Affiliation:
1. Department of Nutrition, School of Public Health Iran University of Medical Sciences Tehran Iran
2. Colorectal Research Center Iran University of Medical Sciences Tehran Iran
3. Department of English Language, School of Health Management and Information Sciences, Center for Educational Research in Medical Sciences (CERMS) Iran University of Medical Sciences Tehran Iran
Abstract
AbstractPatients undergoing maintenance dialysis have a significantly higher incidence of cardiovascular disease (CVD) compared with the general population. CVD is the most common cause of morbidity and mortality among hemodialysis patients, and has been attributed, among other causes, to increased oxidative stress, inflammation, hypertension and dyslipidemia. Pomegranate, a popular fruit worldwide, has demonstrated health benefits such as antioxidative, antidiabetic, antihypertensive, antihyperlipidemic and anti‐inflammatory effects. In this systematic review of clinical trials, we aim to summarize the effect of different parts of pomegranate and the effects of its use on CVD risk factors in hemodialysis patients. PubMed/MEDLINE, EMBASE, Scopus, and Web of Science were searched to identify eligible clinical trials up to December 2021. Ultimately, seven clinical trials were included in this study. Different parts of pomegranate used in these trials were pomegranate juice, pomegranate extract and pomegranate peel extract. The duration of the studies varied from one dialysis session to 1 year. Our results showed that different parts of pomegranate may have anti‐hypertensive, antioxidant, anti‐inflammatory effects and improve lipid profile by decreasing TG (triglycerides) and increasing HDL‐C (high‐density lipoprotein cholesterol) in hemodialysis patients. However, due to limited number of studies, more clinical trials need to be performed.