The Effects of pomegranate Peel Supplementation on Depression, Anxiety, and Stress Symptoms of Patients with Non-alcoholic Fatty Liver: A Randomized Clinical Trial

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Barghchi Hanieh; Milkarizi Narges; Dehnavi Zahra; ASKARI VAHID REZA; Rajabzade Farnood; Norouzian Ostad Andisheh; JARAHI LIDA; GOSHAYESHI LADAN; Sobhani Seyyed Reza; NEMATY MOHSEN

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Journal: JOURNAL OF NUTRITION, FASTING AND HEALTH Year:2023 | Volume:11 | Issue:2 Page(s): 134-143

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Title

The Effects of pomegranate Peel Supplementation on Depression, Anxiety, and Stress Symptoms of Patients with Non-alcoholic Fatty Liver: A Randomized Clinical Trial

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Keywords

Fatty Liver

Pomegranate peel

Depression

Anxiety

Stress

Abstract

Introduction: Nowadays, improving anxiety, depression, and stress is important in managing non-alcoholic fatty liver (NAFLD). Thus, this study aimed to evaluate eight weeks of pomegranate peel (PP) supplementation on depression, anxiety, and stress scale changes among NAFLD patients. Methods: This randomized clinical trial was conducted on 76 NAFLD patients assigned to the PP (n=39) or placebo (n=37) groups. Participants received the pomegranate peel (1500 mg/day) or placebo for eight weeks. PP capsules were prepared fromdry extract of PP by soaking. A diet with reduced calorie intake and healthy recommendations was given to all participants. The status of NAFLD was checked with two-dimensional elastography. Mental health was evaluated using depression, anxiety, and stress scale, and dietary intake was assessed by 3-day recall before and after the intervention. Results: The average age of the participants was 43. 1±, 8. 6 years, of whom 51. 3% were women. In the PP group, weight, liver stiffness, and hepatorenal sonography index changes significantly differed from the placebo group before and after adjusting potential covariates, including weight and physical activity (P< 0. 001). Depression and stress scores changed significantly in the PP group during the study before and after adjusting potential covariates (P= 0. 002, 0. 05, respectively). Anxiety score changes were insignificant between the two groups (P= 0. 1). Conclusion: Based on the results, eight-week supplementation of pomegranate peel ameliorated depression and stress symptoms among NAFLD patients.

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APA: Copy

Barghchi, Hanieh, Milkarizi, Narges, Dehnavi, Zahra, ASKARI, VAHID REZA, Rajabzade, Farnood, Norouzian Ostad, Andisheh, JARAHI, LIDA, GOSHAYESHI, LADAN, Sobhani, Seyyed Reza, & NEMATY, MOHSEN. (2023). The Effects of pomegranate Peel Supplementation on Depression, Anxiety, and Stress Symptoms of Patients with Non-alcoholic Fatty Liver: A Randomized Clinical Trial. JOURNAL OF NUTRITION, FASTING AND HEALTH, 11(2), 134-143. SID. https://sid.ir/paper/1142304/en

Vancouver: Copy

Barghchi Hanieh, Milkarizi Narges, Dehnavi Zahra, ASKARI VAHID REZA, Rajabzade Farnood, Norouzian Ostad Andisheh, JARAHI LIDA, GOSHAYESHI LADAN, Sobhani Seyyed Reza, NEMATY MOHSEN. The Effects of pomegranate Peel Supplementation on Depression, Anxiety, and Stress Symptoms of Patients with Non-alcoholic Fatty Liver: A Randomized Clinical Trial. JOURNAL OF NUTRITION, FASTING AND HEALTH[Internet]. 2023;11(2):134-143. Available from: https://sid.ir/paper/1142304/en

IEEE: Copy

Hanieh Barghchi, Narges Milkarizi, Zahra Dehnavi, VAHID REZA ASKARI, Farnood Rajabzade, Andisheh Norouzian Ostad, LIDA JARAHI, LADAN GOSHAYESHI, Seyyed Reza Sobhani, and MOHSEN NEMATY, “The Effects of pomegranate Peel Supplementation on Depression, Anxiety, and Stress Symptoms of Patients with Non-alcoholic Fatty Liver: A Randomized Clinical Trial,” JOURNAL OF NUTRITION, FASTING AND HEALTH, vol. 11, no. 2, pp. 134–143, 2023, [Online]. Available: https://sid.ir/paper/1142304/en

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