vinegar

  • 文章类型: Journal Article
    新醋在销售前需要较长的成熟时间来改善其不良风味,这大大增加了其生产成本。因此,迫切需要探索促进醋风味成熟的调控技术。根据文献和我们的研究,本文介绍了醋的风味调节技术的最新进展,包括微生物强化/多发酵剂发酵,关键生产工艺优化和新颖的物理加工技术。微生物强化或多发酵剂发酵通过增强总酸加速醋风味成熟,醋中的酯类和香气前体含量。调整原材料成分,发酵温度,和氧气流量合理增加酒精,有机酸,多酚和酯水平通过在醋中产生更多相应的前体,从而改善其风味。此外,新型加工技术极大地促进了醋中醇向酸和酯的转化,缩短风味成熟时间超过六个月。同时,讨论了相应的机制,并提出了未来的研究方向。
    New vinegar needs a long maturing time to improve its poor flavor before sale, which greatly increases its production cost. Therefore, it is urgent to explore regulation technologies to accelerate vinegar flavor maturation. Based on literature and our research, this review introduces the latest advances in flavor regulation technologies of vinegar including microbial fortification/multi starters fermentation, key production processes optimization and novel physical processing technologies. Microbial fortification or multi starters fermentation accelerates vinegar flavor maturation via enhancing total acids, esters and aroma precursors content in vinegar. Adjusting raw materials composition, fermentation temperature, and oxygen flow reasonably increase alcohols, organic acids, polyphenols and esters levels via generating more corresponding precursors in vinegar, thereby improving its flavor. Furthermore, novel processing technologies greatly promote conversion of alcohols into acids and esters in vinegar, shortening flavor maturation time for over six months. Meanwhile, the corresponding mechanisms are discussed and future research directions are addressed.
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  • 文章类型: Journal Article
    食品污染物对食品生产者和消费者构成了挑战。由于其在加热和储存过程中自发形成,羟甲基糠醛(HMF)是富含碳水化合物和蛋白质的食品中普遍存在的污染物。比色法测定,比如Seliwanoff测试,为HMF定量提供快速且经济有效的方法,但需要仔细优化以确保准确性。我们通过系统地评估参数,如孵育时间,温度,和间苯二酚或盐酸浓度,以及干扰碳水化合物的存在。使用UV-Vis分光光度计在扫描模式下分析样品,并使用HPLC验证获得的数据,这也使得未反应的HMF能够定量以评估方案的准确性。孵育时间和盐酸百分比对比色测定有积极影响,随着间苯二酚浓度的增加,观察到相反的效果。通过降低工作试剂中的酸含量来消除碳水化合物的干扰。HPLC分析证实了分光光度计数据,并证实了所提出方法的有效性。香醋样品中的平均HMF含量为1.97±0.94mg/mL。分光光度法证明可以有效地确定复杂食品基质中的HMF。在香脂醋中检测到的HMF水平明显超过了为蜂蜜建立的最大限度。这一发现强调了迫切需要限制各种食品中污染物水平的法规。
    Foods contaminants pose a challenge for food producers and consumers. Due to its spontaneous formation during heating and storage, hydroxymethylfurfural (HMF) is a prevalent contaminant in foods rich in carbohydrates and proteins. Colorimetric assays, such as the Seliwanoff test, offer a rapid and cost-effective method for HMF quantification but require careful optimization to ensure accuracy. We addressed potential interference in the Seliwanoff assay by systematically evaluating parameters like incubation time, temperature, and resorcinol or hydrochloric acid concentration, as well as the presence of interfering carbohydrates. Samples were analyzed using a UV-Vis spectrophotometer in scan mode, and data obtained were validated using HPLC, which also enabled quantification of unreacted HMF for assessing the protocol\'s accuracy. Incubation time and hydrochloric acid percentage positively influenced the colorimetric assay, while the opposite effect was observed with the increase in resorcinol concentration. Interference from carbohydrates was eliminated by reducing the acid content in the working reagent. HPLC analyses corroborated the spectrophotometer data and confirmed the efficacy of the proposed method. The average HMF content in balsamic vinegar samples was 1.97 ± 0.94 mg/mL. Spectrophotometric approaches demonstrated to efficiently determine HMF in complex food matrices. The HMF levels detected in balsamic vinegars significantly exceeded the maximum limits established for honey. This finding underscores the urgent need for regulations that restrict contaminant levels in various food products.
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  • 文章类型: Journal Article
    传统的醋是由含糖或淀粉的原料自然产生的,通过酒精发酵,然后进行乙酸发酵。发酵是一个自发和复杂的过程,涉及各种微生物之间的相互作用。在这项研究中,我们用传统方法从六种水果生产醋:玫瑰果,梨,无花果,野生梨,苹果,还有李子.从这些醋中分离并鉴定产生细菌纤维素(BC)的细菌。此外,我们研究了这些细菌产生的BC的特性。从醋中分离的菌株被鉴定为氧化葡糖酸杆菌菌株MG2022,热带乙酸杆菌菌株MG2022,蚕食醋杆菌菌株MG2022,食糖杆菌菌株MG2022,食糖杆菌菌株EG2022和洛伐尼杆菌OD2022。总的来说,产生0.83-2.04g/L的BC,从梨醋中分离出的细菌菌株产生的BC最多。从野生梨醋中分离的细菌菌株产生的BC具有最高的热稳定性和结晶度(87.44%)。总的来说,这项研究表明,不同的水果在其天然菌群中含有不同的BC产生菌,从水果中获得的醋可用于BC生产。此外,可以从不同的醋中分离出不同的产生BC的细菌,这些细菌产生的BC可能具有不同的特性。
    Traditional vinegars are naturally produced from sugar- or starch-containing raw materials, through alcoholic fermentation followed by acetic fermentation. Fermentation is a spontaneous and complex process involving interactions between various microorganisms. In this study, we produced vinegar using traditional methods from six fruits: rosehip, pear, fig, wild pear, apple, and plum. Bacteria that produce bacterial cellulose (BC) were isolated from these vinegars and identified. In addition, we investigated the properties of BC produced from these bacteria. The strains isolated from vinegars were identified as Gluconobacter oxydans strain MG2022, Acetobacter tropicalis strain MG2022, Acetobacter fabarum strain MG2022, Komagataeibacter saccharivorans strain MG2022, K. saccharivorans strain EG2022, and Acetobacter lovaniensis strain OD2022. In total, 0.83-2.04 g/L BC was produced and the bacterial strain isolated from pear vinegar yielded the most BC. BC produced by the bacterial strain isolated from wild pear vinegar had the highest thermal stability and crystallinity (87.44 %). Overall, this study shows that different fruits contain different BC-producing bacteria in their natural flora and vinegars obtained from fruits can be used in BC production. Also, different BC-producing bacteria can be isolated from different vinegars, and BC produced by these bacteria might have different properties.
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  • 文章类型: Journal Article
    抑郁症是世界上最普遍的精神健康状况。常用的抗抑郁药物可能有严重的副作用,它们的功效差异很大。因此,简单,需要有效的辅助治疗。醋,发酵的乙酸溶液,正在成为一种健康的膳食补充剂,与血糖管理的有利结果有关,心脏病风险,和减少肥胖,最近的一份报告表明,醋可以改善抑郁症的症状。这项随机对照研究检查了摄入2.95g乙酸(4汤匙醋)的健康超重成年人的流行病学研究中心抑郁(CES-D)问卷和患者健康问卷(PHQ-9)评分的4周变化与0.025克乙酸(一醋丸)每日。第二个目标是使用代谢组学分析探索可能的潜在机制。在第4周,VIN和CON参与者的CES-D平均得分分别下降了26%和5%,组间无显著差异,VIN和CON参与者的平均PHQ-9评分下降了42%和18%(p=0.036)。代谢组学分析显示,与对照组相比,VIN参与者的烟酰胺浓度增加,NAD+救助途径上调。以前代谢改变与情绪改善有关。因此,每天摄入食醋超过四周改善了健康超重成年人的自我报告的抑郁症症状,烟酸代谢的增强可能是这种改善的因素。
    Depressive disorders are the most prevalent mental health conditions in the world. The commonly prescribed antidepressant medications can have serious side effects, and their efficacy varies widely. Thus, simple, effective adjunct therapies are needed. Vinegar, a fermented acetic acid solution, is emerging as a healthful dietary supplement linked to favorable outcomes for blood glucose management, heart disease risk, and adiposity reduction, and a recent report suggests vinegar may improve symptoms of depression. This randomized controlled study examined the 4-week change in scores for the Center for Epidemiological Studies Depression (CES-D) questionnaire and the Patient Health Questionnaire (PHQ-9) in healthy overweight adults ingesting 2.95 g acetic acid (4 tablespoons vinegar) vs. 0.025 g acetic acid (one vinegar pill) daily. A secondary objective explored possible underlying mechanisms using metabolomics analyses. At week 4, mean CES-D scores fell 26% and 5% for VIN and CON participants respectively, a non-significant difference between groups, and mean PHQ-9 scores fell 42% and 18% for VIN and CON participants (p = 0.036). Metabolomics analyses revealed increased nicotinamide concentrations and upregulation of the NAD+ salvage pathway for VIN participants compared to controls, metabolic alterations previously linked to improved mood. Thus, daily vinegar ingestion over four weeks improved self-reported depression symptomology in healthy overweight adults, and enhancements in niacin metabolism may factor into this improvement.
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  • 文章类型: Journal Article
    乙酸细菌(AAB)是发酵醋生产的主要贡献者,提供各种文化,烹饪,和健康益处。虽然食醋生产后残留的未经巴氏灭菌的AAB不是病原体,这些是必要的,需要安全评估,包括抗生素耐药性,在用作起动器之前。在这项研究中,我们调查了26个AAB菌株的抗生素耐药性,包括各种Komagataeibacter和醋杆菌,使用E-test方法对10种不同的抗生素。所有菌株均表现出对氨曲南和克林霉素的抗性。Komagataeibacter物种对环丙沙星表现出50%的耐药率,类似于醋杆菌属,但对氯霉素和红霉素的耐药率是原来的两倍.糖衣甘蓝CV1的基因组分析确定了内在的抗性机制,如多药外排泵,从而增强了我们对产乙酸细菌中抗生素耐药性的理解。这些发现增强了对AAB中抗生素耐药性的理解,以提高食品安全和新的抗菌策略。表明需要标准化的测试方法和分子遗传学研究。
    Acetic acid bacteria (AAB) are major contributors to the production of fermented vinegar, offering various cultural, culinary, and health benefits. Although the residual unpasteurized AAB after vinegar production are not pathogens, these are necessary and require safety evaluations, including antibiotic resistance, before use as a starter. In this research, we investigated the antibiotic resistance profiles of 26 AAB strains, including various species of Komagataeibacter and Acetobacter, against 10 different antibiotics using the E-test method. All strains exhibited resistance to aztreonam and clindamycin. Komagataeibacter species demonstrated a 50% resistance rate to ciprofloxacin, analogous to Acetobacter species, but showed twice the resistance rates to chloramphenicol and erythromycin. Genomic analysis of K. saccharivorans CV1 identified intrinsic resistance mechanisms, such as multidrug efflux pumps, thereby enhancing our understanding of antibiotic resistance in acetic acid-producing bacteria. These findings enhance understanding of antibiotic resistance in AAB for food safety and new antimicrobial strategies, suggesting the need for standardized testing methods and molecular genetic study.
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  • 文章类型: Journal Article
    这里,我们旨在从传统的发酵醋中分离出一种适合生产未成熟柑橘醋的乙酸细菌。我们比较了分离株的光环大小,以选择具有优异乙酸生产能力的菌株,并选择KomagataeibacterkakiacetiP6(P6)作为最终菌株。使用巴氏醋杆菌CY(CY)和巴氏杆菌KACC17058(KACC17058)作为对照,我们分析了总酚类化合物,总黄酮含量,抗氧化活性,和选择的菌株的有机酸,以验证其对乙酸发酵的适用性。在发酵期的第30天,P6的总酸度为4.86%,高于对照组(CY,4.16%;KACC17058、4.01%)。总酚类化合物,总黄酮含量,1,1-二苯基-2-吡啶酰肼清除活性,与最初的C.Unshiu葡萄酒相比,P6发酵过程中三价铁离子还原抗氧化能力值显着增加,CY和KACC17058生产的醋没有观察到显著差异。此外,有机酸分析表明,用P6生产的未成熟C.unshiu醋的乙酸含量为26.15mg/mL,显著高于用CY和KACC17058生产的那些,表明P6菌株在发酵过程中有效地生产乙酸而没有不利地影响其他品质方面。总之,新型P6菌株有望用作发酵未成熟C.unshiu醋的发酵剂,其出色的乙酸生产能力为其他醋提供了潜在的应用。
    Here, we aimed to isolate an acetic acid bacterium that is suitable for the production of unripe Citrus unshiu vinegar from traditional fermented vinegars. We compared the halo sizes of isolates to select a strain with superior acetic acid production capabilities and selected Komagataeibacter kakiaceti P6 (P6) as the final strain. Using Acetobacter pasteurianus CY (CY) and A. pasteurianus KACC 17058 (KACC 17058) as controls, we analyzed the total phenolic compounds, total flavonoid content, antioxidant activities, and organic acids of the selected strain to verify its suitability for acetic acid fermentation. On the 30th day of the fermentation period, P6 showed a total acidity of 4.86%, which was higher than that of control groups (CY, 4.16%; KACC 17058, 4.01%). The total phenolic compounds, total flavonoid content, 1,1-diphenyl-2-picrylhydrazyl scavenging activity, and ferric ion reducing antioxidant power values significantly increased during fermentation with P6 compared with the initial C. unshiu wine, and no significant differences were observed from the vinegars produced by CY and KACC 17058. Moreover, organic acid analysis revealed that the unripe C. unshiu vinegar produced with P6 had an acetic acid content of 26.15 mg/mL, which was significantly higher than those produced with CY and KACC 17058, indicating that the P6 strain effectively produces acetic acid without adversely affecting other quality aspects during fermentation. In conclusion, the novel P6 strain is expected to be used as a starter for fermenting unripe C. unshiu vinegar, and its excellent acetic acid production capabilities suggest potential applications for other vinegars.
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  • 文章类型: Journal Article
    背景:微生物群的演替决定了发酵食品的风味和质量。基于定量PCR的定量微生物组分析(QMP)已广泛应用于绝对丰度的微生物分析。通过将16S核糖体RNA(16SrRNA)基因测序数据与定量PCR定量的基因拷贝标准化,将微生物群比率转化为计数。然而,QMP在发酵食品中的应用仍然有限。
    结果:QMP阐明了台湾酸菜的微生物演替。在自发的第一轮发酵(FR)中,总细菌的16SrRNA基因拷贝从6.1个增加到10个log拷贝mL-1。优势乳酸菌属依次为乳球菌,明串珠菌和乳杆菌。尽管在演替过程中乳球菌的比例下降,乳球菌的绝对丰度仍在增加。在向后倾斜的第二轮发酵(SR)中,总细菌16SrRNA基因拷贝数从7.6增加到9.9log拷贝数mL-1。向后倾斜的发酵剂和醋的添加迅速导致了以Lactiplantibacillus为主的均质微生物群落。在SR期间,Lactiplantibacillus的比例一直保持在90%左右,而其绝对丰度表现出持续增加。在没有醋的SR中,明串珠菌始终主导着发酵。
    结论:本研究强调成分分析会误解微生物动力学,而QMP反映了真实的演替概况,并揭示了醋在促进台湾腌制白菜的背水发酵中的乳杆菌优势中的重要作用。与成分分析相比,定量微生物组分析(QMP)被发现是一种更有前途的方法,用于详细观察食品发酵中的微生物组演替。©2024化学工业学会。
    BACKGROUND: Microbiota succession determines the flavor and quality of fermented foods. Quantitative PCR-based quantitative microbiome profiling (QMP) has been applied broadly for microbial analysis from absolute abundance perspectives, transforming microbiota ratios into counts by normalizing 16S ribosomal RNA (16S rRNA) gene sequencing data with gene copies quantified by quantitative PCR. However, the application of QMP in fermented foods is still limited.
    RESULTS: QMP elucidated microbial succession of Taiwanese pickled cabbage. In the spontaneous first-round fermentation (FR), the 16S rRNA gene copies of total bacteria increased from 6.1 to 10 log copies mL-1. The dominant lactic acid bacteria genera were successively Lactococcus, Leuconostoc and Lactiplantibacillus. Despite the decrease in the proportion of Lactococcus during the succession, the absolute abundance of Lactococcus still increased. In the backslopping second-round fermentation (SR), the total bacteria 16S rRNA gene copies increased from 7.6 to 9.9 log copies mL-1. The addition of backslopping starter and vinegar rapidly led to a homogenous microbial community dominated by Lactiplantibacillus. The proportion of Lactiplantibacillus remained consistently around 90% during SR, whereas its absolute abundance exhibited a continuous increase. In SR without vinegar, Leuconostoc consistently dominated the fermentation.
    CONCLUSIONS: The present study highlights that compositional analysis would misinterpret microbial dynamics, whereas QMP reflected the real succession profiles and unveiled the essential role of vinegar in promoting Lactiplantibacillus dominance in backslopping fermentation of Taiwanese pickled cabbage. Quantitative microbiome profiling (QMP) was found to be a more promising approach for the detailed observation of microbiome succession in food fermentation compared to compositional analysis. © 2024 Society of Chemical Industry.
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  • 文章类型: Journal Article
    该研究考察了摩德纳PDO(ABTM)的独特生产工艺,强调其复杂的阶段以及原材料和手工技能对其风味特征的影响。分析测试重点是不同木桶在不同老化阶段的醋的挥发性成分,使用固相微萃取(SPME)与气相色谱法,使用质谱(GC/MS)或火焰离子化检测器(FID)。多变量分析,包括主成分分析(PCA),用于研究不同桶来源样品的挥发性特征之间的特殊性。这项研究的重点是表征来自单个木桶的醋的挥发性成分,比如樱桃,栗子,桑树,Juniper,橡树。尽管无法识别与木本精华直接相连的分子,桑树和樱桃桶中的醋样品以及杜松和橡木的醋样品之间出现了一些相似之处。前一组的特征是高分子量的分析物,如糠醛和酯,而后一组显示出更强烈的苯甲酸乙酯峰。此外,苯甲酸乙酯似乎主要影响栗子桶中的样品。由于ABTM的生产工艺非常复杂,每个电池都受到几个因素的影响,这项研究的发现是特定于目前的实验条件。
    The study examines the unique production process of Aceto Balsamico Tradizionale di Modena PDO (ABTM), emphasizing its complex phases and the impact of raw materials and artisanal skill on its flavor characteristics. Analytical tests focused on the volatile composition of vinegars from different wood barrels at different aging stages, using solid-phase micro-extraction (SPME) coupled with gas chromatography, either with mass spectrometry (GC/MS) or flame ionization detector (FID). Multivariate analysis, including principal component analysis (PCA), was employed to investigate the presence of peculiarities among the volatile profiles of samples of different barrel origin. The research focuses on characterizing the volatile composition of vinegars sourced from individual wood barrels, such as Cherry, Chestnut, Mulberry, Juniper, and Oak. Although it was not possible to identify molecules directly connected to the woody essence, some similarities emerged between vinegar samples from mulberry and cherry barrels and between those of juniper and oak. The former group is characterized by analytes with high molecular weights, such as furfural and esters, while the latter group shows more intense peaks for ethyl benzoate. Moreover, ethyl benzoate appears to predominantly influence samples from chestnut barrels. Due to the highly complex production process of ABTM, where each battery is influenced by several factors, this study\'s findings are specific to the current experimental conditions.
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  • 文章类型: Journal Article
    乙酸细菌(AAB)和其他成员的复杂微生物,其活性对食醋生产至关重要,显示生物多样性和丰富性,由于其高度选择性的培养条件,难以深入研究。近年来,液相色谱与串联质谱联用(LC-MS/MS)已成为快速识别微生物群落中存在的数千种蛋白质的强大工具,提供更广泛的精度和覆盖范围。在这项工作中,在前人研究的基础上建立和发展了一种基于LC-MS/MS的新方法。这种方法在三项研究中进行了测试,使用创新的原材料(合成酒精介质,美酒,和精酿啤酒)在半连续模式下工作。阐明了现有微生物的生物多样性,和两个主要的分类群(Komagataeibacter,醋杆菌,葡萄糖酸醋杆菌,和葡糖杆菌)和其他在这些媒体中从未检测到的(Asaia和Bombella,其中包括)被确定。使用比较研究确定了关键功能和适应性代谢策略,主要是与细胞材料生物合成有关的,能量相关途径,和细胞解毒过程。这项研究为醋工业中微生物特征的高度可靠和可重复的方法提供了基础。
    Acetic acid bacteria (AAB) and other members of the complex microbiotas, whose activity is essential for vinegar production, display biodiversity and richness that is difficult to study in depth due to their highly selective culture conditions. In recent years, liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) has emerged as a powerful tool for rapidly identifying thousands of proteins present in microbial communities, offering broader precision and coverage. In this work, a novel method based on LC-MS/MS was established and developed from previous studies. This methodology was tested in three studies, enabling the characterization of three submerged acetification profiles using innovative raw materials (synthetic alcohol medium, fine wine, and craft beer) while working in a semicontinuous mode. The biodiversity of existing microorganisms was clarified, and both the predominant taxa (Komagataeibacter, Acetobacter, Gluconacetobacter, and Gluconobacter) and others never detected in these media (Asaia and Bombella, among others) were identified. The key functions and adaptive metabolic strategies were determined using comparative studies, mainly those related to cellular material biosynthesis, energy-associated pathways, and cellular detoxification processes. This study provides the groundwork for a highly reliable and reproducible method for the characterization of microbial profiles in the vinegar industry.
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  • 文章类型: Journal Article
    背景:碘溶液食管染色内镜对早期食管癌的检测具有重要意义。Lugol’s碘溶液对轻度染色病变的常规治疗效果有限,在常规饮食中添加天然物质变得越来越普遍。如先前的研究报道的,醋具有抗肿瘤作用。
    目的:评价食醋是否能改善食管轻度病变患者的预后。
    方法:这项前瞻性单中心试验纳入了2020年6月至2022年4月期间出现轻度染色病变的连续患者。实验组的患者在6个月内接受了更多的醋。该研究的主要结果是临床治疗效果。还详细记录了与食醋有关的并发症和不良事件。
    结果:共有166例患者纳入最终分析。两组的基线资料无明显差别。意向治疗(ITT)分析表明,实验组的内镜特征改善率为33.72%,常规组为20.00%(P=0.007);活检病理改善率为19.77%和8.75%。分别为(P=0.011)。额外食用食醋对内镜特征改善率具有统计学保护作用[风险比(HR)ITT=2.183,95CI:1.183-4.028;HRper-方案(PP)=2.307,95CI:1.202-4.426]和活检病理改善(HRITT=2.931,95CI:1.212-7.089;HRPP=3.320,95CI:1.295-8.507)。未观察到增加食醋用量对预防高级别上皮内瘤变或早期癌症的统计学显着影响(HRITT=0.382,95CI:0.079-1.846;HRPP=0.382,95CI:0.079-1.846)。亚组分析表明,在年龄较大(年龄>60岁)的男性小病灶(病灶大小≤0.5cm)患者中,内镜特征和活检病理的总体治疗改善更为明显。实验组中的三名患者报告酸反流和胃灼热。随访期间未发现胃镜检查期间的不良事件。
    结论:适度增加食醋摄入不能直接降低黏膜异型增生人群患食管癌的风险,但在一定程度上改善了内镜特点,改善了活检病理。需要进一步的研究来验证营养干预对食管癌前病变的影响。
    BACKGROUND: Esophageal chromoendoscopy with iodine solution is important for detecting early esophageal cancer. The effect of routine treatment for lesions lightly stained with Lugol\'s iodine solution is limited, and the addition of natural substances to a regular diet is becoming increasingly common. Vinegar has antitumor effects as reported in previous studies.
    OBJECTIVE: To evaluate whether vinegar supplementation could improve the prognosis of patients with lightly stained esophageal lesions.
    METHODS: This prospective single-centre trial included consecutive patients with lightly stained lesions between June 2020 and April 2022. Patients in the experimental group received increased amounts of vinegar for 6 months. The primary outcome of the study was the clinical therapeutic effect. Complications related to vinegar ingestion and adverse events were also recorded in detail.
    RESULTS: A total of 166 patients were included in the final analysis. There was no significant difference in the baseline data between the two groups. Intention-to-treat (ITT) analysis demonstrated that the rates at which endoscopic characteristics improved were 33.72% in the experimental group and 20.00% in the conventional group (P = 0.007); and the rates at which biopsy pathology improved were 19.77% and 8.75%, respectively (P = 0.011). Additional vinegar consumption had a statistically protective effect on the rate at which endoscopic characteristics improved [hazard ratio (HR) ITT = 2.183, 95%CI: 1.183-4.028; HRper-protocol (PP) = 2.307, 95%CI: 1.202-4.426] and biopsy pathology improved (HRITT = 2.931, 95%CI: 1.212-7.089; HRPP = 3.320, 95%CI: 1.295-8.507). No statistically significant effect of increased vinegar consumption on preventing high-grade intraepithelial neoplasia or early cancer was observed (HRITT = 0.382, 95%CI: 0.079-1.846; HRPP = 0.382, 95%CI: 0.079-1.846). The subgroup analyses indicated that the overall therapeutic improvement of endoscopic characteristics and biopsy pathology seemed more obvious in older (age > 60) male patients with small lesions (lesion size ≤ 0.5 cm). Three patients in the experimental group reported acid regurgitation and heartburn. No adverse event during gastroscopy were recorded during follow-up.
    CONCLUSIONS: A moderately increased ingestion of vinegar could not directly reduce the risk of esophageal cancer in the mucosa dysplasia population, but it improved the endoscopic characteristics and ameliorated the biopsy pathology to a certain extent. Further research is needed to verify the effect of nutritional intervention on precancerous esophageal lesions.
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