Dietary supplements: clinical cholesterol-lowering efficacy and potential mechanisms of action.

This review aims to analyse the efficacy of dietary supplements in reducing plasma cholesterol levels. Focusing on evidence from meta-analyses of randomised controlled clinical trials, with an emphasis on potential mechanisms of action as supported by human, animal, and cell studies. Certain dietary supplements including phytosterols, berberine, viscous soluble dietary fibres, garlic supplements, soy protein, specific probiotic strains, and certain polyphenol extracts could significantly reduce plasma total and low-density lipoprotein (LDL) cholesterol levels by 3-25% in hypercholesterolemic patients depending on the type of supplement. They tended to be more effective in reducing plasma LDL cholesterol level in hypercholesterolemic individuals than in normocholesterolemic individuals. These supplements worked by various mechanisms, such as enhancing the excretion of bile acids, inhibiting the absorption of cholesterol in the intestines, increasing the expression of hepatic LDL receptors, suppressing the activity of enzymes involved in cholesterol synthesis, and activating the adenosine monophosphate-activated protein kinase signalling pathway.

Effect of initial foot angle (IFA) on kinematics and dynamics of body during sit-to-stand transfer.

Sit-to-stand (STS) is considered the most common functional activities in daily life and the basis for other activities. The elderly and patients with lower limb disorders could not complete the STS motion very well due to limb pain and muscle weakness. Physiotherapist find that specific STS transfer strategies can make patients more easily to complete this task. However, few researchers pay attention to the effect of initial foot angle (IFA) on STS motion. Twenty-six healthy subjects were randomly selected to perform STS transfer experiment. The motion characteristic parameters of subjects under 4 different IFAs (nature, 0°, 15°, and 30°) were obtained, including the percentage of duration in each phase, the velocity of joints, rotation angle and angular velocity of joints (shoulder, hip and knee), center of gravity (COG) trajectory. the change of plantar pressure parameters, and dynamic margin of stability. By comparing the motion characteristic parameters obtained under different IFAs and carrying out statistical analysis, the influence of different IFAs on body kinematics and dynamics during STS task was further explored. The kinematic parameters obtained under different IFAs are significantly different. The percentage of duration in each phase of the STS transfer was different with different IFA, the main differences were in phase I and phase II. The phase I of U15 took 24.5% T, while phase I of N, U0 and U30 took about 20% T, and the maximum difference was (U15-U0) 5.4%. The phase II of U15 took the least time, about 30.8% T. When the IFA is nature (N) and 15°(U15), the trajectories of COG are basically in coincidence; when the IFA is 0°(U0) and 30°(U30), the displacement of COG in anterior-posterior direction is larger. The larger the IFA, the smaller the plantar pressure parameter. When the IFA is 15°, the COG is close to the center of limits of stability, which can provide a better stability. This paper summarizes the influence under 4 different experimental conditions of IFAs on STS transfer, so as to provide a starting point and bases for clinicians to develop rehabilitation training protocols and STS motion strategies for patient.

Environmental and edaphic factors affecting soil cadmium uptake by spinach, potatoes, onion and wheat.

The relative ease with which cadmium (Cd) in agricultural soils can transfer to crop plants can pose a potential health risk to consumers. However, efforts to predict and mitigate these risks are often confounded by the various factors that influence metal accumulation in the edible plant parts. The aim of this work was to identify key drivers that determine Cd concentrations in spinach leaves, potato tubers, onion bulbs and wheat grain grown in commercial horticultural operations across New Zealand (NZ). Paired soil and plant samples (n = 147) were collected from farms across different NZ growing regions. Cadmium concentrations in the edible parts were measured and four different tests were used to examine the potential bioavailability of soil Cd: pseudo-total and porewater concentrations, 0.05 M Ca(NO3)2-extraction and diffusive gradients in thin-films (DGT). Information on a range of soil and climatic variables was also collected. The methods' ability to represent Cd concentrations in the plant parts was assessed through single and multiple regression analysis that considered the different variables and the farm locations. Soil Cd concentrations determined by the different tests were positively related to plant concentrations and there were clear regional differences between these relationships. The Ca(NO3)2 extraction predicted over 76% of the variability in Cd concentrations in onion bulbs and spinach leaves, while DGT and porewater Cd provided the best estimates for potato tubers and wheat grains, respectively, once regional differences were considered, along with certain environmental and soil variables. The results show that certain soil and environmental factors can be a key influence for determining Cd accumulation in the edible parts of some plants and that regional differences are important for modulating the extent to which this occurs. These effects should be considered when trying to mitigate the potential risks arising from Cd in agricultural soils.

Cadmium Concentrations in New Zealand Wheat: Effect of Cultivar Type, Soil Properties, and Crop Management.

Wheat ( L.) grain is a contributing source of dietary Cd in New Zealand, but despite this, there is a dearth of information on Cd concentrations in wheat and the factors that affect uptake. We measured Cd concentrations in 12 wheat cultivars grown in field sites across New Zealand and also assessed the soil, plant, and crop factors that have been reported to affect Cd uptake. We found there was a wide range in grain Cd concentrations (0.004 to 0.205 mg kg fresh weight [FW]). The overall mean concentration (0.066 mg kg FW) was below the maximum limit (ML) of 0.1 mg kg FW. Only 7% of grain samples across seven sites exceeded the ML. There were significant ( < 0.05) differences (2.5-fold) in Cd concentrations in wheat grain between cultivars. No strong significant relationships were found between soil properties and Cd concentrations in grain. Further, management factors affecting grain Cd concentrations were inconsistent. Given the lack of relationships between soils and management practices, the most effective way of limiting Cd uptake in wheat grain at sites where Cd exceeds MLs may be the use of low-Cd-accumulating cultivars. Further studies are required to explore specifically the influence of irrigation and effects of type and rate of fertilizer on Cd uptake in wheat, as well as to better understand the mechanisms of Cd uptake in wheat.