Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2010

Open Access 01-12-2010 | Research article

An evaluation of the hypolipidemic effect of an extract of Hibiscus Sabdariffa leaves in hyperlipidemic Indians: a double blind, placebo controlled trial

Authors: Rebecca Kuriyan, Divya R Kumar, Rajendran R, Anura V Kurpad

Published in: BMC Complementary Medicine and Therapies | Issue 1/2010

Login to get access

Abstract

Background

Hibiscus sabdariffa is used regularly in folk medicine to treat various conditions.

Methods

The study was a double blind, placebo controlled, randomized trial. Sixty subjects with serum LDL values in the range of 130-190 mg/dl and with no history of coronary heart disease were randomized into experimental and placebo groups. The experimental group received 1 gm of the extract for 90 days while the placebo received a similar amount of maltodextrin in addition to dietary and physical activity advice for the control of their blood lipids. Anthropometry, blood biochemistry, dietary and physical activity were assessed at baseline, day 45 and day 90.

Results

While body weight, serum LDL cholesterol and triglyceride levels decreased in both groups, there were no significant differences between the experimental and placebo group.

Conclusions

It is likely that the observed effects were as a result of the patients following the standard dietary and physical activity advice. At a dose of 1 gm/day, hibiscus sabdariffa leaf extract did not appear to have a blood lipid lowering effect.

Trial Registration

REFCTRI2009000472
Literature
2.
go back to reference Craig WJ: Health-promoting properties of common herbs. Am J Clin Nutr. 1999, 70 (suppl): 491S-499S.PubMed Craig WJ: Health-promoting properties of common herbs. Am J Clin Nutr. 1999, 70 (suppl): 491S-499S.PubMed
3.
go back to reference Haji FM, Haji TA: The effect of sour tea (Hibiscus sabdariffa) on essential hypertension. J Ethnopharmacol. 1999, 65: 231-236. 10.1016/S0378-8741(98)00157-3.CrossRef Haji FM, Haji TA: The effect of sour tea (Hibiscus sabdariffa) on essential hypertension. J Ethnopharmacol. 1999, 65: 231-236. 10.1016/S0378-8741(98)00157-3.CrossRef
4.
go back to reference Dafallah AA, al-Mustafa Z: Investigation of the anti-inflammatory activity of Acacia nilotica and Hibiscus sabdariffa. Am J Chin Med. 1996, 24 (3-4): 263-269.CrossRefPubMed Dafallah AA, al-Mustafa Z: Investigation of the anti-inflammatory activity of Acacia nilotica and Hibiscus sabdariffa. Am J Chin Med. 1996, 24 (3-4): 263-269.CrossRefPubMed
5.
go back to reference Chewonarin T, Kinouchi T, Kataoka K, Arimochi H, Kuwahara T, Vinitketkumnuen U, Ohnishi Y: Effects of roselle (Hibiscus sabdariffa Linn.), a Thai medicinal plant, on the mutagenicity of various known mutagens in Salmonella typhimurium and on formation of aberrant crypt foci induced by the colon carcinogens azoxymethane and 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine in F344 rats. Food Chem Toxicol. 1999, 37 (6): 591-601. 10.1016/S0278-6915(99)00041-1.CrossRefPubMed Chewonarin T, Kinouchi T, Kataoka K, Arimochi H, Kuwahara T, Vinitketkumnuen U, Ohnishi Y: Effects of roselle (Hibiscus sabdariffa Linn.), a Thai medicinal plant, on the mutagenicity of various known mutagens in Salmonella typhimurium and on formation of aberrant crypt foci induced by the colon carcinogens azoxymethane and 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine in F344 rats. Food Chem Toxicol. 1999, 37 (6): 591-601. 10.1016/S0278-6915(99)00041-1.CrossRefPubMed
6.
go back to reference Lin T-L, Lin H-H, Chen C-C, Lin M-C, Chou M-C, Wang C-J: Hibiscus sabdariffa extract reduces serum cholesterol in men and women. Nutrition Research. 2007, 27: 140-145. 10.1016/j.nutres.2007.01.007.CrossRef Lin T-L, Lin H-H, Chen C-C, Lin M-C, Chou M-C, Wang C-J: Hibiscus sabdariffa extract reduces serum cholesterol in men and women. Nutrition Research. 2007, 27: 140-145. 10.1016/j.nutres.2007.01.007.CrossRef
7.
go back to reference Crawford RS, Kirk EA, Rosenfeld ME, LeBoeuf RC, Chait A: Dietary antioxidants inhibit development of fatty streak lesions in the LDL receptor-deficient mouse. Arterioscler Thromb Vasc Biol. 1998, 18: 1506-1513.CrossRefPubMed Crawford RS, Kirk EA, Rosenfeld ME, LeBoeuf RC, Chait A: Dietary antioxidants inhibit development of fatty streak lesions in the LDL receptor-deficient mouse. Arterioscler Thromb Vasc Biol. 1998, 18: 1506-1513.CrossRefPubMed
8.
go back to reference Rimm EB, Stamfer MJ: Anitioxidants for vascular disease. Med Clin North Am. 2000, 84: 239-249. 10.1016/S0025-7125(05)70216-9.CrossRefPubMed Rimm EB, Stamfer MJ: Anitioxidants for vascular disease. Med Clin North Am. 2000, 84: 239-249. 10.1016/S0025-7125(05)70216-9.CrossRefPubMed
9.
go back to reference Chen CC, Hsu JD, Wang SF, Chiang HC, Yang MY, Kao ES, Ho YC, Wang CJ: Hibiscus sabdariffa extract inhibits the development of atherosclerosis in cholesterol-fed rabbits. J Agric Food. 2003, 51: 5472-5477. 10.1021/jf030065w.CrossRef Chen CC, Hsu JD, Wang SF, Chiang HC, Yang MY, Kao ES, Ho YC, Wang CJ: Hibiscus sabdariffa extract inhibits the development of atherosclerosis in cholesterol-fed rabbits. J Agric Food. 2003, 51: 5472-5477. 10.1021/jf030065w.CrossRef
10.
go back to reference Chen CC, Chou FP, Ho YC, Lin WL, Wang CP, Hao ES, Huang AC, Wang CJ: Inhibitory effects of Hibiscus sabdariffa L., extract on low density lipoprotein oxidation and anti-hyperlipidemia in fructose-fed and cholesterol fed rats. J Sci Food Agric. 2004, 84: 1989-1996. 10.1002/jsfa.1872.CrossRef Chen CC, Chou FP, Ho YC, Lin WL, Wang CP, Hao ES, Huang AC, Wang CJ: Inhibitory effects of Hibiscus sabdariffa L., extract on low density lipoprotein oxidation and anti-hyperlipidemia in fructose-fed and cholesterol fed rats. J Sci Food Agric. 2004, 84: 1989-1996. 10.1002/jsfa.1872.CrossRef
11.
go back to reference Tzu-Li L, Hui-Hsuan L, Chang-Che C, Ming-Cheng L, Ming-Chih C, Chau-Jong Wang: Hibiscus sabdariffa extract reduces serum cholesterol in men and women. Nutrition Research. 2007, 27: 140-145. 10.1016/j.nutres.2007.01.007.CrossRef Tzu-Li L, Hui-Hsuan L, Chang-Che C, Ming-Cheng L, Ming-Chih C, Chau-Jong Wang: Hibiscus sabdariffa extract reduces serum cholesterol in men and women. Nutrition Research. 2007, 27: 140-145. 10.1016/j.nutres.2007.01.007.CrossRef
12.
go back to reference Harrison GG, Buskirk ER, Carter JEL, Johnston FE, Lohman TG, Pollock ML, Roche AF, Wilmore J: Skinfold Thicknesses and Measurement Technique. Anthropometric Standardization Reference Manual. Edited by: Lohman TG, Roche AF, Martorell R. 1988, Illinois: Human Kinetics Books, 55-71. Harrison GG, Buskirk ER, Carter JEL, Johnston FE, Lohman TG, Pollock ML, Roche AF, Wilmore J: Skinfold Thicknesses and Measurement Technique. Anthropometric Standardization Reference Manual. Edited by: Lohman TG, Roche AF, Martorell R. 1988, Illinois: Human Kinetics Books, 55-71.
13.
go back to reference Durnin JVGA, Womersley J: Body fat assessed by total body density and its estimation from skinfold thickness: measurements on 481 men and women aged 16 to 72 years. British Journal of Nutrition. 1974, 32: 77-97. 10.1079/BJN19740060.CrossRefPubMed Durnin JVGA, Womersley J: Body fat assessed by total body density and its estimation from skinfold thickness: measurements on 481 men and women aged 16 to 72 years. British Journal of Nutrition. 1974, 32: 77-97. 10.1079/BJN19740060.CrossRefPubMed
14.
go back to reference Siri WE: Body Composition from the fluid spaces and density: analysis of methods. Techniques for measuring body composition. Edited by: Brozek J, Henschel A. 1961, Washington: National Academy of Sciences NRC, 223-244. Siri WE: Body Composition from the fluid spaces and density: analysis of methods. Techniques for measuring body composition. Edited by: Brozek J, Henschel A. 1961, Washington: National Academy of Sciences NRC, 223-244.
15.
go back to reference Kuriyan R, Petracchi C, Ferro-Luzzi A, Shetty PS, Kurpad AV: Validation of expedient methods for measuring body composition in Indian adults. Indian Journal of Medical Research. 1998, 107: 37-45.PubMed Kuriyan R, Petracchi C, Ferro-Luzzi A, Shetty PS, Kurpad AV: Validation of expedient methods for measuring body composition in Indian adults. Indian Journal of Medical Research. 1998, 107: 37-45.PubMed
16.
go back to reference Friedewald WT, Levy RI, Fredrickson DS: Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clinical Chemistry. 1972, 18: 499-502.PubMed Friedewald WT, Levy RI, Fredrickson DS: Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clinical Chemistry. 1972, 18: 499-502.PubMed
17.
go back to reference Gopalan C, Rama Sastri BV, Balasubramanium SC: Nutritive value of Indian Foods. 1989, National Institute of Nutrition, Hyderabad Gopalan C, Rama Sastri BV, Balasubramanium SC: Nutritive value of Indian Foods. 1989, National Institute of Nutrition, Hyderabad
19.
go back to reference Carvajal-Zarrabal O, Waliszewski SM, Barradas-Dermitz DM, Orta-Flores Z, Hayward-Jones PM, Nolasco-Hipólito C, Angulo-Guerrero O, Sánchez-Ricaño R, Infanzón RM, Trujillo PR: The consumption of Hibiscus sabdariffa dried calyx ethanolic extract reduced lipid profile in rats. Plant Foods Hum Nutr. 2005, 60 (4): 153-159. 10.1007/s11130-005-9023-x.CrossRefPubMed Carvajal-Zarrabal O, Waliszewski SM, Barradas-Dermitz DM, Orta-Flores Z, Hayward-Jones PM, Nolasco-Hipólito C, Angulo-Guerrero O, Sánchez-Ricaño R, Infanzón RM, Trujillo PR: The consumption of Hibiscus sabdariffa dried calyx ethanolic extract reduced lipid profile in rats. Plant Foods Hum Nutr. 2005, 60 (4): 153-159. 10.1007/s11130-005-9023-x.CrossRefPubMed
20.
go back to reference Scagliusi FB, Ferriolli E, Pfrimer K, Laureano C, Cunha CS, Gualano B, Lourenço BH, Lancha AH: Characteristics of women who frequently under report their energy intake: a doubly labelled water study. Eur J Clin Nutr. 2009, 63 (10): 1192-9. 10.1038/ejcn.2009.54. Epub 2009 Jul 15CrossRefPubMed Scagliusi FB, Ferriolli E, Pfrimer K, Laureano C, Cunha CS, Gualano B, Lourenço BH, Lancha AH: Characteristics of women who frequently under report their energy intake: a doubly labelled water study. Eur J Clin Nutr. 2009, 63 (10): 1192-9. 10.1038/ejcn.2009.54. Epub 2009 Jul 15CrossRefPubMed
21.
go back to reference Vance VA, Woodruff SJ, McCargar LJ, Husted J, Hanning RM: Self-reported dietary energy intake of normal weight, overweight and obese adolescents. Public Health Nutr. 2009, 12 (2): 222-7. 10.1017/S1368980008003108. Epub 2008 Jul 29CrossRefPubMed Vance VA, Woodruff SJ, McCargar LJ, Husted J, Hanning RM: Self-reported dietary energy intake of normal weight, overweight and obese adolescents. Public Health Nutr. 2009, 12 (2): 222-7. 10.1017/S1368980008003108. Epub 2008 Jul 29CrossRefPubMed
22.
go back to reference Tang JL, Armitage JM, Lancaster T, Silagy CA, Fowler GH, Neil HA: Systematic review of dietary intervention trials to lower blood total cholesterol in free-living subjects. BMJ. 1998, 18;316 (7139): 1213-20.CrossRef Tang JL, Armitage JM, Lancaster T, Silagy CA, Fowler GH, Neil HA: Systematic review of dietary intervention trials to lower blood total cholesterol in free-living subjects. BMJ. 1998, 18;316 (7139): 1213-20.CrossRef
23.
go back to reference Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS, Bales CW, Henes S, Samsa GP, Otvos JD, Kulkarni KR, Slentz CA: Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE--a randomized controlled study. Arch Intern Med. 2004, 12;164 (1): 31-39. Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS, Bales CW, Henes S, Samsa GP, Otvos JD, Kulkarni KR, Slentz CA: Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE--a randomized controlled study. Arch Intern Med. 2004, 12;164 (1): 31-39.
24.
go back to reference Kang HS, Gutin B, Barbeau P, Owens S, Lemmon CR, Allison J, Litaker MS, Le NA: Physical training improves insulin resistance syndrome markers in obese adolescents. Med Sci Sports Exerc. 2002, 34 (12): 1920-1927. 10.1097/00005768-200212000-00010.CrossRefPubMed Kang HS, Gutin B, Barbeau P, Owens S, Lemmon CR, Allison J, Litaker MS, Le NA: Physical training improves insulin resistance syndrome markers in obese adolescents. Med Sci Sports Exerc. 2002, 34 (12): 1920-1927. 10.1097/00005768-200212000-00010.CrossRefPubMed
Metadata
Title
An evaluation of the hypolipidemic effect of an extract of Hibiscus Sabdariffa leaves in hyperlipidemic Indians: a double blind, placebo controlled trial
Authors
Rebecca Kuriyan
Divya R Kumar
Rajendran R
Anura V Kurpad
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2010
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-10-27

Other articles of this Issue 1/2010

BMC Complementary Medicine and Therapies 1/2010 Go to the issue