Efecto del extracto acuoso liofilizado de corteza de Moringa oleifera sobre el perfil lipídico
Effect of the lyophilized aqueous extract of Moringa oleifera bark on the lipid profileContenido principal del artículo
Introducción: Las dislipidemias son un factor de riesgo cardiovascular prevalente a nivel mundial, especialmente en Latinoamérica. La Moringa oleifera, una planta con propiedades bioactivas documentadas, ofrece una potencial alternativa terapéutica. Objetivo: Evaluar el efecto del extracto acuoso liofilizado de corteza de M. oleifera sobre el perfil lipídico en adultos con dislipidemia moderada. Metodología: Se realizó un estudio cuasi-experimental, doble ciego, con grupo control (placebo, n=40) e intervención (500 mg/día del extracto, n=40) durante 12 semanas. Se midieron colesterol total (CT), LDL, HDL y triglicéridos (TG) al inicio y final. El análisis estadístico se realizó con SPSS v28 (p < 0,05). Resultados: El grupo experimental mostró una reducción significativa en CT (218,4 ± 22,3 a 185,6 ± 18,7 mg/dL; p < 0,001), LDL (138,2 ± 19,4 a 108,5 ± 16,2 mg/dL; p < 0,001) y TG (195,7 ± 31,8 a 154,3 ± 26,4 mg/dL; p < 0,001), junto con un aumento significativo de HDL (38,4 ± 6,1 a 46,9 ± 5,8 mg/dL; p < 0,001). El grupo control no presentó cambios significativos. Conclusiones: El extracto demostró un potente efecto hipolipemiante, consolidándose como una prometedora alternativa natural en el manejo de dislipidemias. Se sugiere avanzar a estudios clínicos de fase avanzada para validar estos hallazgos.
Introduction: Dyslipidemias are a prevalent cardiovascular risk factor worldwide, especially in Latin America. Moringa oleifera, a plant with documented bioactive properties, offers a potential therapeutic alternative. Objective: To evaluate the effect of the lyophilized aqueous extract of M. oleifera bark on the lipid profile in adults with moderate dyslipidemia. Methodology: A quasi-experimental, double-blind study was conducted with a control group (placebo, n=40) and an intervention group (500 mg/day of the extract, n=40) for 12 weeks. Total cholesterol (TC), LDL, HDL, and triglycerides (TG) were measured at baseline and at the end. Statistical analysis was performed with SPSS v28 (p < 0.05). Results: The experimental group showed a significant reduction in TC (218.4 ± 22.3 to 185.6 ± 18.7 mg/dL; p < 0.001), LDL (138.2 ± 19.4 to 108.5 ± 16.2 mg/dL; p < 0.001), and TG (195.7 ± 31.8 to 154.3 ± 26.4 mg/dL; p < 0.001), along with a significant increase in HDL (38.4 ± 6.1 to 46.9 ± 5.8 mg/dL; p < 0.001). The control group showed no significant changes. Conclusions: The extract demonstrated a potent hypolipidemic effect, establishing itself as a promising natural alternative in the management of dyslipidemias. Advancing to advanced-phase clinical studies is suggested to validate these findings.
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Roth G, Mensah G, Johnson C, Addolorato G, Ammirati E, Baddour L, et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019. J Am Coll Cardiol. 2020;76(25):2982-3021. https://doi.org/10.1016/j.jacc.2020.11.010
Pirillo A, Casula M, Olmastroni E, Norata GD, Catapano AL. Global epidemiology of dyslipidemias. Nat Rev Cardiol. 2021;18(10):689-700. https://doi.org/10.1038/s41569-021-00541-4
Ruiz A, Aschner P, Puerta M, Alfonso-Cristancho R. PURE Study Investigators. Prevalencia de dislipidemia en individuos de bajo riesgo cardiovascular en América Latina: resultados del estudio PURE. Rev Colomb Cardiol. 2019;26(1):1-8. https://doi.org/10.1016/j.rccar.2018.10.011
Benziger C, Roth G, Moran A. The Global Burden of Disease Study and the preventable burden of NCD. Glob Heart. 2016;11(4):393-7. https://doi.org/10.1016/j.gheart.2016.10.024
Gopalakrishnan L, Doriya K, Kumar D. Moringa oleifera: A review on nutritive importance and its medicinal application. Food Sci Hum Wellness. 2016;5(2):49-56. https://doi.org/10.1016/j.fshw.2016.04.001
Abdul A, Ibrahim M, Kntayya S. Health benefits of Moringa oleifera. Asian Pac J Cancer Prev. 2014;15(20):8571-6. https://doi.org/10.7314/apjcp.2014.15.20.8571
Saini R, Sivanesan I, Keum Y. Phytochemicals of Moringa oleifera: a review of their nutritional, therapeutic and industrial significance. 3 Biotech. 2016;6(2):203. https://doi.org/10.1007/s13205-016-0526-3
Leone A, Spada A, Battezzati A, Schiraldi A, Aristil J, Bertoli S. Cultivation, genetic, ethnopharmacology, phytochemistry and pharmacology of Moringa oleifera leaves: an overview. Int J Mol Sci. 2015;16(6):12791-835. https://doi.org/10.3390/ijms160612791
Vergara-Jiménez M, Almatrafi M, Fernandez M. Bioactive components in Moringa oleifera leaves protect against chronic disease. Antioxidants. 2017;6(4):91. https://doi.org/10.3390/antiox6040091
Cuellar-Nuñez M, Luzardo-Ocampo I, Campos-Vega R, Gallegos-Corona M, González de Mejía E, Loarca-Piña G. Physicochemical and nutraceutical properties of moringa (Moringa oleifera) leaves and their effects in an in vivo AOM/DSS-induced colorectal carcinogenesis model. Food Res Int. 2018;105:159-68. https://doi.org/10.1016/j.foodres.2017.10.073
Mekonnen D, Yitayew B, Tesemma A, Tadese S. In vivo antidiabetic and antidyslipidemic activity of crude extract of seeds of Moringa stenopetala in streptozotocin-induced diabetic rats. J Diabetes Res. 2016;2016:1-8. https://doi.org/10.1155/2016/6075716
Al-Malki A, El Rabey H. The antidiabetic effect of low doses of Moringa oleifera Lam. seeds on streptozotocin-induced diabetes and diabetic nephropathy in male rats. Biomed Res Int. 2015;2015:381040. https://doi.org/10.1155/2015/381040
Nambiar V, Guin P, Parnami S, Daniel M. Impact of antioxidants from drumstick leaves on the lipid profile of hyperlipidemics. J Herb Med Toxicol. 2010;4(1):165-72. https://www.researchgate.net/publication/228499971_Impact_of_antioxidants_from_drumstick_leaves_on_the_lipid_profile_of_hyperlipidemics
Kushwaha S, Chawla P, Kochhar A. Effect of supplementation of drumstick (Moringa oleifera) and amaranth (Amaranthus tricolor) leaves powder on antioxidant profile and oxidative status among postmenopausal women. J Food Sci Technol. 2014;51(11):3464-9. https://doi.org/10.1007/s13197-012-0859-9
Stohs S, Hartman M. Review of the safety and efficacy of Moringa oleifera. Phytother Res. 2015;29(6):796-804. https://doi.org/10.1002/ptr.5325
Grundy S, Stone N, Bailey A, Beam C, Birtcher K, Blumenthal R, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol. J Am Coll Cardiol. 2019;73(24):e285-350. https://doi.org/10.1016/j.jacc.2018.11.003
Toma A, Makonnen E, Mekonnen Y, Debella A, Addisakwattata S. Intestinal α-glucosidase and some pancreatic enzymes inhibitory effect of hydroalcoholic extract of Moringa stenopetala leaves. BMC Complement Altern Med. 2014;14:180. https://doi.org/10.1186/1472-6882-14-180
Vongsak B, Sithisarn P, Gritsanapan W. Bioactive contents and free radical scavenging activity of Moringa oleifera leaf extract under different storage conditions. Ind Crops Prod. 2013;49:419-21. https://doi.org/10.1016/j.indcrop.2013.05.010
Ajay S, Chithra P, Sukumaran S. Safety and toxicological evaluation of a novel, standardized Moringa oleifera leaf extract in male Wistar rats. Toxicol Rep. 2020;7:1346-54. https://doi.org/10.1016/j.toxrep.2020.09.008
Ference B, Ginsberg H, Graham I, Ray K, Packard CJ, Bruckert E, et al. Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. Eur Heart J. 2017;38(32):2459-72. https://doi.org/10.1093/eurheartj/ehx144