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Sheffler JL, Kiosses DN, He Z, Arjmandi BH, Akhavan NS, Klejc K, Naar S. Improving Adherence to a Mediterranean Ketogenic Nutrition Program for High-Risk Older Adults: A Pilot Randomized Trial. Nutrients 2023; 15:nu15102329. [PMID: 37242211 PMCID: PMC10223314 DOI: 10.3390/nu15102329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Revised: 05/09/2023] [Accepted: 05/12/2023] [Indexed: 05/28/2023] Open
Abstract
(1) Background: Mediterranean ketogenic nutrition (MKN) may directly target multiple neurobiological mechanisms associated with dementia risk in older adults. Despite its promise, this type of nutrition can be challenging to learn and adhere to in a healthy manner. Our team used the National Institutes of Health Obesity Related Behavioral Intervention Trials (NIH ORBIT) model to develop and pilot a program to help older adults with memory concerns use MKN. (2) Methods: Using a two-arm, randomized design, we evaluated an MKN Adherence (MKNA) program compared to an MKN education (MKNE) program (N = 58). The primary difference between study arms involved the use of motivational interviewing (MI) strategies and behavior change techniques (BCT) only in the MKNA arm. Participants were included if they evidenced subjective memory concerns or objective memory impairment on the Montreal Cognitive Assessment (Score 19 ≤ 26). Primary outcomes examined included feasibility, acceptability, adherence, and clinical outcomes associated with the program. (3) Results: Overall, there was relatively high program completion in both groups, with 79% of participants completing the 6-week program. The recruitment protocol required adjustment but was successful in reaching the target sample size. Retention (82%) and session attendance (91%) were higher in the MKNA arm compared to the MKNE (retention = 72%; attendance = 77%). Overall, most participants in both groups rated the program as "excellent" using the client satisfaction questionnaire. Participants in the MKNA arm evidenced higher objective and self-reported adherence to MKN during the 6-week program. Further, there was some evidence of clinical benefits of the program, although these effects diminished as adherence decreased in the 3 months follow-up. (4) Discussion: This pilot trial demonstrated that the MKN program incorporating MI and BCT strategies may better engage and retain participants than a nutrition education program alone, although participants in both groups reported high satisfaction.
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Affiliation(s)
- Julia L Sheffler
- Center for Translational Behavioral Science, College of Medicine, Florida State University, Tallahassee, FL 32306, USA
| | - Dimitris N Kiosses
- Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medical College, White Plains, NY 10605, USA
| | - Zhe He
- School of Information, Florida State University, Tallahassee, FL 32306, USA
| | - Bahram H Arjmandi
- College of Health and Human Sciences, Florida State University, Tallahassee, FL 32306, USA
| | - Neda S Akhavan
- College of Health and Human Sciences, Florida State University, Tallahassee, FL 32306, USA
| | - Kamelia Klejc
- Center for Translational Behavioral Science, College of Medicine, Florida State University, Tallahassee, FL 32306, USA
| | - Sylvie Naar
- Center for Translational Behavioral Science, College of Medicine, Florida State University, Tallahassee, FL 32306, USA
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George KS, Munoz J, Ormsbee LT, Akhavan NS, Foley EM, Siebert SC, Kim JS, Hickner RC, Arjmandi BH. The Short-Term Effect of Prunes in Improving Bone in Men. Nutrients 2022; 14:nu14020276. [PMID: 35057457 PMCID: PMC8779167 DOI: 10.3390/nu14020276] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 12/31/2021] [Accepted: 01/04/2022] [Indexed: 02/01/2023] Open
Abstract
Osteoporosis is a major health concern in aging populations, where 54% of the U.S. population aged 50 and older have low bone mineral density (BMD). Increases in inflammation and oxidative stress play a major role in the development of osteoporosis. Men are at a greater risk of mortality due to osteoporosis-related fractures. Our earlier findings in rodent male and female models of osteoporosis, as well as postmenopausal women strongly suggest the efficacy of prunes (dried plum) in reducing inflammation and preventing/reversing bone loss. The objective of this study was to examine the effects of two doses of prunes, daily, on biomarkers of inflammation and bone metabolism in men with some degree of bone loss (BMD; t-score between −0.1 and −2.5 SD), for three months. Thirty-five men between the ages of 55 and 80 years were randomized into one of three groups: 100 g prunes, 50 g prunes, or control. Consumption of 100 g prunes led to a significant decrease in serum osteocalcin (p < 0.001). Consumption of 50 g prunes led to significant decreases in serum osteoprotegerin (OPG) (p = 0.003) and serum osteocalcin (p = 0.040), and an increase in the OPG:RANKL ratio (p = 0.041). Regular consumption of either 100 g or 50 g prunes for three months may positively affect bone turnover.
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Affiliation(s)
- Kelli S. George
- Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, WV 26506, USA;
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (J.M.); (L.T.O.); (N.S.A.); (S.C.S.); (J.-S.K.)
| | - Joseph Munoz
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (J.M.); (L.T.O.); (N.S.A.); (S.C.S.); (J.-S.K.)
| | - Lauren T. Ormsbee
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (J.M.); (L.T.O.); (N.S.A.); (S.C.S.); (J.-S.K.)
| | - Neda S. Akhavan
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (J.M.); (L.T.O.); (N.S.A.); (S.C.S.); (J.-S.K.)
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA;
| | - Elizabeth M. Foley
- Department of Epidemiology and Cancer Control, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA;
| | - Shalom C. Siebert
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (J.M.); (L.T.O.); (N.S.A.); (S.C.S.); (J.-S.K.)
| | - Jeong-Su Kim
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (J.M.); (L.T.O.); (N.S.A.); (S.C.S.); (J.-S.K.)
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA;
| | - Robert C. Hickner
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA;
- Institute for Successful Longevity, Florida State University, Tallahassee, FL 32304, USA
| | - Bahram H. Arjmandi
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (J.M.); (L.T.O.); (N.S.A.); (S.C.S.); (J.-S.K.)
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA;
- Correspondence:
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Feresin RG, Johnson SA, Elam ML, Pourafshar S, Navaei N, Akhavan NS, Tenenbaum G, Figueroa A, Arjmandi BH. Effects of strawberries on bone biomarkers in pre- and stage 1-hypertensive postmenopausal women: a secondary analysis. Food Funct 2021; 12:12526-12534. [PMID: 34812466 DOI: 10.1039/d1fo01555a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Postmenopausal women experience an increase in bone remodeling with the rate of bone resorption superseding the rate of bone formation. This results in a net bone loss with a subsequent increased risk for osteoporosis and fractures. High blood pressure (BP) has been associated with loss of bone mineral density and increased propensity to fractures. Strawberries are rich in polyphenols, which have been shown to have anti-hypertensive and bone-protective properties. Thus, we examined whether daily intake of strawberries would positively affect biomarkers of bone metabolism in postmenopausal women with pre- and stage 1-hypertension. Participants (age: 59 ± 6 years; body mass index: 31.5 ± 4.1 kg m-2; systolic BP: 140 ± 13 mmHg) were randomly assigned to consume (1) 50 g of freeze-dried strawberry powder (FDSP), (2) 25 g FDSP + 25 g of placebo powder, or (3) 50 g placebo powder for eight weeks. Results indicate a significant time-by-treatment interaction (P = 0.04) for serum insulin-like growth factor (IGF)-1, a hormone that plays a major role in bone formation. Serum concentrations of bone-specific alkaline phosphatase, a marker of bone formation, and tartrate-resistant acid phosphatase-5b, a specific marker of bone resorption, were not affected by FDSP compared to placebo. Although not statistically significant, after eight weeks, osteocalcin increased in the 50 g FDSP group with a large effect size (d = 0.6) when compared to the placebo-control group. Adiponectin increased by 5% and 6% in the 25 g and 50 g FDSP groups, respectively, while it declined in the placebo-control group by 25% (P = 0.03 for time-by-treatment interaction). Our findings suggest that consumption of 25 g FDSP increases IGF-1 in postmenopausal women with pre- and stage 1-hypertension. However, further studies are needed to assert the effectiveness of a strawberry intervention for bone health.
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Affiliation(s)
- Rafaela G Feresin
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32306, USA. .,Department of Nutrition, Georgia State University, Atlanta, GA, 30303, USA.
| | - Sarah A Johnson
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32306, USA. .,Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO, 80523, USA
| | - Marcus L Elam
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32306, USA. .,Department of Human Nutrition and Food Science, California State Polytechnic University, Pomona, CA, 91768, USA
| | - Shirin Pourafshar
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32306, USA.
| | - Negin Navaei
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32306, USA. .,Department of Nutrition, Life University, Marietta, GA, 30060, USA
| | - Neda S Akhavan
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32306, USA. .,Center for Advancing Exercise and Nutrition Research on Aging (CAENRA), Florida State University, Tallahassee, FL, 32306, USA
| | - Gershon Tenenbaum
- Department of Educational Psychology and Learning Systems, Florida State University, Tallahassee, FL, 32306, USA.,Ivcher School of Psychology, The Interdisciplinary Center (IDC), Herzliya, Israel
| | - Arturo Figueroa
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32306, USA. .,Department of Kinesiology and Sports Management, Texas Tech University, Lubbock, TX, 79409, USA
| | - Bahram H Arjmandi
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32306, USA. .,Center for Advancing Exercise and Nutrition Research on Aging (CAENRA), Florida State University, Tallahassee, FL, 32306, USA
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Najjar RS, Akhavan NS, Pourafshar S, Arjmandi BH, Feresin RG. Cornus officinalis var. koreana Kitam polyphenol extract decreases pro-inflammatory markers in lipopolysaccharide (LPS)-induced RAW 264.7 macrophages by reducing Akt phosphorylation. J Ethnopharmacol 2021; 270:113734. [PMID: 33359857 DOI: 10.1016/j.jep.2020.113734] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Revised: 12/10/2020] [Accepted: 12/19/2020] [Indexed: 06/12/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE Cornus officinalis var. koreana Kitam (CO) is found predominantly in China but also in Korea and Japan and has been used in Eastern medicine for over 2000 years to treat several conditions including diabetes, cardiovascular disease and kidney disease. Chronic inflammation underlies the pathogenesis of these diseases. The mechanisms by which CO may exert its anti-inflammatory effects have not been well defined. AIM OF THE STUDY We aimed to determine whether Cornus officinalis var. koreana Kitam extract (COE) attenuate the inflammatory response induced by lipopolysaccharide (LPS) in RAW 264.7 macrophages, and to elucidate the mechanisms which contribute to these anti-inflammatory effects. MATERIALS AND METHODS COE was prepared using ethanolic extraction, followed by solvent evaporation and freeze-drying. RAW 264.7 macrophages were treated with 0, 50, 100, 200 and 400 μg/ml of COE. After 2 h, cells were treated with 100 ng/ml of LPS for 6 h. Cells were then collected for whole cell protein expression analysis of signaling and inflammatory molecules via western blot. RESULTS Pre-treatment with 100, 200 and 400 μg/ml of COE significantly reduced Akt phosphorylation in LPS stimulated macrophages compared to LPS alone (P ≤ 0.003). NF-κB expression was significantly attenuated with 400 μg/ml of COE compared to LPS treatment alone (P = 0.01). LPS induced cyclooxygenase (COX)-2 and inducible nitric oxide synthase (iNOS) expression, which was significantly decreased by treatment with 400 μg/ml COE (P = 0.0001 and 0.02, respectively). COE dose-dependently decreased LPS-induced expression of interleukin (IL)-1β (P ≤ 0.0008) and IL-6 (P = 0.01). CONCLUSION In summary, COE attenuated the inflammatory response induced by LPS in RAW 264.7 macrophages, likely due to Akt inhibition.
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Affiliation(s)
- Rami S Najjar
- Department of Nutrition, Georgia State University, Atlanta, GA, 30302, USA
| | - Neda S Akhavan
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32304, USA; Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA
| | - Shirin Pourafshar
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; Department of Medicine, Division of Nephrology, University of Virginia, Charlottesville, VA 22903, USA
| | - Bahram H Arjmandi
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, 32304, USA; Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA
| | - Rafaela G Feresin
- Department of Nutrition, Georgia State University, Atlanta, GA, 30302, USA.
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Johnson SA, Navaei N, Pourafshar S, Jaime SJ, Akhavan NS, Alvarez-Alvarado S, Proaño GV, Litwin NS, Clark EA, Foley EM, George KS, Elam ML, Payton ME, Arjmandi BH, Figueroa A. Effects of Montmorency Tart Cherry Juice Consumption on Cardiometabolic Biomarkers in Adults with Metabolic Syndrome: A Randomized Controlled Pilot Trial. J Med Food 2020; 23:1238-1247. [PMID: 32429737 PMCID: PMC7757578 DOI: 10.1089/jmf.2019.0240] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Accepted: 03/02/2020] [Indexed: 12/27/2022] Open
Abstract
Greater than one-third of adults in the United States have metabolic syndrome (MetS), a cluster of risk factors highly associated with the development of cardiovascular diseases. Premature vascular dysfunction in MetS may lead to accelerated age-related atherogenesis and arterial stiffening, thereby increasing cardiovascular risk. Montmorency tart cherries (Prunus cerasus L.) are rich in bioactive compounds, such as anthocyanins, known to exert cardiovascular protective effects. Previous research suggests that tart cherry juice consumption may improve cardiovascular health. The objective of this study was to evaluate the effects of daily consumption of tart cherry juice on hemodynamics, arterial stiffness, and blood biomarkers of cardiovascular and metabolic health in men and women with MetS. In a randomized, single-blind, placebo-controlled, parallel-arm pilot clinical trial, 19 men and women 20 to 60 years of age with MetS consumed 240 mL of tart cherry juice (Tart Cherry; n = 5 males, 4 females) or an isocaloric placebo-control drink (Control; n = 5 males, 5 females) twice daily for 12 weeks. Arterial stiffness (pulse wave velocity), brachial and aortic blood pressures, wave reflection (augmentation index), and blood biomarkers of cardiovascular and metabolic health were assessed at baseline and 6 and 12 weeks. Oxidized low-density lipoprotein and soluble vascular cell adhesion molecule-1 were significantly lower (P = .047 and P = .036, respectively) in Tart Cherry than Control at 12 weeks, but were not significantly lower than baseline values. There was a trend for total cholesterol to be lower (P = .08) in Tart Cherry than Control at 12 weeks. No significant changes were observed in hemodynamics, arterial stiffness, or other blood biomarkers assessed. These results suggest that daily tart cherry consumption may attenuate processes involved in accelerated atherogenesis without affecting hemodynamics or arterial stiffness parameters in this population. The pilot nature of this study warrants interpreting these findings with caution, and future clinical trials with a larger sample size are needed to confirm these findings.
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Affiliation(s)
- Sarah A. Johnson
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, Colorado, USA
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
| | - Negin Navaei
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
- Department of Nutrition, Life University, Marietta, Georgia, USA
| | - Shirin Pourafshar
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
- Division of Nephrology and Center for Immunity, Inflammation, and Regenerative Medicine, Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
| | - Salvador J. Jaime
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
- Department of Exercise and Sport Science, University of Wisconsin, La Crosse, Wisconsin, USA
| | - Neda S. Akhavan
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
| | - Stacey Alvarez-Alvarado
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
| | - Gabriela V. Proaño
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
- Academy of Nutrition and Dietetics, Chicago, Illinois, USA
| | - Nicole S. Litwin
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, Colorado, USA
| | - Elizabeth A. Clark
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
| | - Elizabeth M. Foley
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
| | - Kelli S. George
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
| | - Marcus L. Elam
- Department of Human Nutrition and Food Science, California State Polytechnic University, Pomona, California, USA
| | - Mark E. Payton
- Department of Statistics, Oklahoma State University, Stillwater, Oklahoma, USA
| | - Bahram H. Arjmandi
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
- Center for Advancing Exercise & Nutrition Research on Aging, Florida State University, Tallahassee, Florida, USA
| | - Arturo Figueroa
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, Florida, USA
- Department of Kinesiology & Sport Management, Texas Tech University, Lubbock, Texas, USA
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George KS, Muñoz J, Akhavan NS, Foley EM, Siebert SC, Tenenbaum G, Khalil DA, Chai SC, Arjmandi BH. Is soy protein effective in reducing cholesterol and improving bone health? Food Funct 2020; 11:544-551. [PMID: 31848551 DOI: 10.1039/c9fo01081e] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Hyperlipidemia associated with cardiovascular health, and bone loss with regard to osteoporosis contribute to increased morbidity and mortality and are influenced by diet. Soy protein has been shown to reduce cholesterol levels, and its isoflavones may improve bone health. The objective of this study was to determine the effects of soy protein on lipid profiles and biomarkers of bone metabolism and inflammation. Ninety men and women (aged 27-87) were randomly assigned to consume 40 g of soy or casein protein daily for three months. Both soy and casein consumption significantly reduced bone alkaline phosphatase (P = 0.011) and body fat % (P < 0.001), tended to decrease tartrate-resistant acid phosphatase (P = 0.066), and significantly increased serum insulin-like growth factor-I (IGF-1) (P < 0.001), yet soy increased IGF-1 to a greater extent (P = 0.01) than casein. Neither treatment affected total cholesterol, HDL cholesterol, LDL cholesterol, or C-reactive protein. These results demonstrate that daily supplementation of soy and casein protein may have positive effects on indices of bone metabolism and body composition, with soy protein being more effective at increasing IGF-1, an anabolic factor, which may be due to soy isoflavones' role in upregulating Runx2 gene expression, while having little effect on lipid profiles and markers of inflammation.
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Affiliation(s)
- Kelli S George
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, USA.
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Muñoz J, Akhavan NS, Mullins AP, Arjmandi BH. Macrophage Polarization and Osteoporosis: A Review. Nutrients 2020; 12:nu12102999. [PMID: 33007863 PMCID: PMC7601854 DOI: 10.3390/nu12102999] [Citation(s) in RCA: 167] [Impact Index Per Article: 41.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 09/22/2020] [Accepted: 09/28/2020] [Indexed: 12/11/2022] Open
Abstract
Over 200 million people suffer from osteoporosis worldwide. Individuals with osteoporosis have increased rates of bone resorption while simultaneously having impaired osteogenesis. Most current treatments for osteoporosis focus on anti-resorptive methods to prevent further bone loss. However, it is important to identify safe and cost-efficient treatments that not only inhibit bone resorption, but also stimulate anabolic mechanisms to upregulate osteogenesis. Recent data suggest that macrophage polarization may contribute to osteoblast differentiation and increased osteogenesis as well as bone mineralization. Macrophages exist in two major polarization states, classically activated macrophages (M1) and alternatively activated macrophage (M2) macrophages. The polarization state of macrophages is dependent on molecules in the microenvironment including several cytokines and chemokines. Mechanistically, M2 macrophages secrete osteogenic factors that stimulate the differentiation and activation of pre-osteoblastic cells, such as mesenchymal stem cells (MSC’s), and subsequently increase bone mineralization. In this review, we cover the mechanisms by which M2 macrophages contribute to osteogenesis and postulate the hypothesis that regulating macrophage polarization states may be a potential treatment for the treatment of osteoporosis.
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Akhavan NS, Pourafshar S, Johnson SA, Foley EM, George KS, Munoz J, Siebert S, Clark EA, Basiri R, Hickner RC, Navaei N, Levenson CW, Panton LB, Daggy BP, Arjmandi BH. The Relationship between Protein Intake and Source on Factors Associated with Glycemic Control in Individuals with Prediabetes and Type 2 Diabetes. Nutrients 2020; 12:nu12072031. [PMID: 32650580 PMCID: PMC7400940 DOI: 10.3390/nu12072031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 06/23/2020] [Accepted: 07/03/2020] [Indexed: 11/17/2022] Open
Abstract
Type 2 diabetes (T2D) is a major contributor to morbidity and mortality largely due to increased cardiovascular disease risk. This study examined the relationships among protein consumption and sources on glycemic control and cardiovascular health in individuals with prediabetes and T2D. Sixty-two overweight or obese participants with prediabetes or T2D, aged 45–75 years were stratified into the following three groups based on protein intake: <0.8 g (gram)/kg (kilogram) body weight (bw), ≥0.8 but <1.0 g/kg bw, and ≥1.0 g/kg bw as below, meeting, and above the recommended levels of protein intake, respectively. Body mass, body mass index (BMI), hip circumference (HC), waist circumference (WC), lean mass, and fat mass (FM) were significantly higher in participants who consumed below the recommended level of protein intake as compared with other groups. Higher animal protein intake was associated with greater insulin secretion and lower triglycerides (TG). Total, low-density, and high-density cholesterol were significantly higher in participants who met the recommended protein intake as compared with the other groups. These data suggest that high protein consumption is associated with lower BMI, HC, WC, and FM, and can improve insulin resistance without affecting lipid profiles in this population. Furthermore, higher intake of animal protein can improve β-cell function and lower plasma TG.
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Affiliation(s)
- Neda S. Akhavan
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
| | - Shirin Pourafshar
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
- Department of Medicine, Division of Nephrology, University of Virginia, Charlottesville, VA 22903, USA
| | - Sarah A. Johnson
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO 80526, USA;
| | - Elizabeth M. Foley
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
| | - Kelli S. George
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
- Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, WV 26506, USA
| | - Joseph Munoz
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
| | - Shalom Siebert
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
| | - Elizabeth A. Clark
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
| | - Raedeh Basiri
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
| | - Robert C. Hickner
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
| | - Negin Navaei
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
- Department of Nutrition, Life University, Marietta, GA 30060, USA
| | - Cathy W. Levenson
- Department of Biomedical Sciences and Program in Neuroscience, Florida State University, Tallahassee, FL 32304, USA;
| | - Lynn B. Panton
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
- Institute for Successful Longevity, Florida State University, Tallahassee, FL 32304, USA
| | - Bruce P. Daggy
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
| | - Bahram H. Arjmandi
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32304, USA; (N.S.A.); (E.M.F.); (J.M.); (S.S.); (E.A.C.); (R.B.); (R.C.H.); (L.B.P.); (B.P.D.)
- Center for Advancing Exercise and Nutrition Research on Aging, Florida State University, Tallahassee, FL 32304, USA; (S.P.); (K.S.G.); (N.N.)
- Institute for Successful Longevity, Florida State University, Tallahassee, FL 32304, USA
- Correspondence: ; Tel.: +1-850-645-1517
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Navaei N, Pourafshar S, Akhavan NS, Litwin NS, Foley EM, George KS, Hartley SC, Elam ML, Rao S, Arjmandi BH, Johnson SA. Influence of daily fresh pear consumption on biomarkers of cardiometabolic health in middle-aged/older adults with metabolic syndrome: a randomized controlled trial. Food Funct 2019; 10:1062-1072. [PMID: 30720034 DOI: 10.1039/c8fo01890a] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Previous research suggests potential for fresh pears as a functional food for promoting cardiometabolic health. The purpose of this randomized, open-label, placebo-controlled, crossover clinical trial was to evaluate the influence of daily fresh pear consumption on blood pressure (primary outcome) and other biomarkers of cardiometabolic health in middle-aged/older adults with metabolic syndrome (MetS). Forty men and women aged 45-65 years with MetS were included and randomly assigned to receive either two medium-sized fresh pears (Pear) or a calorie-matched control drink (Control) per day for each 12-week treatment period, each separated by a 4-week washout period. After 12 weeks of daily fresh pear consumption, systolic blood pressure tended to be reduced (130 ± 2 mmHg vs. 134 ± 2 mmHg at baseline, P = 0.07) and pulse pressure was significantly reduced (51 ± 1 vs. 54 ± 1 at baseline, P < 0.05). At 12 weeks, leptin concentrations were lower in the Pear group than Control (52.5 [7.6, 120.5] ng dL-1vs. 53.4 [5.0, 120.5] ng dL-1, respectively, P < 0.05), and there was a significant group by time interaction (P < 0.05). Leptin concentrations were significantly reduced at 12 weeks compared to baseline in the Pear group (52.5 [7.6, 120.5] ng dL-1vs. 54.8 [6.4, 120.5] ng dL-1 at baseline, P < 0.05) but not in the Control group. Waist circumference was significantly reduced at 12 weeks in the Pear group (107.7 ± 2.0 cm vs. 108.4 ± 2 cm at baseline, P < 0.05) with a trend for a group by time interaction (P < 0.1), and significantly lower in the Pear group than Control (108.1 ± 2.0 cm vs. 108.8 ± 2 cm, P < 0.05) at 6 weeks with a significant group by time interaction (P < 0.05). Conversely, values were significantly increased at 6 weeks (108.8 ± 2 cm vs. 108.3 ± 2.0 cm at baseline, P < 0.05) in the Control group and sustained at 12 weeks. Waist-to-hip ratio was significantly reduced (0.92 ± 0.01 vs. 0.93 ± 0.01 at baseline, P < 0.05) at 12 weeks in the Pear group, and significantly lower than Control at 6 weeks (0.93 ± 0.01 vs. 0.93 ± 0.01, respectively, P < 0.05) and 12 weeks (0.92 ± 0.01 vs. 0.93 ± 0.01, P < 0.05). These findings suggest that daily fresh pear consumption may promote modest improvements in cardiometabolic health in middle-aged/older adults with MetS. This trial was registered at clinicaltrials.gov as NCT02228837.
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Affiliation(s)
- Negin Navaei
- Department of Nutrition, Food, and Exercise Sciences, Florida State University, Tallahassee, FL, USA
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10
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Akhavan NS, Ormsbee L, Johnson SA, George KS, Foley EM, Elam ML, Ezzat-Zadeh Z, Panton LB, Arjmandi BH. Functionality in Middle-Aged and Older Overweight and Obese Individuals with Knee Osteoarthritis. Healthcare (Basel) 2018; 6:healthcare6030074. [PMID: 29973574 PMCID: PMC6165234 DOI: 10.3390/healthcare6030074] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Revised: 06/27/2018] [Accepted: 06/30/2018] [Indexed: 12/15/2022] Open
Abstract
Patients with knee osteoarthritis (OA) suffer from immobility and pain. The objective of this cross-sectional study was to investigate the relationship between pain and functionality in middle-aged and older overweight and obese individuals with mild-to-moderate knee OA. Overall pattern, physical activity, and total energy expenditure (TEE) were assessed in 83 participants. The Western Ontario McMaster Universities Arthritis Index (WOMAC) was used to assess lower extremity pain and function. The six-minute walk test (6-MWT) and range of motion (ROM) were also assessed. Results indicated that age was inversely associated with body mass index (BMI) (r = 0.349) and total WOMAC scores (r = 0.247). BMI was positively associated with TEE (r = 0.430) and WOMAC scores (r = 0.268), while ROM was positively associated with the 6-MWT (r = 0.561) and negatively associated with WOMAC (r = 0.338) and pain scores (r = 0.222). Furthermore, women had significantly greater WOMAC scores (p = 0.046) than men. Older participants (≥65 years old) had significantly lower BMI (p = 0.002), and distance traveled during the 6-MWT (p = 0.013). Our findings indicate that older individuals in this population with knee OA had lower BMI, greater ROM, and less pain and stiffness and walked slower than middle-aged individuals. Women reported greater pain, stiffness, and reduced functionality, indicating that the manifestation of OA may vary due to gender.
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Affiliation(s)
- Neda S Akhavan
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA), College of Human Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
| | - Lauren Ormsbee
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA), College of Human Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
| | - Sarah A Johnson
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO 80523-1571, USA.
| | - Kelli S George
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA), College of Human Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
| | - Elizabeth M Foley
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA), College of Human Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
| | - Marcus L Elam
- Department of Human Nutrition and Food Science, California State Polytechnic University, Pomona, CA 91768-2557, USA.
| | - Zahra Ezzat-Zadeh
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
| | - Lynn B Panton
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA), College of Human Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
| | - Bahram H Arjmandi
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA), College of Human Sciences, Florida State University, Tallahassee, FL 32306-4310, USA.
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11
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Feresin RG, Johnson SA, Pourafshar S, Campbell JC, Jaime SJ, Navaei N, Elam ML, Akhavan NS, Alvarez-Alvarado S, Tenenbaum G, Brummel-Smith K, Salazar G, Figueroa A, Arjmandi BH. Impact of daily strawberry consumption on blood pressure and arterial stiffness in pre- and stage 1-hypertensive postmenopausal women: a randomized controlled trial. Food Funct 2018; 8:4139-4149. [PMID: 29099521 DOI: 10.1039/c7fo01183k] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Growing evidence indicates that strawberries are cardioprotective. We conducted an eight-week randomized, double-blind, placebo-controlled, parallel arm clinical trial to investigate the effects of daily consumption of freeze-dried strawberry powder (FDSP) on blood pressure (BP) and arterial stiffness in pre- and stage 1-hypertensive postmenopausal women. Sixty postmenopausal women were randomly assigned to one of three groups: (1) control, (2) 25 g FDSP and (3) 50 g FDSP (n = 20 per group). Assessments of body weight, BP, arterial stiffness as measured by pulse wave velocity (PWV), and collection of blood samples for analyses of vasoactive and antioxidant molecules were performed at baseline, four and eight weeks. After eight weeks, systolic BP, as well as brachial- and femoral-ankle PWV were lower than baseline in the 25 g FDSP group (141 ± 3 to 135 ± 3 mmHg, P = 0.02; 15.5 ± 0.5 to 14.8 ± 0.4 m s-1, P = 0.03, and 11.0 ± 0.2 to 10.4 ± 0.2 m s-1, P = 0.02, respectively), whereas no statistically significant changes were observed in the control or 50 g FDSP groups. Plasma nitric oxide metabolite levels increased at four and eight weeks in the 50 g FDSP group compared to baseline (8.5 ± 1.2 to 13.6 ± 1.3 and 13.3 ± 1.5, respectively, P = 0.01), whereas no significant changes were observed in the control or 25 g FDSP groups. Serum levels of superoxide dismutase increased at four weeks returning to baseline levels at eight weeks in all three groups. Significant differences among groups were not detected for any of the parameters. Although BP and arterial stiffness improved in the 25 g FDSP group over time, a treatment effect was not observed. Thus, it would be premature to affirm that daily consumption of FDSP improves BP or vascular function in pre- and stage 1-hypertensive postmenopausal women. This trial was registered at as NCT02099578.
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Affiliation(s)
- Rafaela G Feresin
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL 32306, USA.
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12
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Pourafshar S, Akhavan NS, George KS, Foley EM, Johnson SA, Keshavarz B, Navaei N, Davoudi A, Clark EA, Arjmandi BH. Egg consumption may improve factors associated with glycemic control and insulin sensitivity in adults with pre- and type II diabetes. Food Funct 2018; 9:4469-4479. [DOI: 10.1039/c8fo00194d] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Daily consumption of one large egg for 12 weeks improves fasting blood glucose, ATP-binding cassette protein family A1, and apolipoprotein A1 in overweight or obese individuals with pre- and type II diabetes.
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Figueroa A, Jaime SJ, Alvarez-Alvarado S, Johnson SA, Akhavan NS, Navaei N, Pourafshar S, Arjmandi BH. Greater Aortic Hemodynamic Responses to Muscle Metaboreflex Activation In Older Adults with Prediabetes than Diabetes. Med Sci Sports Exerc 2017. [DOI: 10.1249/01.mss.0000519752.43372.0f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Arjmandi BH, Johnson SA, Pourafshar SH, Navaei NH, George KS, Akhavan NS. Dried Plum's Unique Ability to Prevent and Reverse Bone Loss in Ovarian Hormone Deficiency: Efficacy and Possible Mechanisms. FASEB J 2017. [DOI: 10.1096/fasebj.31.1_supplement.151.8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Bahram H. Arjmandi
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahaseeFL
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA)Florida State UniversityTallahaseeFL
| | - Sarah A. Johnson
- Department of Food Science and Human NutritionColorado State UniversityFort CollinsCO
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA)Florida State UniversityTallahaseeFL
| | - Shirin H. Pourafshar
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahaseeFL
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA)Florida State UniversityTallahaseeFL
| | - Negin H. Navaei
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahaseeFL
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA)Florida State UniversityTallahaseeFL
| | - Kelli S. George
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahaseeFL
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA)Florida State UniversityTallahaseeFL
| | - Neda S. Akhavan
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahaseeFL
- Center for Advancing Exercise and Nutrition Research on Aging (CAENRA)Florida State UniversityTallahaseeFL
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Johnson SA, Feresin RG, Navaei N, Figueroa A, Elam ML, Akhavan NS, Hooshmand S, Pourafshar S, Payton ME, Arjmandi BH. Effects of daily blueberry consumption on circulating biomarkers of oxidative stress, inflammation, and antioxidant defense in postmenopausal women with pre- and stage 1-hypertension: a randomized controlled trial. Food Funct 2017; 8:372-380. [DOI: 10.1039/c6fo01216g] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Blueberries may attenuate accelerated age-related chronic disease development in postmenopausal women.
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Navaei N, Johnson SA, Pourafshar S, Akhavan NS, Elam ML, Foley E, Clark EA, Arjmandi BH. Higher Fruit and Vegetable Consumption May Be Associated with Improved Lipid Profiles in Individuals with Metabolic Syndrome. FASEB J 2016. [DOI: 10.1096/fasebj.30.1_supplement.904.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Negin Navaei
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahasseeFL
| | - Sarah A. Johnson
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahasseeFL
- Food Science and Human NutritionColorado State UniversityFort CollinsCO
- Center for Advancing Exercise and Nutrition Research on AgingTallahasseeFL
| | - Shirin Pourafshar
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahasseeFL
| | - Neda S. Akhavan
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahasseeFL
| | - Marcus L. Elam
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahasseeFL
- Human Nutrition and Food ScienceCalifornia State Polytechnic UniversityPomonaCA
| | - Elizabeth Foley
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahasseeFL
| | - Elizabeth A. Clark
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahasseeFL
| | - Bahram H. Arjmandi
- Nutrition, Food and Exercise SciencesFlorida State UniversityTallahasseeFL
- Center for Advancing Exercise and Nutrition Research on AgingTallahasseeFL
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Akhavan NS, Pourafshar S, Navaei N, Arjmandi BH. Soy Protein Supplementation May Play a Role in Decreasing the Risk of Bone Fracture through Affecting Hematopoietic Factors in Young and Old Men. FASEB J 2013. [DOI: 10.1096/fasebj.27.1_supplement.lb344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Neda S Akhavan
- Department of Nutrition Food and Exercise SciencesThe Florida State UniversityTallahasseeFL
| | - Shirin Pourafshar
- Department of Nutrition Food and Exercise SciencesThe Florida State UniversityTallahasseeFL
| | - Negin Navaei
- Department of Nutrition Food and Exercise SciencesThe Florida State UniversityTallahasseeFL
| | - Bahram H. Arjmandi
- Department of Nutrition Food and Exercise SciencesThe Florida State UniversityTallahasseeFL
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