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General scientific guidance for stakeholders on health claim applications (Revision 1).利益相关者关于健康声称申请的一般科学指南(修订版1)。
EFSA J. 2021 Mar 26;19(3):e06553. doi: 10.2903/j.efsa.2021.6553. eCollection 2021 Mar.
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Guidance for the scientific requirements for health claims related to antioxidants, oxidative damage and cardiovascular health: (Revision 1).抗氧化剂、氧化损伤与心血管健康相关健康声称的科学要求指南:(修订版1)
EFSA J. 2018 Jan 19;16(1):e05136. doi: 10.2903/j.efsa.2018.5136. eCollection 2018 Jan.
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Effect of NaCl + Chitosan 3% vs. NaCl on high blood pressure parameters of healthy volunteers with prehypertension.3%氯化钠+壳聚糖与氯化钠对健康的高血压前期志愿者血压参数的影响。
Minerva Cardioangiol. 2017 Dec;65(6):563-576. doi: 10.23736/S0026-4725.17.04451-6. Epub 2017 Aug 31.
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Observational study of the effect of substituting NaCl with NaCl+Chitosan 3% (Symbiosal®) in the diet of elderly subjects on their blood pressure values.关于在老年受试者饮食中用3%壳聚糖氯化钠(Symbiosal®)替代氯化钠对其血压值影响的观察性研究。
Minerva Cardioangiol. 2015 Dec;63(6):515-23.
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Chitosan: An Update on Potential Biomedical and Pharmaceutical Applications.壳聚糖:潜在生物医学和制药应用的最新进展
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The hidden hand of chloride in hypertension.氯离子在高血压中隐藏的作用
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Double-blind, randomized, crossover, controlled clinical trial of NaCl + Chitosan 3% versus NaCl on mild or moderate high blood pressure during the diet and lifestyle improvement period before possible prescription of an antihypertensive treatment.在可能开具抗高血压治疗药物之前的饮食和生活方式改善期,对轻度或中度高血压患者进行的一项双盲、随机、交叉、对照临床试验,比较3%壳聚糖氯化钠与氯化钠的疗效。
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共生作用与血压降低及高血压风险降低:依据欧盟第1924/2006号法规第14条对一项健康声明的评估

Symbiosal and lowering of blood pressure and reduced risk of hypertension: evaluation of a health claim pursuant to Article 14 of Regulation (EC) No 1924/2006.

作者信息

Turck Dominique, Bresson Jean-Louis, Burlingame Barbara, Dean Tara, Fairweather-Tait Susan, Heinonen Marina, Hirsch-Ernst Karen Ildico, Mangelsdorf Inge, McArdle Harry J, Naska Androniki, Neuhäuser-Berthold Monika, Nowicka Grażyna, Pentieva Kristina, Sanz Yolanda, Sjödin Anders, Stern Martin, Tomé Daniel, Van Loveren Henk, Vinceti Marco, Willatts Peter, Martin Ambroise, Strain Sean J J, Siani Alfonso

出版信息

EFSA J. 2018 Jul 25;16(7):e05364. doi: 10.2903/j.efsa.2018.5364. eCollection 2018 Jul.

DOI:10.2903/j.efsa.2018.5364
PMID:32625995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7009733/
Abstract

Following an application from Han-Biotech GmbH, submitted for authorisation of a health claim pursuant to Article 14 of Regulation (EC) No 1924/2006 via the Competent Authority of Germany, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) was asked to deliver an opinion on the scientific substantiation of a health claim related to Symbiosal, lowering of blood pressure and reduced risk of hypertension. The Panel considers that the food, Symbiosal, which is the subject of the health claim, and the food, table salt, which Symbiosal should replace, are sufficiently characterised. Lowering of blood pressure is a beneficial physiological effect. Increased blood pressure is a risk factor for hypertension. In weighing the evidence, the Panel took into account that one human study with some methodological limitations showed an effect of Symbiosal on blood pressure in the context of a self-selected diet with a maximum of 3 g/day added salt. The Panel also took into account that no other human studies in which these results have been replicated were provided, that the animal studies did not support the results of the human study, that no evidence was provided in support of a mechanism by which Symbiosal could induce a decrease in blood pressure upon oral consumption as compared to table salt in humans, and the low biological plausibility of the effect observed in the human intervention study. The Panel concludes that a cause and effect relationship has not been established between the consumption of Symbiosal and lowering of blood pressure.

摘要

Han-Biotech GmbH依据欧盟第1924/2006号法规第14条,通过德国主管当局提交了一份关于健康声称授权的申请。欧洲食品安全局(EFSA)的营养产品、营养和过敏专家组(NDA)被要求就一项与Symbiosal有关的健康声称的科学依据发表意见,该声称涉及降低血压和降低患高血压的风险。专家组认为,作为健康声称主题的食品Symbiosal以及Symbiosal应替代的食品食盐,均已得到充分描述。降低血压是一种有益的生理效应。血压升高是高血压的一个风险因素。在权衡证据时,专家组考虑到一项存在一些方法学局限性的人体研究表明,在自行选择的每日添加盐量最多为3克的饮食背景下,Symbiosal对血压有影响。专家组还考虑到,没有提供其他重复这些结果的人体研究,动物研究不支持人体研究的结果,没有提供证据支持Symbiosal在口服时与食盐相比能诱导人体血压下降的机制,以及人体干预研究中观察到的效应的生物学合理性较低。专家组得出结论,在食用Symbiosal与降低血压之间尚未建立因果关系。