Vitamin C intake potentially lowers total cholesterol to improve endothelial function in diabetic patients at increased risk of cardiovascular disease: A systematic review of randomized controlled trials.

antioxidants cardiovascular diseases diabetes mellitus dietary supplements metabolic syndrome vitamin C

Journal

Frontiers in nutrition
ISSN: 2296-861X
Titre abrégé: Front Nutr
Pays: Switzerland
ID NLM: 101642264

Informations de publication

Date de publication:
2022
Historique:
received: 03 08 2022
accepted: 29 09 2022
entrez: 17 11 2022
pubmed: 18 11 2022
medline: 18 11 2022
Statut: epublish

Résumé

Vitamin C is one of the most consumed dietary compounds and contains abundant antioxidant properties that could be essential in improving metabolic function. Thus, the current systematic review analyzed evidence on the beneficial effects of vitamin C intake on cardiovascular disease (CVD)-related outcomes in patients with diabetes or metabolic syndrome. To identify relevant randomized control trials (RCTs), a systematic search was run using prominent search engines like PubMed and Google Scholar, from beginning up to March 2022. The modified Black and Downs checklist was used to assess the quality of evidence. Findings summarized in the current review favor the beneficial effects of vitamin C intake on improving basic metabolic parameters and lowering total cholesterol levels to reduce CVD-risk in subjects with type 2 diabetes or related metabolic diseases. Moreover, vitamin C intake could also reduce the predominant markers of inflammation and oxidative stress like C-reactive protein, interleukin-6, and malondialdehyde. Importantly, these positive outcomes were consistent with improved endothelial function or increased blood flow in these subjects. Predominantly effective doses were 1,000 mg/daily for 4 weeks up to 12 months. The included RCTs presented with the high quality of evidence. Clinical evidence on the beneficial effects of vitamin C intake or its impact on improving prominent markers of inflammation and oxidative stress in patients with diabetes is still limited. Thus, more RCTs are required to solidify these findings, which is essential to better manage diabetic patients at increased risk of developing CVD.

Sections du résumé

Background UNASSIGNED
Vitamin C is one of the most consumed dietary compounds and contains abundant antioxidant properties that could be essential in improving metabolic function. Thus, the current systematic review analyzed evidence on the beneficial effects of vitamin C intake on cardiovascular disease (CVD)-related outcomes in patients with diabetes or metabolic syndrome.
Methods UNASSIGNED
To identify relevant randomized control trials (RCTs), a systematic search was run using prominent search engines like PubMed and Google Scholar, from beginning up to March 2022. The modified Black and Downs checklist was used to assess the quality of evidence.
Results UNASSIGNED
Findings summarized in the current review favor the beneficial effects of vitamin C intake on improving basic metabolic parameters and lowering total cholesterol levels to reduce CVD-risk in subjects with type 2 diabetes or related metabolic diseases. Moreover, vitamin C intake could also reduce the predominant markers of inflammation and oxidative stress like C-reactive protein, interleukin-6, and malondialdehyde. Importantly, these positive outcomes were consistent with improved endothelial function or increased blood flow in these subjects. Predominantly effective doses were 1,000 mg/daily for 4 weeks up to 12 months. The included RCTs presented with the high quality of evidence.
Conclusion UNASSIGNED
Clinical evidence on the beneficial effects of vitamin C intake or its impact on improving prominent markers of inflammation and oxidative stress in patients with diabetes is still limited. Thus, more RCTs are required to solidify these findings, which is essential to better manage diabetic patients at increased risk of developing CVD.

Identifiants

pubmed: 36386907
doi: 10.3389/fnut.2022.1011002
pmc: PMC9659906
doi:

Types de publication

Systematic Review

Langues

eng

Pagination

1011002

Informations de copyright

Copyright © 2022 Dludla, Nkambule, Nyambuya, Ziqubu, Mabhida, Mxinwa, Mokgalaboni, Ndevahoma, Hanser, Mazibuko-Mbeje, Basson, Sabbatinelli and Tiano.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Phiwayinkosi V Dludla (PV)

Biomedical Research and Innovation Platform, South African Medical Research Council, Tygerberg, South Africa.
Department of Biochemistry and Microbiology, University of Zululand, KwaDlangezwa, South Africa.

Bongani B Nkambule (BB)

School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa.

Tawanda M Nyambuya (TM)

Department of Health Sciences, Namibia University of Science and Technology, Windhoek, Namibia.

Khanyisani Ziqubu (K)

Department of Biochemistry, North-West University, Mmabatho, South Africa.

Sihle E Mabhida (SE)

Biomedical Research and Innovation Platform, South African Medical Research Council, Tygerberg, South Africa.

Vuyolwethu Mxinwa (V)

School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa.

Kabelo Mokgalaboni (K)

School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa.
Department of Life and Consumer Sciences, University of South Africa, Florida Campus, Roodepoort, South Africa.

Fransina Ndevahoma (F)

Department of Health Sciences, Namibia University of Science and Technology, Windhoek, Namibia.

Sidney Hanser (S)

Department of Physiology and Environmental Health, University of Limpopo, Sovenga, South Africa.

Sithandiwe E Mazibuko-Mbeje (SE)

Department of Biochemistry, North-West University, Mmabatho, South Africa.

Albertus K Basson (AK)

Department of Biochemistry and Microbiology, University of Zululand, KwaDlangezwa, South Africa.

Jacopo Sabbatinelli (J)

Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy.

Luca Tiano (L)

Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy.

Classifications MeSH