Effects of Indian Culinary Spices Ginger and Garlic Consumption in hyperlipidemic patients

International Journal of Medical Science
© 2017 by SSRG - IJMS Journal
Volume 4 Issue 3
Year of Publication : 2017
Authors : Shafi M. Shaafi and Harish Kulkarni
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Shafi M. Shaafi and Harish Kulkarni, "Effects of Indian Culinary Spices Ginger and Garlic Consumption in hyperlipidemic patients," SSRG International Journal of Medical Science, vol. 4,  no. 3, pp. 17-21, 2017. Crossref, https://doi.org/10.14445/23939117/IJMS-V4I3P104

Abstract:

Elevated blood lipids generally termed as hyperlipidemia, is a major risk factor for cardiovascular disease. In the recent years, there is an enormous interest in use of dietary additives as an alternate therapy for the amelioration of hyperlipidemia. Methods: In this single-blind, placebo controlled study, lipid profiles of 150 hyperlipidemic patients attending out-patient clinics of Anjarakandy Kannur Medical college were recruited for the study. After written consent of the patients and approval of the institution’s ethical committee, volunteers were divided into three equal groups randomly (each composing of 50 patients). They were given entericcoated garlic powder tablet (equal to 500 mg garlic) twice daily, ginger powder tablet (500 mg) twice daily, and placebo tablet. All patients were put on National Cholesterol Education Program (NCEP) diet for 10 weeks. At the end of 10 weeks, lipid profiles data collected. Results: In garlic group cholesterol decreased significantly (decreased by 26.82 mg/dl, 12.1% reduction, and P value: 0.000), and LDL-cholesterol (decreased by 22.18 mg/dl, 17.3% reduction, and Pvalue: 0.000) dropped. HDL-cholesterol significantly increased (increased by 10.02 mg/dl, 15.7% increase, and P-value: 0.000) increased. Triglyceride decreased by 13.72 mg/dl (6.3%), the decrease was not significant statistically (P-value: 0.222). In ginger group: triglyceride increased by 14.74 mg/dl (6.0%). In ginger group the decrease in cholesterol by 0.4 % and LDL-cholesterol by 6.3% was not significant statistically (P-value: .828, and .210, respectively). Conclusion: Garlic demonstrates a potent hypocholesterolemic and hypolipidemic effect while ginger has a mild effect in reducing hyperlipidemia. Hyperlipidemia is a major risk factor of cardiovascular disease. Use of garlic may prevent cardiovascular disease if garlic is used as a dietary additive regularly.

Keywords:

Garlic, Ginger, Hyperlipidemia, Cardiovascular disease.

References:

[1] Libby Lipid modification and cardiovascular risk assessment for the primary and secondary prevention of cardiovascular disease: summary of updated NICE guidance S Rabar, M Harker, N O'flynn… - BMJ: British Medical …, 2014 - search.proquest.com
[2] Block E: The chemistry of garlic and onion. Sci Am 1985, 252:114-119.
[3] HPLC–MTT assay: Anticancer activity of aqueous garlic extract is from allicin
[4] J Lee, S Gupta, JS Huang, LP Jayathilaka, BS Lee - Analytical biochemistry, 2013 – Elsevier
[5] Milner JA: Garlic: its anticarcinogenic and antimutagenic properties. Nutr Rev 1996, 54:S82- S86.
[6] Sumiyoshi H, Wargovich M: Chemoprevention of 1,2-dimethylhydrazine-induced colon cancer in mice by naturally occurring organosulfur compounds. Cancer Res 1990, 50:5084- 5087.
[7] Tadi PP, Teel RW, Lau BHS: Anticandidal and anticarcinogenic potentials of garlic. Int Clin Nutr Rev 1990, 10:423-429.
[8] Dennehy CE, Tsourounis C: Biotanicals ("herbal medications") & nutritional supplements. In Basic & clinical pharmacology McGrawHill; 2001:1092-3.
[9] Gorinstein S, Leontowicz H, Leontowicz M, Drzewiecki J, Najman K, Katrich E, Barasch D, Yamamoto K, Trakhtenberg S: Raw and boiled garlic enhances plasma antioxidant activity and improves plasma lipid metabolism in cholesterol-fed rats. Life Sci 2006, 78:655-663.
[10] Chi MS: Effects of garlic products on lipid metabolism in cholesterol-fed rats. Proc Soc Exp Biol Med 1982, 171:174-178.
[11] Saravanan G, Prakash J: Effect of garlic (Allium sativum) on lipid peroxidation in experimental myocardial infarction in rats. J Ethnopharmacol 2004, 94:155-158.
[12] Bordia A, Verma SK: Effect of garlic feeding on regression of experimental atherosclerosis in rabbits. Artery 1980, 7:428-437.
[13] Qureshi AA, Abuirmeileh N, Din ZZ, Elson CE, Burger WC: Inhibition of cholesterol and fatty acid biosynthesis in liver enzymes and chicken hepatocytes by polar fractions of garlic. Lipids 1983, 18:343-348.
[14] Qureshi AA, Crenshaw TD, Abuirmeileh N, Peterson DM, Elson CE: Influence of minor plant constituents on porcine hepatic lipid metabolism: impact on serum lipid. Atherosclerosis 1987, 64:109- 115.
[15] Arora RC, Arora S: Comparative effect of clofibrate, garlic and onion on alimentary hyperlipemia. Atherosclerosis 1981, 39:447-452.
[16] Jain AK, Vargas R, Gotzkowsky S, McMahon FG: Can garlic reduce levels of serum lipids? A controlled clinical study. Am J Med 1993, 94:632-635.
[17] Yeh YY, Lin RI, Yeh SM, Evens S: Garlic reduces plasma cholesterol in hypercholesterolemic men maintaining habitual diets. In Food Factors for Cancer Prevention Edited by: Ohigashi H. Osawa T. Terao J. Watanabe S. Toshikawa T. Springer Tokyo, Japan; 1997:226-230.
[18] Shin SH, Kim MK: Effect of dried powders or ethanol extracts of garlic flesh and peel on lipid metabolism and antithrombogenic capacity in 16- month-old rats. Hanguk Yongyang Hakhoechi 2004, 37:515-524.
[19] Steiner M, Khan AH, Holbert D, Lin RI: A double-blind crossover study in moderately hypercholesterolemic men that compared the effect of aged garlic extract and placebo administration on blood lipids. Am J Clin Nutr 1996, 64:866-870.
[20] Silagy C, Neil A: A meta-analysis of the effect of garlic on blood pressure. J Hypertens 1994, 12:463-468.
[21] Ernst E: Cardiovascular effects of garlic (Allium sativum): a review. Pharmatherapeutica 1987, 5:83-89.
[22] Jabbari A, Argani H, Ghorbanihaghjo A, Mahdavi R: comparison between swallowing and chewing of garlic on levels of serum lipid, cyclosporine, creatinine and lipid peroxidation in renal transplant recipients. Lipids in health and disease 2005, 4:11.
[23] Williams MJA, Sutherland WHF, McCormick MP, Yeoman DJ, de Jong SA: Aged garlic extract improves endothelial function in men with coronary artery disease. Phytother Res 2005, 19:314-319.
[24] Arora RC, Arora S, Gupta RK: The longterm use of garlic in ischemic heart disease-an appraisal. Atherosclerosis 1981, 40:175-179. 
[25] Silagy C, Neil A: Garlic as a lipid lowering agent – a meta-analysis. J R Coll Physicians Lond 1994, 28:39-45.
[26] Warshafsky S, Kamer RS, Sivak SL: Effect of garlic on total serum cholesterol. A meta-analysis. Ann Intern Med 1993, 119:599-605.
[27] Simons LA, Balasubramanian S, von Konigsmark M, Parfitt A, Simons J, Peters W: On the effect of garlic on plasma lipids and lipoproteins in mild hypercholesterolemia. Atherosclerosis 1995, 113:219-225.
[28] Berthold HK, Sudhop T, von Bergmann K: Effect of a garlic oil preparation on serum lipoproteins and cholesterol metabolism: a randomized controlled trail. J Am Med Assoc 1998, 279:1900-1902.
[29] Isaacsohn JL, Moser M, Stein EA, Dudley K, Davey JA, Liskov E, Black HR: Garlic powder and plasma lipids and lipoproteins. Arch Intern Med 1998, 158:1189-1194.
[30] Mathew BC, Prasad NV, Prabodh R: Cholesterol-lowering effect of organosulphur compounds from garlic: a possible mechanism of action. Kathmandu Univ Med J 2004, 2(2):100-2.
[31] Adler AJ, Holub BJ: Effect of garlic and fish-oil supplementation on serum lipid and lipoprotein concentrations in hypercholesterolemic men. Am J Clin Nutr 1997, 65:445-450.
[32] A review on the effects of Allium sativum (Garlic) in metabolic syndrome A Hosseini, H Hosseinzadeh - Journal of endocrinological investigation, 2015 – Springer.
[33] Stevinson C, Pittler MH, Ernst E: Garlic for treating hypercholesterolemia (a meta-analysis of randomized clinical trials). Ann Intern Med 2000, 133:420-429.
[34] Ginger rhizomes (Zingiber officinale): A spice with multiple health beneficial potentials K Srinivasan – Pharma Nutrition, 2017