Effects of Antioxidant Vitamins on Proinflammatory Cytokines and Biochemical Parameters of Power Plant Workers: Double-Blind Randomized Controlled Clinical Trial

Bioelectromagnetics · 2020 · Mixed · Moderate evidence

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MixedModerate evidencePaper 2208

After 3 months, IL-6 decreased significantly in all vitamin-receiving groups; IL-1β decreased significantly in the vitamin C and vitamin E&C groups; and TNF-α decreased significantly in the vitamin C group. HDL-c increased significantly in the vitamin E and v…

Study snapshot

PublicationBioelectromagnetics · 2020
Study typerandomized_trial
Reported directionMixed
Evidence ratingModerate

Abstract

Effects of Antioxidant Vitamins on Proinflammatory Cytokines and Biochemical Parameters of Power Plant Workers: Double-Blind Randomized Controlled Clinical Trial Majid Bagheri Hosseinabadi, Narges Khanjani, Pirasteh Norouzi, Ali Faghihi-Zarandi, Davood Darban-Sarokhalil, Seyed Sajjad Khoramrooz, Seyed Reza Mirbadie, Mehdi Mirzaii. The Effects of Antioxidant Vitamins on Proinflammatory Cytokines and Some Biochemical Parameters of Power Plant Workers: A Double-Blind Randomized Controlled Clinical Trial. Bioelectromagnetics. 2020 Sep 15. doi: 10.1002/bem.22294. Abstract Some epidemiological studies have suggested that exposure to extremely low-frequency magnetic fields (ELF- MFs) can affect the immune system. This study aimed to investigate the effects of antioxidant vitamin consumption on proinflammatory cytokines and biochemical parameters changes. In this randomized, controlled double-blinded trial study, power plant workers exposed to ELF-MFs were enrolled based on inclusion criteria. Ninety-one eligible subjects were randomly divided into four groups: the first group (400 units of vitamin E/day), second group (1,000 mg of vitamin C/day), third group (400 units of vitamin E and 1,000 mg of vitamin C/day), and control group. The intervention was conducted for 3 months. Proinflammatory cytokines interleukin-1β (IL-1β), IL-6, and tumor necrosis factor-α (TNF-α), and biochemical parameters (fasting blood sugar, total cholesterol, triglyceride, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol [HDL-c], total protein, and albumin) were measured among the participants' serums, before and after the intervention. The mean level of IL-6 in all vitamin-receiving groups, the mean level of IL-1β in vitamin C and E&C groups, and the mean level of TNF-α in the vitamin C group, decreased significantly after intervention. The arithmetic means of the effect sizes for IL-1β, IL-6, and TNF-α were 0.71, 0.57, and 0.2, respectively. The level of HDL-c in the vitamin E and vitamin E&C groups and the level of triglyceride in the vitamin C group significantly increased after the intervention. Taking antioxidant vitamins can prevent an increase of proinflammatory cytokines induced by prolonged exposure to ELF-MFs. pubmed.ncbi.nlm.nih.gov

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AI evidence extraction

Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.

Study typerandomized_trial
Effect directionmixed
PopulationPower plant workers exposed to extremely low-frequency magnetic fields (ELF-MFs)
Sample size91
ExposureELF · prolonged exposure (workers); intervention 3 months
Evidence strengthModerateConfidence: 74% · Peer reviewed: yes

Main findings

After 3 months, IL-6 decreased significantly in all vitamin-receiving groups; IL-1β decreased significantly in the vitamin C and vitamin E&C groups; and TNF-α decreased significantly in the vitamin C group. HDL-c increased significantly in the vitamin E and vitamin E&C groups, and triglycerides increased significantly in the vitamin C group.

Outcomes measured

  • Proinflammatory cytokines: IL-1β
  • Proinflammatory cytokines: IL-6
  • Proinflammatory cytokines: TNF-α
  • Fasting blood sugar
  • Total cholesterol
  • Triglyceride
  • Low-density lipoprotein cholesterol (LDL-c)
  • High-density lipoprotein cholesterol (HDL-c)
  • Total protein
  • Albumin

Limitations

  • Exposure characteristics (e.g., field strength, frequency) not reported in abstract
  • No details provided on randomization procedure, allocation concealment, or blinding assessment
  • Clinical relevance of biochemical changes and between-group comparisons not fully described in abstract
View raw extracted JSON
{
  "study_type": "randomized_trial",
  "exposure": {
    "band": "ELF",
    "source": "occupational",
    "frequency_mhz": null,
    "sar_wkg": null,
    "duration": "prolonged exposure (workers); intervention 3 months"
  },
  "population": "Power plant workers exposed to extremely low-frequency magnetic fields (ELF-MFs)",
  "sample_size": 91,
  "outcomes": [
    "Proinflammatory cytokines: IL-1β",
    "Proinflammatory cytokines: IL-6",
    "Proinflammatory cytokines: TNF-α",
    "Fasting blood sugar",
    "Total cholesterol",
    "Triglyceride",
    "Low-density lipoprotein cholesterol (LDL-c)",
    "High-density lipoprotein cholesterol (HDL-c)",
    "Total protein",
    "Albumin"
  ],
  "main_findings": "After 3 months, IL-6 decreased significantly in all vitamin-receiving groups; IL-1β decreased significantly in the vitamin C and vitamin E&C groups; and TNF-α decreased significantly in the vitamin C group. HDL-c increased significantly in the vitamin E and vitamin E&C groups, and triglycerides increased significantly in the vitamin C group.",
  "effect_direction": "mixed",
  "limitations": [
    "Exposure characteristics (e.g., field strength, frequency) not reported in abstract",
    "No details provided on randomization procedure, allocation concealment, or blinding assessment",
    "Clinical relevance of biochemical changes and between-group comparisons not fully described in abstract"
  ],
  "evidence_strength": "moderate",
  "confidence": 0.74,
  "peer_reviewed_likely": "yes",
  "keywords": [
    "extremely low-frequency magnetic fields",
    "ELF-MFs",
    "occupational exposure",
    "power plant workers",
    "vitamin E",
    "vitamin C",
    "randomized controlled trial",
    "double-blind",
    "IL-1β",
    "IL-6",
    "TNF-α",
    "HDL-c",
    "triglycerides"
  ],
  "suggested_hubs": [
    {
      "slug": "occupational-exposure",
      "weight": 0.9,
      "reason": "Study population is power plant workers with occupational ELF-MF exposure."
    }
  ]
}
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AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.

Identifiers and source

DOI: 10.1002/bem.22294
PubMed: 32931612

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