Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trial

Background: Oxidative stress is one of the main hits in the pathogenesis of non-alcoholic fatty liver disease (NAFLD). Propolis (PRP), a natural substance made by bees from plant extracts, has been reported to have antioxidant properties. The present clinical trial investigated the effect of Iranian...

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Main Authors: Hamideh Nazari-Bonab, Mahlagha Nikbaf-Shandiz, Helda Tutunchi, Mehrangiz Ebrahimi-Mameghani
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2024-10-01
Series:Health Promotion Perspectives
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Online Access:https://hpp.tbzmed.ac.ir/PDF/hpp-14-286.pdf
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author Hamideh Nazari-Bonab
Mahlagha Nikbaf-Shandiz
Helda Tutunchi
Mehrangiz Ebrahimi-Mameghani
author_facet Hamideh Nazari-Bonab
Mahlagha Nikbaf-Shandiz
Helda Tutunchi
Mehrangiz Ebrahimi-Mameghani
author_sort Hamideh Nazari-Bonab
collection DOAJ
description Background: Oxidative stress is one of the main hits in the pathogenesis of non-alcoholic fatty liver disease (NAFLD). Propolis (PRP), a natural substance made by bees from plant extracts, has been reported to have antioxidant properties. The present clinical trial investigated the effect of Iranian PRP on prooxidant-antioxidant balance (PAB), oxidative stress biomarkers, and body composition in obese patients with NAFLD. Methods: In the present double-blind, randomized controlled clinical trial, 44 obese patients with NAFLD were randomly allocated to either Iranian PRP (1500 mg/d) or placebo (1500 mg/d) accompanied by a calorie-restricted diet (CRD) for eight weeks. PAB, oxidative stress biomarkers, and body composition were assessed at baseline and the end of the study. Results: There was a significant reduction in PAB levels over the trial in both groups. However, the between-group difference was not significant at the endpoint. At the end of the study, the inter-group comparison showed a significant decrease in serum glutathione peroxidase level in the placebo group compared to the PRP group after adjusting for confounding variables based on models 1 (P=0.027) and 2 (P=0.028). No significant within- or between-group differences in other studied oxidative stress biomarkers were found. Moreover, no between-group differences were observed for body composition and dietary intakes of energy and antioxidant micronutrients. Conclusion: Iranian PRP supplementation (1500 mg/d) for eight weeks could prevent the reduction of glutathione peroxidase levels compared to the control group. However, it could not affect other oxidative stress biomarkers, body composition, or dietary intakes of energy and antioxidant micronutrients.
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spelling doaj-art-a7f12bd128d34477a473231736dafb5d2024-11-26T06:29:30ZengTabriz University of Medical SciencesHealth Promotion Perspectives2228-64972024-10-0114328629610.34172/hpp.42549hpp-42549Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trialHamideh Nazari-Bonab0Mahlagha Nikbaf-Shandiz1Helda Tutunchi2Mehrangiz Ebrahimi-Mameghani3Student Research Committee, Tabriz University of Medical Sciences, Tabriz, IranStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, IranEndocrine Research Center, Tabriz University of Medical Sciences, Tabriz, IranNutrition Research Center, Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, IranBackground: Oxidative stress is one of the main hits in the pathogenesis of non-alcoholic fatty liver disease (NAFLD). Propolis (PRP), a natural substance made by bees from plant extracts, has been reported to have antioxidant properties. The present clinical trial investigated the effect of Iranian PRP on prooxidant-antioxidant balance (PAB), oxidative stress biomarkers, and body composition in obese patients with NAFLD. Methods: In the present double-blind, randomized controlled clinical trial, 44 obese patients with NAFLD were randomly allocated to either Iranian PRP (1500 mg/d) or placebo (1500 mg/d) accompanied by a calorie-restricted diet (CRD) for eight weeks. PAB, oxidative stress biomarkers, and body composition were assessed at baseline and the end of the study. Results: There was a significant reduction in PAB levels over the trial in both groups. However, the between-group difference was not significant at the endpoint. At the end of the study, the inter-group comparison showed a significant decrease in serum glutathione peroxidase level in the placebo group compared to the PRP group after adjusting for confounding variables based on models 1 (P=0.027) and 2 (P=0.028). No significant within- or between-group differences in other studied oxidative stress biomarkers were found. Moreover, no between-group differences were observed for body composition and dietary intakes of energy and antioxidant micronutrients. Conclusion: Iranian PRP supplementation (1500 mg/d) for eight weeks could prevent the reduction of glutathione peroxidase levels compared to the control group. However, it could not affect other oxidative stress biomarkers, body composition, or dietary intakes of energy and antioxidant micronutrients.https://hpp.tbzmed.ac.ir/PDF/hpp-14-286.pdfbody compositionliver function testsnon-alcoholic fatty liver diseaseoxidative stresspropolis
spellingShingle Hamideh Nazari-Bonab
Mahlagha Nikbaf-Shandiz
Helda Tutunchi
Mehrangiz Ebrahimi-Mameghani
Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trial
Health Promotion Perspectives
body composition
liver function tests
non-alcoholic fatty liver disease
oxidative stress
propolis
title Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trial
title_full Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trial
title_fullStr Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trial
title_full_unstemmed Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trial
title_short Effects of propolis supplementation on prooxidant-antioxidant balance, oxidative stress biomarkers, and body composition in obese patients with NAFLD: A double-blind randomized controlled clinical trial
title_sort effects of propolis supplementation on prooxidant antioxidant balance oxidative stress biomarkers and body composition in obese patients with nafld a double blind randomized controlled clinical trial
topic body composition
liver function tests
non-alcoholic fatty liver disease
oxidative stress
propolis
url https://hpp.tbzmed.ac.ir/PDF/hpp-14-286.pdf
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