Pharmacology & Therapeutics, Dow Medical College, DUHS, Karachi, Pakistan.
Pharmacology & Therapeutics, Basic Medical Science Institute, JPMC, Karachi, Pakistan.
Pak J Pharm Sci. 2024 Jul;37(4):803-808.
Iron deficiency anemia (IDA) is not only associated with iron deficiency but has shown strong association with the over production of free radicles and deficiency of antioxidant enzymes. The result of this imbalance is oxidative stress (OS) which is now considered as an important associated factor with various diseases. Treating IDA in most of cases with oral iron supplements results in more OS as iron is a transition metal. A more suitable alternate for iron supplementation is Beta vulgaris supplement, which being herbal in origin is far less associated with side effects. We studied effects of beta vulgaris supplements on enzymatic and non-enzymatic antioxidants in IDA patients. A significant increase in all study parameters were observed after treatment (p <0.05). When pre-supplemental values of super oxide dismutase (SOD) and reduced glutathione (GSH-PX) of IDA were compared with post-supplemental values, they were significantly low (p <0.05). A positive correlation was noted between the two antioxidants and hemoglobin (Hb) values suggesting a direct relationship between antioxidant status and Hb levels. Non enzymatic antioxidants included vitamin A,C and E. We also found a significant improvement (p <0.05) of these vitamins when compared with their initial values and the control group. Our study shows improvement of antioxidant status of anemic patients with 12 week supplementation of Beta vulgaris.
缺铁性贫血(IDA)不仅与铁缺乏有关,而且与自由基过度产生和抗氧化酶缺乏有很强的关联。这种失衡的结果是氧化应激(OS),现在被认为是与各种疾病有关的一个重要因素。在大多数情况下,用口服铁补充剂治疗 IDA 会导致更多的 OS,因为铁是一种过渡金属。一种更合适的铁补充剂替代品是蕹菜补充剂,由于其草本来源,与副作用的关联性要小得多。我们研究了蕹菜补充剂对 IDA 患者的酶和非酶抗氧化剂的影响。治疗后所有研究参数均显著增加(p <0.05)。IDA 的超氧化物歧化酶(SOD)和还原型谷胱甘肽过氧化物酶(GSH-PX)的预补充值与补充后的数值进行比较时,明显较低(p <0.05)。两种抗氧化剂与血红蛋白(Hb)值之间存在正相关关系,表明抗氧化状态与 Hb 水平之间存在直接关系。非酶抗氧化剂包括维生素 A、C 和 E。与初始值和对照组相比,我们还发现这些维生素有显著改善(p <0.05)。我们的研究表明,蕹菜补充 12 周可改善贫血患者的抗氧化状态。