Dietary Total Antioxidant Capacity and Odds of Breast Cancer: A Case-Control Study

Associations Between Dietary Factors and Breast Cancer Risk: A Systematic Review of Evidence from the MENA Region

BACKGROUND

The Middle East and North Africa (MENA) region is witnessing a continuous rise in the incidence of breast cancer (BC). This region is characterized by distinct cultural and lifestyle habits. Despite the importance of diet as a modifiable risk factor for BC, its role in the development of BC within the MENA context has not been extensively studied. This systematic review aims to identify and synthesize existing evidence regarding the effect of different dietary factors on BC risk among women from this region.

METHODS

We systematically reviewed the scientific literature for observational studies that examined the association between specific dietary factors and the risk of BC in MENA, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Our comprehensive search included databases such as PubMed, Web of Science, ScienceDirect, and Scopus, identified a total of 18,085 records, of which 65 met our inclusion criteria and were assessed for quality using the National Institute of Health Quality Assessment Tool.

RESULTS

The findings of the 65 included studies were categorized into food groups, nutrients, and dietary patterns. Studies in the MENA region have consistently shown that the consumption of fruit and vegetables, fish and seafood, and black tea are associated with a reduced BC risk. In contrast, the intake of milk and white bread is linked to an increased risk. Specific dietary patterns such as the Mediterranean diet, a healthy plant-based diet, dietary antioxidant index, and overall healthy dietary patterns have shown a negative association with BC risk. Conversely, the dietary insulin index and load, dietary glycemic index, dietary inflammatory index, and unhealthy dietary patterns are associated with an increased risk of BC. For the remaining dietary factors, research was too limited or inconsistent to draw conclusions.

CONCLUSIONS

Our findings highlight the significant role of dietary factors in modulating BC risk among women in the MENA region, an area that faces a notable gap in research on this topic. Further studies are essential to deepen our understanding and develop targeted dietary recommendations for BC prevention in this population.

Efficiency of potato peel extract in the preservation of cow butter

This study investigates that the phenolic compound extracted from the potato peels using ethanol by maceration as a natural preservation agent for cow butter, yielding 10.42 ± 0.03 % phenolic compound. A quantitative and qualitative analysis of potato peels extract (PPE) was conducted to examine the phenolic compounds. The major preliminary phytochemical screenings (Alkaline Reagent Test, Ferric Chloride Test, Chloride Test) were performed to detect the presence of phenols, flavonoids, and tannins. The total phenolic content was measured using the Folin-Ciocalteu method with UV spectrophotometry, which produced 2.9468 ± 0.03 mg GAE/g of dry extract. The total flavonoid content was determined using the aluminum chloride colorimetric method, resulting in 3.6885 ± 0.02 mg equivalent Quercetin/g of dry extract. During 21 days, butter samples treated with PPE at various concentrations (0.2 % and 0.3 %) and storage temperatures (20 °C and 45 °C) were examined for chemical parameters (peroxide value and free fatty acid value) and microbiological parameters (aerobic total bacterial count and yeast mould count). The findings showed that the samples preserved at 20 °C with a concentration of 0.3 % extract had better preservation than samples stored at other temperatures. It also showed lower values of peroxide and free fatty acids, as well as less microbial growth. On the other hand, samples without extract that were kept at 45 °C demonstrated more oxidation and microbial growth. The oxidative stability of cow butter was assessed using the Rancimat method. Results indicate that PPE significantly enhances both oxidative stability and shelf life, offering preservative benefits for up to six months. Specifically, the induction period (IP) at room temperature reached 3960 h (165 days) with PPE, compared to only 120 h (5 days) without it. These findings suggest that the phenolic compounds in the potato peels could serve as natural preservatives for cow butter, particularly when stored at lower temperatures.

Formulation of Hydrogel Beads to Improve the Bioaccessibility of Bioactive Compounds from Goldenberry and Purple Passion Fruit and Evaluation of Their Antiproliferative Effects on Human Colorectal Carcinoma Cells

Goldenberry and purple passion fruit contain bioactive compounds (BCs) that can prevent gastrointestinal cancers; hydrogel beads can protect and control their release in the gastrointestinal tract. This study aimed to develop an encapsulating material for fruit hydrogel beads (FHBs) to increase their bioaccessibility and to assess antiproliferative effects. A blend of goldenberry-purple passion fruit was encapsulated using ionic gelation and electrospraying. Through a mixture experimental design with sodium alginate (SA), hydroxypropylmethylcellulose (HPMC) and arabic gum (AG) as components, the following response variables were optimized: polyphenol bioaccessibility and encapsulation efficiency. Polyphenols and antioxidant activity were quantified before and after digestion. Antiproliferative effect was evaluated on Caco-2 colon cancer cells. Variations in formulation proportions had a significant effect (p < 0.05) on most responses. An SA-AG mixture in a 0.75:0.25 ratio maximized polyphenol bioaccessibility to 213.17 ± 19.57% and encapsulation efficiency to 89.46 ± 6.64%. Polyphenols and antioxidant activity were lower in FHBs than in the fruit blend (F). Both F and FHBs inhibited tumor cell proliferation by 17% and 25%, respectively. In conclusion, encapsulating BCs in hydrogel beads with SA-AG can enhance the effectiveness of polyphenols in food applications by improving their bioaccessibility and showing a more pronounced effect in inhibiting tumor cell proliferation.

Dietary total antioxidant capacity in relation to disease severity and risk of mortality in cirrhosis; results from a cohort study

Liver Cirrhosis, defined as the final stage of chronic liver disease, may become more prevalent in the lower level of body defense against oxidation and inflammation. Therefore, we assessed the association of dietary total antioxidant capacity (DTAC) with the severity and mortality of cirrhosis in a cohort study. 120 newly diagnosed cirrhosis patients from Tehran, Iran, participated in this study. The patients' habitual diet was assessed using a 168-item validated food frequency questionnaire. Both ferric-reducing antioxidant potential (FRAP) and oxygen radical scavenging capacity (ORAC) methods were computed to achieve DTAC scores. The association between DTAC with disease severity and mortality was estimated by multivariate linear regression and cox proportional hazards regression models. Dietary total antioxidant capacity-ORAC had a significant inverse association with disease severity in both crude and adjusted models (P for trend: <0.001 and 0.016 respectively). The risk of mortality in the first and second tertiles of ORAC was 5.56 (95 % CI: 2.25-13.75; P = 0.002) and 3.20 (95 % CI: 1.25-8.19; P = 0.015) higher than those in the third category, respectively. In conclusion, a higher antioxidant capacity of diet is associated with less disease severity and mortality risk in cirrhosis.

Phytochemistry, nutritional composition, health benefits and future prospects of Mespilus germanica L. (Medlar): A review

Mespilus germanica L., commonly known as medlar, is one of two species of the Rosaceae family. The medlar plant has a long history of use in gastronomy and healthcare. Medlar waste is used to extract hazardous heavy metals from contaminated water. The nutritional value of M. germanica fruits comes from their composition of carbohydrates, carotenoids, amino acids, organic acids, proteins, vitamins, fatty acids, and vital components. M. germanica fruit contains a high concentration of important phenolic components, which contribute to its anti-diabetic and antioxidant properties. Additionally, several studies have identified diverse biological properties of the M. germanica plant, including the cytotoxic, neurodegenerative, and antibacterial properties of its fruits and leaves. Scientists are investigating underutilized plant species to address sustainability issues in food production. This review study will provide a comprehensive examination of its chemical composition, medical applications, plant waste utilization, and potential biological activities.

Evaluation of The Antioxidant Capacity of Food Products: Methods, Applications and Limitations

Assays of total antioxidant capacity (TAC) are popular in the analysis of food products. This review presents the most popular assays of TAC and their limitations, databases of TAC of food products, their application in clinical studies, and the effect of processing on the TAC of food. The importance of sample preparation for TAC assays and striking effects of digestion in the gastrointestinal tract on the TAC of food are discussed. Critical opinions on the validity of food TAC assays are considered. It is concluded that TAC methods can be useful as screening assays for food quality control and as low-cost, high-throughput tools used to discover potential antioxidant sources and follow changes in the content of antioxidants during food processing. However, effects revealed by TAC assays should be followed and explained using more specific methods.