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Link to original content: https://pubmed.ncbi.nlm.nih.gov/33540841/
Sixteen Weeks of Supplementation with a Nutritional Quantity of a Diversity of Polyphenols from Foodstuff Extracts Improves the Health-Related Quality of Life of Overweight and Obese Volunteers: A Randomized, Double-Blind, Parallel Clinical Trial - PubMed Skip to main page content
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Randomized Controlled Trial
. 2021 Feb 2;13(2):492.
doi: 10.3390/nu13020492.

Sixteen Weeks of Supplementation with a Nutritional Quantity of a Diversity of Polyphenols from Foodstuff Extracts Improves the Health-Related Quality of Life of Overweight and Obese Volunteers: A Randomized, Double-Blind, Parallel Clinical Trial

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Randomized Controlled Trial

Sixteen Weeks of Supplementation with a Nutritional Quantity of a Diversity of Polyphenols from Foodstuff Extracts Improves the Health-Related Quality of Life of Overweight and Obese Volunteers: A Randomized, Double-Blind, Parallel Clinical Trial

Cindy Romain et al. Nutrients. .

Abstract

Overweight and obesity adversely affect health-related quality of life (HRQOL) through day-to-day impairments of both mental and physical functioning. It is assumed that polyphenols within the Mediterranean diet may contribute to improving HRQOL. This investigation aimed at studying the effects of a polyphenol-rich ingredient on HRQOL in overweight and obese but otherwise healthy individuals. A randomized, double-blind, placebo-controlled study including 72 volunteers was conducted. Subjects were randomly assigned to receive for a 16-week period either 900 mg/day of the supplement or a placebo. Dietary recommendations were individually determined and intakes were recorded. Daily physical mobility was also monitored. Improvement of HRQOL was set as the primary outcome and assessed at baseline and at the end of the investigation using the Short-Form 36 (SF-36) health survey. Body composition was analyzed using dual-energy X-ray absorptiometry (DXA). Physical activity was calculated using the International Physical Activity Questionnaire (IPAQ). After 16 weeks, despite there being no adherence to the Mediterranean Diet Serving Score (MDSS), supplemented individuals experienced significant HRQOL improvement (+5.3%; p = 0.001), including enhanced perceived physical (+11.2%; p = 0.002) and mental health (+4.1%; p = 0.021) components, with bodily pain, vitality, and general health being the greatest contributors. Body fat mass significantly decreased (-1.2 kg; p = 0.033), mainly within the trunk area (-1.0 kg; p = 0.002). Engagement in physical activity significantly increased (+1308 Met-min (Metabolic Equivalent Task minutes)/week; p = 0.050). Hence, chronic supplementation with nutritional diversity and dosing of a Mediterranean diet-inspired, polyphenol-rich ingredient resulted in significant amelioration in both perceived physical and mental health, concomitant with the improvement of body composition, in healthy subjects with excessive adiposity.

Keywords: Mediterranean diet; body composition; health-related quality of life; phenolic compounds; vitality.

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Conflict of interest statement

Fytexia is involved in the research and development and marketing and sales of polyphenol extract-based ingredients for food and nutraceutical industries. Therefore, Fytexia has a commercial interest in this publication. UCAM and UMR 204 Nutripass were paid by Fytexia to perform and report the scientific work that formed the basis of this publication. Fytexia, UCAM, UMR 204 Nutripass, and all authors declare that the data in this report represent a true and faithful representation of the work that has been performed. The financial assistance of Fytexia is gratefully acknowledged.

Figures

Figure 1
Figure 1
CONSORT (Consolidated Standards of Reporting Trials) flow diagram of study.
Figure 2
Figure 2
The percentage changes from baseline (W1) to the end of the study (W16) in individual SF-36 domains, as well as in the Physical Component Score (PCS), Mental Component Score (MCS), and total HRQOL score in placebo and in supplemented subjects. Arrows indicate clinically significant differences according to Samsa et al. [31]. Note: *—Indicates an intragroup difference between baseline (W1) and end of the study (W16) at p ≤ 0.05 level. PF—physical functioning; RP—role physical; BP—bodily pain; GH—general health; RE—role emotional; VT—vitality; EWB—emotional well-being; SF—social functioning.

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