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Grassi D, Necozione S, Desideri G, Abballe S, Mai F, De Feo M, Carducci A, Ferri C. Acute and Long Term Effects of a Nutraceutical Combination on Lipid Profile, Glucose Metabolism and Vascular Function in Patients with Dyslipidaemia with and Without Cigarette Smoking. High Blood Press Cardiovasc Prev 2021; 28:483-491. [PMID: 34519016 PMCID: PMC8484132 DOI: 10.1007/s40292-021-00468-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 06/10/2021] [Accepted: 07/25/2021] [Indexed: 12/16/2022] Open
Abstract
Introduction Lifestyle changes present a fundamental role in cardiovascular prevention. Nutraceuticals also supplementing diet could help in controlling the cardiometabolic risk. Aim (1) to evaluate acute effects of a combination of nutraceuticals (cNUT) on vascular function, BP, metabolism in dyslipidaemic patients before and after smoking; (2) to evaluate 12 weeks effects of the cNUT on lipid profile, insulin resistance and vascular function in patients with hypercholesterolemia not on statins. Methods After 14 d run-in period, 33 patients assumed a cNUT [patented formula containing: berberine (531.25 mg), red yeast rice powder (220 mg, 3.3 mg monacolin K) and leaf extract of Morus alba (200 mg) (LopiGLIK®, Akademy Pharma)]. To evaluate acute effects, cNUT or cNUT + smoking (in smoking subjects) on the morning of the first day of the study and then 26 patients prolonged 12 weeks effects. Results In non smokers, cNUT improved FMD (p = 0.041 for treatment). In smokers, FMD decreased after smoking, this was counteracted by intake of cNUT. In smokers, DBP increased after smoking a cigarette (p = 0.042 for treatment), counteracted by the cNUT intake. In non smokers, thermogenesis was increased after cNUT administration (p < 0.0001 for treatment). After 12 weeks of cNUT, FMD significantly increased (p < 0.05) and SBP (p = 0.04), total cholesterol and LDL cholesterol (p = 0.03) decreased. Conclusions Our study suggests benefits of cNUT on cardiovascular prevention in hypercolesterolemic patients, non statin treated, that goes beyond the cholesterol and insulin resistance reduction protecting the subject from negative effects induced by smoking too.
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Affiliation(s)
- Davide Grassi
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale S Salvatore, Delta 6 Medicina, 67100, L'Aquila, Coppito, Italy.
| | - Stefano Necozione
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale S Salvatore, Delta 6 Medicina, 67100, L'Aquila, Coppito, Italy
| | - Giovambattista Desideri
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale S Salvatore, Delta 6 Medicina, 67100, L'Aquila, Coppito, Italy
| | - Stefano Abballe
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale S Salvatore, Delta 6 Medicina, 67100, L'Aquila, Coppito, Italy
| | - Francesca Mai
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale S Salvatore, Delta 6 Medicina, 67100, L'Aquila, Coppito, Italy
| | - Martina De Feo
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale S Salvatore, Delta 6 Medicina, 67100, L'Aquila, Coppito, Italy
| | - Augusto Carducci
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale S Salvatore, Delta 6 Medicina, 67100, L'Aquila, Coppito, Italy
| | - Claudio Ferri
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Viale S Salvatore, Delta 6 Medicina, 67100, L'Aquila, Coppito, Italy
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Del Pinto R, Ferri C, Mammarella L, Abballe S, Dell'Anna S, Cicogna S, Grassi D, Sacco S, Desideri G. Increased cardiovascular death rates in a COVID-19 low prevalence area. J Clin Hypertens (Greenwich) 2020; 22:1932-1935. [PMID: 32815667 PMCID: PMC7461222 DOI: 10.1111/jch.14013] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [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: 06/25/2020] [Revised: 07/27/2020] [Accepted: 08/01/2020] [Indexed: 02/06/2023]
Abstract
The province of L'Aquila (Central Italy) was marginally affected by COVID‐19 pandemic, but changes in health care seeking behaviors were noticed. The authors retrospectively analyzed de‐identified data concerning all‐cause and cardiovascular hospitalizations, cardiovascular acute phase treatments, and in‐hospital cardiovascular deaths in the province of L'Aquila from January 1 to March 31, in 2020 and 2019. Incidence rate ratios (IRR) comparing 2020 and 2019 for admissions/procedures were calculated through Poisson regression. All‐cause and cardiovascular mortality in the examined time windows was also assessed. Less all‐cause (IRR 0.85, P < .001) and cardiovascular (IRR 0.73, P < .001) hospitalizations occurred in 2020 than in 2019. Less daily cardiovascular procedures were also performed (IRR: 0.74, P = .009). A disproportionate decrease in the number of procedures was observed in relation to cardiovascular hospitalizations in 2020 (−5.5%, P = .001). Unlike all‐cause mortality, more in‐hospital cardiovascular deaths occurred in March 2020 compared with March 2019 (+6.8%, P = .048).
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Affiliation(s)
- Rita Del Pinto
- Department of Life, Health, and Environmental Sciences, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Claudio Ferri
- Department of Life, Health, and Environmental Sciences, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy.,Internal Medicine and Nephrology Unit, San Salvatore Hospital, L'Aquila, Italy
| | - Leondino Mammarella
- Statistics Section, Local Health Authority of the Province of L'Aquila, L'Aquila, Italy
| | - Stefano Abballe
- Department of Life, Health, and Environmental Sciences, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Sofia Dell'Anna
- Department of Life, Health, and Environmental Sciences, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy
| | - Sabrina Cicogna
- Cardiology and Coronary Care Unit, San Salvatore Hospital, L'Aquila, Italy
| | - Davide Grassi
- Department of Life, Health, and Environmental Sciences, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy.,Internal Medicine and Nephrology Unit, San Salvatore Hospital, L'Aquila, Italy
| | - Simona Sacco
- Neurology Section, Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy
| | - Giovambattista Desideri
- Department of Life, Health, and Environmental Sciences, San Salvatore Hospital, University of L'Aquila, L'Aquila, Italy.,Geriatrics Unit, SS. Filippo e Nicola Hospital, Avezzano, Italy
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