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Archivos de la Sociedad Española de Oftalmología Efecto de la suplementación oral con una fórmula que contiene ácido R-lipoico...
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Vol. 95. Núm. 3.
Páginas e17-e24 Páginas 105-156 (Marzo 2020)
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Vol. 95. Núm. 3.
Páginas e17-e24 Páginas 105-156 (Marzo 2020)
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Efecto de la suplementación oral con una fórmula que contiene ácido R-lipoico en pacientes con glaucoma

Effect of an oral supplementation with a formula containing R-lipoic acid in glaucoma patients
Visitas
718
S.M. Sanz-Gonzáleza,b, J. Raga-Cerveraa,c, M. Aguirre Lipperheided, V. Zanón-Morenoa,b,e,i, V. Chinerf, A.I. Ramírezb,g,
Autor para correspondencia
airamirez@med.ucm.es

Autora para correspondencia.
, M.D. Pinazo-Durána,b,h,
Autor para correspondencia
dolores.pinazo@uv.es

Autora para correspondencia.
a Unidad de Investigación Oftalmológica Santiago Grisolía/FISABIO y Grupo de Investigación de la Universidad de Valencia en Oftalmo-biología Celular y Molecular, Valencia, España
b Red de Oftalmología de la RETICS: RD16-0008: «Prevención, detección precoz, tratamiento y rehabilitación de las patologías oculares», Instituto de Salud Carlos III, Madrid, España
c Departamento de Oftalmología,Hospital de Manises, Manises, Valencia, España
d Nua Biological Innovations S.L., Erandio, Vizcaya, España
e Universidad Internacional de Valencia, Área de Salud, Valencia, España
f Departamento de Oftalmología, Hospital Universitario Dr. Peset. Valencia, España
g Instituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense de Madrid, Madrid, España
h Departamento de Cirugía, Facultad de Medicina y Odontología, Universidad de Valencia, Valencia, España
i Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina y Odontología. Universidad de Valencia, Valencia, España
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Resumen
Objetivo

Analizar la seguridad y efectividad de la administración oral de un suplemento comercializado que contiene ácido alfa-R-lipoico, taurina, vitaminas C y E, luteína, zeaxantina, zinc, cobre y ácido docosahexaenoico en pacientes con glaucoma primario de ángulo abierto (GPAA) y sujetos control.

Material y métodos

Se realizó un estudio prospectivo de casos y controles que incluyó 30 participantes de ambos sexos, divididos en: pacientes con GPAA (n=15) y sujetos sanos (GC; n=15) asignados a tomar durante 6 meses los preparados NuaDHA Visión® (1 comp/día)+NuaDHA 1000 (2 comps/día). Los participantes fueron entrevistados, examinados oftalmológicamente, extrayendo sangre periférica que fue procesada para analítica convencional y determinación de actividades prooxidante (malonildialdehído) y estado antioxidante total. El análisis estadístico se realizó mediante el programa SPSS 22.0.

Resultados

Tras 6 meses de suplementación, los niveles plasmáticos de estado antioxidante total aumentaron significativamente (1,073±0,090mM vs. 1,276±0,107mM; p=0,028), disminuyendo en paralelo los de malonildialdehído (7,066±1,070μM vs. 2,761±0,462μM; p=0,005) en el GGPAA. El malonildialdehído también descendió significativamente en el GC (6,17±1,336 vs. 2,51±0,391; p=0,028). Los pacientes con GPAA mostraron valores del test de Schirmer notablemente mayores (20-30%) y mejoraron subjetivamente los signos/síntomas de ojo seco, frente a los resultados del GC.

Conclusiones

Las formulaciones que contienen vitaminas antioxidantes, ácido alfa-R-lipoico y ácido docosahexaenoico administradas durante 6 meses consecutivos contrarrestaron el estrés oxidativo, y estabilizaron los parámetros morfológicos/funcionales de la superficie ocular y del glaucoma, sin presentar efectos adversos o intolerancias.

Palabras clave:
Glaucoma
Ojo seco
Estrés oxidativo
Suplementos nutricionales
Ácidos grasos poliinsaturados
Ácido R-lipoico
Abstract
Objective

To analyse the safety and effectiveness of the oral administration of a commercialised supplement containing R-alpha lipoic acid, taurine, vitamins C and E, lutein, zeaxanthin, zinc, copper and docosahexaenoic acid, in patients with primary open angle glaucoma (POAG), and in control subjects.

Material and methods

A prospective study of cases and controls was carried out, including 30 participants of both genders that were divided into: POAG Group (n=15) and a control group (CG; n=15), assigned to the oral intake of NuaDHA preparations Vision® (1 pill/day)+NuaDHA 1000 (2 pills/day) for 6 months. Participants were interviewed, ophthalmologically examined, and peripheral blood was taken for routine analysis and the determination of the pro-oxidant (malondialdehyde) and total antioxidant status. Statistical analysis was performed using the SPSS 22.0 program.

Results

After 6 months of supplementation, there was a significant increase in the plasma total antioxidant status (1.073±0.090mM vs 1.276±0.107mM, P=.028), along with a parallel decrease in malondialdehyde (7.066±1.070μM vs 2.771±0.462μM, P=.005) in the POAG group. The malondialdehyde also decreased in the control group (6.17±1.336 vs. 2.51±0.391, P=.028). The Schirmer test improved (20-30%) and the subjective dry eye signs/symptoms noticeably decreased in the POAG group versus the CG.

Conclusions

Formulations containing antioxidant vitamins, R-alpha lipoic acid and docosahexaenoic acid, administered for 6 consecutive months, counteracted the oxidative stress by further stabilising the morphological/functional parameters of both the ocular surface and the glaucoma, without presenting with adverse effects or intolerances.

Keywords:
Glaucoma. Dry eye
Oxidative stress
Nutritional supplements
Polyunsaturated fatty acids
R-lipoic acid

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