Current clinical status on the preventive effects of cranberry consumption against urinary tract infections

Abstract Urinary tract infections (UTIs) represent a common and quite costly medical problem, primarily affecting the female population which may be due to a shorter urethra. The bacterium Escherichia coli are mainly responsible for most uncomplicated UTIs. Cranberry antibacterial effects have widel...

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Veröffentlicht in:Nutrition research (New York, N.Y.) N.Y.), 2013-08, Vol.33 (8), p.595-607
Hauptverfasser: Vasileiou, Ioanna, Katsargyris, Athanasios, Theocharis, Stamatios, Giaginis, Constantinos
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container_issue 8
container_start_page 595
container_title Nutrition research (New York, N.Y.)
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creator Vasileiou, Ioanna
Katsargyris, Athanasios
Theocharis, Stamatios
Giaginis, Constantinos
description Abstract Urinary tract infections (UTIs) represent a common and quite costly medical problem, primarily affecting the female population which may be due to a shorter urethra. The bacterium Escherichia coli are mainly responsible for most uncomplicated UTIs. Cranberry antibacterial effects have widely been studied in vitro, and laboratory and clinical studies have also been performed to elucidate the mechanisms of cranberry actions and the clinical benefits of cranberry consumption against UTIs. The present review aimed to summarize the proposed mechanisms of cranberry actions against UTIs and the clinical trials that evaluated the efficacy of supplementing cranberry products in different subpopulations. Taking into consideration the existing data, cranberry consumption may prevent bacterial adherence to uroepithelial cells which reduces the development of UTI. Cranberry consumption could also decreasing UTI related symptoms by suppressing inflammatory cascades as an immunologic response to bacteria invasion. The existing clinical trials suggest that the beneficial effects of cranberry against UTIs seem to be prophylactic by preventing the development of infections; however, they exert low effectiveness in populations at increased risk for contracting UTIs. Additional well-designed, double-blind, placebo-controlled clinical trials that use standardized cranberry products are strongly justified in order to determine the efficiency of cranberry on the prevention of UTIs in susceptible populations.
doi_str_mv 10.1016/j.nutres.2013.05.018
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The bacterium Escherichia coli are mainly responsible for most uncomplicated UTIs. Cranberry antibacterial effects have widely been studied in vitro, and laboratory and clinical studies have also been performed to elucidate the mechanisms of cranberry actions and the clinical benefits of cranberry consumption against UTIs. The present review aimed to summarize the proposed mechanisms of cranberry actions against UTIs and the clinical trials that evaluated the efficacy of supplementing cranberry products in different subpopulations. Taking into consideration the existing data, cranberry consumption may prevent bacterial adherence to uroepithelial cells which reduces the development of UTI. Cranberry consumption could also decreasing UTI related symptoms by suppressing inflammatory cascades as an immunologic response to bacteria invasion. 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The bacterium Escherichia coli are mainly responsible for most uncomplicated UTIs. Cranberry antibacterial effects have widely been studied in vitro, and laboratory and clinical studies have also been performed to elucidate the mechanisms of cranberry actions and the clinical benefits of cranberry consumption against UTIs. The present review aimed to summarize the proposed mechanisms of cranberry actions against UTIs and the clinical trials that evaluated the efficacy of supplementing cranberry products in different subpopulations. Taking into consideration the existing data, cranberry consumption may prevent bacterial adherence to uroepithelial cells which reduces the development of UTI. Cranberry consumption could also decreasing UTI related symptoms by suppressing inflammatory cascades as an immunologic response to bacteria invasion. The existing clinical trials suggest that the beneficial effects of cranberry against UTIs seem to be prophylactic by preventing the development of infections; however, they exert low effectiveness in populations at increased risk for contracting UTIs. Additional well-designed, double-blind, placebo-controlled clinical trials that use standardized cranberry products are strongly justified in order to determine the efficiency of cranberry on the prevention of UTIs in susceptible populations.</description><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Anti-Inflammatory Agents - pharmacology</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Antimicrobial activity</subject><subject>Bacterial Adhesion - drug effects</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the urinary system</subject><subject>Biological and medical sciences</subject><subject>Clinical trials</subject><subject>Cranberry</subject><subject>Escherichia coli</subject><subject>Feeding. Feeding behavior</subject><subject>Fruit</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Immune response</subject><subject>Infectious diseases</subject><subject>Inflammatory reaction</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Phytotherapy</subject><subject>Plant Preparations - pharmacology</subject><subject>Plant Preparations - therapeutic use</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - microbiology</subject><subject>Urinary Tract Infections - prevention &amp; control</subject><subject>Urinary tract. 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Feeding behavior</topic><topic>Fruit</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Immune response</topic><topic>Infectious diseases</topic><topic>Inflammatory reaction</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Phytotherapy</topic><topic>Plant Preparations - pharmacology</topic><topic>Plant Preparations - therapeutic use</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - microbiology</topic><topic>Urinary Tract Infections - prevention &amp; control</topic><topic>Urinary tract. Prostate gland</topic><topic>Urothelium - drug effects</topic><topic>Urothelium - microbiology</topic><topic>Vaccinium macrocarpon</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vasileiou, Ioanna</creatorcontrib><creatorcontrib>Katsargyris, Athanasios</creatorcontrib><creatorcontrib>Theocharis, Stamatios</creatorcontrib><creatorcontrib>Giaginis, Constantinos</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition research (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vasileiou, Ioanna</au><au>Katsargyris, Athanasios</au><au>Theocharis, Stamatios</au><au>Giaginis, Constantinos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Current clinical status on the preventive effects of cranberry consumption against urinary tract infections</atitle><jtitle>Nutrition research (New York, N.Y.)</jtitle><addtitle>Nutr Res</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>33</volume><issue>8</issue><spage>595</spage><epage>607</epage><pages>595-607</pages><issn>0271-5317</issn><eissn>1879-0739</eissn><coden>NTRSDC</coden><abstract>Abstract Urinary tract infections (UTIs) represent a common and quite costly medical problem, primarily affecting the female population which may be due to a shorter urethra. The bacterium Escherichia coli are mainly responsible for most uncomplicated UTIs. Cranberry antibacterial effects have widely been studied in vitro, and laboratory and clinical studies have also been performed to elucidate the mechanisms of cranberry actions and the clinical benefits of cranberry consumption against UTIs. The present review aimed to summarize the proposed mechanisms of cranberry actions against UTIs and the clinical trials that evaluated the efficacy of supplementing cranberry products in different subpopulations. Taking into consideration the existing data, cranberry consumption may prevent bacterial adherence to uroepithelial cells which reduces the development of UTI. Cranberry consumption could also decreasing UTI related symptoms by suppressing inflammatory cascades as an immunologic response to bacteria invasion. The existing clinical trials suggest that the beneficial effects of cranberry against UTIs seem to be prophylactic by preventing the development of infections; however, they exert low effectiveness in populations at increased risk for contracting UTIs. Additional well-designed, double-blind, placebo-controlled clinical trials that use standardized cranberry products are strongly justified in order to determine the efficiency of cranberry on the prevention of UTIs in susceptible populations.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>23890348</pmid><doi>10.1016/j.nutres.2013.05.018</doi><tpages>13</tpages></addata></record>
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subjects Anti-Bacterial Agents - pharmacology
Anti-Bacterial Agents - therapeutic use
Anti-Inflammatory Agents - pharmacology
Anti-Inflammatory Agents - therapeutic use
Antimicrobial activity
Bacterial Adhesion - drug effects
Bacterial diseases
Bacterial diseases of the urinary system
Biological and medical sciences
Clinical trials
Cranberry
Escherichia coli
Feeding. Feeding behavior
Fruit
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
Human bacterial diseases
Humans
Immune response
Infectious diseases
Inflammatory reaction
Medical sciences
Nephrology. Urinary tract diseases
Phytotherapy
Plant Preparations - pharmacology
Plant Preparations - therapeutic use
Urinary system involvement in other diseases. Miscellaneous
Urinary tract infections
Urinary Tract Infections - microbiology
Urinary Tract Infections - prevention & control
Urinary tract. Prostate gland
Urothelium - drug effects
Urothelium - microbiology
Vaccinium macrocarpon
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title Current clinical status on the preventive effects of cranberry consumption against urinary tract infections
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