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Eur J Clin Nutr. 2005 Dec;59(12):1367-73.

Antioxidant supplementation enhances antioxidant capacity and mitigates oxidative damage following acute ischaemic stroke.

Author information

1
Sheffield Institute for Studies on Ageing and Human Nutrition Unit, The University of Sheffield, Northern General Hospital, UK.

Abstract

OBJECTIVE:

To test whether supplementary antioxidants immediately following acute ischaemic stroke will enhance antioxidant capacity and mitigate oxidative damage.

DESIGN:

A randomised controlled trial.

SETTING:

A university teaching hospital.

SUBJECTS:

A total of 48 acute ischaemic stroke patients within 12 h of symptom onset.

INTERVENTION:

Daily oral 800 IU (727 mg) of alpha-tocopherol and 500 mg of vitamin C (n = 24), or no treatment (n = 24) for 14 days. Treatment group and controls were matched for stroke subtype and age.

MAIN OUTCOME MEASURES:

alpha-Tocopherol, ascorbic acid, total antioxidant capacity (TAOC), plasma malondialdehyde (MDA) and C-reactive protein (CRP) before treatment, at day 7 and day 14 following recruitment.

RESULTS:

In all, 14 days of vitamin supplementation significantly improved plasma alpha-tocopherol and ascorbic concentrations in the treatment group compared with the decrease seen in the control group (P < 0.005 for difference in cumulative changes). TAOC increased significantly in the treatment group compared with controls (P < 0.003). There was a significant reduction in plasma MDA concentration in the treatment group, in contrast to the increase seen in the control group (P < 0.002). After adjusting for clinical complications CRP concentrations within 90 days postinfarct were significantly lower in the treatment group compared with controls.

CONCLUSION:

Supplementation with antioxidant vitamins within 12 h of onset of acute ischaemic stroke increased antioxidant capacity, reduced lipid peroxidation products and may have an anti-inflammatory effect.

SPONSORSHIP:

Sheffield Teaching Hospital NHS Trust.

PMID:
16091766
DOI:
10.1038/sj.ejcn.1602248
[Indexed for MEDLINE]

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