Curcumin - NutraPedia

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Curcumin Overview

1) Conditions Studied

Curcumin has been studied for a variety of health conditions, including but not limited to:

  • Inflammatory conditions
  • Osteoarthritis and rheumatoid arthritis
  • Depression
  • Various cancers
  • Neurodegenerative diseases such as Alzheimer's
  • Heart disease
  • Diabetes

2) Efficacy in Treating Conditions

The effectiveness of curcumin in treating these conditions varies. Some studies suggest that it may help reduce inflammation and pain in arthritis, improve symptoms of depression, and offer protective effects against heart diseases. However, the quality of research and the level of evidence can be inconsistent, and more rigorous studies are needed to confirm these benefits.

3) Health Benefits

Curcumin is associated with several health benefits, such as:

  • Antioxidant properties that combat oxidative stress
  • Anti-inflammatory effects
  • Potential to improve brain function
  • Possibly lowering the risk of heart disease
  • May aid in cancer prevention and treatment

4) Downsides

While curcumin is generally considered safe, there are potential downsides, including:

  • Poor bioavailability when taken orally without enhancers like piperine
  • Possible gastrointestinal disturbances at high doses
  • Can interact with certain medications (e.g., blood thinners)
  • May cause allergic reactions in some individuals

5) Genetic Variations

Research on the impact of curcumin on specific genetic variations is limited. However, some studies suggest that individuals with certain genetic profiles might metabolize curcumin differently, affecting its efficacy and safety. Personal genetic variations may alter the response to curcumin, but more research is needed to make definitive conclusions about its beneficial or harmful effects based on genetics.

Health Benefits of Curcumin

Curcumin, the main polyphenol in turmeric, possesses medicinal properties that can manage a variety of health issues. These include oxidative and inflammatory conditions, metabolic syndrome, arthritis, anxiety, and high lipid levels. It can also reduce inflammation and muscle soreness from exercise, potentially improving recovery and athletic performance. Even at low doses, curcumin offers health advantages due to its antioxidant and anti-inflammatory effects.

Challenges with Bioavailability

Despite its benefits, curcumin's poor bioavailability limits its effectiveness. This is caused by limited absorption, fast metabolism, and rapid elimination from the body. To overcome this, curcumin can be combined with substances like piperine, found in black pepper, which can increase curcumin's bioavailability by 2000%. Enhancing agents lead to multiple health benefits and are crucial for curcumin's therapeutic potential in treating a range of diseases such as cancer, cardiovascular diseases, diabetes, arthritis, neurological diseases, and Crohn's disease.

Improvement Strategies for Bioavailability

Strategies to enhance bioavailability include the use of piperine, liposomal curcumin, nanoparticles, curcumin phospholipid complexes, and structural analogues like EF-24. These approaches have shown to improve absorption and increase curcumin's presence in the blood. Formulations like NovaSol® (185), CurcuWin® (136), and LongVida® (100) have demonstrated a 100-fold increase in bioavailability compared to unformulated curcumin.

Curcumin in Disease Management

Curcumin has shown therapeutic potential for managing and treating various diseases. It has demonstrated effects in reducing inflammatory markers, improving antioxidant capacity, and affecting blood lipid and glucose levels. In conditions like knee osteoarthritis, it has been found as effective as NSAIDs in reducing pain while being safer. Studies also suggest its potential in managing obesity and NAFLD by reducing BMI and improving lipid profiles.

Safety and Dosage of Curcumin

Curcumin is generally safe, even at high doses. Studies have revealed that high single oral doses are well-tolerated with minimal toxicity. It has also been used in clinical trials aiming to prevent cancer, showing promise as a chemopreventive agent. However, more comprehensive studies are necessary to establish the optimal doses and forms of curcumin for clinical use.

References:


  1. Curcumin: A Review of Its Effects on Human Health
  2. Bioavailability of curcumin: problems and promises
  3. Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers
  4. Bioavailable curcumin formulations: A review of pharmacokinetic studies in healthy volunteers
  5. Comparative absorption of curcumin formulations
  6. Curcumin nanoformulations: a future nanomedicine for cancer
  7. Improving the oral bioavailability of curcumin using novel organogel-based nanoemulsions
  8. Anti-inflammatory effects of oral supplementation with curcumin: a systematic review and meta-analysis of randomized controlled trials
  9. The effects of curcumin-containing supplements on biomarkers of inflammation and oxidative stress: A systematic review and meta-analysis of randomized controlled trials
  10. Effect of curcumin on proinflammatory cytokines: A meta-analysis of randomized controlled trials
  11. Curcumin reduces malondialdehyde and improves antioxidants in humans with diseased conditions: a comprehensive meta-analysis of randomized controlled trials
  12. Antioxidant Potential of Curcumin-A Meta-Analysis of Randomized Clinical Trials
  13. Oral turmeric/curcumin effects on inflammatory markers in chronic inflammatory diseases: A systematic review and meta-analysis of randomized controlled trials
  14. Curcumin for depression: a meta-analysis
  15. The efficacy and acceptability of curcumin for the treatment of depression or depressive symptoms: A systematic review and meta-analysis
  16. Clinical Use of Curcumin in Depression: A Meta-Analysis
  17. Efficacy and Safety of Turmeric Extracts for the Treatment of Knee Osteoarthritis: a Systematic Review and Meta-analysis of Randomised Controlled Trials
  18. Efficacy and side effect of curcumin for the treatment of osteoarthritis: A meta-analysis of randomized controlled trials
  19. Effectiveness of Curcuma longa extract versus placebo for the treatment of knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials
  20. The efficacy of high- and low-dose curcumin in knee osteoarthritis: A systematic review and meta-analysis
  21. Therapeutic effects of turmeric or curcumin extract on pain and function for individuals with knee osteoarthritis: a systematic review
  22. Effects of the Use of Curcumin on Ulcerative Colitis and Crohn's Disease: A Systematic Review
  23. Curcumin therapy for ulcerative colitis remission: systematic review and meta-analysis
  24. Efficacy of adjuvant curcumin therapy in ulcerative colitis: A meta-analysis of randomized controlled trials
  25. Efficacy and safety of turmeric and curcumin in lowering blood lipid levels in patients with cardiovascular risk factors: a meta-analysis of randomized controlled trials
  26. Metabolic benefits of curcumin supplementation in patients with metabolic syndrome: A systematic review and meta-analysis of randomized controlled trials
  27. A Systematic Review and Meta-analysis of Randomized Controlled Trials on the Effects of Turmeric and Curcuminoids on Blood Lipids in Adults with Metabolic Diseases
  28. Effects of Curcumin on Glycemic Control and Lipid Profile in Polycystic Ovary Syndrome: Systematic Review with Meta-Analysis and Trial Sequential Analysis
  29. The Effects of Nano-Curcumin Supplementation on Risk Factors for Cardiovascular Disease: A GRADE-Assessed Systematic Review and Meta-Analysis of Clinical Trials
  30. The Effect of Curcumin on Lipid Profile and Glycemic Status of Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis
  31. Curcumin and blood lipid levels: an updated systematic review and meta-analysis of randomised clinical trials
  32. Effects of curcumin/turmeric supplementation on lipid profile: A GRADE-assessed systematic review and dose-response meta-analysis of randomized controlled trials
  33. Curcumin or combined curcuminoids are effective in lowering the fasting blood glucose concentrations of individuals with dysglycemia: Systematic review and meta-analysis of randomized controlled trials
  34. The effect of Curcumin/Turmeric on blood pressure modulation: A systematic review and meta-analysis
  35. Effects of curcumin/turmeric supplementation on liver function in adults: A GRADE-assessed systematic review and dose-response meta-analysis of randomized controlled trials
  36. Curcumin as adjuvant treatment in patients with non-alcoholic fatty liver (NAFLD) disease: A systematic review and meta-analysis
  37. The effects of curcumin supplementation on liver function, metabolic profile and body composition in patients with non-alcoholic fatty liver disease: A systematic review and meta-analysis of randomized controlled trials
  38. Efficacy of curcumin/turmeric on liver enzymes in patients with non-alcoholic fatty liver disease: A systematic review of randomized controlled trials
  39. The effect of curcumin supplementation on weight loss and anthropometric indices: an umbrella review and updated meta-analyses of randomized controlled trials
  40. The effects of curcumin supplementation on body mass index, body weight, and waist circumference in patients with nonalcoholic fatty liver disease: A systematic review and dose-response meta-analysis of randomized controlled trials
  41. The effects of curcumin supplementation on body weight, body mass index and waist circumference: a systematic review and dose-response meta-analysis of randomized controlled trials
  42. Does Turmeric/curcumin Supplementation Change Anthropometric Indices in Patients with Non-alcoholic Fatty Liver Disease? A Systematic Review and Meta-analysis of Randomized Controlled Trials
  43. The Effects of Curcumin on Weight Loss Among Patients With Metabolic Syndrome and Related Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
  44. Effect of Curcumin on Anthropometric Measures: A Systematic Review on Randomized Clinical Trials
  45. Dose escalation of a curcuminoid formulation
  46. Phase I clinical trial of oral curcumin: biomarkers of systemic activity and compliance
  47. Phase I clinical trial of curcumin, a chemopreventive agent, in patients with high-risk or pre-malignant lesions
  48. Effect of different curcuminoid supplement dosages on total in vivo antioxidant capacity and cholesterol levels of healthy human subjects
  49. The effects of black pepper on the intestinal absorption and hepatic metabolism of drugs
  50. Multiple antidepressant potential modes of action of curcumin: a review of its anti-inflammatory, monoaminergic, antioxidant, immune-modulating and neuroprotective effects
  51. Molecular targets of curcumin
  52. The targets of curcumin


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