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Reduced medication use and improved pulmonary function with supplements containing vegetable and fruit concentrate, fish oil and probiotics in asthmatic school children: a randomised controlled trial.

Dietary pattern changes may be one of the key factors associated with increasing asthma prevalence. Observational studies have found negative associations between fruit, vegetable and fish consumption and risk of asthma. Experimental studies have also shown that probiotics can modulate the immune sy... Full description

Journal Title: The British journal of nutrition July 14, 2013, Vol.110(1), pp.145-155
Main Author: Lee, Shu-Chen
Other Authors: Yang, Yao-Hsu , Chuang, Shao-Yuan , Huang, Shih-Yi , Pan, Wen-Harn
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1475-2662 ; DOI: 1475-2662 ; DOI: 10.1017/S0007114512004692
Link: http://search.proquest.com/docview/1366576179/?pq-origsite=primo
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recordid: proquest1366576179
title: Reduced medication use and improved pulmonary function with supplements containing vegetable and fruit concentrate, fish oil and probiotics in asthmatic school children: a randomised controlled trial.
format: Article
creator:
  • Lee, Shu-Chen
  • Yang, Yao-Hsu
  • Chuang, Shao-Yuan
  • Huang, Shih-Yi
  • Pan, Wen-Harn
subjects:
  • Activities of Daily Living–Therapeutic Use
  • Adrenal Cortex Hormones–Pharmacology
  • Anti-Asthmatic Agents–Therapeutic Use
  • Asthma–Drug Therapy
  • Bronchodilator Agents–Physiopathology
  • Child–Therapeutic Use
  • Dietary Supplements–Pharmacology
  • Disease Management–Therapeutic Use
  • Double-Blind Method–Drug Effects
  • Female–Drug Effects
  • Fish Oils–Physiopathology
  • Forced Expiratory Volume–Pharmacology
  • Fruit–Therapeutic Use
  • Humans–Therapeutic Use
  • Lung–Drug Effects
  • Male–Drug Effects
  • Plant Preparations–Drug Effects
  • Probiotics–Drug Effects
  • Quality of Life–Drug Effects
  • Schools–Drug Effects
  • Vegetables–Drug Effects
  • Vital Capacity–Drug Effects
  • Adrenal Cortex Hormones
  • Anti-Asthmatic Agents
  • Bronchodilator Agents
  • Fish Oils
  • Plant Preparations
ispartof: The British journal of nutrition, July 14, 2013, Vol.110(1), pp.145-155
description: Dietary pattern changes may be one of the key factors associated with increasing asthma prevalence. Observational studies have found negative associations between fruit, vegetable and fish consumption and risk of asthma. Experimental studies have also shown that probiotics can modulate the immune system. However, each dietary component exhibits a modest effect. The objective of the present study was to investigate the joint effect of multiple beneficial dietary components on asthma. We designed a 16-week school-based double-blind placebo-controlled randomized trial. The supplement group received fruit plus vegetable concentrate, fish oil and probiotics (FVFP supplement), while the control group received placebos. A total of 192 asthmatic children aged 10-12 years were recruited from elementary schools in metropolitan Taipei. Pulmonary function, medication usage, Paediatric Asthma Quality of Life Questionnaire (PAQLQ) score and the Childhood Asthma Control Test score were evaluated at baseline, and at weeks 8 and 16. Compared with the placebo group, the supplement group showed significant improvement in pulmonary function parameters (91 v. 178 ml for forced vital capacity (FVC), 40 v. 107 ml for forced expiratory volume in 1 s (FEV1) and 1·6 v. 4·8 % for FEV1:FVC ratio; all P values < 0·01) and had a significantly reduced proportion of those using short-acting inhaled bronchodilators and inhaled corticosteroids. However, the PAQLQ score and the Childhood Asthma Control Test score were not significantly different between the two groups, possibly because the majority of the children were treated routinely. FVFP supplements reduced medication use and improved pulmonary function in asthmatic children. The present study supports an adjuvant intervention with a combination of fruit, vegetable, fish and probiotic foods. [PUBLICATION ]
language: eng
source:
identifier: E-ISSN: 1475-2662 ; DOI: 1475-2662 ; DOI: 10.1017/S0007114512004692
fulltext: fulltext
issn:
  • 14752662
  • 1475-2662
url: Link


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titleReduced medication use and improved pulmonary function with supplements containing vegetable and fruit concentrate, fish oil and probiotics in asthmatic school children: a randomised controlled trial.
creatorLee, Shu-Chen ; Yang, Yao-Hsu ; Chuang, Shao-Yuan ; Huang, Shih-Yi ; Pan, Wen-Harn
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subjectActivities of Daily Living–Therapeutic Use ; Adrenal Cortex Hormones–Pharmacology ; Anti-Asthmatic Agents–Therapeutic Use ; Asthma–Drug Therapy ; Bronchodilator Agents–Physiopathology ; Child–Therapeutic Use ; Dietary Supplements–Pharmacology ; Disease Management–Therapeutic Use ; Double-Blind Method–Drug Effects ; Female–Drug Effects ; Fish Oils–Physiopathology ; Forced Expiratory Volume–Pharmacology ; Fruit–Therapeutic Use ; Humans–Therapeutic Use ; Lung–Drug Effects ; Male–Drug Effects ; Plant Preparations–Drug Effects ; Probiotics–Drug Effects ; Quality of Life–Drug Effects ; Schools–Drug Effects ; Vegetables–Drug Effects ; Vital Capacity–Drug Effects ; Adrenal Cortex Hormones ; Anti-Asthmatic Agents ; Bronchodilator Agents ; Fish Oils ; Plant Preparations
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descriptionDietary pattern changes may be one of the key factors associated with increasing asthma prevalence. Observational studies have found negative associations between fruit, vegetable and fish consumption and risk of asthma. Experimental studies have also shown that probiotics can modulate the immune system. However, each dietary component exhibits a modest effect. The objective of the present study was to investigate the joint effect of multiple beneficial dietary components on asthma. We designed a 16-week school-based double-blind placebo-controlled randomized trial. The supplement group received fruit plus vegetable concentrate, fish oil and probiotics (FVFP supplement), while the control group received placebos. A total of 192 asthmatic children aged 10-12 years were recruited from elementary schools in metropolitan Taipei. Pulmonary function, medication usage, Paediatric Asthma Quality of Life Questionnaire (PAQLQ) score and the Childhood Asthma Control Test score were evaluated at baseline, and at weeks 8 and 16. Compared with the placebo group, the supplement group showed significant improvement in pulmonary function parameters (91 v. 178 ml for forced vital capacity (FVC), 40 v. 107 ml for forced expiratory volume in 1 s (FEV1) and 1·6 v. 4·8 % for FEV1:FVC ratio; all P values < 0·01) and had a significantly reduced proportion of those using short-acting inhaled bronchodilators and inhaled corticosteroids. However, the PAQLQ score and the Childhood Asthma Control Test score were not significantly different between the two groups, possibly because the majority of the children were treated routinely. FVFP supplements reduced medication use and improved pulmonary function in asthmatic children. The present study supports an adjuvant intervention with a combination of fruit, vegetable, fish and probiotic foods. [PUBLICATION ]
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titleReduced medication use and improved pulmonary function with supplements containing vegetable and fruit concentrate, fish oil and probiotics in asthmatic school children: a randomised controlled trial.
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