The effects of L-carnitine supplementation on inflammation, oxidative stress, and clinical outcomes in critically Ill patients with sepsis: a randomized, double-blind, controlled trial

Autor: Mahdi Keshani, Babak Alikiaii, Zahra Babaei, Gholamreza Askari, Zahra Heidari, Manoj Sharma, Mohammad Bagherniya
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Nutrition Journal, Vol 23, Iss 1, Pp 1-15 (2024)
Druh dokumentu: article
ISSN: 1475-2891
DOI: 10.1186/s12937-024-00934-4
Popis: Abstract Background Sepsis, a life-threatening organ dysfunction caused by a host’s dysregulated response to infection with an inflammatory process, becomes a real challenge for the healthcare systems. L-carnitine (LC) has antioxidant and anti-inflammatory properties as in previous studies. Thus, we aimed to determine the effects of LC on inflammation, oxidative stress, and clinical parameters in critically ill septic patients. Methods A randomized double-blinded controlled trial was conducted. A total of 60 patients were randomized to receive LC (3 g/day, n = 30) or placebo (n = 30) for 7 days. Inflammatory and oxidative stress parameters (C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), superoxide dismutase (SOD), malondialdehyde (MDA), total antioxidant capacity (TAC), 28-day mortality rate, and some monitoring variables were evaluated. Results There was no statistically significant difference between study arms in baseline characteristics and disease severity scores. CRP (p
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