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Bilberry-containing supplements on severe dry eye disease in young and middle-aged adults: A 3-month pilot analysis

Bilberry-containing supplements on severe dry eye disease in young and middle-aged adults: A 3-month pilot analysis
Bilberry-containing supplements on severe dry eye disease in young and middle-aged adults: A 3-month pilot analysis

Purpose: To explore the effect of bilberry and fish oil combination supplement on a small clinical sample patient-base with severe dry eyes. Methods: Twenty-four subjects were recruited with twelve randomly assigned to the intervention and control groups, respectively. Inclusion criteria included severe dry eye symptoms determined by scores >33 from the Ocular Surface Disease Index (OSDI) questionnaire. The intervention group was instructed to take an oral supplement with key ingredients of 600 mg bilberry extract and 240 mg docosahexaenoic acid-refined fish oil once daily for 3 months. The control group did not take any supplements. Mean changes in OSDI score, non-invasive tear break-up time (NITBUT), phenol red thread test (PRT), and percentage of meibomian gland openings were used as outcome measures. Testing was done at baseline, 1-month, and 3-month follow-up. Comparison between the treatment and control groups, and the younger adult and middle-age groups were performed. Results: The mean baseline values for the treatment and control groups were not clinically different. The OSDI score, NITBUT, PRT, and percentage of meibomian gland openings improved after taking the supplements for 3 months. The OSDI score, NITBUT, and PRT showed clinical improvements between the intervention and control groups. These improvements were consistent between the two age groups. Conclusion: This study suggested preliminary improvements in signs and symptoms of severe dry eyes that were independent of age after taking dietary supplementation of bilberry extract and fish oil for 3 months. Further studies using more device-based measures and a placebo supplement are warranted.

anthocyanins, dietary, extract, fish oil, Ocular Surface Disease, phenol red thread test
2296-861X
1061818
Yu, Wing Y.
1ffc7f90-7153-49cf-8d53-9b50b2ec4e77
Chan, Lily Y.L.
402e341b-9be2-4d0f-ba38-f4eed4f2489b
Chung, Aden
1bfbbd4c-d001-4fe9-80a3-e695508a8b91
Lee, Paul H.
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Woo, George C.
c819dde6-58a8-4ebf-ac9e-048ef7682979
Yu, Wing Y.
1ffc7f90-7153-49cf-8d53-9b50b2ec4e77
Chan, Lily Y.L.
402e341b-9be2-4d0f-ba38-f4eed4f2489b
Chung, Aden
1bfbbd4c-d001-4fe9-80a3-e695508a8b91
Lee, Paul H.
02620eab-ae7f-4a1c-bad1-8a50e7e48951
Woo, George C.
c819dde6-58a8-4ebf-ac9e-048ef7682979

Yu, Wing Y., Chan, Lily Y.L., Chung, Aden, Lee, Paul H. and Woo, George C. (2023) Bilberry-containing supplements on severe dry eye disease in young and middle-aged adults: A 3-month pilot analysis. Frontiers in Nutrition, 10, 1061818, [1061818]. (doi:10.3389/fnut.2023.1061818).

Record type: Article

Abstract

Purpose: To explore the effect of bilberry and fish oil combination supplement on a small clinical sample patient-base with severe dry eyes. Methods: Twenty-four subjects were recruited with twelve randomly assigned to the intervention and control groups, respectively. Inclusion criteria included severe dry eye symptoms determined by scores >33 from the Ocular Surface Disease Index (OSDI) questionnaire. The intervention group was instructed to take an oral supplement with key ingredients of 600 mg bilberry extract and 240 mg docosahexaenoic acid-refined fish oil once daily for 3 months. The control group did not take any supplements. Mean changes in OSDI score, non-invasive tear break-up time (NITBUT), phenol red thread test (PRT), and percentage of meibomian gland openings were used as outcome measures. Testing was done at baseline, 1-month, and 3-month follow-up. Comparison between the treatment and control groups, and the younger adult and middle-age groups were performed. Results: The mean baseline values for the treatment and control groups were not clinically different. The OSDI score, NITBUT, PRT, and percentage of meibomian gland openings improved after taking the supplements for 3 months. The OSDI score, NITBUT, and PRT showed clinical improvements between the intervention and control groups. These improvements were consistent between the two age groups. Conclusion: This study suggested preliminary improvements in signs and symptoms of severe dry eyes that were independent of age after taking dietary supplementation of bilberry extract and fish oil for 3 months. Further studies using more device-based measures and a placebo supplement are warranted.

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More information

Accepted/In Press date: 5 January 2023
Published date: 19 January 2023
Additional Information: Copyright © 2023 Yu, Chan, Chung, Lee and Woo.
Keywords: anthocyanins, dietary, extract, fish oil, Ocular Surface Disease, phenol red thread test

Identifiers

Local EPrints ID: 480692
URI: http://eprints.soton.ac.uk/id/eprint/480692
ISSN: 2296-861X
PURE UUID: f13f672d-5495-40da-b322-cb0c19b13644
ORCID for Paul H. Lee: ORCID iD orcid.org/0000-0002-5729-6450

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Date deposited: 08 Aug 2023 16:52
Last modified: 18 Mar 2024 04:09

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Contributors

Author: Wing Y. Yu
Author: Lily Y.L. Chan
Author: Aden Chung
Author: Paul H. Lee ORCID iD
Author: George C. Woo

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