Antioxidant Efficacy of a Standardized Red Orange (Citrus sinensis (L.) Osbeck) Extract in Elderly Subjects: A Randomized, Double Blind, Controlled Study

Nutrients. 2022 Oct 11;14(20):4235. doi: 10.3390/nu14204235.

Abstract

The world population is rapidly aging. This should cause us to reflect on the need to develop a new nutritional approach to mitigate the accumulation of reactive oxygen species (ROS)-induced damage. A randomized, double blind, controlled study was carried out on 60 elderly male and female subjects. Product efficacy was measured before and after 2 and 8 weeks of product intake. The reduced (GSH) and oxidized (GSSG) glutathione concentrations in the erythrocytes and the reactive oxygen metabolites (d-ROMs) hematic concentration were measured to assess the antioxidant efficacy. The tumor necrosis factor-alpha (TNF-α) levels in the serum were measured to assess the anti-inflammatory effectiveness. The wellbeing was assessed by Short Form Health Survey (SF-36) questionnaire (male) and by Menopause Rating Scale (MRS) (female). Blood, urine analysis and electrocardiography (ECG) were carried out to assess the product's safety. The results showed that GSH/GSSG ratio increased by 22.4% and 89.0% after 2 and 8 weeks of product intake. Serum TNF-α levels decreased by 2.5% after 8 weeks of product intake. The SF-36 QoL and the MRS questionnaire outputs indicate, preliminarily, a positive effect of the extract intake in ameliorating the wellbeing of both male and female subjects. The product was well-tolerated. Our findings suggest that the test product has antioxidant and anti-inflammatory efficacy and has a positive effect on the wellbeing of elderly female and male subjects.

Keywords: aging; food supplement; menopause; oxidative stress; plant secondary metabolites; red orange extract.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Anti-Inflammatory Agents* / pharmacology
  • Antioxidants* / pharmacology
  • Citrus sinensis* / chemistry
  • Female
  • Glutathione / metabolism
  • Glutathione Disulfide / metabolism
  • Humans
  • Male
  • Oxidative Stress
  • Oxygen / pharmacology
  • Plant Extracts* / pharmacology
  • Plant Extracts* / therapeutic use
  • Quality of Life
  • Reactive Oxygen Species / pharmacology
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Anti-Inflammatory Agents
  • Antioxidants
  • Glutathione
  • Glutathione Disulfide
  • Oxygen
  • Plant Extracts
  • Reactive Oxygen Species
  • Tumor Necrosis Factor-alpha

Grants and funding

This study was founded by Bionap Srl (95032 Piano Tavola Belpasso, CT, Italy).