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石榴汁改善接受美沙酮和丁丙诺啡治疗阿片类药物成瘾的患者的渴望和氧化应激:一项随机对照试验。

Pomegranate juice ameliorates craving and oxidative stress on patients under medication for opioid addiction treatment with methadone and buprenorphine: A ranzomised controlled trial.

作者信息

Leventelis Christonikos, Makri Sotiria, Ververi Anastasia, Papageorgiou Kalliopi, Tentolouri Anna, Mountzouridi Evangelia, Tekos Fotios, Barmpas Petros T, Tasoulis Sotiris, Metsios George S, Kouretas Demetrios, Veskoukis Aristidis S

机构信息

Nursing Department, University of Peloponnese, 22100 Tripoli, Greece; Organization Against Drugs, Athens, 10433 Athens, Greece.

Department of Biochemistry and Biotechnology, University of Thessaly, Viopolis, Mezourlo, 41500 Larissa, Greece.

出版信息

Clin Nutr ESPEN. 2025 Apr;66:34-45. doi: 10.1016/j.clnesp.2025.01.025. Epub 2025 Jan 10.

Abstract

BACKGROUND & AIMS: Buprenorphine and methadone are drugs used as medication for addiction treatment for patients with opioid use disorders (OUDs). However, scarce evidence indicates that they induce oxidative stress, which contributes to the deterioration of psychosocial parameters, thus complicating successful rehab. Therefore, a dietary antioxidant intervention such as pomegranate could be beneficial for that group of patients. Therefore, the aim of this study, whose protocol has been registered in the international database ClinicalTrials.gov (Identifier: NCT05861544), was to examine the putative beneficial role of consumption of natural pomegranate juice that possesses potent antioxidant properties on craving, a psychosocial parameter of utmost importance, and blood redox status of patients with OUDs.

METHODS

The juice was administered at the following dosage: 250 ml/day, 7 days/week, 120 days. The heroine craving questionnaire was completed to assess craving and blood was collected by the volunteers at three time points, namely days 1, 60 and 120 and well-established redox biomarkers were measured in blood.

RESULTS

Overall, craving of all patients was improved due to the nutritional treatment applied. Moreover, their blood antioxidant potential was enhanced due to pomegranate juice consumption.

CONCLUSIONS

As a conclusion, the obtained evidence is promising, thus, it appears that pomegranate juice consumption could be considered as an auxiliary nutritional intervention in parallel with medication towards rehab of opioid-addicted patients.

摘要

背景与目的

丁丙诺啡和美沙酮是用于治疗阿片类物质使用障碍(OUDs)患者成瘾的药物。然而,鲜有证据表明它们会引发氧化应激,而氧化应激会导致心理社会参数恶化,从而使成功康复变得复杂。因此,像石榴这样的膳食抗氧化剂干预可能对该组患者有益。因此,本研究(其方案已在国际数据库ClinicalTrials.gov注册,标识符:NCT05861544)的目的是研究饮用具有强大抗氧化特性的天然石榴汁对渴望(一个极其重要的心理社会参数)以及OUDs患者血液氧化还原状态的假定有益作用。

方法

以以下剂量给予果汁:250毫升/天,每周7天,共120天。完成海洛因渴望问卷以评估渴望程度,志愿者在三个时间点(即第1天、第60天和第120天)采集血液,并测量血液中成熟的氧化还原生物标志物。

结果

总体而言,由于采用了营养治疗,所有患者的渴望程度均有所改善。此外,饮用石榴汁提高了他们血液的抗氧化潜力。

结论

总之,所获得的证据很有前景,因此,饮用石榴汁似乎可以被视为与药物治疗并行的辅助营养干预措施,用于阿片类成瘾患者的康复。

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