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García-Muñoz AM, García-Guillén AI, Victoria-Montesinos D, Abellán-Ruiz MS, Alburquerque-González B, Cánovas F. Effect of the Combination of Hibiscus sabdariffa in Combination with Other Plant Extracts in the Prevention of Metabolic Syndrome: A Systematic Review and Meta-Analysis. Foods 2023; 12:foods12112269. [PMID: 37297513 DOI: 10.3390/foods12112269] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 05/23/2023] [Accepted: 06/02/2023] [Indexed: 06/12/2023] Open
Abstract
Metabolic syndrome is a complex and multifactorial disorder associated with increased risk of cardiovascular disease and type 2 diabetes, exacerbated by a sedentary lifestyle and situations such as the COVID-19 pandemic. Recent studies have shown that consumption of fruits and vegetables high in polyphenols has a protective effect, reducing cardiovascular risk. Hibiscus sabdariffa (HS) in combination with other plant extracts has recently attracted scientists' attention due to its potential use in the treatment of metabolic syndrome. This systematic review and meta-analysis examines the effects of HS in combination with other plant extracts on the prevention of metabolic syndrome, exploring their synergistic effects and potential as therapeutic agents. For this purpose, a systematic search of randomized clinical trials (RCTs) was conducted in four different databases and the data obtained were then used for a meta-analysis. Initially, the titles and abstracts of 1368 studies were read. From these, 16 studies were examined closely for their eligibility, and finally, seven RCTs with 332 participants were included in both the meta-analysis and the qualitative analysis. Our results show that HS in combination with other plant extracts improved anthropometric parameters, blood pressure, and lipid profile (low density lipoprotein cholesterol and total cholesterol) compared to a placebo control group. It is important to note that although this meta-analysis suggests that HS in combination with other plant extracts may have a beneficial effect on cardiovascular parameters, further research is needed to determine the optimal dose and intake duration.
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Affiliation(s)
- Ana María García-Muñoz
- Faculty of Pharmacy and Nutrition, UCAM Universidad Católica San Antonio de Murcia, 30107 Murcia, Spain
| | - Ana I García-Guillén
- Faculty of Medicine, UCAM Universidad Católica San Antonio de Murcia, 30107 Murcia, Spain
| | | | | | - Begoña Alburquerque-González
- Izpisua Lab, HiTech, Sport and Health Innovation Hub, UCAM Universidad Católica San Antonio de Murcia, 30107 Murcia, Spain
| | - Fernando Cánovas
- Faculty of Medicine, UCAM Universidad Católica San Antonio de Murcia, 30107 Murcia, Spain
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Duque-Soto C, Expósito-Almellón X, García P, Pando ME, Borrás-Linares I, Lozano-Sánchez J. Extraction, Characterization, and Bioactivity of Phenolic Compounds-A Case on Hibiscus Genera. Foods 2023; 12:foods12050963. [PMID: 36900480 PMCID: PMC10000862 DOI: 10.3390/foods12050963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 02/13/2023] [Accepted: 02/22/2023] [Indexed: 03/03/2023] Open
Abstract
Phenolic compounds have recently gained interest, as they have been related to improvements in health and disease prevention, such as inflammatory intestinal pathologies and obesity. However, their bioactivity may be limited by their instability or low concentration in food matrices and along the gastrointestinal tract once consumed. This has led to the study of technological processing with the aim of optimizing phenolic compounds' biological properties. In this sense, different extraction systems have been applied to vegetable sources for the purpose of obtaining enriched phenolic extracts such as PLE, MAE, SFE, and UAE. In addition, many in vitro and in vivo studies evaluating the potential mechanisms of these compounds have also been published. This review includes a case study of the Hibiscus genera as an interesting source of phenolic compounds. The main goal of this work is to describe: (a) phenolic compound extraction by designs of experiments (DoEs) applied to conventional and advanced systems; (b) the influence of the extraction system on the phenolic composition and, consequently, on the bioactive properties of these extracts; and (c) bioaccessibility and bioactivity evaluation of Hibiscus phenolic extracts. The results have pointed out that the most used DoEs were based on response surface methodologies (RSM), mainly the Box-Behnken design (BBD) and central composite design (CCD). The chemical composition of the optimized enriched extracts showed an abundance of flavonoids, as well as anthocyanins and phenolic acids. In vitro and in vivo studies have highlighted their potent bioactivity, with particular emphasis on obesity and related disorders. This scientific evidence establishes the Hibiscus genera as an interesting source of phytochemicals with demonstrated bioactive potential for the development of functional foods. Nevertheless, future investigations are needed to evaluate the recovery of the phenolic compounds of the Hibiscus genera with remarkable bioaccessibility and bioactivity.
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Affiliation(s)
- Carmen Duque-Soto
- Department of Food Science and Nutrition, University of Granada, Campus Universitario s/n, 18071 Granada, Spain
| | - Xavier Expósito-Almellón
- Department of Food Science and Nutrition, University of Granada, Campus Universitario s/n, 18071 Granada, Spain
| | - Paula García
- Departamento de Nutrición, Facultad de Medicina, Universidad de Chile, Santiago 8380453, Chile
| | - María Elsa Pando
- Departamento de Nutrición, Facultad de Medicina, Universidad de Chile, Santiago 8380453, Chile
| | - Isabel Borrás-Linares
- Department of Analytical Chemistry, Faculty of Sciences, University of Granada, 18071 Granada, Spain
- Correspondence: ; Tel.: +34-958637083
| | - Jesús Lozano-Sánchez
- Department of Food Science and Nutrition, University of Granada, Campus Universitario s/n, 18071 Granada, Spain
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Zannou O, Pashazadeh H, Ibrahim SA, Koca I, Galanakis CM. Green and highly extraction of phenolic compounds and antioxidant capacity from kinkeliba (Combretum micranthum G. Don) by natural deep eutectic solvents (NADESs) using maceration, ultrasound-assisted extraction and homogenate-assisted extraction. ARAB J CHEM 2022. [DOI: 10.1016/j.arabjc.2022.103752] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
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Montalvo-González E, Villagrán Z, González-Torres S, Iñiguez-Muñoz LE, Isiordia-Espinoza MA, Ruvalcaba-Gómez JM, Arteaga-Garibay RI, Acosta JL, González-Silva N, Anaya-Esparza LM. Physiological Effects and Human Health Benefits of Hibiscus sabdariffa: A Review of Clinical Trials. Pharmaceuticals (Basel) 2022; 15:ph15040464. [PMID: 35455462 PMCID: PMC9033014 DOI: 10.3390/ph15040464] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 04/09/2022] [Accepted: 04/10/2022] [Indexed: 02/04/2023] Open
Abstract
Hibiscus sabdariffa Linn. Malvaceae (HS) is characterized by its edible calyxes. The HS calyxes are widely used for cosmetic, food, and medicinal applications. According to ethnobotanical evidence, decoction, infusion, or maceration extracts from HS calyxes have been used in folk medicine to treat many ailments. Moreover, several in vitro and in vivo studies have demonstrated the pharmacological properties and potential human health benefits of HS consumption. On the other hand, the evaluation of the physiological effects and health benefits of HS in clinical studies is most challenging. Therefore, this narrative review summarizes and discusses the physiological effects and health benefits of HS calyxes reported in clinical trials. Preparations obtained from HS calyxes (extracts, infusions, decoction, teas, beverages, capsules, and pills) are used as non-pharmacological therapies to prevent/control diverse chronic non-communicable diseases. The most-reported HS health benefits are its antihypertensive, antidyslipidemic, hypoglycemic, body fat mass reduction, nephroprotective, antianemic, antioxidant, anti-inflammatory, and anti-xerostomic activities; these effects are associated with the phytochemicals found in HS. Moreover, no adverse effects were reported during the clinical trials. However, clinical studies exhibited some limitations; thus, further studies are required to validate the clinical efficacy of HS in large-scale studies with higher doses and a good experimental design
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Affiliation(s)
- Efigenia Montalvo-González
- Integral Food Research Laboratory, National Technological of Mexico/Technological Institute of Tepic, Av. Tecnologico 2595, Tepic 63175, Mexico;
| | - Zuamí Villagrán
- Department of Health Sciences, Division of Biomedical Science, University Center of Los Altos, University of Guadalajara, Av. Rafael Casillas Aceves 1200, Guadalajara 47600, Mexico; (Z.V.); (S.G.-T.)
| | - Sughey González-Torres
- Department of Health Sciences, Division of Biomedical Science, University Center of Los Altos, University of Guadalajara, Av. Rafael Casillas Aceves 1200, Guadalajara 47600, Mexico; (Z.V.); (S.G.-T.)
| | - Laura Elena Iñiguez-Muñoz
- División of Natural and Technological Exact Sciences, Southern Region University Center, University of Guadalajara, Av. Enrique Arreola Silva 883, Guadalajara 49000, Mexico;
| | - Mario Alberto Isiordia-Espinoza
- Department of Clinics, Division of Biomedical Sciences, Institute of Research in Medical Sciences, Los Altos University Center, University of Guadalajara, Av. Rafael Casillas Aceves 1200, Guadalajara 47600, Mexico;
| | - José Martín Ruvalcaba-Gómez
- National Center for Genetic Resources, National Institute of Forestry, Agriculture and Livestock Research, Boulevard de la Biodiversidad 400, Tepatitlan de Morelos 47600, Mexico; (J.M.R.-G.); (R.I.A.-G.)
| | - Ramón Ignacio Arteaga-Garibay
- National Center for Genetic Resources, National Institute of Forestry, Agriculture and Livestock Research, Boulevard de la Biodiversidad 400, Tepatitlan de Morelos 47600, Mexico; (J.M.R.-G.); (R.I.A.-G.)
| | - José Luis Acosta
- Interdisciplinary Research Centre for Integral Regional Development Sinaloa Unit, National Polytechnic Institute, Boulevard Juan de Dios Bátiz 250, Guasave 81049, Mexico;
| | - Napoleón González-Silva
- Department of Livestock and Agricultural Sciences, University Center of Los Altos, University of Guadalajara, Av. Rafael Casillas Aceves 1200, Guadalajara 47600, Mexico
- Correspondence: (N.G.-S.); (L.M.A.-E.)
| | - Luis Miguel Anaya-Esparza
- Department of Livestock and Agricultural Sciences, University Center of Los Altos, University of Guadalajara, Av. Rafael Casillas Aceves 1200, Guadalajara 47600, Mexico
- Correspondence: (N.G.-S.); (L.M.A.-E.)
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Abdelmonem M, Ebada MA, Diab S, Ahmed MM, Zaazouee MS, Essa TM, ElBaz ZS, Ghaith HS, Abdella WS, Ebada M, Negida A. Efficacy of Hibiscus sabdariffa on Reducing Blood Pressure in Patients With Mild-to-Moderate Hypertension: A Systematic Review and Meta-Analysis of Published Randomized Controlled Trials. J Cardiovasc Pharmacol 2022; 79:e64-e74. [PMID: 34694241 DOI: 10.1097/fjc.0000000000001161] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 10/04/2021] [Indexed: 11/25/2022]
Abstract
We aimed to assess the efficacy of Hibiscus sabdariffa in patients with mild-to-moderate hypertension or metabolic syndrome (MetS) by comparing it against placebo, antihypertensive drugs, or other herbal products. Four databases were searched for randomized clinical trials (RCTs) examining the efficacy of H. sabdariffa in patients with mild-to-moderate hypertension or hypertension associated with MetS. Data on the change in systolic blood pressure (SBP) and diastolic blood pressure (DBP) were extracted and analyzed using Review Manager Version 5.3. A total of 13 RCTs (1205 participants) were analyzed. Hibiscus sabdariffa significantly reduced both SBP and DBP compared with placebo (mean difference -6.67, P = 0.004 and -4.35 mm Hg, P = 0.02). Subgroup analysis showed that change in SBP and DBP was statistically significant in patients with only hypertension, whereas not significant in patients with hypertension associated with MetS. When H. sabdariffa was compared with active controls (antihypertensive drugs or other herbals), the change in SBP and DBP was not statistically significant (all P > 0.05). Hibiscus sabdariffa is effective in reducing the SBP and DBP in patients with mild-to-moderate hypertension, but was neither effective in those with MetS nor superior to antihypertensive drugs. Further RCTs are required to determine the long-term efficacy of H. sabdariffa and to describe patients who would benefit most from this treatment.
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Affiliation(s)
| | - Mahmoud Ahmed Ebada
- Faculty of Medicine, Zagazig University, Zagazig, Egypt
- Resident Physician, Ministry of Health and Population of Egypt , Cairo, Egypt
| | - Sherein Diab
- Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | | | | | | | | | | | | | - Mohamed Ebada
- Faculty of Medicine, Cairo University, Cairo, Egypt
- Department of Cardiology, Al-Ahrar Teaching Hospital, Zagazig, Egypt
| | - Ahmed Negida
- Faculty of Medicine, Zagazig University, Zagazig, Egypt
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Ellis LR, Zulfiqar S, Holmes M, Marshall L, Dye L, Boesch C. A systematic review and meta-analysis of the effects of Hibiscus sabdariffa on blood pressure and cardiometabolic markers. Nutr Rev 2021; 80:1723-1737. [PMID: 34927694 PMCID: PMC9086798 DOI: 10.1093/nutrit/nuab104] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Context Hibiscus sabdariffa (hibiscus) has been proposed to affect cardiovascular risk factors. Objective To review the evidence for the effectiveness of hibiscus in modulating cardiovascular disease risk markers, compared with pharmacologic, nutritional, or placebo treatments. Data Sources A systematic search of the Web of Science, Cochrane, Ovid (MEDLINE, Embase, AMED), and Scopus databases identified reports published up to June 2021 on randomized controlled trials using hibiscus as an intervention for lipid profiles, blood pressure (BP), and fasting plasma glucose levels in adult populations. Data Extraction Seventeen chronic trials were included. Quantitative data were examined using a random effects meta-analysis and meta-regression with trial sequential analysis to account for type I and type II errors. Data Analysis Hibiscus exerted stronger effects on systolic BP (−7.10 mmHg [95%CI, −13.00, −1.20]; I2 = 95%; P = 0.02) than placebo, with the magnitude of reduction greatest in those with elevated BP at baseline. Hibiscus induced reductions to BP similar to that resulting from medication (systolic BP reduction, 2.13 mmHg [95%CI, −2.81, 7.06], I2 = 91%, P = 0.40; diastolic BP reduction, 1.10 mmHg [95%CI, −1.55, 3.74], I2 = 91%, P = 0.42). Hibiscus also significantly lowered levels of low-density lipoprotein compared with other teas and placebo (−6.76 mg/dL [95%CI, −13.45, −0.07]; I2 = 64%; P = 0.05). Conclusions Regular consumption of hibiscus could confer reduced cardiovascular disease risk. More studies are warranted to establish an effective dose response and treatment duration. Systematic Review Registration PROSPERO registration no. CRD42020167295
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Affiliation(s)
- Lucy R Ellis
- L.R. Ellis and L. Dye are with the School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom. S. Zulfiqar, M. Holmes, L. Marshall, and C. Boesch are with the School of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom
| | - Sadia Zulfiqar
- L.R. Ellis and L. Dye are with the School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom. S. Zulfiqar, M. Holmes, L. Marshall, and C. Boesch are with the School of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom
| | - Mel Holmes
- L.R. Ellis and L. Dye are with the School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom. S. Zulfiqar, M. Holmes, L. Marshall, and C. Boesch are with the School of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom
| | - Lisa Marshall
- L.R. Ellis and L. Dye are with the School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom. S. Zulfiqar, M. Holmes, L. Marshall, and C. Boesch are with the School of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom
| | - Louise Dye
- L.R. Ellis and L. Dye are with the School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom. S. Zulfiqar, M. Holmes, L. Marshall, and C. Boesch are with the School of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom
| | - Christine Boesch
- L.R. Ellis and L. Dye are with the School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom. S. Zulfiqar, M. Holmes, L. Marshall, and C. Boesch are with the School of Food Science and Nutrition, Faculty of Environment, University of Leeds, United Kingdom
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Abstract
BACKGROUND Hypertension is considered to be a serious health problem worldwide. Controlling and lowering blood pressure are of significant benefit to people with hypertension because hypertension is a risk factor for stroke, heart disease, and cardiovascular disease. Roselle, the tropical plant Hibiscus sabdariffa, also commonly called sour tea or red tea, has been used as both a thirst-quenching drink and for medicinal purposes. OBJECTIVES To assess the effect of Roselle on blood pressure in people with primary hypertension. SEARCH METHODS For this update, the Cochrane Hypertension Information Specialist searched the following databases and trials registers for randomised controlled trials (RCTs): the Cochrane Hypertension Specialised Register (to 6 August 2021), Cochrane Central Register of Controlled Trials (CENTRAL; 2021, Issue 7), MEDLINE Ovid (1946 to 5 August 2021), Embase Ovid (1974 to 5 August 2021), ProQuest Dissertations & Theses (to 6 August 2021), Web of Science Clarivate (to 7 August 2021), Food Science and Technology Abstracts Clarivate (to 7 August 2021), the WHO International Clinical Trials Registry Platform (to 6 August 2021), and the US National Institutes of Health Ongoing Trials Register ClinicalTrials.gov (to 6 August 2021). We searched Google Scholar and OpenSIGLE. We also handsearched local and regional Chinese databases: CBM, CMCC, TCMLARS, CNKI, CMAC, and the Index to Chinese Periodical Literature (to 14 September 2020), as well as Thai databases (ThaiJO, CUIR, TDC, CMU e-Theses, TCTR) (to 3 October 2020). There were no language or publication date restrictions. SELECTION CRITERIA We sought RCTs evaluating the use of any forms of Roselle with placebo or no treatment in adults with hypertension. Our primary outcome was change in trough and/or peak systolic and diastolic blood pressure (SBP, DBP). Secondary outcomes were withdrawals due to adverse effects, change in pulse pressure, and change in heart rate. DATA COLLECTION AND ANALYSIS All search results were managed using Covidence and re-checked for the number of records, inclusion and exclusion of studies with Mendeley reference management software. We used standard methodological procedures expected by Cochrane. Two review authors worked independently in parallel for screening (titles and abstracts, and full reports), data extraction, risk of bias assessment, and assessment of the certainty of the evidence using the GRADE approach. Any disagreements were resolved by discussion or by consultation with the third review author if necessary. We presented mean difference (MD) of change in SBP and DBP with their corresponding 95% confidence interval (CI). MAIN RESULTS For this update, only one RCT with a parallel-group design involving 60 participants with type 2 diabetes mellitus fulfilled the inclusion criteria. This study investigated the effect of Roselle extract capsules (total dose of 5600 mg) compared with placebo (lactose) at eight weeks. The study was at low risk of selection bias, performance bias, and detection bias. Conversely, it was at high risk of attrition bias, reporting bias, and other bias (baseline imbalance). We have very little confidence in the effect estimate of Roselle on change-from-baseline in both SBP and DBP between the two groups. The MD of change in SBP was 1.65, 95% CI -7.89 to 11.19 mmHg, 52 participants, very low-certainty evidence. The MD of change in DBP was 4.60, 95% CI -1.38 to 10.58 mmHg, 52 participants, very low-certainty evidence. Our secondary outcomes of withdrawals due to adverse effects, change in pulse pressure, and change in heart rate were not reported. Due to the limited available data, no secondary analyses were performed (subgroup and sensitivity analysis). AUTHORS' CONCLUSIONS The evidence is currently insufficient to determine the effectiveness of Roselle compared to placebo for controlling or lowering blood pressure in people with hypertension. The certainty of evidence was very low due to methodological limitations, imprecision, and indirectness. There is a need for rigorous RCTs that address the review question.
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Affiliation(s)
- Porjai Pattanittum
- Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand
| | - Chetta Ngamjarus
- Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand
| | - Fonthip Buttramee
- Department of Disease Control, The office of disease prevention and control 8 Udon Thani, Udon Thani, Thailand
| | - Charoonsak Somboonporn
- Department of Radiology (Division of Nuclear Medicine), Faculty of Medicine, Khon Kaen University, Muang District, Thailand
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Al-Anbaki M, Cavin AL, Nogueira RC, Taslimi J, Ali H, Najem M, Shukur Mahmood M, Abdullah Khaleel I, Saad Mohammed A, Ramadhan Hasan H, Marcourt L, Félix F, Vinh Tri Low-Der’s N, Ferreira Queiroz E, Wolfender JL, Watissée M, Graz B. Hibiscus sabdariffa, a Treatment for Uncontrolled Hypertension. Pilot Comparative Intervention. PLANTS 2021; 10:plants10051018. [PMID: 34069702 PMCID: PMC8160910 DOI: 10.3390/plants10051018] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 05/04/2021] [Accepted: 05/11/2021] [Indexed: 01/17/2023]
Abstract
In Iraq, in 2019, there were about 1.4 million Internally Displaced Persons (IDP); medical treatments were often interrupted. The feasibility of using Hibiscus sabdariffa (HS) decoction to curb hypertension was evaluated. A multicentric comparative pilot intervention for 121 participants with high blood pressure (BP) (≥140/90 mmHg) was conducted. Participants of the intervention group (with or without conventional medication) received HS decoction on a dose regimen starting from 10 grams per day. BP was measured five times over six weeks. The major active substances were chemically quantified. Results: After 6 weeks, 61.8% of participants from the intervention group (n = 76) reached the target BP < 140/90 mmHg, compared to 6.7% in the control group (n = 45). In the intervention group, a mean (±SD) reduction of 23.1 (±11.8) mmHg and 12.0 (±11.2) for systolic and diastolic BP, respectively, was observed, while in the control group the reduction was 4.4 (±10.2)/3.6 (±8.7). The chemical analysis of the starting dose indicated a content of 36 mg of total anthocyanins and 2.13 g of hibiscus acid. The study shows the feasibility of using HS decoction in IDP’s problematic framework, as hibiscus is a safe, local, affordable, and culturally accepted food product.
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Affiliation(s)
- Marwah Al-Anbaki
- Antenna Foundation, Avenue de la Grenade 24, 1207 Geneva, Switzerland; (A.-L.C.); (R.C.N.); (B.G.)
- Correspondence: ; Tel.: +41-76-285-55-75
| | - Anne-Laure Cavin
- Antenna Foundation, Avenue de la Grenade 24, 1207 Geneva, Switzerland; (A.-L.C.); (R.C.N.); (B.G.)
| | - Renata Campos Nogueira
- Antenna Foundation, Avenue de la Grenade 24, 1207 Geneva, Switzerland; (A.-L.C.); (R.C.N.); (B.G.)
| | - Jaafar Taslimi
- The Iraq Health Access Organization (“IHAO”), District 901, Abu Nawas ST, Baghdad, Iraq; (J.T.); (H.A.); (M.N.); (M.S.M.); (I.A.K.); (A.S.M.); (H.R.H.)
| | - Hayder Ali
- The Iraq Health Access Organization (“IHAO”), District 901, Abu Nawas ST, Baghdad, Iraq; (J.T.); (H.A.); (M.N.); (M.S.M.); (I.A.K.); (A.S.M.); (H.R.H.)
| | - Mohammed Najem
- The Iraq Health Access Organization (“IHAO”), District 901, Abu Nawas ST, Baghdad, Iraq; (J.T.); (H.A.); (M.N.); (M.S.M.); (I.A.K.); (A.S.M.); (H.R.H.)
| | - Mustafa Shukur Mahmood
- The Iraq Health Access Organization (“IHAO”), District 901, Abu Nawas ST, Baghdad, Iraq; (J.T.); (H.A.); (M.N.); (M.S.M.); (I.A.K.); (A.S.M.); (H.R.H.)
| | - Ibrahim Abdullah Khaleel
- The Iraq Health Access Organization (“IHAO”), District 901, Abu Nawas ST, Baghdad, Iraq; (J.T.); (H.A.); (M.N.); (M.S.M.); (I.A.K.); (A.S.M.); (H.R.H.)
| | - Abdulqader Saad Mohammed
- The Iraq Health Access Organization (“IHAO”), District 901, Abu Nawas ST, Baghdad, Iraq; (J.T.); (H.A.); (M.N.); (M.S.M.); (I.A.K.); (A.S.M.); (H.R.H.)
| | - Hasan Ramadhan Hasan
- The Iraq Health Access Organization (“IHAO”), District 901, Abu Nawas ST, Baghdad, Iraq; (J.T.); (H.A.); (M.N.); (M.S.M.); (I.A.K.); (A.S.M.); (H.R.H.)
| | - Laurence Marcourt
- School of Pharmaceutical Sciences, University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland; (L.M.); (F.F.); (N.V.T.L.-D.); (E.F.Q.); (J.-L.W.)
- Institute of Pharmaceutical Sciences of Western Switzerland (ISPSW), University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland
| | - Fabien Félix
- School of Pharmaceutical Sciences, University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland; (L.M.); (F.F.); (N.V.T.L.-D.); (E.F.Q.); (J.-L.W.)
- Institute of Pharmaceutical Sciences of Western Switzerland (ISPSW), University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland
| | - Nicolas Vinh Tri Low-Der’s
- School of Pharmaceutical Sciences, University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland; (L.M.); (F.F.); (N.V.T.L.-D.); (E.F.Q.); (J.-L.W.)
- Institute of Pharmaceutical Sciences of Western Switzerland (ISPSW), University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland
| | - Emerson Ferreira Queiroz
- School of Pharmaceutical Sciences, University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland; (L.M.); (F.F.); (N.V.T.L.-D.); (E.F.Q.); (J.-L.W.)
- Institute of Pharmaceutical Sciences of Western Switzerland (ISPSW), University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland
| | - Jean-Luc Wolfender
- School of Pharmaceutical Sciences, University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland; (L.M.); (F.F.); (N.V.T.L.-D.); (E.F.Q.); (J.-L.W.)
- Institute of Pharmaceutical Sciences of Western Switzerland (ISPSW), University of Geneva, CMU, Rue Michel Servet 1, 1211 Geneva 4, Switzerland
| | | | - Bertrand Graz
- Antenna Foundation, Avenue de la Grenade 24, 1207 Geneva, Switzerland; (A.-L.C.); (R.C.N.); (B.G.)
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