropsicológicas, conductuales y funcionales estandarizadas. El grupo EABB mostró un declive cognitivo significativamente más lento en comparación a los grupos EAPI y EANT. Además, el grupo EABB manifestó una reducción de la sintomatología depresiva significativamente mayor en relación a los grupos EAPI y EANT. El BBA fue más efectivo que el PPI para reducir el declive cognitivo y los síntomas depresivos en los pacientes con EA (AU)


The study aims to assess the efficacy of the Big Brain Academy (BBA), a computerized cognitive training program (CT) based on video games, compared to the Integrated Psychostimulation Program (IPP), a classical CT tool for patients with Alzheimer’s disease (AD). A total of 45 patients with AD at the mild stage were randomly assigned to three experimental conditions. Two treatment groups were established, in which patients received either a stimulation program with BBA (EABB) or a traditional stimulation program (EAPI), based on paper-and-pencil tasks, for twelve weeks. A third group, the control group (EANT), did not receive any treatment during this period. The differential effectiveness of the programs was evaluated through pre-post design, considering neuropsychological, behavioral, and functional standard measures as outcome variables. The EABB group showed significantly slower rates of cognitive decline compared to the EAPI and EANT groups. Furthermore, the EABB group reported significantly greater decrease in depressive symptoms in comparison with the EAPI and EANT groups. The BBA program was more effective than IPP to reduce cognitive decline and depressive symptoms in patients with AD (AU)


Subject(s)
Humans , Male , Female , Middle Aged , Neurobehavioral Manifestations/physiology , Alzheimer Disease/complications , Alzheimer Disease/psychology , Physical Education and Training/methods , Education/methods , Teaching/methods , Neuropsychology/methods , Transfer, Psychology , Data Display , Data Analysis , Analysis of Variance
4.
Psicothema ; 23(1): 44-50, 2011 Feb.
Article in Spanish | MEDLINE | ID: mdl-21266141

ABSTRACT

The study aims to assess the efficacy of the Big Brain Academy (BBA), a computerized cognitive training program (CT) based on video games, compared to the Integrated Psychostimulation Program (IPP), a classical CT tool for patients with Alzheimer's disease (AD). A total of 45 patients with AD at the mild stage were randomly assigned to three experimental conditions. Two treatment groups were established, in which patients received either a stimulation program with BBA (EABB) or a traditional stimulation program (EAPI), based on paper-and-pencil tasks, for twelve weeks. A third group, the control group (EANT), did not receive any treatment during this period. The differential effectiveness of the programs was evaluated through pre-post design, considering neuropsychological, behavioral, and functional standard measures as outcome variables. The EABB group showed significantly slower rates of cognitive decline compared to the EAPI and EANT groups. Furthermore, the EABB group reported significantly greater decrease in depressive symptoms in comparison with the EAPI and EANT groups. The BBA program was more effective than IPP to reduce cognitive decline and depressive symptoms in patients with AD.


Subject(s)
Alzheimer Disease/psychology , Cognition Disorders/rehabilitation , Computer-Assisted Instruction , Education/methods , Software , Video Games , Aged , Aged, 80 and over , Cognition Disorders/etiology , Cognition Disorders/psychology , Depression/prevention & control , Depression/psychology , Female , Humans , Male , Neuropsychological Tests , Severity of Illness Index , Single-Blind Method , Video Games/psychology
5.
Psicothema (Oviedo) ; 21(1): 15-20, ene.-mar. 2009. tab, graf
Article in Spanish | IBECS | ID: ibc-130664

ABSTRACT

El estudio pretende comparar el rendimiento de pacientes, diagnosticados de enfermedad de Alzheimer temprana (EA) y depresión mayor unipolar (D), con un grupo de sujetos sanos control (SC) en diferentes tareas de memoria no verbal (MNV), recuerdo de posición y reconocimiento de dibujos abstractos. Todos los participantes completaron un protocolo integral para el diagnóstico de la demencia. Los pacientes con EA (n= 27) y depresión unipolar (n= 19) fueron comparados con el grupo SC (n= 30) en un test estandarizado de aprendizaje visoespacial. Los pacientes con EA rindieron significativamente más bajo en MNV en comparación con el grupo SC y D, pero no hubo diferencias entre EA y D en el recuerdo de posición. Asimismo, el grupo de EA no mostró una tasa de olvido mayor en el recuerdo de posición o reconocimiento de dibujos en comparación con los grupos SC y D. Estos resultados son interpretados en función de los procesos neurocognitivos que explican el deterioro de la MNV en la EA y la depresión (AU)


The research aims to compare patients diagnosed with early Alzheimer’s disease (AD) and unipolar major depression (D) with a healthy control group (HS) on diverse nonverbal memory tasks (NVM), recall of position, and recognition of abstracts designs. All participants completed a global protocol for diagnosis of dementia. The patients with early AD (n= 27) and D (n= 19) were compared with the healthy subject group (n= 30) on a standardised visuospatial learning test. The AD patients scored significantly lower than HS and D on NVM tasks, but there were no significant differences between AD and D on position recall. Furthermore, the AD group did not show faster forgetting rates on position recall or design recognition in comparison to HS and D groups. These results are interpreted in terms of neurocognitive processes that explain NVM impairment in AD and depression (AU)


Subject(s)
Humans , Memory Disorders/diagnosis , Alzheimer Disease/physiopathology , Depressive Disorder, Major/physiopathology , Case-Control Studies , Dementia/physiopathology , Cognition Disorders/diagnosis , Cognitive Dysfunction/diagnosis
6.
Psicothema ; 21(1): 15-20, 2009 Feb.
Article in Spanish | MEDLINE | ID: mdl-19178850

ABSTRACT

Non-verbal memory impairment in Alzheimer-type dementia: Forgetting or acquisition?. The research aims to compare patients diagnosed with early Alzheimer's disease (AD) and unipolar major depression (D) with a healthy control group (HS) on diverse nonverbal memory tasks (NVM), recall of position, and recognition of abstracts designs. All participants completed a global protocol for diagnosis of dementia. The patients with early AD (n= 27) and D (n= 19) were compared with the healthy subject group (n= 30) on a standardised visuospatial learning test. The AD patients scored significantly lower than HS and D on NVM tasks, but there were no significant differences between AD and D on position recall. Furthermore, the AD group did not show faster forgetting rates on position recall or design recognition in comparison to HS and D groups. These results are interpreted in terms of neurocognitive processes that explain NVM impairment in AD and depression.


Subject(s)
Alzheimer Disease/psychology , Depressive Disorder/psychology , Memory Disorders/etiology , Recognition, Psychology/physiology , Aged , Aged, 80 and over , Female , Humans , Learning Disabilities/etiology , Learning Disabilities/physiopathology , Learning Disabilities/psychology , Male , Memory Disorders/psychology , Mental Recall/physiology , Neuropsychological Tests , Pattern Recognition, Visual/physiology
7.
Eur Neurol ; 53(3): 140-5, 2005.
Article in English | MEDLINE | ID: mdl-15900096

ABSTRACT

OBJECTIVE: The aim of this paper was to compare the performance of a group of patients with early Alzheimer's disease (EAD) against a control group of healthy control (HC) subjects in the Clock Drawing Test (CDT), i.e. verbal command versus copying of a clock model presented to the subject. PATIENTS AND METHODS: The authors have studied 140 subjects; 70 patients with probable EAD, with a mean age of 76.4 +/- 7.64 years and a clinical dementia rating stage 1 (mild dementia), and 70 HC with a mean age of 75.16 +/- 6.34 years. RESULTS: Patients in the EAD group obtained significantly higher scores on the copy command mode than on the verbal command mode (Z = -7.129, p < 0.001)--improvement pattern of the CDT--whereas no statistically significant differences were found in the HC group (Z = -2.001, p < 0.080). Within the group of EAD patients, we have noticed that there is a correlation between the copy command mode and the visual-constructive functions of the Cambridge Cognitive Examination (CAMCOG) (r = 0.607, p < 0.01), while the memory functions of the CAMCOG correlate with the verbal command mode (r = 0.704, p < 0.01). CONCLUSIONS: In our study, the EAD patients show an improvement pattern in the execution of the CDT copy command in comparison with the execution of the CDT verbal command, which we did not observe in the HC group. Such results might be associated with a greater deterioration of the memory functions when compared with the visual-constructive ones in the patients with EAD.


Subject(s)
Alzheimer Disease/physiopathology , Art , Problem Solving/physiology , Psychomotor Performance/physiology , Aged , Aged, 80 and over , Alzheimer Disease/complications , Case-Control Studies , Cognition Disorders/etiology , Cross-Sectional Studies , Female , Geriatric Assessment , Humans , Male , Neuropsychological Tests , Regression Analysis , Severity of Illness Index , Statistics, Nonparametric , Tomography, Emission-Computed, Single-Photon/methods
8.
J Food Prot ; 65(5): 853-6, 2002 May.
Article in English | MEDLINE | ID: mdl-12030300

ABSTRACT

The aim of this study was to determine the influence of skin sample site on the efficacy of trisodium phosphate (TSP) solutions in reducing Listeria monocytogenes populations on chicken carcasses during refrigerated storage. Chicken skin samples from the legs, the breasts, and the dorsal area inoculated with L. monocytogenes (10(8) CFU/ml) were dipped for 15 min in sterile tap water (control) or in 8, 10, or 12% TSP. L. monocytogenes counts and surface pH values were determined after 0, 1, 3, and 5 days of storage at 2 degrees C. For all sampling times and TSP concentrations, the reductions in L. monocytogenes numbers in breast skin were significantly larger (P < 0.05) than those in leg skin or dorsal skin. No significant differences were found in pH values as an effect of skin site. Our results suggest that skin sampling site is an important factor that needs to be considered when decontamination protocols are developed for poultry carcasses with the TSP treatment.


Subject(s)
Food Handling/methods , Listeria monocytogenes/drug effects , Phosphates/pharmacology , Skin/microbiology , Animals , Chickens , Colony Count, Microbial , Listeria monocytogenes/growth & development , Refrigeration , Time Factors , Treatment Outcome
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