[Influence of vascular comorbidities on the antioxidant defense system in Alzheimer's disease]. / Einfluss vaskulärer Komorbiditäten auf die antioxidative Abwehr bei Alzheimer-Demenz.

BACKGROUND AND AIM: Oxidative stress is a critical factor in the pathophysiology of dementia, but the role of oxidant/antioxidant imbalance in relation to vascular pathology in the onset and progression of Alzheimer's disease (AD) is poorly understood. The aim of this study was the identification of an association between vascular comorbidities/vascular risk factors and plasma levels of antioxidant micronutrients in patients with AD. PATIENTS AND METHODS: 41 patients with AD  and 34 controls were included in the study. Atherosclerosis (increased intima-media thickness of the common carotid artery) and/or type 2 diabetes mellitus were diagnosed in 21 AD  patients (AD  Plus group). 20 patients with AD were free of vascular comorbidities and risk factors (AD group). A neuropsychological assessment (Mini-Mental State Examination, MMSE; Clock drawing test; DemTect) and the measurement of plasma levels of lipophilic micronutrients including retinol (vitamin A), α-tocopherol (vitamin E), lutein, zeaxanthin, ß-cryptoxanthin, lycopene, α-carotene and ß-carotene by HPLC were performed in all study subjects. RESULTS: Plasma levels of retinol, vitamin E, lutein, zeaxanthin, lycopene and ß-carotene were significantly lower in the AD  Plus group than in controls. Furthermore, vitamin A levels were correlated with MMSE scores and the levels of vitamin E, lutein, zeaxanthin and lycopene were correlated with all neuropsychological tests. CONCLUSION: The depletion of circulating antioxidant micronutrients observed in AD  patients is associated with vascular comorbidities and risk factors. The vascular comorbidities of patients with AD should also be identified in light of the presence and degree of depletion of the antioxidant defense system of the organism. This might lead to a better lifestyle-related counselling of patients with AD  and their caregivers, with possible positive preventive effects on worsening in the long run. Further studies with a larger patient sample are needed to verify the negative effect of vascular pathology in AD-related oxidative stress.

An encapsulated fruit and vegetable juice concentrate increases skin microcirculation in healthy women.

BACKGROUND/AIM: Microcirculation in the dermis of the skin is important for nutrient delivery to this tissue. In this study, the effects of a micronutrient concentrate (Juice Plus+®; 'active group'), composed primarily of fruit and vegetable juice powder, on skin microcirculation and structure were compared to placebo. STUDY DESIGN/METHODS: This 12-week study had a monocentric, double-blind placebo and randomized controlled design with two treatment groups consisting of 26 healthy middle-aged women each. The 'oxygen to see' device was used to evaluate microcirculation. Skin density and thickness were measured using ultrasound. Measurements for skin hydration (Corneometer®), transepidermal water loss and serum analysis for carotenoids and α-tocopherol were also performed. RESULTS: By 12 weeks, microcirculation of the superficial plexus increased by 39%. Furthermore, skin hydration increased by 9% while skin thickness increased by 6% and skin density by 16% in the active group. In the placebo group, microcirculation decreased, and a slight increase in skin density was observed. CONCLUSION: Ingestion of a fruit- and vegetable-based concentrate increases microcirculation of the skin at 12 weeks of intervention and positively affects skin hydration, density and thickness.

Supplementation of flaxseed oil diminishes skin sensitivity and improves skin barrier function and condition.

BACKGROUND: Skin sensitivity is a common problem in the Western population correlated with changes of skin properties like skin barrier function, hydration and skin physiology. Skin properties can be modulated by dietary fatty acids (FA), especially poly-unsaturated FA. The present study was performed to evaluate the effect of daily supplementation with flaxseed oil and safflowerseed oil on healthy volunteers with sensitive skin. METHODS: The study was designed as a randomized, double-blind 12-week intervention with 2 female treatment groups (n = 13). Plasma FA profile, skin sensitivity, skin hydration, transepidermal water loss (TEWL) and skin surface were evaluated on day 0, week 6 and week 12. RESULTS: Supplementation with flaxseed oil led to significant decreases in sensitivity (after nicotinate irritation), TEWL, skin roughness and scaling, while smoothness and hydration were increased. Concomitantly, the ratio of n-6/n-3 FA in plasma decreased. Upon supplementation with safflowerseed oil, only a significant improvement in skin roughness and hydration was observed; however, the effects were less pronounced and determined at a later point in time than with flaxseed oil. The plasma n-6/n-3 FA ratio increased. CONCLUSION: The data provide evidence that daily intake of flaxseed oil modulates skin condition.