Flat Tummy Water Attenuates Lipid Profile and Serum Glucose of High-Fat Diet-Induced Obese Female Wistar Rats

Patrick Chinedu Alor

Department of Physiology, Faculty of Basic Medical Sciences, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.

Bruno Chukwuemeka Chinko *

Department of Human Physiology, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria.

*Author to whom correspondence should be addressed.


Abstract

Background: Flat tummy water (FTW) is an herbal tonic preparation made from cucumber (Cucumis sativus), lemon (Citrus limon), ginger (Zingerber officinale) and mint leaf (Mentha piperita) and is believed to be effective in the reduction of central/abdominal fat. While the potency and efficacy of FTW are hardly known, the present study presents a scientific investigation of its effect on high-fat-induced obese Wistar rat models.

Methods: FTW was constituted using measured quantities of cut and infused cucumber, lemon and mint leaf while the individual plants were extracted and mixed to obtain an extract mixture (EM). Twenty-five (25) female Wistar rats were used for the study. They were divided into five (5) groups of five (5) animals each. Groups 1 & 2 served as the normal and negative controls and received standard rat chow/distilled water and high-fat diet/distilled water respectively. Groups 3, 4 & 5 served as the experimental groups. Group 3 received FTW ad libitum while groups 4 & 5 received 25 and 50mg/kg of extract mixtures (EM) respectively alongside the formulated high-fat diet. Lipid profile and serum glucose were determined using standard colourimetric methods. The body weight, naso-anal length, abdominal and thoracic circumferences (AC/TC) of the animals were measured before and after the experiment.  

Results: There was a significantly reduced total cholesterol, triglycerides, low-density lipoproteins, very low-density lipoproteins and serum glucose and significantly increased high-density proteins among the obese animals treated with FTW and EM compared to the untreated obese negative control (p<0.05). The study also observed reduced body weight, AC/TC ratio and lee obesity index among treated obese animals when compared with the untreated negative control (p<0.05).

Conclusion: The present study shows that the oral administration of flat tummy water (FTW) as well as extracts mixtures (EM) led to a moderate decrease in central abdominal obesity. FTW and EM showed potent anti-hyperlipidaemic, anti-hyperglycaemic and anti-obesity activity. This study concludes that these observed effects could be due to the synergistic action of cucumber (Cucumis sativus), lemon (Citrus limon), ginger (Zingerber officinale) and mint leaf (Mentha piperita).

Keywords: Flat tummy water, lipid profile, serum glucose, AC/TC ratio, lee index


How to Cite

Chinedu Alor, P., & Chukwuemeka Chinko, B. (2022). Flat Tummy Water Attenuates Lipid Profile and Serum Glucose of High-Fat Diet-Induced Obese Female Wistar Rats. Journal of Complementary and Alternative Medical Research, 20(4), 19–28. https://doi.org/10.9734/jocamr/2022/v20i4421

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References

Wilson PWF, D’Agostino RB, Parise H, Sullivan L, Meigs JB. Metabolic syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus. Circulation. 2005;112(20):3066-72.

Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, et al. Health consequences of obesity. Archives of Disease in Childhood. 2003;88(9):748-52.

Jackson SE, Llewellyn CH, Smith L. The obesity epidemic–Nature via nurture: A narrative review of high-income countries. SAGE Open Medicine. 2020;8: 2050312120918265.

World Health Organization (WHO). Obesity: Preventing and managing the global epidemic. 2000.

Billington CJ, Epstein LH, Goodwin NJ, Hill JO, Pi-Sunyer FX, Rolls BJ, et al. Overweight, obesity, and health risk. Archives of Internal Medicine. 2000;160(7): 898-904.

Kopelman PG. Obesity as a medical problem. Nature. 2000;404(6778):635-43.

Kazemipoor M, Radzi CWJWM, Cordell GA, Yaze I. Potential of traditional medicinal plants for treating obesity: A review. arXiv. 2012;1208.1923:1-8.

Moro CO, Basile G. Obesity and medicinal plants. Fitoterapia. 2000;71:S73-S82.

Kazemipoor M, Cordell GA, Sarker MMR, Radzi CwJBWM, Hajifaraji M, En Kiat P. Alternative treatments for weight loss: Safety/risks and effectiveness of anti-obesity medicinal plants. International Journal of Food Properties. 2015;18(9): 1942-63.

Hasani-Ranjbar S, Jouyandeh Z, Abdollahi M. A systematic review of anti-obesity medicinal plants-an update. Journal of Diabetes & Metabolic Disorders. 2013; 12(1):1-10.

Ikete PW, Chinko BC. Inhibition of serum lipase as a mechanism of action for anti-obesity potentials of dioscorea bulbifera extracts on wistar rats. Asian Journal of Health Sciences. 2022;8(1):ID29-ID.

Marrelli M, Statti G, Conforti F. A review of biologically active natural products from mediterranean wild edible plants: Benefits in the treatment of obesity and its related disorders. Molecules. 2020;25(3): 649.

Verma RK, Paraidathathu T. Herbal medicines used in the traditional Indian medicinal system as a therapeutic treatment option for overweight and obesity management: A review. Int J Pharm Pharm Sci. 2014;6(2):40-7.

Ali S. Home made detox water / flat belly water. Spoon, Fork and Food; 2016.

Jaiswal S. How to prepare flat tummy water and how it works. Health Tips, Weight Loss Tips: Ayurveda; 2020.

Sahu T, Sahu J. Cucumis sativus (cucumber): A review on its pharmacological activity. Journal of Applied Pharmaceutical Research. 2015; 3(1):4-9.

Sharma S, Dwivedi J, Paliwal S. Evaluation of antacid and carminative properties of Cucumis sativus under simulated conditions. Scholars Research Library Der Pharmacia Lettre. 2012;4(1): 234-9.

Mallik J, Das P, Das S. Pharmacological activity of Cucumis sativus L.–a complete overview. Asian Journal of Pharmaceutical Research and Development. 2013;1(1):1-6.

Karthiyayini T, Kumar R, Kumar KS, Sahu RK, Roy A. Evaluation of antidiabetic and hypolipidemic effect of Cucumis sativus fruit in streptozotocin-induced-diabetic rats. Biomedical and Pharmacology Journal. 2015;2(2):351-5.

Patil MVK, Kandhare AD, Bhise SD. Pharmacological evaluation of ameliorative effect of aqueous extract of Cucumis sativus L. fruit formulation on wound healing in wistar rats. Chronicles of Young Scientists. 2011;2(4).

Patil MVK, Kandhare AD, Bhise SD. Effect of aqueous extract of Cucumis sativus Linn. fruit in ulcerative colitis in laboratory animals. Asian Pacific Journal of Tropical Biomedicine. 2012;2(2):S962-S9.

Agarwal M, Kumar A, Gupta R, Upadhyaya S. Extraction of polyphenol, flavonoid from Emblica officinalis, Citrus limon, Cucumis sativus and evaluation of their antioxidant activity. Oriental Journal of Chemistry. 2012;28(2):993-8.

Soltani R, Hashemi M, Farazmand A, Asghari G, Heshmat‐Ghahdarijani K, Kharazmkia A, et al. Evaluation of the effects of Cucumis sativus seed extract on serum lipids in adult hyperlipidemic patients: A randomized double‐blind placebo‐controlled clinical trial. Journal of Food Science. 2017;82(1):214-8.

Arias BA, Ramón-Laca L. Pharmacological properties of citrus and their ancient and medieval uses in the Mediterranean region. Journal of Ethnopharmacology. 2005;97(1):89-95.

Mohanapriya M, Ramaswamy L, Rajendran R. Health and medicinal properties of lemon (Citrus limonum). International Journal of Ayurvedic and Herbal Medicine. 2013;3(1):1095-100.

Saeb S, Amin M, Gooybari RS, Aghel N. Evaluation of antibacterial activities of Citrus limon, Citrus reticulata, and Citrus grandis against pathogenic bacteria. International Journal of Enteric Pathogens. 2016;4(4):3-37103.

Bhavsar SK, Joshi P, Shah MB, Santani DD. Investigation into hepatoprotective activity of Citrus limon. Pharmaceutical Biology. 2007;45(4):303-11.

Otang WM, Afolayan AJ. Antimicrobial and antioxidant efficacy of Citrus limon L. peel extracts used for skin diseases by Xhosa tribe of Amathole district, Eastern Cape, South Africa. South African Journal of Botany. 2016;102:46-9.

Oboh G, Bello FO, Ademosun AO, Akinyemi AJ, Adewuni TM. Antioxidant, hypolipidemic, and anti-angiotensin-1-converting enzyme properties of lemon (Citrus limon) and lime (Citrus aurantifolia) juices. Comparative Clinical Pathology. 2015;24(6):1395-406.

Banerjee S, Mullick HI, Banerjee J, Ghosh A. Zingiber officinale: ‘a natural gold’. Int J Pharmaceutical Bio-Sci. 2011;2:283-94.

Kumar G, Karthik L, Rao KB. A review on pharmacological and phytochemical properties of zingiber officinale roscoe (zingiberaceae). Journal of Pharmacy Research. 2011;4(9):2963-6.

Shah PP, Mello PMD. A review of medicinal uses and pharmacological effects of Mentha piperita. Natural Poduct Radiance. 2004;3(4):214-21.

Mahendran G, Rahman LU. Ethnomedicinal, phytochemical and pharmacological updates on Peppermint (Mentha× piperita L.)—a review. Phytotherapy Research. 2020;34(9):2088-139.

Li H, Lu C, Liu Y, Wang Z, Zhang J. Dietary Chinese herbs. Springer Verlary Wien. 2015:488.

Pramila DM, Xavier R, Marimuthu K, Kathiresan S, Khoo M, Senthilkumar M, et al. Phytochemical analysis and antimicrobial potential of methanolic leaf extract of peppermint (Mentha piperita: Lamiaceae). J Med Plants Res. 2012; 6(2):331-5.

Taher YA. Antinociceptive activity of Mentha piperita leaf aqueous extract in mice. Libyan Journal of Medicine. 2012;7(1):16205.

Singh R, Shushni MAM, Belkheir A. Antibacterial and antioxidant activities of Mentha piperita L. Arabian Journal of Chemistry. 2015;8(3):322-8.

Sharma A, Sharma MK, Kumar M. Protective effect of Mentha piperita against arsenic‐induced toxicity in liver of swiss albino mice. Basic & Clinical Pharmacology & Toxicology. 2007;100(4): 249-57.

Jain D, Pathak N, Khan S, Raghuram GV, Bhargava A, Samarth R, et al. Evaluation of cytotoxicity and anticarcinogenic potential of mentha leaf extracts. International Journal of Toxicology. 2011; 30(2):225-36.

Odebiyi OO, Sofowora EA. Phytochemical screening of Nigerian medicinal plants II. Journal of Natural Products (Lloydia). 1977;41(3):234-46.

Evans WC. Trease and evans' pharmacognosy. 16th ed. New York: Elsevier Health Sciences; 2009.

Karber G. Contribution to the collective treatment of pharmacological series experiments. Archives of Experimental Pathology and Pharmacology. 1931;162: 480-3.

Chinko BC, Dapper DV, Adienbo OM. Evaluation of antihyperlipidaemic activities of hydromethanolic extracts of dioscorea bulbifera. Journal of Advances in Medical and Pharmaceutical Sciences. 2020;22(1): 16-25.

Malafaia AB, Nassif PAN, Ribas CAPM, Ariede BL, Sue KN, Cruz MA. Obesity induction with high fat sucrose in rats. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo). 2013;26:17-21.

Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clinical Chemistry. 1972; 18(6):499-502.

Crook M. Clinical chemistry & metabolic medicine. London: Edwarld Arnold Publishers Ltd.; 2006.

Zeka K, Ruparelia K, Arroo RR, Budriesi R, Micucci M. Flavonoids and their metabolites: prevention in cardiovascular diseases and diabetes. Diseases. 2017; 5(3):1-18.

You C-L, Su P-Q, Zhou X-X. Study on effect and mechanism of scutellaria baicalensis stem-leaf total flavonoid in regulating lipid metabolism. China Journal of Chinese Materia Medica. 2008;33(9): 1064-6.

Barbalho SM, Damasceno DC, Spada APM, Silva VSd, Martuchi KA, Oshiiwa M, et al. Metabolic profile of offspring from diabetic wistar rats treated with Mentha piperita (peppermint). Evidence-Based Complementary and Alternative Medicine. 2011;2011.

Aremu MO, Ajine PL, Omosebi MO, Baba NM, Onwuka JC, Audu SS, et al. Lipid profiles and health promoting uses of carrot (Daucus carota L.) and cucumber (Cucumis sativus L.). International Journal of Sciences. 2021;10(7):22-9.

Mensink RP, Katan MB. Effect of dietary fatty acids on serum lipids and lipoproteins. A meta-analysis of 27 trials. Arteriosclerosis and Thrombosis: A Journal of Vascular Biology. 1992;12(8):911-9.

Fu J, Zhang XW, Liu K, Li QS, Zhang LR, Yang XH, et al. Hypolipidemic activity in sprague–dawley rats and constituents of a novel natural vegetable oil from Cornus wilsoniana fruits. Journal of Food Science. 2012;77(8):H160-H9.

Norouzi F, Doulah A, Rafieirad M. Effects of Four Week Consumption of Lemon (Citrus limon L.) Essential Oil with Swimming Training on Lipid Profile and Lipid Peroxidation in Adult Male Mice. Iranian Journal of Nutrition Sciences & Food Technology. 2020;14(4):1-8.

Olukanni OD, Akande OT, Alagbe YO, Adeyemi OS, Olukann AT, Daramola GG. Lemon juice elevated level of reduced glutathione and improved lipid profile in Wistar rats. American-Eurasian J. Agric. & Environ. Sci. 2013;13(9):1246-51.

Raed AH, Khattab AS, Foad EA, Alkhateeb HH. Effects of Citrus limon leaf extract on blood glucose and lipid profile in alloxan monohydrate-induced diabetic rats. Gazzetta Medica Italiana-Archivio per le Scienze Mediche. 2021;180(11):730-7.

Badal RM, Badal D, Badal P, Khare A, Shrivastava J, Kumar V. Pharmacological action of Mentha piperita on lipid profile in fructose-fed rats. Iranian Journal of Pharmaceutical Research: IJPR. 2011;10(4):843.

Barbalho SM, Machado FMVF, Oshiiwa M, Abreu M, Guiger EL, Tomazela P, et al. Investigation of the effects of peppermint (Mentha piperita) on the biochemical and anthropometric profile of university students. Food Science and Technology. 2011;31(3):584-8.

Sharmin R, Khan MRI, Akhtar MA, Alim A, Islam MA, Anisuzzaman ASM, et al. Hypoglycemic and hypolipidemic effects of cucumber, white pumpkin and ridge gourd in alloxan induced diabetic rats. Journal of Scientific Research. 2013;5(1):161-70.

Insanu M, Rizaldy D, Silviani V, Fidrianny I. Chemical compounds and pharmacological activities of cucumis genus. Biointerface Res Appl Chem. 2022;12(1):1324-34.

Minaiyan M, Zolfaghari B, Kamal A. Effect of hydroalcoholic and buthanolic extract of Cucumis sativus seeds on blood glucose level of normal and streptozotocin-induced diabetic rats. Iranian Journal of Basic Medical Sciences. 2011;14(5):436.

Cicero AF, Sahebkar A, Fogacci F, Bove M, Giovannini M, Borghi C. Effects of phytosomal curcumin on anthropometric parameters, insulin resistance, cortisolemia and non-alcoholic fatty liver disease indices: A double-blind, placebo-controlled clinical trial. European Journal of Nutrition. 2020;59(2):477-83.

Lv J, Cao L, Li M, Zhang R, Bai F, Wei P. Effect of hydroalcohol extract of lemon (Citrus limon) peel on a rat model of type 2 diabetes. Tropical Journal of Pharmaceutical Research. 2018;17(7):1367-72.

Sorrenti V, Consoli V, Grosso S, Raffaele M, Amenta M, Ballistreri G, et al. Bioactive compounds from lemon (Citrus limon) extract overcome TNF-α-induced insulin resistance in cultured adipocytes. Molecules. 2021;26(15):4411.

Bayani M, Ahmadi-Hamedani M, Javan AJ. Study of hypoglycemic, hypocholesterolemic and antioxidant activities of Iranian Mentha spicata leaves aqueous extract in diabetic rats. Iranian Journal of Pharmaceutical Research: IJPR. 2017;16(Suppl):75.

Wani SA, Naik H, Wagay JA, Ganie NA, Mulla MZ, Dar B. Mentha: A review on its bioactive compounds and potential health benefits. Quality Assurance and Safety of Crops & Foods. 2022;14(4):154-68.

Barbalho SM, Damasceno DC, Spada APM, Silva VSd, Martuchi KA, Oshiiwa M, et al. Metabolic profile of offspring from diabetic wistar rats treated with mentha piperita (peppermint). Evidence-Based Complementary and Alternative Medicine. 2011;2011:1-6.

Randle PJ. Regulatory interactions between lipids and carbohydrates: The glucose fatty acid cycle after 35 years. Diabetes/metabolism reviews. 1998; 14(4):263-83.

Novelli ELB, Diniz YS, Galhardi CM, Ebaid GMX, Rodrigues HG, Mani F, et al. Anthropometrical parameters and markers of obesity in rats. Laboratory animals. 2007;41(1):111-9.

Lin S, Thomas TC, Storlien LH, Huang XF. Development of high fat diet-induced obesity and leptin resistance in C57Bl/6J mice. International journal of obesity. 2000;24(5):639-46.