Beneficial effects of fish oil and cranberry juice on disease activity and inflammatory biomarkers in people with rheumatoid arthritis

•Cranberry juice added beneficial results to fish oil supplementation in terms of disease activity score (Disease Activity Score-28 for rheumatoid arthritis with C-reactive protein) in people with rheumatoid arthritis.•Cranberry juice added beneficial results to fish oil supplementation on the infla...

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Veröffentlicht in:Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2021-06, Vol.86, p.111183, Article 111183
Hauptverfasser: Fatel, Elis C.S., Rosa, Flávia T., Alfieri, Daniela F., Flauzino, Tamires, Scavuzzi, Bruna M., Lozovoy, Marcell A.B., Iriyoda, Tatiana M.V., Simão, Andréa N.C., Dichi, Isaias
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container_title Nutrition (Burbank, Los Angeles County, Calif.)
container_volume 86
creator Fatel, Elis C.S.
Rosa, Flávia T.
Alfieri, Daniela F.
Flauzino, Tamires
Scavuzzi, Bruna M.
Lozovoy, Marcell A.B.
Iriyoda, Tatiana M.V.
Simão, Andréa N.C.
Dichi, Isaias
description •Cranberry juice added beneficial results to fish oil supplementation in terms of disease activity score (Disease Activity Score-28 for rheumatoid arthritis with C-reactive protein) in people with rheumatoid arthritis.•Cranberry juice added beneficial results to fish oil supplementation on the inflammatory mediators of erythrocyte sedimentation rate and C-reactive protein in people with rheumatoid arthritis.•Ingestion of cranberry juice added beneficial effects to the well-known action of fish oil on disease activity and inflammatory biomarkers in people with rheumatoid arthritis. We sought to determine whether cranberry juice consumption would ameliorate laboratory and clinical measurements of disease activity in people with rheumatoid arthritis receiving fish oil supplementation. A prospective study was performed with 62 people with rheumatoid arthritis. We analyzed C-reactive protein modification of the Disease Activity Score-28 (DAS28-CRP) and inflammatory markers. The first group was assigned to eat their typical diet, a second group was asked to consume 3 g of fish oil ω-3 fatty acids daily, and a third group received both 3 g of fish oil n-3 fatty acids and 500 mL of reduced-calorie cranberry juice daily. Compared with baseline values, the group receiving both fish oil and cranberry juice showed reductions in erythrocyte sedimentation rate (P = 0.033), C-reactive protein (P = 0.002), DAS28-CRP (P = 0.001), adiponectin (P = 0.021), and interleukin-6 levels (P = 0.045), whereas the fish oil group showed decreased DAS28-CRP (P = 0.0261) and adiponectin (P = 0.0239). Differences across treatments showed that the group receiving both fish oil and cranberry experienced reductions (P < 0.05) in erythrocyte sedimentation rate and C-reactive protein compared to the control group and the group treated with fish oil alone, and a reduction in DAS28-CRP was verified when the fish oil and cranberry group was compared to the control group. The ingestion of cranberry juice adds beneficial effects to fish oil supplementation, decreasing disease activity and inflammatory biomarkers in people with rheumatoid arthritis.
doi_str_mv 10.1016/j.nut.2021.111183
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We sought to determine whether cranberry juice consumption would ameliorate laboratory and clinical measurements of disease activity in people with rheumatoid arthritis receiving fish oil supplementation. A prospective study was performed with 62 people with rheumatoid arthritis. We analyzed C-reactive protein modification of the Disease Activity Score-28 (DAS28-CRP) and inflammatory markers. The first group was assigned to eat their typical diet, a second group was asked to consume 3 g of fish oil ω-3 fatty acids daily, and a third group received both 3 g of fish oil n-3 fatty acids and 500 mL of reduced-calorie cranberry juice daily. Compared with baseline values, the group receiving both fish oil and cranberry juice showed reductions in erythrocyte sedimentation rate (P = 0.033), C-reactive protein (P = 0.002), DAS28-CRP (P = 0.001), adiponectin (P = 0.021), and interleukin-6 levels (P = 0.045), whereas the fish oil group showed decreased DAS28-CRP (P = 0.0261) and adiponectin (P = 0.0239). Differences across treatments showed that the group receiving both fish oil and cranberry experienced reductions (P &lt; 0.05) in erythrocyte sedimentation rate and C-reactive protein compared to the control group and the group treated with fish oil alone, and a reduction in DAS28-CRP was verified when the fish oil and cranberry group was compared to the control group. The ingestion of cranberry juice adds beneficial effects to fish oil supplementation, decreasing disease activity and inflammatory biomarkers in people with rheumatoid arthritis.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2021.111183</identifier><identifier>PMID: 33636418</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adiponectin ; Arthritis ; Atherosclerosis ; Autoimmune diseases ; Biomarkers ; Body mass index ; C-reactive protein ; Calories ; Cranberries ; Cranberry ; Dietary supplements ; Disease ; Enzymes ; Erythrocyte sedimentation rate ; Erythrocytes ; Fatty acids ; Fish ; Fish oils ; Inflammation ; Ingestion ; Interleukin 6 ; Intervention ; Juices ; Laboratories ; Mortality ; n-3 fish oil fatty acids ; Peptides ; Polyphenols ; Proteins ; Rheumatoid arthritis ; Rheumatology ; Tumor necrosis factor-TNF</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2021-06, Vol.86, p.111183, Article 111183</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. 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We sought to determine whether cranberry juice consumption would ameliorate laboratory and clinical measurements of disease activity in people with rheumatoid arthritis receiving fish oil supplementation. A prospective study was performed with 62 people with rheumatoid arthritis. We analyzed C-reactive protein modification of the Disease Activity Score-28 (DAS28-CRP) and inflammatory markers. The first group was assigned to eat their typical diet, a second group was asked to consume 3 g of fish oil ω-3 fatty acids daily, and a third group received both 3 g of fish oil n-3 fatty acids and 500 mL of reduced-calorie cranberry juice daily. Compared with baseline values, the group receiving both fish oil and cranberry juice showed reductions in erythrocyte sedimentation rate (P = 0.033), C-reactive protein (P = 0.002), DAS28-CRP (P = 0.001), adiponectin (P = 0.021), and interleukin-6 levels (P = 0.045), whereas the fish oil group showed decreased DAS28-CRP (P = 0.0261) and adiponectin (P = 0.0239). Differences across treatments showed that the group receiving both fish oil and cranberry experienced reductions (P &lt; 0.05) in erythrocyte sedimentation rate and C-reactive protein compared to the control group and the group treated with fish oil alone, and a reduction in DAS28-CRP was verified when the fish oil and cranberry group was compared to the control group. The ingestion of cranberry juice adds beneficial effects to fish oil supplementation, decreasing disease activity and inflammatory biomarkers in people with rheumatoid arthritis.</description><subject>Adiponectin</subject><subject>Arthritis</subject><subject>Atherosclerosis</subject><subject>Autoimmune diseases</subject><subject>Biomarkers</subject><subject>Body mass index</subject><subject>C-reactive protein</subject><subject>Calories</subject><subject>Cranberries</subject><subject>Cranberry</subject><subject>Dietary supplements</subject><subject>Disease</subject><subject>Enzymes</subject><subject>Erythrocyte sedimentation rate</subject><subject>Erythrocytes</subject><subject>Fatty acids</subject><subject>Fish</subject><subject>Fish oils</subject><subject>Inflammation</subject><subject>Ingestion</subject><subject>Interleukin 6</subject><subject>Intervention</subject><subject>Juices</subject><subject>Laboratories</subject><subject>Mortality</subject><subject>n-3 fish oil fatty acids</subject><subject>Peptides</subject><subject>Polyphenols</subject><subject>Proteins</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatology</subject><subject>Tumor necrosis factor-TNF</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kMFuGyEQhlGVqHbdPkAvEVLPu4FdL2aVU2o1bSVLuSRnxMIgz3a9OMA68gvkuYvjtMdwQRq--Yf5CPnKWckZF9d9OU6prFjFS56PrD-QOZeruuDVcnlB5ky2bdEytpqRTzH2jDHeivYjmdW1qMWSyzl5-Q4jODSoBwrOgUmRekcdxi31OFA9WmqCHjsI4Uj7CQ1QP1KLEXQEqk3CA6bjK4ejG_Rup5PPaId-p8MfCDHX6R78fgD6jGlLwxamE4SW6pC2ARPGz-TS6SHCl7d7QR7vfjysfxWb-5-_17ebwtSSp6JyWvKWARin82erpu6sFKIDLTq9lLbLNZ7fVmxVaSmssK0QkjcgG86kbeoF-XbO3Qf_NEFMqvdTGPNIlcMaySrRVpniZ8oEH2MAp_YB8zZHxZk6mVe9yubVybw6m889V2_JU7cD-7_jn-oM3JwByPsdEIKKBmE0YDFk7cp6fCf-LwgelyY</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Fatel, Elis C.S.</creator><creator>Rosa, Flávia T.</creator><creator>Alfieri, Daniela F.</creator><creator>Flauzino, Tamires</creator><creator>Scavuzzi, Bruna M.</creator><creator>Lozovoy, Marcell A.B.</creator><creator>Iriyoda, Tatiana M.V.</creator><creator>Simão, Andréa N.C.</creator><creator>Dichi, Isaias</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>20210601</creationdate><title>Beneficial effects of fish oil and cranberry juice on disease activity and inflammatory biomarkers in people with rheumatoid arthritis</title><author>Fatel, Elis C.S. ; 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We sought to determine whether cranberry juice consumption would ameliorate laboratory and clinical measurements of disease activity in people with rheumatoid arthritis receiving fish oil supplementation. A prospective study was performed with 62 people with rheumatoid arthritis. We analyzed C-reactive protein modification of the Disease Activity Score-28 (DAS28-CRP) and inflammatory markers. The first group was assigned to eat their typical diet, a second group was asked to consume 3 g of fish oil ω-3 fatty acids daily, and a third group received both 3 g of fish oil n-3 fatty acids and 500 mL of reduced-calorie cranberry juice daily. Compared with baseline values, the group receiving both fish oil and cranberry juice showed reductions in erythrocyte sedimentation rate (P = 0.033), C-reactive protein (P = 0.002), DAS28-CRP (P = 0.001), adiponectin (P = 0.021), and interleukin-6 levels (P = 0.045), whereas the fish oil group showed decreased DAS28-CRP (P = 0.0261) and adiponectin (P = 0.0239). Differences across treatments showed that the group receiving both fish oil and cranberry experienced reductions (P &lt; 0.05) in erythrocyte sedimentation rate and C-reactive protein compared to the control group and the group treated with fish oil alone, and a reduction in DAS28-CRP was verified when the fish oil and cranberry group was compared to the control group. The ingestion of cranberry juice adds beneficial effects to fish oil supplementation, decreasing disease activity and inflammatory biomarkers in people with rheumatoid arthritis.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33636418</pmid><doi>10.1016/j.nut.2021.111183</doi></addata></record>
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ispartof Nutrition (Burbank, Los Angeles County, Calif.), 2021-06, Vol.86, p.111183, Article 111183
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1873-1244
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subjects Adiponectin
Arthritis
Atherosclerosis
Autoimmune diseases
Biomarkers
Body mass index
C-reactive protein
Calories
Cranberries
Cranberry
Dietary supplements
Disease
Enzymes
Erythrocyte sedimentation rate
Erythrocytes
Fatty acids
Fish
Fish oils
Inflammation
Ingestion
Interleukin 6
Intervention
Juices
Laboratories
Mortality
n-3 fish oil fatty acids
Peptides
Polyphenols
Proteins
Rheumatoid arthritis
Rheumatology
Tumor necrosis factor-TNF
title Beneficial effects of fish oil and cranberry juice on disease activity and inflammatory biomarkers in people with rheumatoid arthritis
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