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. 2022 Apr 12;15(4):464. doi: 10.3390/ph15040464

Table 7.

Effects of HS consumption on renal function.

Country Sex Age (years) Dose Frequency/Days of Intervention Sample Size Design Study Notes about Participants Main Results Ref.
M F Exp. CT
Infusion/Decoction/Tea
Mexico NI NI 30–80 10 g 4 weeks 53 37 R, C, DBT Subjects with hypertension, without drug treatment Increased sodium excretion, a tendency for chlorine levels to decrease, no change in potassium excretion [105]
Iraq 9 15 31–65 15 g 4 weeks NI NI P, R, CC Hypertension patients Decrease in BP and decrease in urea nitrogen [125]
Thailand NI NI 36–65 1.5g 15 days 9 9 NI Healthy males Uric acid excretion and clearance increased significantly [131]
Capsule/Tablet
Italy 0 93 22–63 100 mg HS,
100 mg
Boswellia serrate,
400 mg L-methionine
30 days 46 47 R Treatment combined In the HS group, 95.7% of patients showed significant clinical improvement compared to women treated with standard antibiotic therapy [133]
Indonesia 10 10 18–45 500 mg 30 days 20 0 NI Healthy volunteers HS does not affect renal function in healthy subjects [134]
Beverage
Iran 22 38 52 (mean) 425 mg 8 weeks 30 30 R, DBT, PC Of the participants in the study, 80% used insulin, and 20% used glucose-lowering drugs Reduction in blood urea nitrogen, blood creatinine, urine creatinine, and urine albumin values, as well as a significant decrease in high-sensitivity C-reactive protein [13]
Mexico NI NI 25–61 250 g 4 weeks 86 84 R, C, DBT Subjects with hypertension stage I or II Showed a tendency to reduce sodium, while the potassium level did not change [106]
Thailand 36 0 20–30 16 g–24 g/day 2 weeks 36 0 NI Healthy subjects Urinary excretion decreases creatinine, uric acid, citrate, tartrate, calcium, sodium, potassium, and phosphate [132]

Exp: experimental group; SB: single-blind trial; CO: cross-over trial; O: observational; Q: quasi-experimental; HS: Hibiscus sabdariffa; M: male; F: female; CT: control group; NI: no information; R: randomized trial; C: controlled trial; DBT: double-blind trial; P: prospective trial; CC: clinical case-control; BP: blood pressure; PC: placebo control.