Volume 5, Issue 3 (20 2009)
irje 2009, 5(3): 14-21 |
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Athari Nik Azm S, Vafa M, Nourmohammadi I, Bidari A, Hoshyarrad A, Jazayeri S, et al . Effect of Vitamin A, C and zinc Supplementations on Oxidant-Antioxidant and Clinical Indices in Rheumatoid Arthritis Patients: A Randomized Control Trial. irje 2009; 5 (3) :14-21
URL: http://irje.tums.ac.ir/article-1-105-en.html
URL: http://irje.tums.ac.ir/article-1-105-en.html
S Athari Nik Azm 
, MR Vafa * 1, I Nourmohammadi , A Bidari , A Hoshyarrad , SH Jazayeri , F Hoseini , M Fasihi Radmandi
, MR Vafa * 1, I Nourmohammadi , A Bidari , A Hoshyarrad , SH Jazayeri , F Hoseini , M Fasihi Radmandi
1- , rezavafa@iums.ac.ir
Abstract: (15195 Views)
Background & Objectives: oxygen free radicals have been implicated as mediators of tissue damage in RA patients. This study was aimed to find the effects of vitamin A, C and zinc supplementations on oxidant–antioxidant, inflammatory and clinical indices in inactive RA patients.
Methods: We designed a randomized controlled trial. Forty nine (49) patients were randomly allocated in two groups group I received their conventional treatment plus 300 mg vitamin C, 5 mg Zinc daily and 25000 IU vitamin A every other day for 12 weeks, group II received their conventional treatment only for the same duration. Disease activity (using the rheumatoid arthritis disease activity index (RADAI) score), biochemical indices [malondialdehyde (MDA), total antioxidant capacity (TAC)] and inflammatory markers [erythrocyte sedimentation rate (ESR), c-reactive protein (CRP)] was evaluated before and after 12 weeks.
Results: Serum concentration of MDA and RADAI score (P<0.0001) and ESR (P=0.033) were significantly decreased and TAC levels (P<0.0001) were significantly increased in the first group in comparison to second group after 12 weeks. However, there were no statistically significant differences in serum CRP concentration of two groups (P>0.05).
Conclusions: This study indicates that adding antioxidants as supplementations with conventional medications in inactive RA patients plays an important role in improving oxidative stress and decreasing disease activity and inflammatory status.
Methods: We designed a randomized controlled trial. Forty nine (49) patients were randomly allocated in two groups group I received their conventional treatment plus 300 mg vitamin C, 5 mg Zinc daily and 25000 IU vitamin A every other day for 12 weeks, group II received their conventional treatment only for the same duration. Disease activity (using the rheumatoid arthritis disease activity index (RADAI) score), biochemical indices [malondialdehyde (MDA), total antioxidant capacity (TAC)] and inflammatory markers [erythrocyte sedimentation rate (ESR), c-reactive protein (CRP)] was evaluated before and after 12 weeks.
Results: Serum concentration of MDA and RADAI score (P<0.0001) and ESR (P=0.033) were significantly decreased and TAC levels (P<0.0001) were significantly increased in the first group in comparison to second group after 12 weeks. However, there were no statistically significant differences in serum CRP concentration of two groups (P>0.05).
Conclusions: This study indicates that adding antioxidants as supplementations with conventional medications in inactive RA patients plays an important role in improving oxidative stress and decreasing disease activity and inflammatory status.
Type of Study: Research |
Subject:
General
Received: 2009/02/28 | Accepted: 2009/06/27 | Published: 2013/09/3
Received: 2009/02/28 | Accepted: 2009/06/27 | Published: 2013/09/3
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