Investigating the effectiveness of the Trigonella foenum-graecum L. (fenugreek) seeds in mild asthma: a randomized controlled trial

Majid Emtiazy, Laleh Oveidzadeh, Minoo Habibi, Leila Molaeipour, Daryush Talei, Zahra Jafari, Mahmoud Parvin, Mohammad Kamalinejad, Majid Emtiazy, Laleh Oveidzadeh, Minoo Habibi, Leila Molaeipour, Daryush Talei, Zahra Jafari, Mahmoud Parvin, Mohammad Kamalinejad

Abstract

Background: Asthma is one of the important chronic diseases. The asthma prevalence is increasing in last decades. Despite the presence of good controller drugs like corticosteroids, about 60% of asthmatic patients use alternative medicine. This study was done to determine the effectiveness of Tregonella foenum graceum (fenugreek) seeds in mild asthma.

Methods: It is a double blind trial with placebo effect. One of the ancient prescriptions from Persian Medicine was selected. The participants were divided to three groups randomly. On group received fenugreek syrup one received honey syrup and the third received placebo. Duration of treatment was 4 weeks. Quality of life, Lung function tests and IL-4 levels were evaluated before and after treatment.

Results: From 90 participants to study 79 completed the process. After study there was significant increase in quality of the life and lung function tests and IL-4 levels in fenugreek and honey groups.

Conclusion: FEV1 level was improved more than 10% in fenugreek group. Treatment was well tolerated. No serious side effects were reported during the study. The aqueous extract of fenugreek seeds appears to be effective and safe in treatment of mild asthma.Trial registration The study was recorded with the Iranian Registry of Clinical trials [http://www.irci.ir], registration code: IRCT2016011325991N1.

Figures

Fig. 1
Fig. 1
The consort flow chart
Fig. 2
Fig. 2
Mean IL-4 (pg/ml) of groups before and after treatment

References

    1. Strachan D, Limb E, et al. Asthma mortality. Glob Asthma Rep. 2014;28:131–134.
    1. Masoli M, Fabian D, Holts, Beasly R. The global burden of asthma: executive summary of the GINA dissemination committee report. Allergy. 2004;59:469–478. doi: 10.1111/j.1398-9995.2004.00526.x.
    1. Centers for disease control and preventation. National Center for Health Statistics: Asthma 2011. . Accessed 18 Jan 2012.
    1. Allergy Asthma Immunology Assosiation of Iran. Access to the prevalence of asthma. 2007. . Aspx. Accessed 25 July 2012.
    1. Global Initiative for asthma. Global strategy for asthma management and prevention. 2016. . Accessed 18 March 2016.
    1. Li XM. Complementary and alternative medicine in pediatric allergic disorders. Curr Opin Allergy Clin Immunol. 2009;9(2):161–167. doi: 10.1097/ACI.0b013e328329226f.
    1. Fleming T. PDR for herbal medicines. Montvale, NJ: Medical Economics Company, Inc; 2000.
    1. Dini M. Scientific name of medicinal plants used in traditional medicine, forest and rangeland. Iran: Research Institute Publication; 2006. pp. 299–300.
    1. Azam Khan M. Azam E. Chest diseases chapter. vol. 2. Tehran: The Institute for Medical History Sciences. 2004; pp. 130–133.
    1. Alavi Khorasani MH. Makhzan al-advieh. Tehran University; 2012, 334–335.
    1. Razi M. Al-Havi(the large comprehensive), Beirut: Dare Ehia Attorath Al Arabi. 2001. Google scholar.
    1. Adedapo AA, Ofuegbe OS, Soetan OK. Pharmacologic and medicinal properties of fenugreek. Am J Soc Sci Issues Hum. 2014;(Special issue)13–20.
    1. Gupta A, Gupta R, Lal B. Effect of Trigonella foenum graecum (fenugreek) seeds on glycaemic control and insulin resistance in type 2 diabetes mellitus: a double blind placebo controlled study. J Assoc Physicians India. 2001;49:1057–1061.
    1. Baquer NZ, Kumar P, Taha A, Kale RK, Cowsik SM, Mclean P. Metabolic and molecular action of Trigonella foenum (fenugreek) and trace metals in experimental diabetic tissues. J Biosci. 2011;36(2):383–396. doi: 10.1007/s12038-011-9042-0.
    1. Hannan JMA, Ali L, Rokeya B, Faruque O, et al. Effect of soluble dietary fibre fraction of Trigonella foenum-graecum on glycemic insulinemic, lipidemic and platelet aggregation status of type 2 diabetic modle rats. J Ethnopharmacol. 2003;88(1):73–77. doi: 10.1016/S0378-8741(03)00190-9.
    1. Losso JN, Holiday DL, Finley JW, et al. Fenugreek bread: a treatment for diabetes mellitus. J Med Food. 2009;12(5):1046–1049. doi: 10.1089/jmf.2008.0199.
    1. Naidu MM, Shyamala NB, Naik PJ, Sulochanamma G, Srinivas P. Chemical composition and antioxidant activity of husk and endosperm of fenugreek seeds. Food Sci Technol. 2011;44:451–456.
    1. Thirunavukkarasu V, Anuradha V, Viswanathan P. Protective effect of fenugreek(Trigonella foenum-graecum) seeds in experimental ethanol toxicity. Phytother Res. 2003;17(7):737–743. doi: 10.1002/ptr.1198.
    1. Murugesan M, Revathi R, Manju V. Cardioprotective effect of fenugreek on isoproterenol-induced myocardial infarction in rats. Indian J Pharmacol. 2011;43(5):516–519. doi: 10.4103/0253-7613.84957.
    1. Kaviarasan S, Naik GH, Gangabhagirathi R, Anuradha VC, Priyadarsin IK. In vitro studies on antiradical and antioxidant activities of fenugreek seeds. Food chem. 2007;103:31–37. doi: 10.1016/j.foodchem.2006.05.064.
    1. Ahmadiani A, Javan M, Semnanian S, Barat E, Kamalinejad M. Anti-inflammatory and antipyretic effects on Trigonella foenum-graecum leaves extract in the rat. J Ethnopharmacol. 1997;58:125–129. doi: 10.1016/S0378-8741(97)00089-5.
    1. Abdo MS, Al- kafawi AA. Experimental studies on the effect of Trigonella foenum-graecum. Planta Med. 1968;17:14–18. doi: 10.1055/s-0028-1099821.
    1. Wen MC, Wei Ch, Hu ZQ, Srivastava K, Ko J, Xi ST, Mu DZ, Du JB, Li Gh, Wallenstein S, Sampson H. Efficacy and tolerability of anti asmathic herbal medicine intervention in adult patients with modrate-severe allergic asthma. J Allergy Clin Immunol. 2005;116(3):517–524. doi: 10.1016/j.jaci.2005.05.029.
    1. Jones P. St. George’s respiratory questionnaire manual, version203. 2009.
    1. Tafti FS, Cheraghvandi A, Mokarami B, Talischi F. Validation of Persian version of St. Gorge respiratory questionnaire. Nafas. 2015;1:11–16.
    1. Thomas M, Kay S, Pike J, Williams A, Rosenzweig JRC, Hillyer EV, Price D. The asthma control test™(ACT) as a predictor of FINA guide line-defined asthma control: analysis of a multinational cross-sectional survey. Prim Care Res J. 2009;18:41–49.
    1. Slgari N, Slgari N, Ghasri H, Rahimi E, Mohammadi SH. Validation of Persian version of asthma control test based on new global initiative for asthma guidelines. Tanaffos. 2011;10(4):49–53.
    1. Schroeter H, Boyd C, Spencer JP, Williams RJ, Codenas E, Rice- Evans C. Map signaling in neurodegeneration: influences of flavonoids and of nitric oxide. Neurobiol Aging. 2002;23:861–880. doi: 10.1016/S0197-4580(02)00075-1.
    1. Rice- Evans C. Flavonoid antioxidant. Curr Med Chem. 2001;8:797–807. doi: 10.2174/0929867013373011.
    1. Middleton E. The role of hydrogen peroxide in basophil histamine release and the effect of selected flavonoids. J Allergy Clin Immunol. 1986;78:321–328. doi: 10.1016/S0091-6749(86)80083-5.
    1. Sloan R, Boran- Ragotzy R, Acherman SJ, Drzewiecki G, Middleton E. The effect of plant flavonoids on eosinophil degranulation. J Allergy Clin Immunol. 1991;87:282. doi: 10.1016/0091-6749(91)91854-M.
    1. Khaksary Mahabady M, Gholami MR, Najafzadeh Varzi H, Zendedel A, Doostizadeh M. Protective effect of guercetin on skeletal and neural tube teratogenicity induced by cyclophosphamide in rat fetuses. Vet Res Forum. 2016;7(2):133–138.
    1. Boots AW, Haenen GR, Bast A. Health effects of guercetin from antioxidant to nutraceutical. Eur J Pharmacol. 2008;13:325–337. doi: 10.1016/j.ejphar.2008.03.008.
    1. Mojzis J, Varinska L, Mojzisova G, Kostova I, Mirossay L. Antiangiogenic effects of flavonoids and chalcones. Pharmacol Res. 2008;57:259–265. doi: 10.1016/j.phrs.2008.02.005.
    1. Oak MH, El Bedoui J, Schini-Kerth UB. Antiangiogenic properties of natural polyphenols from red wine and green tea. J Nutr Biochem. 2005;16:1–8. doi: 10.1016/j.jnutbio.2004.09.004.
    1. Park HS, Kim SY, Kim SR, Lee YC. Targeting abnormal airway vascularity as a therapeutical strategy in asthma. Respirology. 2010;15:459–471. doi: 10.1111/j.1440-1843.2010.01724.x.
    1. Sharififar F, Khazaeli P, Alli N. In vivo evaluation of anti-inflammatory of topical preparations from fenugreek seeds in a cream base. Iran J Pharm Sci. 2009;5(3):157–162.
    1. Srivastava K, Teper AA, Zhang TF, Li S, Walsh MJ, Huang CK, Kattan M, Schofield BH, Sampson HA, Li XM. Immune modulatory effect of the anti-asthmatic Chinese herbal formula, MBSM-002 on Th2 cells. J Allergy Clin Immunol. 2004;113(2):268–276. doi: 10.1016/j.jaci.2003.10.062.
    1. Chanez P, Vignola AM, Paul- Eugene N, Dugas B, Godard P, Michel FB, et al. Modulation by interleukin-4 of cytokine release from mononuclear phagocytes in asthma. J Allergy Clin Immunol. 1994;94(6):997–1005. doi: 10.1016/0091-6749(94)90118-X.
    1. Vijayakumar MV, Bhat MK. Hypoglycemic effect of a novel dialyzed fenugreek seeds extract is sustainable and is medicated, in part, by the activation of hepatic enzymes. Phytother Res. 2008;22(4):500–550. doi: 10.1002/ptr.2351.
    1. Busse WW, Rosnwasser IJ. Mechanisms of asthma. J Allergy Clin Immunol. 2003;111(suppl3):S799–S804. doi: 10.1067/mai.2003.158.
    1. Opdyke DLJ. Fenugreek obsolute. Food Cosmet Toxicol. 1978;16:755–756. doi: 10.1016/S0015-6264(78)80103-5.
    1. Alvarez-suarez JM, Tulipani S, Romandini S, Bertoli E, Battino M. Contribution of honey in nutrition and human health; a review. Mediterr J Nutr Metab. 2010;3:15–23. doi: 10.1007/s12349-009-0051-6.
    1. Al-Mamary M, Al-Meeri A, Al-Habori M. Anti oxidant activities and total phenolics of different types of honey. Nutr Res. 2002;22:1041–1047. doi: 10.1016/S0271-5317(02)00406-2.
    1. Al- Waili NS, Haq A. Effects of honey on antibody production against thymus-dependent antigens in primary and secondary immune responses. J Med Food. 2004;7:491–494. doi: 10.1089/jmf.2004.7.491.
    1. Emsen IM. A different and safe method of split thickness skin graft fixation: medical honey application. Burns. 2007;33:782–787. doi: 10.1016/j.burns.2006.12.005.
    1. Estevinho L, Pereira AP, Moreiral G, Pereira E. Antioxidant and antimicrobial effects of phenolic compounds extracts of northeast Portugal honey. Food Chem Toxicol. 2008;46:3774–37779. doi: 10.1016/j.fct.2008.09.062.

Source: PubMed

3
Sottoscrivi