Effects of flaxseed and flaxseed oil supplement on serum levels of inflammatory markers, metabolic parameters and severity of disease in patients with ulcerative colitis

•Inflammatory bowel disease (IBD) refers to diseases that cause inflammation of the intestinal wall.•Flaxseed is a rich source of omega-3 fatty acids (α-linolenic acid; ALA), phytoestrogens and soluble fiber.•flaxseed and flaxseed oil, attenuate inflammatory markers, disease severity, blood pressure...

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Veröffentlicht in:Complementary therapies in medicine 2019-10, Vol.46, p.36-43
Hauptverfasser: Morshedzadeh, Nava, Shahrokh, Shabnam, Aghdaei, Hamid Asadzadeh, Amin Pourhoseingholi, Mohamad, Chaleshi, Vahid, Hekmatdoost, Azita, Karimi, Soheila, Zali, Mohammad Reza, Mirmiran, Parvin
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container_title Complementary therapies in medicine
container_volume 46
creator Morshedzadeh, Nava
Shahrokh, Shabnam
Aghdaei, Hamid Asadzadeh
Amin Pourhoseingholi, Mohamad
Chaleshi, Vahid
Hekmatdoost, Azita
Karimi, Soheila
Zali, Mohammad Reza
Mirmiran, Parvin
description •Inflammatory bowel disease (IBD) refers to diseases that cause inflammation of the intestinal wall.•Flaxseed is a rich source of omega-3 fatty acids (α-linolenic acid; ALA), phytoestrogens and soluble fiber.•flaxseed and flaxseed oil, attenuate inflammatory markers, disease severity, blood pressure, and WC. The present study aimed to evaluate the possible effect of grounded flaxseed and flaxseed oil on serum levels of inflammatory markers, metabolic parameters, and the severity of disease in patients with UC. In this open-labeled randomized controlled trial, 90 UC patients were randomly assigned to one of the 3 groups for 12 weeks: grounded flaxseed (GF; 30 g/day), flaxseed oil (FO; 10 g/day) and control group. The weight, waist circumference, systolic and diastolic blood pressure, serum inflammatory markers (interleukin-6 (IL-6), interferon gamma (INF-γ), transforming growth factor beta (TGF-β), and Erythrocyte Sedimentation Rate (ESR)), and fecal calprotectin were measured at the baseline and end of the study. Totally, 75 patients (43 men and 32 women) with a mean age of 31.54 ± 9.84 years participated in the present study. Comparing the change of the variables indicated a significant decrease in fecal calprotectin (P 
doi_str_mv 10.1016/j.ctim.2019.07.012
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The present study aimed to evaluate the possible effect of grounded flaxseed and flaxseed oil on serum levels of inflammatory markers, metabolic parameters, and the severity of disease in patients with UC. In this open-labeled randomized controlled trial, 90 UC patients were randomly assigned to one of the 3 groups for 12 weeks: grounded flaxseed (GF; 30 g/day), flaxseed oil (FO; 10 g/day) and control group. The weight, waist circumference, systolic and diastolic blood pressure, serum inflammatory markers (interleukin-6 (IL-6), interferon gamma (INF-γ), transforming growth factor beta (TGF-β), and Erythrocyte Sedimentation Rate (ESR)), and fecal calprotectin were measured at the baseline and end of the study. Totally, 75 patients (43 men and 32 women) with a mean age of 31.54 ± 9.84 years participated in the present study. Comparing the change of the variables indicated a significant decrease in fecal calprotectin (P < 0.001), Mayo score (P < 0.001), ESR (P < 0.001), INF-γ (P < 0.001), IL-6 (P < 0.001), waist circumference (P = 0.02), Diastolic Blood Pressure (DBP) (P < 0.001), and Systolic Blood Pressure (SBP) (P < 0.001) and a significant increase in TGF-β (P < 0.001) and Inflammatory Bowel Disease Questionnaire-Short form (IBDQ-9) score (P < 0.001) in the GF and FO groups compared to the control. No difference was obvious between the FO and GF groups except for TGF-β. The present study showed that both flaxseed and flaxseed oil, attenuate inflammatory markers, disease severity, blood pressure, and WC. 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All rights reserved.</rights><rights>2019. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-2f31bd82b4ad1e114af54b87665914fb86039ec74eaf891da0b49610ff17d9ea3</citedby><cites>FETCH-LOGICAL-c384t-2f31bd82b4ad1e114af54b87665914fb86039ec74eaf891da0b49610ff17d9ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2287407199?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974,64362,64364,64366,72216</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31519285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morshedzadeh, Nava</creatorcontrib><creatorcontrib>Shahrokh, Shabnam</creatorcontrib><creatorcontrib>Aghdaei, Hamid Asadzadeh</creatorcontrib><creatorcontrib>Amin Pourhoseingholi, Mohamad</creatorcontrib><creatorcontrib>Chaleshi, Vahid</creatorcontrib><creatorcontrib>Hekmatdoost, Azita</creatorcontrib><creatorcontrib>Karimi, Soheila</creatorcontrib><creatorcontrib>Zali, Mohammad Reza</creatorcontrib><creatorcontrib>Mirmiran, Parvin</creatorcontrib><title>Effects of flaxseed and flaxseed oil supplement on serum levels of inflammatory markers, metabolic parameters and severity of disease in patients with ulcerative colitis</title><title>Complementary therapies in medicine</title><addtitle>Complement Ther Med</addtitle><description><![CDATA[•Inflammatory bowel disease (IBD) refers to diseases that cause inflammation of the intestinal wall.•Flaxseed is a rich source of omega-3 fatty acids (α-linolenic acid; ALA), phytoestrogens and soluble fiber.•flaxseed and flaxseed oil, attenuate inflammatory markers, disease severity, blood pressure, and WC. The present study aimed to evaluate the possible effect of grounded flaxseed and flaxseed oil on serum levels of inflammatory markers, metabolic parameters, and the severity of disease in patients with UC. In this open-labeled randomized controlled trial, 90 UC patients were randomly assigned to one of the 3 groups for 12 weeks: grounded flaxseed (GF; 30 g/day), flaxseed oil (FO; 10 g/day) and control group. The weight, waist circumference, systolic and diastolic blood pressure, serum inflammatory markers (interleukin-6 (IL-6), interferon gamma (INF-γ), transforming growth factor beta (TGF-β), and Erythrocyte Sedimentation Rate (ESR)), and fecal calprotectin were measured at the baseline and end of the study. Totally, 75 patients (43 men and 32 women) with a mean age of 31.54 ± 9.84 years participated in the present study. Comparing the change of the variables indicated a significant decrease in fecal calprotectin (P < 0.001), Mayo score (P < 0.001), ESR (P < 0.001), INF-γ (P < 0.001), IL-6 (P < 0.001), waist circumference (P = 0.02), Diastolic Blood Pressure (DBP) (P < 0.001), and Systolic Blood Pressure (SBP) (P < 0.001) and a significant increase in TGF-β (P < 0.001) and Inflammatory Bowel Disease Questionnaire-Short form (IBDQ-9) score (P < 0.001) in the GF and FO groups compared to the control. No difference was obvious between the FO and GF groups except for TGF-β. The present study showed that both flaxseed and flaxseed oil, attenuate inflammatory markers, disease severity, blood pressure, and WC. However, the effect of flaxseed on weight and BMI was not evident.]]></description><subject>Adult</subject><subject>Biomarkers - blood</subject><subject>Blood pressure</subject><subject>Blood Pressure - drug effects</subject><subject>Body Weight - drug effects</subject><subject>Colitis, Ulcerative - blood</subject><subject>Colitis, Ulcerative - drug therapy</subject><subject>Cytokines</subject><subject>Diet</subject><subject>Dietary Supplements</subject><subject>Disease control</subject><subject>Erythrocyte sedimentation rate</subject><subject>Erythrocytes</subject><subject>Fatty acids</subject><subject>Female</subject><subject>Flax - chemistry</subject><subject>Flaxseed</subject><subject>Flaxseed oil</subject><subject>Growth factors</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Inflammation</subject><subject>Inflammation - blood</subject><subject>Inflammation Mediators - blood</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory bowel diseases</subject><subject>Interferon</subject><subject>Interleukin 6</subject><subject>Interleukins</subject><subject>Intestine</subject><subject>Linseed Oil - pharmacology</subject><subject>Linseed Oil - therapeutic use</subject><subject>Male</subject><subject>Markers</subject><subject>Metabolism</subject><subject>Nutrition research</subject><subject>Oil</subject><subject>Oilseeds</subject><subject>Oxidative Stress - drug effects</subject><subject>Pathogenesis</subject><subject>Proteins</subject><subject>Serum levels</subject><subject>Severity</subject><subject>Severity of Illness Index</subject><subject>Transforming growth factor-b</subject><subject>Tumor necrosis factor-TNF</subject><subject>Ulcerative colitis</subject><subject>Waist Circumference - drug effects</subject><subject>Weight</subject><issn>0965-2299</issn><issn>1873-6963</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><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>eNp9kcuKFDEUhoMoTjv6Ai4k4MaFVSaVuiTgRobxAgNudB1SyQmmTV1MUq39SL6lp6dHBReuwgnf_yecj5CnnNWc8f7VvrYlTHXDuKrZUDPe3CM7LgdR9aoX98mOqb6rmkapC_Io5z1jTIlBPCQXgndcNbLbkZ_X3oMtmS6e-mh-ZABHzez-DkuING_rGmGCudBlphnSNtEIB4i3uTAjPE2mLOlIJ5O-Qsov6QTFjEsMlq4mGZzw9rY5YzCFcjxFXchgMmAFUiXgA5l-D-UL3aKFhDcHoBZLSsiPyQNvYoYnd-cl-fz2-tPV--rm47sPV29uKitkW6rGCz462YytcRw4b43v2lEOfd8p3vpR9kwosEMLxkvFnWFjq3rOvOeDU2DEJXlx7l3T8m2DXPQUsoUYzQzLljXuk0kxSNYj-vwfdL9sacbfISWHlg1cKaSaM2XTknMCr9cUcE1HzZk-idR7fRKpTyI1GzSKxNCzu-ptnMD9ifw2h8DrM4AS4BAg6WxxfxZcSChUuyX8r_8Xx2WzAA</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Morshedzadeh, Nava</creator><creator>Shahrokh, Shabnam</creator><creator>Aghdaei, Hamid Asadzadeh</creator><creator>Amin Pourhoseingholi, Mohamad</creator><creator>Chaleshi, Vahid</creator><creator>Hekmatdoost, Azita</creator><creator>Karimi, Soheila</creator><creator>Zali, Mohammad Reza</creator><creator>Mirmiran, Parvin</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201910</creationdate><title>Effects of flaxseed and flaxseed oil supplement on serum levels of inflammatory markers, metabolic parameters and severity of disease in patients with ulcerative colitis</title><author>Morshedzadeh, Nava ; Shahrokh, Shabnam ; Aghdaei, Hamid Asadzadeh ; Amin Pourhoseingholi, Mohamad ; Chaleshi, Vahid ; Hekmatdoost, Azita ; Karimi, Soheila ; Zali, Mohammad Reza ; Mirmiran, Parvin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-2f31bd82b4ad1e114af54b87665914fb86039ec74eaf891da0b49610ff17d9ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Biomarkers - blood</topic><topic>Blood pressure</topic><topic>Blood Pressure - drug effects</topic><topic>Body Weight - drug effects</topic><topic>Colitis, Ulcerative - blood</topic><topic>Colitis, Ulcerative - drug therapy</topic><topic>Cytokines</topic><topic>Diet</topic><topic>Dietary Supplements</topic><topic>Disease control</topic><topic>Erythrocyte sedimentation rate</topic><topic>Erythrocytes</topic><topic>Fatty acids</topic><topic>Female</topic><topic>Flax - chemistry</topic><topic>Flaxseed</topic><topic>Flaxseed oil</topic><topic>Growth factors</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Inflammation</topic><topic>Inflammation - blood</topic><topic>Inflammation Mediators - blood</topic><topic>Inflammatory bowel disease</topic><topic>Inflammatory bowel diseases</topic><topic>Interferon</topic><topic>Interleukin 6</topic><topic>Interleukins</topic><topic>Intestine</topic><topic>Linseed Oil - pharmacology</topic><topic>Linseed Oil - therapeutic use</topic><topic>Male</topic><topic>Markers</topic><topic>Metabolism</topic><topic>Nutrition research</topic><topic>Oil</topic><topic>Oilseeds</topic><topic>Oxidative Stress - drug effects</topic><topic>Pathogenesis</topic><topic>Proteins</topic><topic>Serum levels</topic><topic>Severity</topic><topic>Severity of Illness Index</topic><topic>Transforming growth factor-b</topic><topic>Tumor necrosis factor-TNF</topic><topic>Ulcerative colitis</topic><topic>Waist Circumference - drug effects</topic><topic>Weight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morshedzadeh, Nava</creatorcontrib><creatorcontrib>Shahrokh, Shabnam</creatorcontrib><creatorcontrib>Aghdaei, Hamid Asadzadeh</creatorcontrib><creatorcontrib>Amin Pourhoseingholi, Mohamad</creatorcontrib><creatorcontrib>Chaleshi, Vahid</creatorcontrib><creatorcontrib>Hekmatdoost, Azita</creatorcontrib><creatorcontrib>Karimi, Soheila</creatorcontrib><creatorcontrib>Zali, Mohammad Reza</creatorcontrib><creatorcontrib>Mirmiran, Parvin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing &amp; 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ALA), phytoestrogens and soluble fiber.•flaxseed and flaxseed oil, attenuate inflammatory markers, disease severity, blood pressure, and WC. The present study aimed to evaluate the possible effect of grounded flaxseed and flaxseed oil on serum levels of inflammatory markers, metabolic parameters, and the severity of disease in patients with UC. In this open-labeled randomized controlled trial, 90 UC patients were randomly assigned to one of the 3 groups for 12 weeks: grounded flaxseed (GF; 30 g/day), flaxseed oil (FO; 10 g/day) and control group. The weight, waist circumference, systolic and diastolic blood pressure, serum inflammatory markers (interleukin-6 (IL-6), interferon gamma (INF-γ), transforming growth factor beta (TGF-β), and Erythrocyte Sedimentation Rate (ESR)), and fecal calprotectin were measured at the baseline and end of the study. Totally, 75 patients (43 men and 32 women) with a mean age of 31.54 ± 9.84 years participated in the present study. Comparing the change of the variables indicated a significant decrease in fecal calprotectin (P < 0.001), Mayo score (P < 0.001), ESR (P < 0.001), INF-γ (P < 0.001), IL-6 (P < 0.001), waist circumference (P = 0.02), Diastolic Blood Pressure (DBP) (P < 0.001), and Systolic Blood Pressure (SBP) (P < 0.001) and a significant increase in TGF-β (P < 0.001) and Inflammatory Bowel Disease Questionnaire-Short form (IBDQ-9) score (P < 0.001) in the GF and FO groups compared to the control. No difference was obvious between the FO and GF groups except for TGF-β. The present study showed that both flaxseed and flaxseed oil, attenuate inflammatory markers, disease severity, blood pressure, and WC. However, the effect of flaxseed on weight and BMI was not evident.]]></abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>31519285</pmid><doi>10.1016/j.ctim.2019.07.012</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0965-2299
ispartof Complementary therapies in medicine, 2019-10, Vol.46, p.36-43
issn 0965-2299
1873-6963
language eng
recordid cdi_proquest_miscellaneous_2290837806
source MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland
subjects Adult
Biomarkers - blood
Blood pressure
Blood Pressure - drug effects
Body Weight - drug effects
Colitis, Ulcerative - blood
Colitis, Ulcerative - drug therapy
Cytokines
Diet
Dietary Supplements
Disease control
Erythrocyte sedimentation rate
Erythrocytes
Fatty acids
Female
Flax - chemistry
Flaxseed
Flaxseed oil
Growth factors
Humans
Infectious diseases
Inflammation
Inflammation - blood
Inflammation Mediators - blood
Inflammatory bowel disease
Inflammatory bowel diseases
Interferon
Interleukin 6
Interleukins
Intestine
Linseed Oil - pharmacology
Linseed Oil - therapeutic use
Male
Markers
Metabolism
Nutrition research
Oil
Oilseeds
Oxidative Stress - drug effects
Pathogenesis
Proteins
Serum levels
Severity
Severity of Illness Index
Transforming growth factor-b
Tumor necrosis factor-TNF
Ulcerative colitis
Waist Circumference - drug effects
Weight
title Effects of flaxseed and flaxseed oil supplement on serum levels of inflammatory markers, metabolic parameters and severity of disease in patients with ulcerative colitis
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