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NATURAL SWEETENERS ESSENTIAL FATTY ACIDS Walking on eggshells A holistic approach Welcoming a new era A sweet escape Taking the flax Protecting the platform • ingredients • functional foods • nutraceuticals • supplements • raw materials • Volume 8 Number 1 January/February 2012
Citation preview
w w w . n u t r a c e u t i c a l m a g . c o m
Volume 8 Number 1 January/February 2012
• ingredients • functional foods • nutraceuticals • supplements • raw materials •
NATURAL SWEETENERSWelcoming a new eraA sweet escape
ESSENTIAL FATTY ACIDSTaking the flaxProtecting the platform
EXAMINING ECHINACEA
FROM FARMER TO PHARMA
BONE & JOINT HEALTH
Walking on eggshellsA holistic approach
intera 210x297 iodine.indd 1 12/12/11 12.55
03contents
32 Building Bones Stronger, for LongerKimberly J. Dekker
36 A Holistic Approach to Joint HealthDr Joosang Park
40 Bone BoomLu Ann Williams
42 A Joint EffortCharlotte Frederiksen
Weight Management44 Intuitive NutritionVladimir Shkolnikov
Industry Issues46 Without a Safety NetGeorge Pontiakos
Last Word48 From Farmer to PharmaTim Jones and Caroline Dewing
Regulatory Review50 Finding the Needle in the HaystackDr Cheri Turman
0303Volume8 Issue1
2430
48
Guest Editorial04 Nutraceuticals: How Pharma Can Get a Share of the MarketLeonard M. Fuld
News06 The Latest News and Updates
GOED Report10 Oxidation of EPA and DHA Oils: The Controversy ContinuesAdam Ismail and Harry Rice
Herbals and Botanicals12 Examining Echinacea Part IDr Nancy J. Szabo
Essential Fatty Acids18 The Alpha to Omega of KrillHenrik Traaholt
20 Protecting the PlatformDr Kevin Robinson with Dr Wael Massrieh
21 Taking the FlaxEric Bochardt
Natural Sweeteners24 A Sweet EscapeRony Van Den Abbeele
28 Welcoming a New EraHenry Hussel
Bone and Joint Health30 Walking on EggshellsHeather Thompson
January/February2012Contents1804
www.nutraceuticalmag.comJanuary/February 2012
28
22
12
20
www.nutraceuticalmag.com January/February 2012
04guest editorial
The pharmaceutical industry is in danger of ceding the large and
growing nutraceutical market to the consumer packaged
goods (CPG) companies. Thus predicts The Battle for Designer
Foods, a public war game in which four teams from top business
schools were tasked with stress-testing the nutraceutical strategies of
Abbott Labs, Danone, GlaxoSmithKline and Nestlé.
The global market for nutraceuticals — foods that, owing to addition or
enhancement, provide health benefits beyond nutrition — is projected to
be close to $250 billion by 2015, according to a report from Global Industry
Analysts. The change in landscape that appears to signal the end of the
era of the blockbuster drug and bring pharmaceutical companies face to
face with expiring patents and slim pipelines means that the nutraceutical
market could provide an alternative revenue stream — and a welcome one
at that. Rather than posing the question of “can pharma compete here?”
companies should instead ask what changes should be implemented by
pharma to compete, and refuse to allow the obvious advantages of CPGs
— such as strong track records in marketing foods directly to consumers
— and the inherent obstacles of pharma companies — particularly a
risk-averse culture borne of strict US Food and Drug Administration (FDA)
regulations — to prevent them from carving out a piece of this market.
This is not to overlook the challenge that pharmaceutical companies
must overcome to succeed; strict FDA regulations prevent them from
simply putting their drugs into consumer products (although nutraceuticals
are regulated by the FDA, they are subject to different restrictions). Their
traditional route to success, which encompasses a high reliance on
science, clinical trials, the protection of intellectual property and reaping
the benefits of years of patent protection, may have to be upended if
pharma is to succeed in the adjacent nutraceutical market. This hesitancy
could well be a classic case of what Clay Christensen describes as The
Innovator’s Dilemma, in which the high revenue-and-returns bar set by
large companies, and their reluctance to accept anything less, hinders
innovation — pharma companies are accustomed to much higher product
margins than packaged food companies. Having invested billions in
researching drugs that treat or prevent diseases, will pharma companies
be satisfied with something as apparently simple and relatively low-margin
as probiotic yoghurts, scientifically engineered nutritional drinks or even
heart-healthy breakfast spreads?
Solutions of this kind, promising profits that exceed typical packaged
food products, are part of what makes the opportunity so appealing
for the CPGs, who boast great expertise in creating and marketing
mainstream products in addition to some experience in doing the same
with less sophisticated enhanced food products, such as vitamin water.
Food giants are beginning to make significant investment in this space;
October 2010 saw Nestlé announce its planned investment of more than
half a billion dollars in creating a standalone health science business to
pioneer a new industry between food and pharma.
Similarly, Danone has refocused its portfolio on nutrition during the
last decade, a key example of which is its $17 billion purchase of Royal
Numico, a leader in infant and clinical nutrition products. This deal, along
with its blockbuster Activia probiotic yoghurt, provides Danone with a
stronghold in the area of health and nutrition. The bottom line is that to
compete successfully, it will be necessary for pharmaceutical companies
to start thinking and acting like CPGs. The recent war game exercise gave
rise to some specific strategies that the pharmas can usefully employ.
Lose the Blockbuster MentalityThe extensive — and expensive — research, clinical trials and
formulation required to obtain FDA approval for drugs have paid off for
the pharmaceutical companies in the form of patent protection, IP and
a ready made distribution network of hospitals, doctors, formularies
and insurance systems. This has contributed greatly to the mentality of
relying on blockbuster drugs. Instead of looking for blockbuster-equivalent
nutraceutical products, the pharmaceutical companies should consider
taking smaller, measured steps and building a portfolio of products that
incorporate ingredients already approved by the FDA for use in foods such
as fish oils, sterols and stanols.
Make the Public Health CaseHigh cholesterol, diabetes, obesity and heart disease are among the most
serious and prevalent health risks in the developed world — and are all
conditions that can be affected by nutraceuticals. Making the public health
case is about solving a problem that already exists with proven ingredients
that don’t need drug-level approval.
Experiment Outside the LabPharmaceutical companies are accustomed to basing their experimentation
in the lab; indeed, it is at the very heart of what they do. There is, however,
an overarching need for this zeal to be redirected toward the marketplace;
companies must be willing to trial different enhanced-food products,
establish what customers will buy and realize that testing a food that may
bomb with consumers in one version and moderately succeed in another
is not the same as putting out a drug that is found to have severe side-
effects. The consumer marketplace for nutraceuticals may offer a different
risk-reward equation when testing for a winning product. Food companies
recognize this distinction and are constantly tinkering with packaging,
ingredients and brand extensions — although this is not always successful
(new Coke, anyone?). It is this flexibility and willingness to fail occasionally
that constitutes a part of their success.
Educate ConsumersDespite marketing directly to consumers, pharmaceutical companies
lack expertise in creating and exploiting a broad, populist market need.
NuTrACEuTICALsHOw PHArmA CAN GET A sHArE OF THE mArkET… and Avoid Being Blindsided by CPGs
www.nutraceuticalmag.comJanuary/February 2012
05guest editorial
Susanne FässlerMarketing Communication ManagerFrutarom Switzerland Ltd
Jörg GrünwaldPresidentAnalyze & Realize ag
Dr Michelle H. Jones Manager, Regulatory and Scientific Affairs Archer Daniels Midland Company
John KurstjensMarketing ManagerLipid Nutrition
Chris LeeEvent DirectorIIR Exhibitions
Ulla FreitasManagerScientific Affairs, NutritionLonza AG
Theodor GraserHead Pharma Industry DSM Nutritional Products Ltd
Denzil PhillipsFounderDenzil Phillips International
Pedro VieiraMarketing ManagerKemin Health Europe
Robin WardManaging DirectorExcelsa Pharmaceuticals Sagl
John Wilkinson Consultant Phytochemist and DirectorHerbal Sciences Int. Ltd
Dr Paul BerrymanChief ExecutiveLeatherhead Food International
Norbert WeitkemperManaging DirectorVital Solutions GmbH
To subscribeProfessionals working within the industries we cover may purchase a year’s subscription by sending a cheque for £100.00 made payable to Via Media UK Ltd, Wesley House, Bull Hill, Leatherhead, Surrey, KT22 7AH
No part of this magazine may be reproduced, stored in a retrieval system or transmitted in any form without permission.
Copyright © 2012, Via Media UK Ltd. All Rights Reserved
Volume 8 Issue 1January/February 2012 ISSN 1745-8307
ContributorsEditorial DirectorKevin Robinson+44 (0) 1392 202 [email protected]
Assistant EditorCharlotte Hodgson +44 (0) 1372 364 130 [email protected]
Art Director/ProductionPaul Andrews +44 (0) 1372 364 [email protected]
Web Design/MarketingClaire Day+44 (0) 1372 364 [email protected]
General ManagerMiranda Docherty+44 (0) 1372 364 [email protected]
SalesGill Healy+44 (0) 1372 364 [email protected]
Financial OfficerCherelle Saunders+44 (0) 1372 364 [email protected]
Editorial Advisory Board
The publisher endeavours to collect and include complete, correct and current information in Nutraceutical
Business & Technology, but does not warrant that any or all such information is complete, correct or current.
The publisher does not assume, and hereby disclaims, any liability to any person or entity for any loss or
damage caused by errors or omissions of any kind, whether resulting from negligence, accident or any other
cause. Nutraceutical Business & Technology does not verify any claims or other information appearing in any
of the advertisements contained in the publication, and cannot take any responsibility for any losses or other
damages incurred by readers in reliance on such content.
The key will be in raising consumer awareness about the efficacy
of non-medicinal products to manage certain health conditions,
conditions for which, in many cases, they are already deeply involved
in treating or preventing. The nutraceutical product simply provides
another approach to addressing the same problem.
Be Willing to Collaborate Although mergers will increase (Pfizer has recently announced its
willingness to sell a portion of its nutrition business), collaborations with
CPGs will likely be a key basis for success. This is also an area in which
pharmaceutical companies tend to be wary, afraid that the marketing,
packaging expertise and distribution channels of CPGs will put them at
a disadvantage in any deal. In the short-term, however, collaboration
may be the easiest and quickest way for them to enter the market.
All this should not suggest that the barriers to entry and potential
success are too high for pharmaceutical companies — they may be
better equipped than CPGs to endure the costly and time consuming
R&D required for more sophisticated products that the market may
eventually call for. There have been some limited Big Pharma success
stories; Abbott Labs is a leader in both child and adult nutraceuticals
with its high science Pedialyte and Ensure products. GSK Consumer
Healthcare has successfully launched several of its nutritional beverage
products in China and India, the revenue growth from which could
motivate the company to take a more aggressive approach with these
products in other markets, such as the US.
The size of the opportunity presented by this sector and
their need for fresh revenue streams are pressing reasons for
pharmaceutical companies to assert themselves in the market. It is
in collaboration that their best hope for success lies — borrowing
strategy, and perhaps even talent, from the CPGs. A shift in attitude
will also be needed; the risks may be greater, but so may the
rewards. To ignore the potential of this market would be a mistake
for an industry that can no longer rely on its former business model
as its only means of success.
On 30 April 2012, this war game will be acted out in the UK between
top business students from Oxford and Cambridge. It will take place
at Said Business School, University of Oxford, where students from
Cambridge Judge Business School, University of Cambridge, will
compete for the prize. It will be interesting to compare the predictions
made in the US in April 2011 with those resulting from this game.
For more informationLeonard M. Fuld CEOFuld & Company (www.fuld.com)To see excerpts of the Fuld & Company The Battle for Designer Foods war game, please visit www.fuld.com/Services/WarGames.html.
06news
The Next Generation of TexturizersFiE was the scene of Fiberstar Inc. (www.fiberstar.net) and Gum Technology’s announcement of their new partnership to create a revolutionary new line of texturizing ingredients. Combining the proven moisture management of Fiberstar’s Citri-Fi with highly functional hydrocolloid-based stabilizer blends from Gum Technology, the Hydro-Fi line presents a new generation of texturizers for baked goods, frozen desserts, meat products and sauces.
Designed to provide innovative, high performance solutions for specific food formulation challenges, the ingredient range also offers significant cost reductions and performance benefits for manufacturers, including increased moisture retention, extended shelf-life and improved yield and texture. Dale Lindquist, president and CEO of Fiberstar comments: “We’re really excited by today’s launch; the two companies’ combined expertise and ingredients have enabled the emergence of an entirely new line of texturizers. Amalgamating the textural benefits of hydrocolloids with the unique properties of citrus fibre presents a new generation of ingredients that provide advantages well beyond the proven performance of their individual constituents. He continued to emphasize the “almost limitless” potential of Hydro-Fi and Citri-Fi and claimed that the company is “keen to develop relationships with other ingredient manufacturers who would be interested in capitalizing on the ingredients’ unique water and oil retention performance in combination with their own ingredients.”
Investing for EvolutionIn 2011, PLANTEX, a French specialist in plant extracts, expended 15% of its turnover in its R&D department. According to its CEO, Mrs Debaisieux, the investment reflects the company’s “strong will to remain involved in emerging markets to improve and perfect the services offered to industrial partners,” and signals that it is “preparing for the future with a constant drive to anticipate each of our clients’ particular needs.” The company invests heavily in its organization, creating a clearly identified marketing service and enhancing its R&D to further improve its response to the high level of demand it is currently facing, particularly in the area of organic vegetal extracts.
Their production unit and laboratory are acquiring new and more efficient analysis and extracting equipment, including a third innovative spray drying tower and HPLC, which will increase production capacity. This will allow PLANTEX to address customers’ requests, some of which are urgent, with an even better flexibility and reliability, while maintaining the same quality and traceability (www.plantex.fr).
January/February 2012www.nutraceuticalmag.com
Positive Opinion on Reduchol Following an application by Slovenian functional ingredients producer Valens Int. (www.valens-health.com) submitted pursuant to Article 14 of Regulation (EC) No 1924/2006, EFSA has recently delivered an opinion on the scientific substantiation of a health claim related to barley beta-glucans and the lowering of blood cholesterol and reduced risk of heart disease, referring to disease risk reduction and including a request for the protection of proprietary data. A cause-and-effect relationship has been established between the consumption of barley beta-glucans and the lowering of blood LDL-cholesterol concentrations. Several pertinent studies were provided in the health claim application, showing first that at doses of at least 3 g/day the ingredient produced a decrease in total and LDL cholesterol concentrations in both normo- and hypercholesterolaemic subjects and, second, that there is evidence supporting the biological plausibility of the mechanism of the effect. Based on this scientific data, at least 3 g of barley beta-glucans should be consumed per day to obtain the claimed effect; in practice, this could be divided into smaller portions.
Following huge investment, Valens Int. regards this as an important success, which will enable even stronger health claims for producers using Reduchol in a wide range of food products. Furthermore, this opinion gives the company a competitive advantage when it comes to marketing its product. The health claim application was submitted in May 2011 and the prompt and supportive communication with EFSA should be noted. During the evaluation process, Valens Int. delivered all requisite data on time and no stop-the-clock procedures were called for, which the company believes to be owing to the high quality of the health claim application, prepared with scientific support from the Nutrition Institute (Ljubljana, Slovenia).
Natural Shelf-Life and Yield Management SolutionVitiva has recently introduced VFish, a new product line of natural solutions for increasing the shelf-life and yield management of processed fresh fish. VFish is a unique combination of natural, mineral-rich sea salt combined with Vitiva’s proprietary plant extract formulations. This ready-to-use new formula provides full antirancidity and yield increase and supports antimicrobial stability for prepared fish and fish products. Water-binding capacity is one of the key parameters of processed fish and has a significant impact on the yield and juiciness of the final product; most physical properties, including the colour, texture and firmness of raw fish result from water this capacity. In addition, fish and fish products contain high amounts of healthy polyunsaturated fatty acids (PUFA) and thus are prone to rapid oxidation and rancidity. Lipid oxidation, coupled with microbial proliferation, is a major cause of deterioration and spoilage for fish.
As it affects the succulence and tenderness of the finished products as well as economic aspects of the operation, monitoring water-binding capacity is priority for the fish industry. Ohad Cohen, CEO of Vitiva, commented: “VFish is an excellent choice for food processors desiring to improve seafood water-binding capacity without the addition of phosphates and still control rancidity and microbial instability. Moreover, this completely natural product line enables fish processors to employ clean-label solutions for their products, while gaining extensive shelf-life and avoiding synthetic ingredients that might have the potential for harm.” Fish producers may choose among different customized VFish formulations, which are applicable to both mainstream and organic-certified products. The new line is available as a dry mix complete solution that is customized to different batch sizes, various technological needs and processing operations. Vitiva is a leading, fast growing and innovative company that provides advanced, application-specific solutions based on natural extracts for all food, cosmetic, pharmaceutical and nutraceutical industries (www.vitiva.eu).
For more information on our award-winning ingredients, visit capsimax.com or lutemax2020.com.
©2011 OmniActive Health Technologies
OmniActive Health Technologies continues to receive global recognition
and acclaim. Recently, OmniActive received two awards for ingredient
and technology innovation.
Capsimax™ and Lutemax 2020™ showcase OmniActive’s breakthrough
technologies and formulations that enhance the body's ability to absorb
and utilize health promoting ingredients. By delivering nutrients in
bioavailable, scientifically validated and stable forms we provide our
valued customers with the innovative partnership they require to develop
truly outstanding consumer products.
omniactives.com
The Frost & Sullivan 2011 Global Eye Health Ingredients (Lutein & Zeaxanthin) Product Differentiation Excellence Award
Nutrition Business Technology Award for Most Innovative Ingredient, presented at Vitafoods
Thank you for noticing.
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January/February 2012www.nutraceuticalmag.com
08news
Beta-Glucan BenchmarkNorwegian life science company, ImmunoMedic, has announced that it is preparing to launch its ultra pure beta 1,3/1,6 glucan ingredient, Betox-93, in the North American market. Betox-93 yields one of the highest levels of purity in the market — 93% — in addition to the higher bioavailability that results from high purity and micronization of particles, making it suitable for a wide range of formulations.
Beta-glucan is a complex sugar molecule, or polysaccharide, primarily used to stimulate the immune system as well as to manage levels of blood cholesterol concentration. The most common source of beta-glucans are higher fungi, baker’s yeast cell walls and grains of some cereals. Morten Sundsto, president and CEO of ImmunoMedic, described the company as “thrilled to bring this new, high purity and high bioavailability beta-glucan to he North American market,” which he claimed is “expected to grow rapidly in the coming years.” He continued: Beta-glucan is increasingly gaining attention as a natural and effective ingredient for a wide range of applications, including supplements, functional foods, skincare and wound care.”
Free from any proteins, fats, taste or odour, the patented ingredient is produced under strict quality control from its origin of certified organic oyster mushroom (Pleurotusostreatus, hiratake). Beta-glucan is the most studied natural immunostimulator there is, boasting more than 10,000 published studies. As the next development and commercialization phase, ImmunoMedic is identifying distribution partners and key customers in the North American market (www.immunomedic.com).
Kaneka Wins Novel Food ApprovalFollowing a thorough regulatory and safety inspection process by EFSA, Glavonoid — a functional ingredient that, thanks to its ability to activate the body’s fat metabolism and suppress fat synthesis, offers unique dual support in fighting visceral fat — has been granted novel food status by the European Commission. Derived from liquorice root (Glycyrrhiza glabra L.) using an advanced patented process, Glavonoid is absolutely free from glycyrrhizinic acid, contains 30% liquorice glabra polyphenols and is standardized on 3% Glabridin, its major active component. Its power to support visceral fat reduction has been proven — in DNA microarray analysis, the ingredient exhibited a two way efficiency mechanism: on the one hand it increases the body’s own fat burning ability by up-regulating genes involved in fatty acid oxidation, and on the other it decreases fat synthesis by down-regulating genes that are involved in fatty acid synthesis.
The liquorice root extract can be used in supplements as a single ingredient or as part of a multicomponent system and is also suitable for use in beverages based on milk, yoghurt, fruit or vegetables. Its novel food status provides manufacturers with a new health ingredient for building slimming and weight management products, especially those that target visceral fat reduction. Possible claims for such products would principally be aimed at slimming, a healthy BMI, boosting fat metabolism and supporting weight management, but could also target the sport and fitness and healthy ageing markets. A spokesperson from Kaneka commented: “After the complex EFSA regulatory process, we are very pleased that Glavonoid has received novel food status. Weight management is now a major issue and, as visceral fat is a main risk factor for the development of metabolic syndrome, we see an extremely promising market here.” Glavonoid has been sold in Japan and the US for several years, having achieved NDI status in 2005 and FDA GRAS status in 2008. The new novel food status refers to the general adult population and a 120 mg daily consumption of Glavonoid in milk, yoghurt, fruit or vegetable based beverages or food supplements (www.kanekapharma.com).
Natural Colours for Use in Oral Dosage FormsManufacturers of nutraceutical oral dosage forms now have more coating choices, thanks to the launch of the Aquarius coatings natural colour palette from Ashland Specialty Ingredients, a commercial unit of Ashland Inc. (www.ashland.com). Label friendly and in compliance with food regulations, these coating systems use colourants based on natural ingredients that are colour stable under light and storage conditions. Available in a spectrum of hues, the new palette increases Ashland’s nutraceutical offerings and clearly designates solutions that comply with regional and global regulations. This new range was developed in response to market demand for natural coatings that are in compliance with changing regional regulations for nutraceutical products. “Nutraceuticals are subject to food regulations, which are more restrictive than their pharmaceutical counterparts regarding the colorants permitted for use in tablet coating systems,” said Laurie Kronenberg, Ashland’s new product leader of pharmaceutical and nutrition specialties, “and we anticipate that more colourants may come under future use restrictions.”
Ashland has responded to differing compliance requirements for colourants in major markets by providing a broader colour palette for their tablet coating systems, which addresses regional regulatory requirements. Iron oxides, for instance, are permitted in pharmaceutical and food applications in the EU, but only for inclusion in pharmaceuticals in the US. Dr Tom Durig, technical director of pharmaceutical and nutrition specialties, explained: “We have recognized that, historically, natural colourants have not generally been perceived as colour stable, especially with regards to light stability. Through comprehensive and quantitative light storage colour stability testing our scientists were able to eliminate these from our tablet coating systems.”
www.nutraceuticalmag.com January/February 2012
10 GOED report
In the last issue of nutraceutical business & technology, GOED reported on the
controversy associated with oxidation of
the long-chain omega-3 oils. Admittedly,
this is a contentious issue, but when
GOED’s last column went to press, both
the European Food Safety Authority (EFSA)
and the Norwegian Scientific Committee for
Food Safety (VKM) were of the opinion that
there was insufficient information available
to conclude qualitatively or quantitatively
that rancid fish oil intended for human
consumption was a hazard. In the absence of
supporting data, how can a scientific opinion
change? Although the how is unclear, what
is clear is that the VKM’s opinion appears to
have done just that: changed.
At the end of October, the VKM
published the second of its three reports,
in which the committee deployed a new
tone.1 The report focused on the risk
assessment of decomposition substances
and oxidation products in fish oils and,
similar to its previous conclusion on
oxidation found in the first report, the
VKM noted a lack of knowledge and
insufficient information upon which to
base a thorough risk assessment.2 What’s
curious, not to mention disturbing, is that
despite finding no supporting data, the
VKM concluded that concerns related to
the regular consumption of oxidized marine
oils warranted changes in consumer
behaviour. In remarks made on its website,
the VKM adds insult to injury by stating:
“Scientific Committee for Food (SCF) is
somewhat concerned about the negative
health effects that long-term intake of
oxidation products of supplementation with
fish oil may have.”3 The concern stems
from a small number of animal studies
demonstrating a “potential” negative health
effect from large doses of highly oxidized
vegetable oils. In other words, their
concerns about the safety of oxidized fish
oils in humans stem from tests that were
not performed on humans and that used
completely different products, which are
known to be burned in the body faster than
the fats in fish oils.
Although the VKM’s report notes a lack of
published scientific studies on the effects of
oxidation products on human health, results
from the first double-blind randomized
controlled study in humans have just been
published. They demonstrate no changes
in a variety of in vivo markers of oxidative
stress, lipid peroxidation or inflammation
after daily intake of 8 grams of oxidized fish
oil (equivalent to 1.6 grams of omega-3/
day) for 3 or 7 weeks, indicating that
intake of oxidized fish oil may not have
unfavourable short-term effects in healthy
human subjects.4
The VKM is a scientific body and as such
must substantiate its opinions with the
available scientific evidence: concern based
on an absence of science is conjecture
and only serves to confuse consumers.
In fact, after a recent report raised fears
about the consumption of oxidized fish
oils, Norwegian public health officials
were forced to announce on television
that consumers have no reason to worry
and that the products they are taking
are safe. GOED has also had to address
these issues at a symposium of healthcare
professionals in China! The third of VKM’s
three reports, which is yet to be published,
is a full risk and benefit assessment of
marine oils — hopefully all conclusions will
be scientifically substantiated.
We leave you with one last very important
piece of information. Oxidation — both in
general and as it relates to fat specifically
— typically carries negative connotations.
Thus, it’s no surprise that consumers and
many healthcare professionals believe
that oxidation is a bad thing. Keep in mind
that, first, oxidation of dietary fat is part of
normal metabolic homeostasis, secondly,
no study has ever shown that consumption
of oxidized fish oils is harmful and, thirdly,
that the omega-3 oils consumed around
the world are generally nowhere near
rancid anyway!
References1. Norwegian Scientific Committee for Food
Safety, Description of the processes in the value chain and risk assessment of decomposition substances and oxidation products in fish oils (http://www.vkm.no/dav/4be9bee090.pdf).
2. Norwegian Scientific Committee for Food Safety. Evaluation of negative and positive health effects of n-3 fatty acids as constituents of food supplements and fortified foods. (http://english.vkm.no/dav/031c000d1a.pdf).
3. http://vkm.no/eway/default.aspx?pid=277&trg=Content_6553&Content_6553=6187:1662070::0:6655:1:::0:0
4. I. Ottestad, et al., “Oxidised Fish Oil Does Not Influence Established Markers of Oxidative Stress in Healthy Human Subjects: a Randomised Controlled Trial,” British Journal of Nutrition. DOI: 10.1017/S0007114511005484. (2011)
For more informationAdam Ismail, Executive Director and Harry Rice, VP, Regulatory and Scientific AffairsGlobal Organization for EPA and DHA Omega-3s (GOED)1075 East Hollywood AvenueSalt Lake City, Utah 84105, USATel. +1 801 746 1413www.goedomega3.com
OxIDATION OF EPA AND DHA OILs THE CONTrOVErsy CONTINuEs
11strap
January/February 2012 www.nutraceuticalmag.com
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12 herbals and botanicals
Adverse EventsAdverse event reporting for drugs, medical
devices and dietary supplement products
is recognized as an important means of
identifying signals that could have a direct
clinical impact on consumers. The Food and
Drug Administration (FDA) and Center for
Food Safety and Nutrition (CFSAN) defines
an adverse event as “any health-related
event associated with the use of a dietary
supplement that is adverse,” and a serious
adverse effect as “an adverse event that
results in death, a life-threatening experience,
inpatient hospitalization, a persistent or
significant disability or incapacity, or a
congenital anomaly or birth defect; or
requires, based on reasonable medical
judgment, a medical or surgical intervention
to prevent an outcome described above.”1,2
Identifying possible adverse events
associated with the use of a dietary
supplement product is accomplished by
conducting safety evaluations in preclinical
(namely, animal) testing, before monitoring for
adverse events in human clinical studies and
postmarketing surveillance. In the US, the
primary aim of a clinical study is to determine
efficacy — identifying adverse effects is
a secondary goal. Because clinical trial
data are obtained under strictly controlled
conditions, this signal detection mechanism
is very sensitive. Identifying and following
evolving adverse events for supplement
products may also be achieved through
postmarketing surveillance, which has two
significant advantages over clinical trials: it
provides ongoing surveillance of all users
(as opposed to the small sample size in a
clinical trial) and is relatively inexpensive as
a process.3
Echinacea ProductsThe genus Echinacea (Family Asteraceae)
comprises about a dozen species of
herbaceous perennials, indigenous
throughout the eastern and central US and
southern Canada. The three most commonly
used species in supplemental preparations
are Echinacea angustifolia, E. purpurea and E. pallida. Fresh and dried roots and
aerial parts, and fresh-pressed juice from
flowering tops, are prepared into tinctures,
teas, juices, powders, tablets or capsules
that may also contain additional ingredients,
some of which may be botanical. In the US
and Canada, Echinacea-containing products
are marketed as dietary supplements, which,
by definition, are for oral administration only;
intravenous (IV) products for use in medical
settings are common in other countries,
including Germany.4 Regardless of final
form, Echinacea-containing preparations are
used by consumers primarily because they
are perceived as having immunostimulant
properties. Of all the dietary supplements
currently available, Echinacea-containing
preparations are among the most popular,
being sixth in USA sales in 2008.5
Few safety studies for Echinacea
preparations are available in scientific
literature, possibly because the flowering
herb has an exceptionally long history of
safe use. Echinacea has been used since at
least the eighteenth century by native North
Americans to assist in wound healing, as
a remedy for infection and toothache, as
a means of alleviating joint pain and as an
antidote for snakebite — and, until modern
antibiotics replaced most herbal remedies,
Echinacea preparations were also in regular
use by the general US population, primarily
as anti-infective agents. 5-10
PreClinical StudyIn one published safety evaluation,
the toxicological effects of orally and
intravenously administered fresh-pressed
E. purpurea juice (also known as Echinacin or
Echinaguard — 1 mL of the unpurified juice
is equivalent to 1.5–2.5 g of crude Echinacea
ExAmINING ECHINACEAAccess to safe and efficacious dietary supplements is an important part of a personal health
and wellness regimen that is pursued by many US and Canadian consumers. Of the dietary
supplements available, Echinacea-containing preparations — the sixth best selling in the
US — are among the most popular. Broadly viewed as an immunostimulant by consumers,
Echinacea is primarily taken to decrease the risk of contracting colds, flu and generalized
upper respiratory infections, to shorten the duration and severity of such illnesses and
to otherwise boost the immune system prophylactically. To ensure that consumers have
continued access to safe dietary supplements, manufacturers must periodically identify
and assess the occurrence and severity of adverse events, which this article undertakes to
do in relation to products containing the Echinacea extract Echinilin.
Part 1
13herbals and botanicals
herb) from the aerial parts of the plant were
examined in rats and mice for periods of
up to 4 weeks.11 Four mutagenicity assays
and one cell-transformation assay were
also performed with freeze-dried residues
(lyophilizates) of the juice. Each study
was conducted in accordance with the
internationally accepted guidelines of the
Organization for Economic Co-operation and
Development (OECD) for “Good Laboratory
Practice” and with the OECD or EC
(European Commission) recommendations
for technical methods.
In the acute studies, a single dose of
15,000 mg/kg bw E. purpurea juice was
administered by gastric tube to 8 week old
Wistar rats (eight males and eight females,
approximately 200 g each) and 8 week
old NMRI mice (eight males and eight
females; approximately 20 g each), with
each receiving 30,000 mg/kg bw in the
same manner (consuming the equivalent
of 5.1–7.5 g crude Echinacea per day).
Following administration, the animals were
observed for 14 days before termination and
necropsy. No deaths occurred during the
observation period, nor were abnormalities
in appearance or behaviour reported, and
no changes attributable to E. purpurea juice
were observed in any organ at necropsy.
The oral LD50 for E. purpurea juice was
>15,000 mg/kg bw and >30,000 mg/kg
bw in the rat and mouse, respectively. In a
parallel study by the same authors, single
doses of E. purpurea juice were administered
via IV to rats (5000 mg/kg bw) and mice
(10,000 mg/kg bw). Although minor
reactions (sedation and dyspnea) to the IV
administration procedure occurred, no other
effects were observed.
In the subacute study, E. purpurea juice
was administered via gastric tube at levels
of 0, 800, 2400 or 8000 mg/kg bw/day for
28 days to four groups of rats (18 males
and 18 females per group, consuming the
equivalent of 2.72–4 g crude Echinacea
per day). During the study body weight,
food consumption, ophthalmology, clinical
chemistry, haematology and histopathology
were evaluated for toxicological effects.
No mortalities occurred. At the end of the
study, a statistically significant decrease in
plasma alkaline phosphatase (AP) in male
rats of the 2400 and 8000 mg/kg bw/
day dose groups (P <0.01 and P <0.05,
respectively) and a statistically significant
increase in prothrombin time (PTT) in female
rats of the same groups (also P <0.01
and P <0.05, respectively) was reported.
Although statistically significant, neither the
change in AP nor the change in PTT was
considered to be toxicologically significant,
as both changes fell within the accepted
physiological variation for the strain and
neither was proportional to dose. No
significant differences in body weight or
food consumption occurred among the
groups at any time point and, in addition,
there were no reported changes from control
in ophthalmology, necropsy findings or
histopathology. The reported no-observed-
adverse-effect level (NOAEL) for fresh-
pressed E. purpurea juice was 8000 mg/kg
bw/day (equivalent to 13.6–20 g/kg bw/day
of the raw herb), which was the highest dose
administered and approximates 30 times the
maximum daily dose in humans.
In the first mutagenicity assay — the
bacterial mutation (Ames) assay — the
mutagenic potential of E. purpurea
juice lyophilizate was evaluated at
concentrations of up to 5000 μg/plate in
five test strains of Salmonella typhimurium (TA 98, TA 100, TA 1535, TA 1537
and TA 1538); no evidence of toxicity or
mutagenicity was observed, with or without
metabolic activation. Metabolic activation
was induced by using an
S-9 mixture containing
the liver homogenate
from male Wistar rats
that had been injected
intraperitoneally with 500 mg/kg
bw Aroclor 1254 and sacrificed 5
days afterwards. Similarly, in the in
vitro mouse lymphoma cell gene mutation
assay, no statistically significant increase
in mutation frequency was found in mouse
lymphoma cells treated with E. purpurea
juice lyophilizate at concentrations of up
to 5000 μg/mL, with or without metabolic
activation. The third assay, in vitro human
lymphocyte analysis, also showed no
mutagenic effect of the juice lyophilizate at
concentrations up to 5000 μg/mL with or
without metabolic activation — aberration
frequency in the human lymphocyte cells was
consistent among treatment and controls.
In the micronucleus assay, femoral bone
marrow smears from mice orally treated
with E. purpurea juice (25,000 mg/kg bw)
on one occasion and sacrificed 24, 48 or
72 hours afterwards, showed no increase in
micronucleated polychromatic erythrocytes (PCE)
compared with bone marrow smears from
control animals. To evaluate the unscheduled
DNA synthesis (UDS) potential of E. purpurea
juice lyophilizate, a cell transformation assay
January/February 2012 www.nutraceuticalmag.com
www.nutraceuticalmag.com January/February 2012
14 herbals and botanicals
with lyophilizate concentrations of up to
55μg/mL was performed; no morphological
transformations were induced in Syrian
hamster embryo cells exposed to the
lyophilizate. In each of these five supportive
assays, cells exposed to E. purpurea juice
lyophilizate and cells from animals dosed
with E. purpurea juice responded similarly
to assay negative controls and unlike the
corresponding positive controls (statistical
significance was not generally determined
for the positive control compared with the
negative control).
The results of these studies indicate that
fresh-pressed E. purpurea juice was well
tolerated in rats, with an oral NOAEL of
8000 mg/kg bw/day (equivalent to 13.6–20
g/kg bw/day of the raw herb), the highest
dose level tested. No adverse effects were
observed at dose levels approximately 30
times the maximum normal daily dose
that a human would ingest. Furthermore,
E. purpurea juice and its lyophilized residues
were demonstrated to lack mutagenic
potential and to not cause chromosomal
aberration or cell transformation.
Clinical TrialBelieved by the general population to
possess unique immunostimulatory
properties, Echinacea is included in many
dietary supplement products. Because most
Echinacea-containing preparations are not
standardized, clinical trials studying the
effectiveness of these products have often
produced inconclusive results, most likely
owing to insufficient quantities or deficiencies
in the preparation quality of Echinacea
materials. The need to evaluate a high quality
standardized preparation of Echinacea such
as Echinilin (sold in the US as Echinamide)
— for effectiveness and for incidence of
adverse reaction — thus led to a clinical
trial evaluating the effect of Echinilin on the
severity and duration of the common cold in
otherwise healthy subjects.
Similar to the E. purpurea juice
Echinacin used in the preclinical studies,
Echinilin is prepared from freshly harvested
E. purpurea. However, whereas Echinacin
is the pressed juice, Echinilin is an extract
purified to principally contain three active
components: alkamides, cichoric acid and
polysaccharides, at concentrations of 0.25,
2.5 and 25.5 mg/mL, respectively. Lacking
many of the impurities present in the raw
juice of the E. purpurea plant, Echinacin is
also somewhat more concentrated than
Echinilin; 1 mL is equivalent to 1.5–5 g of
the crude Echinacea herb whereas 1 mL
of Echinilin is equivalent to approximately
1 gram of the plant. The clinical trial,
a randomized, double-blind, placebo-
controlled study conducted at the University
of Alberta, Edmonton, Canada, showed
that Echinilin, a standardized formulation
prepared from freshly harvested E. purpurea,
administered orally for a total
of 7 days to volunteers
developing the initial
symptoms of a cold, was
well tolerated with only
mild to moderate adverse
effects, similar to those seen
with placebo.10 The primary
objective of the study was
to evaluate the effect of orally administered
Echinilin on the duration and severity of
the common cold, whereas the secondary
objective was to evaluate adverse reactions
to Echinilin in comparison to placebo.
Enrolled in the clinical trial were 282 male
and female volunteers aged 18–65 years
with a history of two or more colds in the
past year but otherwise in good health,
who were randomized to either the Echinilin
or placebo group. Exclusionary criteria
included, amongst others, recent vaccination
against influenza and allergy to ragweed. At
the onset of the first symptoms of a naturally
acquired cold, subjects were to begin the 7
day treatment programme, which consisted
of 10 doses per day on the first day and four
doses per day on the 6 subsequent days.
Each dose consisted of 4 mL of Echinilin
or placebo mixed into half a glass of water
before drinking. Subjects consumed the
equivalent of 40 g crude Echinacea on the
first day of dosing (approximately 0.67 g/kg bw)
and 16 g on each of the subsequent 6 days
(approximately 0.27 g/kg bw/day). Echinacea
and placebo extracts were prepared to look,
taste and smell the same. Of the enrolled
subjects, a total of 128 developed a cold (59
Echinilin, 69 placebo) and complied with at
least the first 2 days of the protocol by taking
14 doses of the study formulation within 48
hours of symptom onset; these subjects
were included in the ITT (intention to treat)
population. The 17 individuals from the ITT
population who failed to comply fully with
the trial criteria were excluded from the more
restrictive (most compliant) PP (per Protocol)
population. A total of 111 subjects — 54 in
the Echinilin (28 women, 26 men) and 57 in
the placebo (41 women, 16 men) groups —
developed colds and fully complied with trial
criteria; these subjects were included in both
the ITT and PP populations.
Dosing compliance was recorded daily
into a log, as was a self-assessed severity
of 13 cold symptoms (sore throat, runny
nose, stuffy nose, watery eyes, chills,
malaise, fever, headache, sore muscles,
hoarseness, shortness of breath, sneezing
and cough). Each symptom was scored
on a ten point scale as ‘no symptom’ (0
points), ‘mild’ (1–3 points), ‘moderate’ (4–6
points) or ‘severe’ (7–9 points) in nature and
a Total Daily Symptom Score (TDSS) was
generated by adding all symptom scores for
that day. Each subject that suffered from a
cold was also examined by a nurse on days
3 (after 14 doses) and 8 (after the course
of treatment), who assessed the severity of
Because most
Echinacea-
containing
preparations are not
standardized, clinical
trials studying the
effectiveness of
these products have
often produced
inconclusive results.
15strap
January/February 2012 www.nutraceuticalmag.com
Immune
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www.nutraceuticalmag.com January/February 2012
16 herbals and botanicals
cold symptoms, screened the subjects for
secondary complications such as sinusitis,
bronchitis, pneumonia and otitis media and
collected fasting blood samples for white
blood cell differential counts. Subjects were
contacted periodically during the 7 day
treatment to assess compliance, ask whether
they thought they were taking Echinilin
or placebo and request that any adverse
reaction be recorded in the log.
The parameters assessed during the
clinical trial included: the evolution of the
mean TDSS results for each day, the change
in individual symptom scores, the duration of
symptoms (indicated by the number of days
a symptom was scored above three points),
the treatment response rate (the number of
subjects reporting a decrease of at least 50%
in their maximum TDSS) and the incidence of
adverse effects.
Efficacy and Adverse EventsAs the distribution was not normal, the
data were logarithmically transformed
prior to statistical analysis. To determine
the effect of treatment and time on
TDSS and individual symptom scores,
Type III repeated-measures analysis of
variance (ANOVA) was performed. To
determine the effect of treatment on the
duration of the individual symptoms, a
one-way ANOVA was used. To evaluate
the closeness of the self-assessed and
nurse-assessed individual and total
symptom scores, Pearson correlation
coefficients were determined.10
In the PP population, statistical
analysis revealed that the average TDSS
for self-assessed cold symptom severity was
significantly lower in the Echinilin group (by
23.1%) than in the placebo group
(P <0.01). In terms of symptoms, the 7 day
mean severity of runny nose, sore throat,
stuffy nose, fatigue, headache and chills
were lower by 27%, 25%, 22%, 31%, 39%
and 44% in the Echinilin group than in the
placebo group, respectively (P <0.05 for
all). Cough was the only symptom that
scored higher in the Echinilin group than
that of the placebo. Additionally, Pearson
correlation coefficients were significantly
high, indicating that self-assessed scores
and nurse-assessed scores were extremely
similar for cough, runny nose, stuffy nose,
sore throat, fatigue and for total symptoms
(P <0.0001 for all). Blinding was demonstrated
to be adequate at the end of the study as
approximately 50% of subjects incorrectly
guessed which formulation they had
received.
The results of the ITT population were
similar, albeit less pronounced, than
those of the PP. The average TDSS for
self-assessed cold symptom severity was
significantly lower in the Echinilin group
(by 17.6%) than in the placebo group
(P <0.05). In terms of symptoms, the
mean severity of fatigue and headache
decreased significantly during the 7 days
in the Echinilin group compared with
the placebo group (P <0.05 for both).
Cough was again the only symptom
that scored higher in the Echinilin group
than in the placebo group. Owing to a
lack of compliance by 17 subjects in
the ITT population, Pearson correlation
coefficients were not determined.
In the PP population, the cold duration
in individuals in the Echinilin group was
reduced by approximately 1.5 days (27%)
compared with the placebo group, with
symptom severity dropping to 50% of
maximum by day 4 for subjects receiving
Echinilin but not until day 5.5 for placebo
subjects. On day 7, 95% of the members
of the Echinilin group exhibited symptoms
at <50% of their reported maxima; 33%
of the members of the placebo group still
exhibited symptoms at this level. Again, the
results of the ITT population were similar,
although not as pronounced; all individual
symptoms, except cough, were of shorter
duration in both populations when treated
with Echinilin than placebo. Among the ITT
population, a secondary complication in
the form of bronchitis developed in seven
participants — two individuals from the
Echinilin group and five from the placebo
group. No significant differences were
observed in the white blood cell differential
counts in either group.
Several incidents of non-severe adverse
effects were reported by both the treatment
and placebo groups of the ITT population.
Gastrointestinal effects (such as nausea,
heartburn and constipation) were reported
in 8/59 (13%) of the Echinilin subjects and
6/69 (9%) of the placebo subjects taking
at least 14 doses during a 2 day period.
Unpleasant tongue sensations (such as
itching, burning and numbness) were
reported in 8/59 (13%) of the Echinilin
subjects and in 8/69 (11%) of the placebo
subjects. No allergic events were reported
for either group during the study. Differences
between the treatment and placebo groups
were not statistically significant — results
showed that both formulations were well
tolerated and that side-effects, when they
occurred, were not sufficient to cause any
subjects to withdraw from the study.
This article will be continued in the
next issue of nutraceutical business & technology, where it will explore the
issue of postmarketing surveillance and
fully discuss the benefits, limitations and
potential applications of both the ingredient
and the means used to evaluate it.
For more informationDr Nancy J. SzaboBurdock Group801 N. Orange Ave., Ste. 710 Orlando, Florida 32828, USA.Tel. +1 4078 021 [email protected]
In the PP population,
statistical analysis
revealed that the
average TDSS for
self-assessed cold
symptom severity was
significantly lower
in the Echinilin
group ... than in the
placebo group
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www.nutraceuticalmag.com January/February 2012
18 essential fatty acids
One novel source of phospholipid
omega-3 PUFAs is krill oil extracted
from Euphausia superba, an
Antarctic krill species. Krill has a
shrimp-like appearance with big black eyes and
a reddish, semi-transparent shell. They live in
huge swarms in the cold Antarctic waters of the
Southern Ocean, feeding on microscopic marine
algae rich in enzymes that can produce omega-3
fatty acids, which are then accumulated in the krill
themselves and can subsequently be extracted
in krill oil. Moreover, algae are capable of
synthesizing the powerful antioxidant astaxanthin,
which is taken up by krill and protects PUFAs
from oxidation — it is also the reason for the
characteristic deep red colour of krill oil.
Most importantly, the majority of the EPA
and DHA in krill oil is bound to a particular type
of fat — phospholipids — unlike other marine
oils, which confine them to different chemical
forms of fat, usually either triglycerides or ethyl
esters. The differences are quite significant,
particularly in the area of utilization by the
body: dietary triglycerides and phospholipids
differ in their physiological functions in the
body; triglycerides are primarily used either
as energy or as energy storage in fat tissues.
When delivered in triglyceride form, a portion of
the beneficial omega-3s are burned as energy
or stored in the body’s fat reserves — as a
result the dosage of triglyceride omega-3 oils
must be large enough to compensate for that
loss and ensure that sufficient omega-3s are
available on a cellular level.
Recent human clinical studies have shown
that phospholipid omega-3s may be a
more desirable form. When compared with
triglyceride omega-3s, a smaller amount of
the phospholipid kind is required to achieve
equal bioavailability in the body’s cells and
organs, which results in krill oil capsules being
smaller than their fish oil counterparts. There’s
more good news that consumers will love:
krill oil is dispersible in the stomach fluids,
eradicating the repeating that fish oil capsules
so commonly incur.
Studies have demonstrated that increased
blood levels of EPA and DHA are accompanied
by health benefits in humans, placing great
importance on the bioavailability of these
omega-3 fatty acids in the blood. The term
‘bioavailability’ refers to how much of a
substance reaches the blood and describes
absorption and survival rate of said substance
in the body. Two recent human intervention
studies investigated whether the molecular form
(phospholipid versus triglyceride) of omega-3
fatty acids is important for the bioavailability
of EPA and DHA in blood plasma. The study,
performed by Kevin C. Maki and his co-workers
at the Provident Clinical Research and Meridien
Research Centres, USA, was conducted as
a randomized, double-blind, parallel arm trial.
Within this setup, 76 overweight and obese
men and women were randomly distributed into
three groups to take Superba Krill oil, fish oil, or
olive oil for 4 weeks. To avoid any influence, the
supplementation given was unknown to both
the study subjects and researchers. Whereas
the received daily amount of EPA was similar
in the krill and fish oil groups, the DHA quantity
was approximately half as much in the krill oil
group as that in the fish oil group. Nevertheless,
at the end of the study period, plasma analysis
showed that the mean EPA concentrations
were higher in the krill oil than the fish oil group
and the mean DHA concentrations were similar
in both groups. Both sources of omega-3 fatty
acids were safe, generally well-tolerated and
significantly increased EPA and DHA levels in
plasma compared with the control group. Most
importantly krill oil supplementation (2 g/day)
resulted in increased plasma EPA bioavailability
and, in the case of DHA, equal bioavailability but
at half the dosage of fish oil. Overall, after dose
adjustment, the total increase of EPA and DHA
in the plasma of subjects who received Superba
Krill oil for 4 weeks was 24% higher than that of
the subjects who received fish oil (Figure 1).
The second study, performed by researchers
at Akershus University College and University
of Oslo, investigated whether a lower dose
of EPA and DHA provided in phospholipids,
compared with omega-3 fatty acids provided
in triglycerides, shows equal bioavailability of
these fatty acids in plasma. In this study, 113
subjects with normal or slightly increased total
blood cholesterol and/or triglyceride levels
were randomized into three groups and given
THE ALPHA TO OmEGA OF krILLDietary intake of the long-chain omega-3 polyunsaturated fatty acids, EPA and DHA, has been associated with many health benefits — from cardiovascular health and improved cognitive function to reduced levels of inflammation. Although various organizations have established recommended daily intakes for EPA and DHA, the typical western diet is known to fall short of these, requiring dietary supplementation to make up the shortfall.
Figure 1: The plasma increase (%) in total EPA and DHA after either 4 or 7 weeks of Superba Krill oil, in comparison with fish oil supplementation (values have been dose adjusted).
January/February 2012 www.nutraceuticalmag.com
19essential fatty acids
Superba Krill oil, fish oil or placebo for 7 weeks.
The daily supplementation of total EPA and
DHA was approximately 37% less in the krill
oil group than in the fish oil group. Results
showed that dietary omega-3 administration
led to a similar increase of plasma omega-3
fatty acids in both the krill and fish oil groups
compared with the control group. These
findings suggest that a lower dosage of EPA
and DHA in phospholipid form is required to
obtain comparable plasma EPA and DHA
levels to the triglyceride form of omega-3
supplementation. After adjustment of EPA
and DHA levels to the daily dose given, the
results from the krill oil group suggest a total
EPA and DHA plasma level that was 45%
higher than in the fish oil group after 7 weeks of
administration. Moreover, the subjects with the
highest baseline values of triglycerides further
benefited from krill oil supplementation and
showed decreased plasma triglyceride levels.
Additionally, the HDL-cholesterol/triglyceride
ratio, a risk predictor for heart disease, was
significantly decreased after Superba Krill oil,
but not fish oil, treatment.
These two human clinical studies
demonstrate that intake of Superba Krill oil
is more potent than fish oil in increasing total
plasma EPA and DHA values and suggest
that there is a higher bioavailability of omega-3
fatty acids bound to phospholipids than in the
triglyceride bound omega-3s found in fish oil.
In the first study mentioned, in which 2 g
of Superba Krill oil was administered for 4
weeks, the blood levels of endocannabinoids
were also measured. The results confirmed
data in the literature describing increased
levels of endocannabinoids in overweight
and obese persons with respect to normal-
weight subjects. Superba Krill oil — but
not menhaden oil or olive oil — was able to
significantly decrease 2-AG in obese subjects,
which correlated with a decreased plasma
phospholipid omega-6/omega-3 ratio. These
data show for the first time that relatively
low doses of omega-3 fatty acids such as
Superba Krill oil can significantly decrease
plasma 2-AG levels in obese human subjects
and reveal that it presents a promising
approach for counteracting elevated EC
levels. By changing the balance between
omega-6 and omega-3 fatty acids and
reducing EC precursor availabilities, Superba
Krill oil may provide therapeutic benefits
such as lowered triglyceride blood levels
and decreased fat deposition in and around
organs. It could also alleviate metabolic
dysfunctions such as dyslipidemia, visceral
adiposity and the associated inflammatory
states that play a role in atherogenesis and
the subsequent increased cardiovascular risk.
Krill are an underexploited biomass —
one that is more than double the size of
that of all humans. Aker BioMarine has
made a commitment to sustainability
and maintaining the highest standards in
all aspects of the krill fishing operations.
The company conforms to all CCAMLR
requirements and has taken sustainability
and environmental responsibility even further
by addressing all the issues on CCAMLR’s
wish list of best practices, co-operating
with WWF-Norway in conservation efforts
and obtaining MSC certification for the
sustainability and full traceability of Aker
BioMarine’s krill products, from sea to
shelf. Although krill’s health benefits have
been explored in several studies, many of
the potential areas of its health-promoting
effects are as yet unknown. In addition,
various interesting data have been obtained
in preclinical studies that are yet to be
confirmed in human trials; of particular
interest will be the areas of joints, brain
health and pet food. Krill oil supplements
provide an excellent source of EPA and DHA
— phospholipid omega-3s — and, owing
to its increased bioefficiency, improved
compliance and eminent sustainability, is
arguably superior to others available.
For more informationHenrik TraaholtBusiness Director and Brand Manager, EuropeAker BioMarineTel. +44 241 300 [email protected]
www.nutraceuticalmag.com January/February 2012
essential fatty acids
NBT: Can you comment on Neptune’s recently issued US patent novel for omega-3 fatty acid phospholipid compositions suitable for human consumption and what message that sends to the EFA market?WM: We are extremely proud of achieving both
recently issued patents — ‘348 and ‘825 — both
of which reaffirm Neptune’s position as pioneer
and leader of the krill oil industry. The ‘348 patent
provides Neptune with the right to exclude others
from making, using, selling, offering for sale or
importing the patented invention for the term of the
patent, which is valid and has full force and effect
regardless of any re-examination request made by
a third party. The USPTO, the foremost reputable
authority for awarding patents to their entitled
inventors, concluded that the claims are novel and
non-obvious — and thus patentable. We hope
this sends the message that we are open for
business and willing to discuss mutually beneficial
agreements with all distributors interested in
capitalizing on this rapidly growing krill oil market.
NBT: In a similar vein, one of your customers was recently awarded “Product of the Year 2011” in Denmark, which suggests positive consumer uptake. What factors do you think led to that success and how can you improve end-user market penetration?WM: Although Neptune as a manufacturer
does not directly market to end-users, we do
offer technical, scientific and marketing support
for those who require such assistance in their
consumer approach. This is the second time in
a year that NKO has been recognized as a best
product, an achievement of which we are very
proud. Consumers are aware that Neptune’s
krill oils offer them the best quality krill oil that is
supported by clinically proven health benefits.
NBT: Critics have recently questioned the sustainability of krill fishing in the Southern Oceans. How would you respond to these comments?WM: To overcome this highly sensitive issue,
Neptune only sources krill through CCAMLR
licensed vessels. The Commission for the
Conservation of Antarctic Marine Living
Resources (CCAMLR) is the only official and
reliable international organization involved
in Antarctic krill fishery management and is
unique in involving the governments of 25 state
member nations — in addition to concerned
stewardship organizations such as the Antarctic
and Southern Ocean Coalition (ASOC), which
counts Greenpeace as a member. CCAMLR
establishes detailed precautionary measures to
ensure and confirm the ecological sustainability
of harvesting the Antarctic krill species
(Euphausia superba) and has never forecasted
a shortage of it. In 2009/10, 11 vessels, all
of which acted within CCAMLR guidelines,
were licensed to fish krill in the Antarctic. The
total precautionary catch limit of 2009/2010
corresponded to 1.56 % of the total biomass
figure of 420 million tonnes and the total catch of
all CCAMLR certified vessels for 2009/2010 was
only 5.54% of the established quota. Neptune
only captured 0.006% of the total biomass and
0.04% of total precautionary catch limit.
NBT: Neptune’s chief scientific officer was recently quoted as stating that the patent (US No. 8,030,348) also “benefits our majority-owned subsidiaries, Acasti Pharma and NeuroBioPharm, as it protects the platform for our pharmaceutical products.” Is the convergence of the two sectors important to Neptune, and how do you see your nutra/pharma activities aligning in the future? WM: Our nutra and pharma activities will
always be aligned in the sense that Neptune
will be the exclusive supplier of raw material
to both its pharmaceutical subsidiaries (Acasti
Pharma and NeuroBioPharm), which will always
have the exclusive world license for Neptune’s
patents in their respective sectors. On one
hand, Acasti Pharma, Inc. is dedicated to the
research, development and commercialization
of its proprietary product portfolio for the
management of cardiometabolic disorders —
from prevention to treatment. Acasti develops
first-in-class and best-in-class anti-dyslipidemic
prescription drugs (Rx), medical foods (MF)
and over-the-counter (OTC) products. Acasti’s
lead product, CaPre, intended for use in the
treatment of dyslipidemia, has demonstrated a
superior efficacy and safety profile in established
preclinical models. NeuroBioPharm, by contrast,
is dedicated in the research, development and
commercialization of its proprietary product
portfolio for the management of neurological
disorders, also from prevention to treatment. By
targeting the cardiovascular and neurological
sectors, Neptune and its subsidiaries have the
potential to play a major role in the management
of the world’s most prevalent human diseases
and disorders.
NBT: Perhaps driven by the convergence of the pharma/nutra industries, you’ve undertaken a large dietary supplement clinical study: what results do you hope to achieve and should this be a model for the whole functional food industry?WM: Neptune has undertaken several clinical
studies to meet the demands of the changing
market. Regulatory requirements in Europe,
Asia and even the US are becoming stricter
and more demanding in terms of the criteria
required to obtain and use health claims. With
all these clinical studies we are confident of
achieving significant results that will provide us
with the necessary tools to submit and obtain
approved health claims. The design of clinical
studies is more critical than ever before and we
have accumulated much knowledge of what
each international regulatory body requires for
approving health claim submissions.
NBT: Finally, like Big Pharma, the nutraceutical industry is becoming more litigious: can we expect to see more IP/patent disputes or are there steps that can be put in place to avoid such issues?WM: Is Nutra Industry really becoming more
litigious? I see the industry becoming a little
more structured now that the FDA has decided
to play a bigger role in enforcing regulation.
However, from an IP point of view, I think
there will always be companies that decide
to operate regardless of the IP in the market
they are targeting. Unfortunately this leads to
unnecessary lawsuits for the IP holders who
simply wish to protect what has been rightfully
granted to them by the USPTO.
PrOTECTING THE PLATFOrmFollowing its recent issue of a of a US patent, nutraceutical business & technology spoke with Dr Wael Massrieh, VP of scientific affairs at Neptune Biotechnology, to discuss the protection of their innovative platform … and of the raw material itself.
For more informationDr Wael Massrieh VP of Scientific [email protected]
20
January/February 2012 www.nutraceuticalmag.com
www.nutraceuticalmag.com January/February 2012
22essential fatty acids
Table I: Alpha-linolenic acid content in plant-derived oils.
TAkING THE FLAxA focus on healthier lifestyles has led to a surge in the popularity of foods enriched with essential fatty acids (EFAs) — such as omega-3s — which offer a variety of health benefits, including those associated with cardiovascular health. These benefits are increasingly being delivered through the use of ingredients that contain high levels of omega-3s. With their growing market potential and consumer preference, omega-3s are expected to continue to penetrate the functional foods and dietary supplements arena in coming years.1
The wealth of clinical research on
omega-3s has rapidly translated into
rising consumer recognition of their
health benefits.2 As such, the global
omega-3 ingredients market is estimated
to reach $3.21 billion in 2016, compared with
$1.48 billion in 2010. Europe’s current socio-
demographical trend of eating foods with known
physiological benefits and taking precautionary
health measures makes it the fastest growing
segment — the omega-3 market in this region
alone is set to rise from $311.2 million in 2010
to $771.8 million in 2016. This increased
market penetration can be attributed largely to
technological advancements that have widened its
available sources and enabled its incorporation into
a broader range of food and beverage applications.
Essential SourcesOmega-3 fatty acids are derived from two
main dietary sources: seafood and certain nut
and plant oils. Marine-derived omega-3 fatty
acids, namely eicosapentaenoic acid (EPA)
and docosahexaenoic acid (DHA), are found in
particularly high concentrations in deep water
oily fish, such as anchovies and sardines. These
EFAs, which play an important role in human
health and are a vital component of a healthy
diet, have recently attracted the media spotlight,
resulting in broad consumer recognition of the
benefits of oily fish. Another source of omega-3
EFAs that is growing in popularity is flaxseed: it
was flaxseed and other foods rich in alpha-linolenic
acid (ALA) that earned a reputation for healthy
living in the past — and this recognition is being
reawakened. Flaxseed provides the richest
vegetarian source of ALA available, containing
more than five times the ALA content of most
other common plant oils (Table I).
The ‘True’ Essential Fatty AcidALA is the only essential omega-3 fatty acid
that is actually required in the diet, as it cannot
be synthesized by the body but is critical to
human health — particularly for normal growth,
development, reproduction and vision. Previous
attempts at parenteral nutrition without EFA
content has led to individuals exhibiting negative
physiological symptoms including eczema,
neuropathy or an impaired immune system.3
One aspect that is yet to be recognized or
fully comprehended by consumers is that ALA
can be converted into EPA and DHA through
metabolic pathways. Several studies have
attempted to identify the conversion rate of ALA
into EPA and DHA but the results have varied
widely. A recent study provided evidence for the
in vivo conversion of ALA into EPA and DHA and
may help to explain variations that have occurred
in previous studies.4 This cohort study helped
to answer a burning question within the food
technology community: whether plasma levels of
EPA and DHA depend solely on dietary intake,
or if ALA omega-3 sources provide an adequate
dietary substitute via in vivo conversion to EPA
and DHA.
The study analysed the dietary consumption
of 14,422 men and women (aged 39–78),
subdivided into four groups (fish eaters, non-fish
eating meat eaters, vegetarians and vegans).
Circulating levels of omega-3 fatty acids were
measured in a subgroup of 4902 individuals,
the results were compared with dietary habits
and inferences were made regarding conversion
rates of ALA to EPA and DHA. The results of
the study showed that circulating levels of DHA
and EPA were very similar in the fish eaters and
non-fish eaters. The authors concluded that the
conversion rate of ALA to EPA and DHA was
significantly higher in those who did not consume
fish; in other words, not consuming fish appears
to increase the rate of conversion of ALA to EPA
and DHA. This could mean that ALA is a key
component in the modulation of circulating levels
of ALA, EPA and DHA.
As described above, the key observation is
that the consumption of fish provides significant
dietary sources of EPA and DHA. Despite this,
however, circulating levels of EPA and DHA are
very similar among the various cohort groups,
Plant Oil ALA Content
Flaxseed oil 50.8%
Soy oil 7%
Canola oil 9.3%
Corn oil 1%
Olive oil .06%
January/February 2012 www.nutraceuticalmag.com
including those that did not consume fish.
Furthermore, this similarity between circulating
levels of the fatty acids of fish eaters and non-
fish eaters, despite the large difference in dietary
consumption, suggests an important role for
ALA as a precursor for in vivo synthesis of the
fatty acids. This emphasizes the importance of
ALA as a truly essential fatty acid.
The Heart of the MatterALA performs some of the same functions as
other omega-3 fatty acids such as EPA and
DHA long-chain fatty acids, which is logical
considering the in vivo conversion of ALA into
EPA and DHA — for example, research shows
that ALA helps to protect against cardiovascular
disease.5 Diets rich in ALA lower the risk of
coronary heart disease (CHD), ischemic heart
disease, nonfatal myocardial infarction and
stroke; in fact, a meta-analysis of prospective
studies suggested that increasing the intake of
ALA by 1.2 g/day decreases the risk of fatal CHD
by at least 20%.6
Additionally, ALA is linked with helping to
decrease body inflammation, which is a key
feature of many chronic conditions such as
coronary heart disease, stroke and cancer.7
ALA-rich diets reduce the concentrations
of pro-inflammatory compounds such as
cytokines, along with indicators of whole-body
inflammation, for example C-reactive protein,
by as much as 18–75%.8,9,10 ALA also helps to
reduce arrhythmia (infrequent heart beats).11
Flax-ing LyricalThe European guideline daily allowance (GDA) for
ALA intake is 2 g/day.12 As a result of these GDA
guidelines, consumers are looking for new ways to
add omega-3 to their diets; products formulated
with flax are rich in omega-3 ALA and offer the
benefits of a clean label. When comparing the
supplements market with functional foods and
beverage applications, the main difference in
omega-3 ingredients is the form of the products
used. Milled flaxseed omega-3 is traditionally
used in functional foods and beverages, taking
advantage of the many health promoting
properties of flaxseed, including antioxidants,
lignans and fibre. Supplement manufacturers, in
contrast, tend to prefer omega-3 in its oil form for
obtaining the purest form of omega-3 possible
and positioning their supplements with a clear,
simple label and direct messaging.
A range of flax ingredients is now available
to help manufacturers to provide nutritious
solutions for their formulations. Some flax-
based products offer all three forms of omega-3
in a dry powder format, which benefit from a
naturally long shelf-life of 12 months without the
need for refrigeration or special handling. The
benefits of these flax ingredients reach beyond
enhanced nutritional value; for example, their
inherent functional components such as fibre
allow them to be used as formulation enhancers
or to improve moisture in breads, replace fats,
provide allergen-free options and enhance
shelf-life and texture.
Banish Formulation ChallengesThe ‘nutty’ and ‘toasted’ sensory profile of
high performance flaxseed-derived omega-3
ingredients provides manufacturers with a great
tasting way of adding wholegrain-style healthy
functionality to baked goods, cereals and bars,
in addition to dough applications such as pizza
and tortillas. Critically, flax does not adversely
affect the taste of many foods and is particularly
suited to, for example, fortifying baked goods. In
addition, the omega-3-rich oil in flaxseed is more
stable than in fish oil and less prone to oxidation,
offering manufacturers a stable approach to
omega-3 fortification.
A unique property of flaxseed is that it contains
a gum matrix, known as ‘gum mucilage.’ OptiSol
5000 functional flaxseed products have now
been developed using a proprietary milling and
processing system; a range of ingredient solutions
that can be used to replace hydrocolloid systems
in food applications, including gluten-free baked
goods, where they can improve both texture
and shelf-life in tortillas, sheeted doughs, batters,
breadings, sweet baked goods and fresh breads.
Furthermore, the flax-based omega-3 ingredients
can be easily incorporated into a wider variety
of foods including beverages, pasta, cereals,
dressings and sauces — as well as certain
processed meat applications. Another benefit is
its clean-label advantage; it can be listed simply
as “flaxseed,” while contributing to omega-3
and fibre health claims. A patented cleaning and
stabilization process known as MeadowPure
guarantees a highly stable end product, with a
shelf life of up to 2 years.
ConclusionThe proven health benefits of ALA omega-3
— and the corresponding consumer interest
— has led to the further development of high
performance flax-derived omega-3 functional
ingredients. As with most food and beverage
products, consumers want to improve their
health in the way that is most convenient for their
lifestyle. As such, flaxseed-derived ALA omega-3s
provide the dual benefits of a high ALA content
and an excellent sensory and functional profile.
In this way, manufacturers benefit from the ease
of formulating omega-3 into their products, while
consumers can gain significant health benefits.
23essential fatty acids
For more informationEric BochardtDirector of MarketingGlanbia NutritionalsTel. +1 608 316 8521www.glanbianutritionals.com
References1. Market to Market, “Omega-3 & 6 Market by Source,
Geography Trends & Global Forecasts,” August 2011 (http://www.marketsandmarkets.com/ Market-Reports/omega-3-omega-6-227.html).
2. Frost & Sullivan, “Consumers Becoming Increasingly Savvy About Marine and Algae Oil Omega-3 Ingredients,” 20 July 2010 (http://www.frost.com/prod/servlet/press-release.pag?docid=207388177).
3. R.T. Holman, “The Slow Discovery of the Importance of Omega 3 Essential Fatty Acids in Human Health,” J. Nutr. 128(2), 427–433S (1998).
4. A.A. Welsh, et al., “Dietary Intake and Status of n-3 Polyunsaturated Fatty Acids in a Population of Fish-Eating and Non-Fish-Eating Meat-Eaters, Vegetarians and Vegans and the Precursor-Product Ratio of {alpha}-Linolenic Acid to Long-Chain n-3 Polyunsaturated Fatty Acids: Results from the EPIC-Norfolk Cohort,” Am. J. Clin. Nutr. 93(3), 676 (2010).
5. C.R. Harper, et al., “Flaxseed Oil Increases the Plasma Concentrations of Cardioprotective (n-3) Fatty Acids in Humans,” J. Nutr. 136, 83–87 (2006).
6. I.A. Brouwer, et al., “Dietary α-Linolenic Acid is Associated with Reduced Risk of Fatal Coronary Heart Disease, but Increased Prostate Cancer Risk: a Meta-Analysis,” J. Nutr. 134, 919–922 (2004).
7. G. Zhao, et al., “Dietary α-Linolenic Acid Inhibits Proinflammatory Cytokine Production by Peripheral Blood Mononuclear Cells in Hypercholesterolemic Subjects,” Am. J. Clin. Nutr. 85, 385–391 (2007).
8. G. Barcelo-Coblijin, et al., “ALA and its Conversion to Longer Chain n-3 Fatty Acids: Benefits for Human Health and a Role in Maintaining Tissue n-3 Fatty Acid Levels,” Prog. Lipid Res. 48(6), 355 (2009).
9. G. Zhao, et al., “Dietary Alpha-Linolenic Acid Reduces Inflammatory and Lipid Cardiovascular Risk Factors in Hypercholesterolemic Men and Women,” J. Nutr. 134, 2991–2997 (2004).
10. G. Zhao, et al., “Dietary α-Linolenic Acid Inhibits Proinflammatory Cytokine Production by Peripheral Blood Mononuclear Cells in Hypercholesterolemic Subjects,” Am. J. Clin. Nutr. 85, 385–391 (2007).
11. B.C. Davis, et al., “Achieving Optimal Essential Fatty Acid Status in Vegetarians: Current Knowledge and Practical Implications,” Am. J. Clin. Nutr. 78, 640S–660S (2003).
12. Guideline Daily Amounts: http://gda.ciaa.eu/asp2/gdas_portions_rationale.asp?doc_id=129.
www.nutraceuticalmag.com January/February 2012
24natural sweeteners
A swEET EsCAPESweetness, one of the five basic tastes, is generally accepted as being pleasurable. For many years sugar (sucrose) and honey (fructose and glucose) were its main sources but, more recently, there has been an increase in both the number and use of alternative, high potency sweeteners that work to lower the calorie content of foods and beverages. This capacity is given particular relevance by the increasing importance of issues surrounding calorie intake and weight management to customers; according to Tate & Lyle studies, 60% of European adults say that they limit high sugar content and calories within their diet.
sugar reduced products offer a way for
consumers to moderate their calorie
intake: replacing all or some of a product’s
sugars with high potency sweeteners is an
effective and cost-efficient approach to reducing its
sugar content. One of the more recent high-potency
sweeteners to be approved for use in Europe is
sucralose, which was developed by Tate & Lyle,
following an intensive research programme.
SPLENDA Sucralose is a zero calorie sweetener
that is made from cane sugar — but is not sugar. Its
sweetening power is approximately 600 times that
of sugar and its sugar-like taste gives it the benefit of
helping to moderate calorie intake while providing an
intensely sweet taste. It is suitable for use in a diverse
range of products including carbonated beverages,
ice cream, dairy desserts, salad dressing, hard boiled
candies and many more. Now, with more than 5000
of the world’s leading consumer products relying on
its great-tasting, zero-calorie sweetness, SPLENDA
Sucralose has set the bar for being the consumers’
sweetener of choice.
Unmatched Taste Taste is vital to any food or beverage product and, to
be successful, sugar-reduced offerings must be as
appealing to consumers as their full-sugar alternatives.
Consumers refuse to compromise on taste, with most
only repeatedly purchasing reduced-sugar alternatives
when they are convinced of the high sensory profile of
the product. Thanks to its sugar-like sweetness and
flavour profile, SPLENDA Sucralose offers a solution for
replacing the sweetness provided by sugar in virtually
all food products, while maintaining the great taste and
premium image.
Its sweetness profile is very similar to that of sugar,
as demonstrated in time intensity measurements. At
5% sugar equivalence, typical of sweetened tea and
coffee, SPLENDA Sucralose displays a rapid onset of
sweetness and similar sweetness duration to sugar.
In addition to their sweetness, sweeteners possess
a number of other tastes that contribute to an overall
flavour. The flavour profiles of SPLENDA Sucralose
and sugar are very similar. To compare them, a 12
member taste panel evaluated equally sweet solutions
of SPLENDA Sucralose and sugar, equivalent to 9%
sugar and prepared in water with a neutral pH. The key
taste attributes were assigned a score rating by each
individual member, which were then averaged and
found to demonstrate the similarities between the two
flavour profiles.
Unbeatable StabilityIn addition to assisting consumers to moderate their
calorie intake with great tasting products, SPLENDA
Sucralose also has a number of other qualities that
make it appealing to food and drink manufacturers;
for example its technical advantage of stability during
processing and long-term storage, even when
incorporated in low pH products. SPLENDA Sucralose
January/February 2012 www.nutraceuticalmag.com
25strap
www.nutraceuticalmag.com January/February 2012
26natural sweeteners
For more information Rony Van Den AbbeeleProduct Manager, Sucralose, Tate & Lyle Speciality Food [email protected]
is extremely heat stable, even when exposed
to high temperature food processing such as
pasteurization, sterilization, UHT and baking.
This stability during food manufacture has
been confirmed by a series of processing trials,
which cover the main processes used in the
food industry; regardless of the application
investigated — from a low pH pasteurized
juice drink to a UHT yoghurt — the analysis of
samples confirmed that no measurable loss of
the ingredient had occurred during processing.
The product also maintains its sweetness
and flavour during storage, avoiding the
development of off-flavours, even at a low
pH; shelf-life studies have demonstrated
that products sweetened with SPLENDA
Sucralose retain their sweetness throughout
extended periods of storage and independent
investigations have also shown that the flavour
characteristics of products in which it is the
predominant sweetener will age in a similar
manner to a full sugar product. Its excellent
stability means that the sweetness profile is
maintained throughout its shelf-life and the
true flavour of the product is delivered more
consistently, irrespective of the challenging
conditions in some distribution channels.
Sweet Combinations for Increased CompetitivenessIn addition to the consumer desire for
products with less sugar and fewer calories,
cost is a further factor that determines
demand — sugar prices are expected to
remain volatile for the foreseeable future,
making costs more difficult to manage and
profitability more challenging to maintain.
Replacing sugar with SPLENDA Sucralose
provides an effective method of combining
a reduction in costs with meeting consumer
demand for products with fewer calories.
The regulatory cut off point for making
‘sugar reduced’ claims is 30%, which has
traditionally led companies to aim to reduce
calories by 30%. SPLENDA Sucralose has
been successfully used alone, reducing
sugar levels by 30% and achieving significant
cost savings on sweeteners. However,
when reducing sugars to meet economic
objectives, a light positioning is not inevitable;
reformulated products can also be intended to
sit on the shelf beside the full calorie versions.
Although in the interests of cost reduction
it makes sense to extend sugar reduction
beyond this 30% cut off, this creates a
formulation challenge, as products must retain
their original taste.
To this end, Tate & Lyle has developed
innovative new concepts to help its customers
to get ahead of the competition. For example,
it recently developed an orange carbonated
soft drink that delivers a sugar reduction of
50% compared with the full sugar version
and a significant sweetener cost saving of
up to 40%, while still providing the great
taste, sweetness and mouthfeel consumers
look for. The combination of fructose and
SPLENDA, which have complementary
sweetness profiles, used in this case provides
a sweetness synergy that allows a greater
sweetener and calorie reduction. Fructose has
a faster onset of sweetness perception, which
boosts fruity tones and spice flavours and
helps to deliver a more balanced sweetness
and taste profile (Figure 1).
This combination gives manufacturers
the opportunity to replace traditional full-
sugar drinks with a lower cost alternative
that has fewer calories. Sucralose works
well in combination with many other nutritive
sweeteners; it has been shown that blending
it with nutritive carbohydrate sweeteners
creates an excellent sweetness quality
and, in most cases, a degree of sweetness
synergy that results in incremental cost
savings. Studies have demonstrated that
partial replacement of the nutritive sweetener
with SPLENDA Sucralose can be achieved
without detrimentally impacting the flavour
or sweetness in various food and beverage
systems. Furthermore, the combination is
sometimes sweeter than the sum of the
individual sweeteners — as is the case when
formulated with fructose. The ingredient can
also be used in combination with any other
high potency sweeteners; an experienced
product developer will be able to customize
the sweetness and flavour profile of the
sweetening system to meet particular taste
or budget requirements by blending high
potency sweeteners; SPLENDA Sucralose
will exhibit its cost saving advantages when
combined with most of these.
Tate & Lyle has gained more than 30
years of experience working with sucralose
and has pioneered the development of
the most sophisticated manufacturing and
testing processes used today. The company
states that it is committed to delivering a
consistent, reliable supply of the sweetener
— manufactured to the highest standards of
purity and hygiene.
Figure 1: Comparative onsets of sweetness perception of fructose and sucralose.
January/February 2012 www.nutraceuticalmag.com
www.nutraceuticalmag.com January/February 2012
28natural sweeteners
wELCOmING A NEw ErAThe 11th of November 2011 was a very special day … and this was not only because it could be written 11.11.11! It was also the publication date of the EU Regulation marking the formal opening of the whole European market to stevia-based sweeteners.
stevia is currently successfully used as a
sweetener in Asia, North America and
South America and products made from
it have been on the French market for
2 years, under temporary approval. Only now,
however, are food and drink manufacturers able
to take an EU-wide perspective on developing
new food and beverage formulations that include
naturally-sourced, calorie-free sweetness.
Popular interest exists, but expectations are high;
consumers are watching their calorie intake more
carefully, but still resist compromising on taste
and eating experience in the products they buy.
Furthermore, they increasingly prefer ingredients
and products to be as natural as possible and
demonstrate high ethical standards on the part of
the companies behind them.
This presents a huge opportunity — and a
significant challenge — to manufacturers. First,
there’s the question of working out how to
formulate successfully. Second, the vital issue
of how to position stevia-based products and
finally, how best to ensure consistent ingredient
quality and availability to support roll-out
on a pan-European scale. Cargill has been
addressing these questions since 2004, when
the decision was made to build a brand new
Truvia business standing for quality, consistency
and sustainability in stevia. Since then it has
conducted almost 60,000 hours of food and
applications work to bring Truvia stevia leaf
extract to market, establishing three crucial
success factors in the process.
CapabilityStevia is not a ‘single ingredient’ solution. To
reduce calories without reducing taste and
enjoyment, you can’t simply replace sugar
with Truvia stevia leaf extract. The whole food
matrix needs to be rebalanced to suit precise
requirements. Cargill is in a strong position to
undertake this reformulation effectively with its
range of sweeteners, texturizing ingredients
and other ingredients such as cocoa and
chocolate. This interconnected in-house
capability has driven the creation of Truvia
stevia leaf extract and is now inspiring the
creation of successful products.
Working with more than 100 food and
beverage companies, Cargill has helped to
launch great tasting stevia-sweetened products
across four continents. In the US, Truvia stevia
leaf extract is present in Glaceau Vitaminwater
zero and Powerade beverages and YoCrunch
yoghurt, among many other products. In France,
the extract is used in Coca-Cola’s Fanta Still and
Eckes-Granini’s Joker and Réa brands.
29natural sweeteners
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We’re taking a (super)critical look at extract quality
FLAVEX® Naturextrakte GmbH · [email protected] · www.flavex.com
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Brand ActivationOn pack branding can make consumers
aware of reformulated products and
promote trust in an ingredient — but how is
awareness of an ingredient brand generated?
Cargill’s Truvia brand tabletop sweetener,
containing Truvia stevia leaf extract has been
extremely successful in the US, becoming
the number one natural sweetener brand and
recognized by 57% of consumers. Following
partnership agreements signed with leading
sugar brands Silver Spoon in the UK,
CristalCo (Daddy) in France, Eridania in Italy
and Azucarera Ebro in Spain, the sweetener
is being launched in Europe as from now,
with a £5 million consumer advertising spend
in the UK alone. Truvia branding works: in
the US, a leading powdered beverage brand
has moved from being a reluctant user of the
brand to whole-hearted endorsement after
capturing the benefits of the Truvia consumer
campaigns and awareness building.
SustainabilityCargill has drawn substantial experience
of agricultural supply chains in mature
and developing agricultural businesses
from its 146 year history and the supply
chain for Truvia stevia leaf extract has
been in development for the past 7 years.
The company manages every step of
the production process, incorporating
strong environmental, economic and
social standards and working to the vision
of a sustainable product that supports
growers. Comprehensive standards,
targets and processes, such as working
with the Carbon Trust towards a goal of
becoming carbon neutral in 2020, have
been developed and, as part of its desire
to be measurable in this area, Cargill
has invited inspection and scrutiny of its
processes and results. Stevia offers great
potential for reformulation in a wide range of
food categories, such as dairy, beverages
and even confectionery. The promise of
naturally sourced, calorie-free sweetness is
incredibly attractive to consumers, although
manufacturing to meet their needs and
negotiating a market of many options and
myriad claims is a complex challenge.
For more informationHenry HussellHead of Marketing, Cargill Sweetness EMEATel. +32 154 00 411www.cargill.com
www.nutraceuticalmag.com January/February 2012
30bone and joint health
For those who desire a natural approach
to maintaining healthy bones and
joints, there are numerous products
designed to address the challenges
that compromise skeletal health, making this
category of products one of the largest within
the dietary supplement industry. As a result, the
consumer may face a difficult task in selecting
the best products. Fortunately, there are bone
and joint health products that do stand out from
the plethora of products on the shelves — and
they contain ingredients that exhibit impressive
efficacy, are extensively researched and are
derived from a renewable US food source: the
humble hen’s egg.
Natural Eggshell Membrane Joint comfort is important to all of us; even
the basic movements required to engage in
normal activities depend upon joint flexibility
without pain. Unfortunately, there are many
diverse factors that can place stress on our
joints, including an active lifestyle, excess
weight, family history and the ageing process.
Most dietary supplement products designed
to support joint health contain glucosamine or
chondroitin, or both, frequently in combination
with other dietary ingredients, such as MSM,
hyaluronic acid and various anti-inflammatories.
Research support demonstrating the benefits
offered by these products has been mixed, but
generally positive in the long-term. However,
the required dosage is relatively high, it takes
several months for the positive effects to be
experienced; for some, the benefits are less
than remarkable.
Natural eggshell membrane (NEM) is an
alternative choice for supporting joint health.
NEM is derived from the inner membrane of hen
eggshell that is situated between the portion
typically consumed as food (the egg white and
yolk) and the hard outershell. It is a unique,
naturally occurring source of several noteworthy
glycosaminoglycans (GAGs), including
chondroitin and hyaluronic acid, as well as
collagen, other beneficial proteins and amino
acids that are integral to joint health.
NEM is unique in other ways as well. Not
only does it provide important building blocks for
healthy joints, but it may also help to facilitate a
healthy inflammatory response. In vitro data has
shown that NEM decreases pro-inflammatory
biomarkers, including IL-1α, IL-1, MIP-1α,
MIP-1β, TNF-α and VEGF. More importantly,
the research support for NEM is impressive,
not only demonstrating that it works as well as
or better than other therapeutic ingredients in
this category, but also because it offers some
distinct additional advantages.
The results from two open-label studies
demonstrated the positive effects of natural
eggshell membrane in enhancing joint
comfort and flexibility.1 Each study evaluated
levels of pain, with one also evaluating
improvements in range of motion and in
both a single daily 500 mg dose of NEM
resulted in a significant response at the
end of the 7 day treatment. In a separate
randomized, multicentre, double-blind,
placebo-controlled clinical study, 500 mg
of NEM was found to statistically reduce
both pain and stiffness in patients with knee
osteoarthritis in as little as 10 days.2 This
positive benefit continued throughout the
duration of the study (60 days).
This clinical study also revealed that NEM
showed clinically meaningful results from a brief
responder analysis, the NNT (Number Needed
to Treat), a widely accepted and statistically
valid measurement used in clinical practice to
determine the effectiveness of a healthcare
intervention — in this study the parameter
measured was pain reduction. For a treatment
to be deemed effective, one out of every five
patients should experience at least a 50%
reduction in pain within 30–60 days. The lower
the NNT, the better the treatment modality is
judged to be. The NNT for NEM was 5.0 (60
days), which was much better than the NNT for
a combination of glucosamine/chondroitin or
for celecoxib (Celebrex), an NSAID commonly
used to treat the symptoms of arthritis and
other joint disorders. The NNT values for
stiffness, measured at 10, 30 and 60 days,
were equally as striking, particularly at the 60
day point, when the NNT was 2.4.
No participants experienced the gastric or
cardiovascular side-effects often associated
with NSAIDS, an important result not only
for individuals with arthritis, but also for
those who regularly engage in sports or
other athletic activities and experience the
joint discomfort, inflammation and stiffness
resulting from frequent joint motion. It is
notable that all these studies utilized the
relatively small single 500 mg dose of NEM,
compared with the 1500 mg recommended
dose for glucosamine products, which is
typically split into three 500 mg doses. The
recommended dosing for chondroitin is 1200
mg, also split between three 400 mg or two
600 mg doses.3 In terms of convenience,
NEM provides a preferable alternative.
The safety profile for NEM is also significant;
with the exception of those with known egg
allergies, there are no known adverse effects
associated with the use of NEM, even after
long-term use. This is especially important
for individuals suffering from conditions that
warrant extended use, in addition to those
who want to remain active into middle age and
beyond. NEM is self-affirmed GRAS, produced
in a GMP facility in the US and contains no
lactose, gluten, MSG, salt, sugar, artificial
colours, flavours, sweeteners or chemical
preservatives, additives or fillers.
wALkING ON EGG sHELLsThere is no doubt that an optimally functioning skeletal system is crucial for overall health and vitality: strong bones, flexible joints and healthy soft tissue work together to support movement and facilitate an active lifestyle. Most of us recognize the tremendous benefits of staying active and for many this includes doing what we can to strengthen our skeletal system, with the goal of avoiding the disease and injury that can detrimentally affect our bones and joints and disrupt our way of life.
January/February 2012 www.nutraceuticalmag.com
31bone and joint health
Eggshell Calcium for Bone HealthOsteoporosis and other disorders characterized
by a weakening or loss of bone mass are
increasing in prevalence — and the increase
isn’t entirely a result of our ageing populations.
Most people under the age of 50 give
little thought to their risk of hip fractures or
developing osteoporosis; we tend to think of
these issues as affecting the elderly, specifically
post-menopausal, small-boned women.
However, bone disorders don’t suddenly
become an issue when we reach a certain age
and definitely aren’t limited to a particular group
of individuals. Bone loss may accelerate more
rapidly in women, especially after menopause,
but past the age of 20, most of us, both men
and women, will start to lose more bone than
we make.4 This natural bone loss is more
pronounced in women and as a result of several
environmental and lifestyle factors, physicians
are beginning to report signs of low bone mass
in women in their 20s, 30s, and 40s — this
trend should be a concern for all of us.
We can’t control all the factors that can
harm our bones, but we can control our diet,
exercise plan and our choice of the right
bone-support supplement to ensure that we
are doing what we can to maintain the health
of our skeletal structure. In selecting the
best bone support product, it is important to
consider several factors. Most importantly, an
ideal bone support product should contain a
source of calcium that has been researched
and shown to not only be readily absorbed
into circulation from the GI tract, but also
functions to increase bone mineral density
(BMD). Eggshell calcium (ESC) provides these
advantages and more; the calcium derived
from eggshells is a natural food source,
containing a high content of elemental calcium
that is readily absorbed through the intestinal
tract. It is a non-mined, environmentally
friendly renewable source of calcium and
doesn’t pose the risk of containing significant
quantities of heavy metals such as arsenic, lead or
mercury, found in many other calcium sources.
A significant number of calcium supplements
contain calcium in the form of calcium
carbonate. This has the advantage of
containing considerably more elemental calcium
than other forms, such as calcium citrate or
calcium gluconate, so a smaller dose is needed
to provide the recommended daily value. In
many cases however, this advantage is offset
by its poor absorbability. Most supplements
containing calcium carbonate require gastric
acid to properly dissolve (ionize) it to be readily
absorbed through the intestinal wall into
circulation. Therefore, it is recommended that
calcium carbonate supplements be taken with
food to increase the levels of gastric acid, which
is in itself is somewhat problematic, as calcium
carbonate is a gastric acid neutralizer. Individuals
who frequently use acid neutralizing medications
or who have low stomach acid are usually
advised to select another form of calcium.5
Other calcium sources, such as calcium citrate,
are more readily absorbed but contain less
than 25% elemental calcium, necessitating a
much larger dosage in either the number or
size of tablets and capsules to achieve the
recommended daily dose.
ESC is unique; it has a high content of
elemental calcium — approximately 40% —
which is readily absorbed, whether taken with or
without food. This is in part owing to the natural
presence of transport proteins that facilitate
intestinal absorption.6 In addition, ESC is better
tolerated than other forms of calcium and is
less likely to cause constipation or the other
GI symptoms that are a common complaint of
those taking calcium supplements. The benefits
of ESC are supported by research that reveals
its positive impact on bone mineral density.
Published results from several research studies
demonstrated that supplementing with ESC,
along with magnesium and vitamin D3, resulted
in an improvement in BMD by up to 6% in a
relatively short time (4–8 months) in patients with
osteoporosis.7 Not only is ESC readily absorbed
but also functions quickly and effectively to
improve bone density.
Protecting the body’s skeletal system is a
goal that can only be accomplished through
high levels of dedication. Selecting the right
joint and bone health supplements is integral
to this process. If ingredient priorities include
proven safety with GRAS status, a US supplied
renewable and environmentally friendly source,
well-researched efficacy substantiation and
guaranteed testing for contaminants including
heavy metals and microbes, then NEM and ESC
are the obvious choices for supporting joint and
bone health.
References1. K.J. Ruff, et al., “Eggshell Membrane: A Possible New
Natural Therapeutic for Joint and Connective Tissue Disorders. Results from Two Open-Label Human Clinical Studies,” Clin. Interv. Aging 4, 235–240 (2009).
2. K. J Ruff, et al., “Eggshell Membrane in the Treatment of Pain and Stiffness from Osteoarthritis of the Knee: a Randomized, Multicenter, Double-Blind, Placebo-Controlled Clinical Study,” Clin. Rheumatol. 28(8), 907-914 (2009).
3. http://www.mayoclinic.com/health/chondroitin-sulfate/NS_patient-chondroitin/DSECTION=dosing
4. Natural Osteoporosis Foundation: http://www.nof.org/aboutosteoporosis/bonebasics/howbonesgrow
5. http://ods.od.nih.gov/factsheets/calcium6. W. Daengprok, et al., “Chicken Eggshell Matrix
Proteins Enhance Calcium Transport in the Human Intestinal Epithelial Cell, Caco-2,” J. Agric. Food. Chem. 51(20), 6056–6061 (2003).
7. J. Rovensky, et al., “Eggshell Calcium in the Prevention and Treatment of Osteoporosis,” Int. J. Clin. Pharmacol. Res 23(2–3), 83–92 (2003).
For more informationHeather ThompsonGlobal Marketing CommunicationsStratum Nutrition [email protected]
www.nutraceuticalmag.com January/February 2012
32 bone and joint health
This, however, does not have to be the case. Elderly consumers can
take control of their health — and possibly stave off osteoporosis —
by leveraging their diet’s role in preventing it. As scientists study the
relationship between diet and osteoporosis, they’re learning that the
antioxidant lycopene may help us reduce risk and improve our new old age.
Stealthy ConditionWhat sets the new old age apart is that its characteristic health issues are
no longer the acute diseases that put our grandparents in early graves.
Instead, chronic concerns — diabetes, heart disease, hypertension,
arthritis and so on — follow us well into our golden years precisely
because they’re not fatal. We’ve learned to manage them for the
long-term, even if we can’t cure them outright. Such is the case with
osteoporosis, a disease in which low bone mass and the progressive
weakening of the bone’s architecture result in increased risk of fracture.
It is a stealthy condition and sufferers often don’t know that they have it
until they experience their first bone break. In advanced cases, even a light
bump of the furniture or a hearty cough can bring about fracture.
Osteoporosis is of particular concern to menopausal women
because the hormone oestrogen increases bone density, halting
the natural process of bone breakdown known as resorption. As a
result, when oestrogen levels drop during menopause, bones lose an
important protector and strengthening agent. The increasing number
of women now reaching menopausal age will be mirrored by an
increasing number becoming susceptible to the fragility and fractures
that make osteoporosis so incapacitating individually and so costly to
society at large.
A Global BurdenIn fact, according to the International Osteoporosis Foundation (IOF), the
disease already affects an estimated 75 million people in Europe, the US
and Japan and its burden on healthcare systems will only increase in line
with the global elderly population. In the US, the National Osteoporosis
Foundation predicts that the cost of osteoporosis will reach $25.3 billion
by 2025 and the IOF reports that, in Europe, levels of osteoporosis-
related disability already exceed those caused by cancers (with the
BuILDING BONEs sTrONGEr, FOr LONGErThey say that 70 is the new 50 — and to watch senior citizens “going for the burn” at the local gym
or doing battle on the tennis courts, they appear to be right. Adults entering their golden years today
have more to look forward to than any previous generation. Medical science, improved preventive care
and nutritional and pharmaceutical interventions for everything from high cholesterol to garden-variety
fatigue not only help us to live longer, they also help us to live better. Yet even as today’s elderly remain
active and independent well into their seventh or eighth decades, all it takes is one fall or fracture to rob
them of their independence, bring their hard-earned vitality to a halt and remind us all that even this “new
old age” is accompanied by osteoporosis and fragility that can still put us out of commission.
January/February 2012 www.nutraceuticalmag.com
33bone and joint health
exception of lung cancer) and are comparable with or greater than
the disabling effects of chronic diseases such as rheumatoid arthritis,
asthma and hypertension-related heart disease.
Although osteoporosis has entered the public consciousness as a
“women’s disease,” neither gender is spared by the condition. The IOF
estimates that osteoporotic fracture will strike one in five men who live
past the age of 50, compared to one in three women of the same age
group, and that by 2050 the worldwide incidence of hip fracture in men will
increase by 310% and 240% in men and women, respectively.
More than MineralsIt is no surprise that so much money and effort has gone into
understanding the progression, treatment and prevention of
osteoporosis. When that research has focused on nutritional factors,
it has usually, and not without reason, turned its attention to calcium.
The body stores about 99% of its calcium in the bones, where it forms
a critical component of hydroxyapatite, a calcium-phosphate complex
that gives bone its structural rigidity. Calcium alone, however, can
neither prevent nor cure osteoporosis.
Protein, which constitutes up to 22% of bone by weight and 50% by
volume, is also involved, serving as a matrix in which minerals embed.
The body thus needs a steady supply of top-quality protein for bone
maintenance, especially as we age. Despite some studies showing that
high intakes of animal protein may trigger calciuria, or excess calcium in
the urine, other research points out that a high-protein diet can actually
increase intestinal calcium absorption. Then there’s vitamin D, which supports
calcium metabolism and its incorporation into the skeletal structure. In
children with severe vitamin D deficiency, bones inadequately mineralize,
retarding growth and leading to the pain and deformity of rickets. Once
a rare deficiency in the developed world owing to its presence in fortified
foods and capacity to form in the skin when exposed to sunlight, public
health efforts to discourage sun exposure have inadvertently reinstated
vitamin D on the ‘vitamins of concern’ list.
Oxidation OffensiveAside from vitamin D, protein and calcium, do other nutrients hold promise
as a dietary check on osteoporosis? In fact, some do. Antioxidants have
long attracted notice for stemming the progress of chronic, oxidation-
related diseases such as atherosclerosis, neurodegenerative disorders and
some forms of cancer. Now researchers are investigating whether they
can combat the oxidative component of osteoporosis. Scientific literature
demonstrates such a component in the development of osteoporosis;
oxidative stress induced by free radicals increases bone loss, with high
concentrations of free radicals weakening and killing the osteoblast
cells that promote bone synthesis, and promoting the formation of the
osteoclasts responsible for bone resorption. Researchers have also found
epidemiological evidence of an inverse relation between oxidative stress
biomarkers and bone mineral density.
In examining the antioxidant concentrations of women with and
without bone loss, several case-controlled studies have found there to
be less antioxidant activity in those with osteopenia — a condition of
low bone density that falls short of osteoporosis — than in their healthy
postmenopausal counterparts. This may reflect the body’s endogenous
antioxidant system kicking into overdrive in osteopenic women to “turn off”
resorption-promoting osteoclasts.
The Lycopene LinkAs osteopenia progresses to osteoporosis, our internal defenses appear
to become overwhelmed, allowing oxidation and subsequent bone loss
to proceed. This raises the question of whether, when our endogenous
antioxidants fall short, dietary antioxidants can step in — and researchers
are optimistic that they can. Although the supporting science is still in its
infancy, the carotenoid antioxidant lycopene, a pigment found in tomatoes,
watermelon and other red foods, has been the subject of considerable
excitement as a result of its potential to reduce the risk of osteoporosis.
Lycopene appears to inhibit osteoclast formation and subsequent
free-radical production in vitro, reducing the rate of bone resorption.
www.nutraceuticalmag.com January/February 2012
34bone and joint health
Furthermore, in human and mouse models the carotenoid’s effect on
osteoblasts appears to be stimulative, boosting growth, differentiation
and activity. Researchers have observed a positive association
between lycopene status and bone mineral density and postulate that
the correlation may contribute to a reduced risk of osteoporotic frailty
and fracture.
The State of the ScienceA US Department of Agriculture-funded longitudinal dietary study,
published in 2009 in the Journal of Bone and Mineral Research, followed
participants in the Framingham Osteoporosis Study for more than
15 years and found that those with a high lycopene intake —
12.7 mg/day — suffered significantly fewer non-vertebral osteoporotic
fractures compared with participants who consumed only 2.7 mg of
lycopene daily. When the researchers examined the relationship between
hip fractures and consumption
of lycopene-rich foods, they
found that subjects who
ate at least 4.4 servings
of certain foods such as
tomatoes, tomato juice and/
or sauce, grapefruit, pizza and
watermelon per week had
significantly fewer hip fractures
than those who consumed
such foods at a rate below
4.4 servings weekly.
Moreover, they observed
no such associations for
the antioxidants beta-
cryptoxanthin, lutein,
zeaxanthin or alpha- or
beta-carotene, hinting that
lycopene may be unique
among carotenoids in its effect on osteoporosis risk reduction.
A more recent dietary study examined bone resorption rates,
antioxidant activity and oxidative stress markers to measure the effect
of dietary lycopene on osteoporosis risk. In the first month of the
study, 60 postmenopausal women aged 50–60 years consumed no
lycopene at all. Then the researchers randomly assigned the women to
4 month long, twice daily regimens of ordinary tomato juice, lycopene-
enhanced tomato juice, a tomato lycopene Lyc-O-Mato capsule or
a placebo. Following treatment, those on the lycopene regimens
showed not only increased antioxidant activity relative to those taking
the placebo, but decreased levels of markers for both oxidative stress
and bone resorption. The study was published online in Osteoporosis International in June 2010.
An even more recent research abstract published in 2011 in the journal
Bone followed 440 healthy, postmenopausal women, each of whom
supplied the researchers with 4 day diet diaries and blood and urine
samples. The researchers measured the women’s bone mineral density at
five sites using dual-energy X-ray absorptiometry and found that women
with higher dietary lycopene intakes not only exhibited higher serum
lycopene levels, but that those levels translated into significant increases
in bone mineral density and formation, and decreases in bone resorption
biomarkers. Women in the higher dose lycopene groups also displayed
improved oxidative stress parameters. The results led researchers to
conclude that the dietary antioxidant lycopene may help to decrease the
risk of bone loss and osteoporosis.
Bones and BeyondResearchers are still trying to tease out the mechanisms by which lycopene
achieves these benefits, but most proposed modes of action thus far focus
on the carotenoid’s potent antioxidant capacity. This comes as no surprise
to Dr Yoav Blatt, chief technology officer at LycoRed, who commented:
“It just makes good sense; during the past few decades, what we’ve
learned about disease prevention and antioxidants — and lycopene in
particular — has been game-changing. When you look at how lycopene
reduces the oxidative stress related to risk for cardiovascular disease,
cancer, hypertension, diabetes and even male infertility, a role for lycopene in
preventing bone loss and osteoporosis almost seems the next logical step.”
As the science surrounding lycopene and bone health matures, so will
the public’s interest in the relationship grow. Why? Because, as Blatt points
out, today’s seniors are a savvy lot when it comes to their personal health
and arm themselves with information about conditions that concern them,
whether that be by following
medical websites, gleaning peers’
experiences from social media or
simply quizzing their own medical
professionals. “If news arises that
links lycopene to improved bone
health,” Blatt says, “you can bet
they’ll be on it.”
This opens the door for
product developers to design
foods and beverages that
directly target this educated,
health-aware community.
Consider a beverage that bills
itself as a ‘bone-health cocktail;’
in addition to soy or dairy
protein and calcium, it might
deliver natural, tomato-sourced
Lyc-O-Mato, which is not only
specially formulated for water-solubility but contains the full complement
of naturally occurring carotenoids, in addition to lycopene. Blatt continues:
“Then, for the beverage’s vitamin D component, you could use our
CapsuDar D3 CWD ingredient — we designed it to dissolve instantly and,
by encapsulating it, we protect it against light, oxidation and acid. What
we really think is exciting about the ingredient, however, is that it goes into
solution in beverages with crystal clarity, which means that this fat-soluble
vitamin can now be invisible, even in flavoured waters.”
By formulating with nutrients that address seniors’ bone health concerns,
you can reach a consumer base that’s eager to be addressed. Blatt has
seen this firsthand: “Our research shows that today’s older consumers are
hungry — or thirsty, if you like — for products that are relevant to them,” he
says — “that means designing for bone health benefits.” In addition, they’re
less price-sensitive when these products offer benefits backed by sound
science, as well as the required great taste and texture. “It’s their health,
after all,” Blatt points out, “if we in the food industry can help to improve
it, and maybe even save consumers money relative to expensive medical
treatments, I think we’re getting the ball rolling in a positive direction.”
For more informationKarina Munch BedrackSales ManagerLycoRed Bio LtdTel. +972 732 327 [email protected]
January/February 2012 www.nutraceuticalmag.com
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www.nutraceuticalmag.com January/February 2012
Affecting approximately 30 million
people in the US alone, osteoarthritis
(OA) is the most prevalent chronic
joint disease, with a rising global
incidence that is ensured by an ageing
population and an obesity epidemic.
Diverse treatment options that include
pharmacological, non-pharmacological and
surgical approaches are available to manage
the main clinical features, such as pain and
loss of joint function — they have, however,
shown limited success. The pharmacological
option in particular is accompanied by
serious gastrointestinal and cardiologic side-
effects, which, aside from the heavy financial
burden, make it unfit for a safe and long-term
approach.
Despite some of their number displaying
efficacy in human clinical trials, the outcome
of non-pharmacological options, such as
dietary supplements, remains inconclusive.
One reason for this disappointment is
that current OA treatment options fail to
address the complexity of osteoarthritic
pathogenesis, which involves abnormal
signal transduction in various cells found in
the cartilage, synovium and subchondral
bones. At a molecular level, OA is
accompanied by the disruptive turnover of
extracellular matrix (ECM) in the cartilage;
catabolic changes in ECM are mediated
not only by the secretion of inflammatory
mediators but by the disorganization,
fragmentation and eventual loss of collagen
fibres and proteoglycans such as aggrecans
(a multi-molecular complex of glycoproteins
and GAGs). Additionally, OA is associated
with the reduced lubricating capability of the
synovial fluid, which is likely to result from
the breakdown of HA. Thus, any effective
treatment should be able to address these
multi-faceted aspects of OA to halt or modify
its course, while providing relief from its
debilitating symptoms.
Partial versus Comprehensive Dietary ApproachDietary ingredients subjected to human
clinical trials that have shown potential in
managing OA-associated symptoms include
glucosamine, chondroitin sulfate, avocado
soybean unsaponifiables (ASU), pycnogenol
and collagen (in both undenatured and
hydrolysed forms). Although clinical relevance
and biological mechanisms are yet to be
established, the finished products that contain
these ingredients appear at least to be safer
than their pharmacological counterparts, in
addition to reducing some of the debilitating
OA symptoms. Among these ingredients,
glucosamine and its combination with
chondroitin sulfate lead the market. However,
a recent meta-analysis of the ten largest
clinical trials performed under high-standard
clinical protocols demonstrated that its
efficacy in reducing OA-associated pain
was seriously called into question, as data
A HOLIsTIC APPrOACH TO JOINT HEALTH
January/February 2012 www.nutraceuticalmag.com
37bone and joint health
Figure 1: Bioavailablity of LMW HA in hydrolysed chicken sternal cartilage extract.
obtained from more than 3000 OA patients
failed to show a statistical significance of
pain-reducing effect as compared to placebo.
A plausible explanation may be that the two
ingredients act on the complex pathological
process in the cartilage only by supplementing
GAGs and fail to address the more important
issue: the loss of the collagen fibre network.
As previously stated, OA is a dynamic and
complex disease that involves the degradation
of ECM in the cartilage that comprises both
collagen (primarily type II) and non-proteinous
molecules such as GAGs — and thus
requires a more comprehensive approach to
counteracting the degenerative process.
Chicken Sternal Cartilage Mirrors Human CartilageOA is also termed a ‘wear and tear’ disease
of the articular cartilage of the synovial
joint; the most common and active joint in
the human body. Aside from water, which
comprises 70–80% of human cartilage,
collagen and proteoglycans are its major
components, each assuming 10–20% of the
avascular glossy covering of the underlying
subchondral bone, followed by the
chondrocytes, which produce and maintain
the cartilage ECM and comprise 1–5%
of it. Proteoglycans are a multi-molecular
complex of glycoproteins with GAGs such as
HA, keratin sulfate and chondroitin sulfate,
which are immobilized into the collagen fibre
matrix. The nature of this complex network of
diverse molecules implies that an ingredient
made from the same type of cartilage can
offer a more effective nutritional approach to
OA than glucosamine or its combination with
chondroitin sulfate.
Classified as an articular cartilage — and
with a composition of collagen type II and
GAGs that mirrors that of human articular
cartilage — chicken sternum cartilage is
a potential solution. Furthermore, recent
research on hydrolysed collagen and GAGs
has suggested that hydrolysed chicken
sternal cartilage extract containing LMW
GAGs, as well as hydrolysed collagen type II
(MW of 1.5–2.5 kDa), appears to harbour
diverse biological properties — in addition
to enhanced bioavailability — that not only
make it relevant to a comprehensive
dietary support for OA-associated
symptoms but offer a possible disease-
modifying effect through a potential
regeneration of the cartilage.
Hydrolysis Enhances BioavailabilityA number of collagen types have been found
in the human body, with types I, II, and III
being predominant. Collagen type II is specific
to the articular cartilage, constituting more
than 90% of collagen in the tissue, whereas
types I and III are abundant in the skin dermis.
Most collagen is found as a macromolecular
triple-helix form that is poorly soluble in its
native or undenatured state. Hydrolysing this
macromolecule sufficiently to reduce its MW
substantially, depending upon manufacturing
protocols, results in a collagen that becomes
much more soluble.
The most direct effect of the hydrolysis
process is to increase the collagen’s
bioavailability — as demonstrated by a
study using a mouse model, which revealed
that more than 90% of hydrolysed collagen
was absorbed into the small intestine. A
separate study, which used human subjects,
demonstrated that hydrolysis of the chicken
sternal cartilage not only reduced the MW of
the collagen type II but also depolymerized
the HA (a macromolecule with a native MW
that ranges higher than 1x106 Da) into shorter
chain LMW fragments. When hydrolysed
chicken sternal cartilage extract containing
the LMW HA is ingested, the latter greatly
increases its levels in the human blood
compared with its baseline, thus suggesting
that LMW HA is also highly bioavailable
(Figure 1). Several patents exist surrounding
this invention and have been assigned to
BioCell Technology, LLC.
Synergy of Multiple Biological Properties A neglected issue in the discussion
of a dietary ingredient’s efficacy is its
pharmacokinetics — its absorption,
distribution and metabolism — which affects
both its bioavailability at the target tissue
and its eventual health benefits. Although a
number of ingredients display their exciting
potential in in vitro cell-based studies, most
of these fail to demonstrate their presumed
physiological effect as a result of their short
half-life in vivo. The hydrolysed type II collagen
and LMW HA contained in hydrolysed
chicken cartilage extract is unique in that
these important issues have been addressed
relatively well by independent studies.
• First, in a mouse model, the majority of
radiolabelled hydrolysed collagen was
absorbed through the gastrointestinal
tract and found to be accumulated in the
cartilage in the long-term, suggesting that
the metabolites of ingested hydrolysed
collagen reach the target site of action.
www.nutraceuticalmag.com January/February 2012
38bone and joint health
• Second, human ingestion of hydrolysed
chicken cartilage extract led to the
appearance of many different forms of
collagen-derived peptides, among which
the dipeptide, Pro-Hyp, was predominant.
Studies suggested that this dipeptide
was biologically active in vivo and exerted
multiple physiological effects; for example,
the articular cartilage of mice fed with
Pro-Hyp in an OA-inducing, phosphorus-
containing diet showed a significantly lower
degree of cartilage degradation than control
mice. There was also a reduced level of
death of the chondrocytes, suggesting that
this dipeptide provided a chondroprotective
effect. An alternative study revealed that
the biosynthesis of HA was stimulated from
the synovium cells and that, moreover,
the collagen-derived Pro-Hyp stimulated
the proliferation of the dermal fibroblasts.
This is particularly intriguing as the cells’
senescence is considered to be an
important underlying cause of the dermal
breakdown of collagen fibres in skin ageing.
• Third, hydrolysed collagen — not the native
or undenatured form of collagen — was
shown to stimulate the chondrocytes to
produce and secrete collagen type II and
proteoglycans, with hydrolysed collagen
type II from chicken sternums displaying
higher activity than hydrolysed collagen
type I. This in vitro study suggests a
possible positive feedback mechanism for
the regulation of collagen turnover in the
cartilage, which has significant ramifications
for the use of the extract in rebuilding
degraded cartilage.
• Fourth, hydrolyzed chicken sternal cartilage
extract was shown to inhibit hyaluronidase
in vitro, in a dose-dependent manner
(Figure 2). Hyaluronidase contributes to
ageing processes in the skin by degrading
HA, which has its ability to bind water
attenuated by a shortened chain length
and decreased polyanionic charge. The
loss of the amount and integrity of HA may
lead to weakened joint lubrication and
dampened resistance to compressive forces
applied to the cartilage. Given the fact
that hyaluronidase-mediated degradation
of HA is implicated in ageing and
inflammation, the ability of this extract to
inhibit it may have profound implications
for the ageing processes that take place in
the joints and skin.
Human Clinical TrialsThis dietary ingredient boasts multiple
mechanisms of action that indicate a
potential holistic approach to joint health. A
randomized, controlled human clinical trial is
the gold standard in investigating the clinical
relevance of the bioavailability and biological
properties of the LMW hydrolysed chicken
sternal cartilage extract to the effective
management of OA-associated symptoms.
There have previously been clinical studies
demonstrating the safety and beneficial
effects of hydrolysed collagen, in addition
to GAGs, with respect to chronic arthritic
joint conditions, including OA. Only recently,
however, was a study performed on a dietary
ingredient containing both hydrolysed collagen
and GAGs such as HA. The clinical trial of
LMW hydrolysed chicken cartilage extract
revealed its safety and significant efficacy in
managing OA-associated conditions — and
thereby its potential to enhance the quality of
daily life. Its daily ingestion for 8 weeks led to
a significant difference in the reduction of the
WOMAC (Western Ontario McMaster University
Osteoarthritis) score — the composite of
the efficacy endpoints for pain, stiffness
and physical difficulties — compared with
placebo (Figure 3). At the end of the study, the
difference between the two groups’ scores was
approximately 40%, suggesting that this novel
ingredient that provides a synergy between
hydrolysed collagen type II and LMW HA is a
strong candidate for a holistic solution to this
complex and dynamic joint disease.
A Holistic Approach and BeyondCollagen and GAGs are found in the ECM
of virtually every connective tissue, including
cartilage, tendon, ligament, blood vessel and
skin dermis. Their efficacy for joint health has
been well documented by clinical trials, as
discussed above, and recent experimental and
clinical skin studies have provided evidence for
their positive effect on skin ageing. For example,
in an animal model study, hydrolysed collagen
led to an increase in the number of dermal
fibroblasts and the diameter of collagen fibrils
in the ECM of the skin dermis. Hydrolysed
collagen can also protect the skin from UV
damage such as epidermal hyperplasia and the
loss of collagen type I. In addition, the Pro-Hyp
dipeptide that appears in human blood after
ingestion of hydrolysed chicken cartilage extract
was shown to enhance the biosynthesis of HA
from the dermal fibroblasts.
It can be hypothesized that ingredients
containing both hydrolysed collagen and
GAGs can be relevant to other connective
tissues, such as tendons and ligaments, as
these molecules are also essential for their
structure and functions. Further studies are
warranted to investigate their effect on these
and other connective tissues, which will prove
whether this unique ingredient can offer a
holistic solution to ageing-associated joint,
skin and connective tissue problems.
For more informationDr Joosang ParkVice President of Scientific AffairsBioCell Technology, LLCTel. +41 7146 321 [email protected] www.BioCellTechnology.com
Figure 2: Inhibition of hyaluronidase.
Figure 3: Improvement of OA-associated symptoms.
This dietary ingredient boasts multiple mechanisms of action that indicate a potential holistic approach to joint health.
January/February 2012 www.nutraceuticalmag.com
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www.nutraceuticalmag.com January/February 2012
40 bone and joint health
Although gut and digestive health
claims remain the most popular to
be appended to functional dairy
products, there is considerable
ongoing interest in bone health. Bone health
or added calcium claims (or both) featured
in more than 17% of dairy launches on an
active health platform in the 12 months
to the end of June 2011, or 4% of dairy
launches as a whole (as recorded on the
Innova Database). The majority of bone
health launches in the sector were in dairy
drinks or dairy alternative (mainly soy)
drinks, which accounted for more than two-
thirds of the total, well ahead of yoghurt,
which accounted for slightly more than 15%.
Dairy products marketed on a bone
health platform have become increasingly
sophisticated in recent years. Originally their
primary focus was a naturally high calcium
content or calcium fortification and they
largely relied on consumer awareness of the
mineral’s benefits; recently, however, these
products have made greater use of
ingredient blends that go beyond
calcium, including ingredients that
help to boost calcium absorption
and bone formation, such as
vitamin D. Ingredients now
promoted in bone health
applications include vitamin
K2, lysine, prebiotic fibres
and soy isoflavones.
Functional drinking milks
have traditionally focused
on added ingredients (such
as vitamins, minerals,
probiotics) and a general health positioning
rather than using more specific health
claims. As a result, they have not always
been regarded as functional in the strictest
sense of the word. However, the number
of more specialist milks being launched is
changing this, although the market remains
fairly fragmented and highly regionalized,
with countries such as the US and Spain
having large markets that partially reflect
large liquid milk consumption levels. Spain
has one of the largest European markets
for vitamin and mineral enriched milks,
with particular strength in calcium fortified
products. The first of these was introduced
to the Spanish market by Puleva in 1993 —
this triggered a burst of activity in fortified
milks that built the market to its current
level (calcium-enriched lines accounted for
more than 16% of the Spanish milk market
in 2010). Product activity in calcium milk
now focuses more specifically on bone
health ingredients used in conjunction
with calcium, as demonstrated
by Puleva’s introduction
in late 2010 of its Calcio
con Isoflavonas de Soja — a
skimmed milk with calcium and
soya isoflavones.
In the yoghurt market,
meanwhile, specialist
bone health products
are starting to appear
in Europe, with recent
activity being led by
Danone and its Densia
yoghurt with added
calcium and vitamin D. It was launched
in Spain in 2009 and, unlike most added
calcium products in the past that have
been aimed at the children’s market, was
targeted at older women. It met with some
initial success in Spain and has since been
launched in Portugal and Italy, where it is
called Danaos. Testing of Densia in France,
however, proved disappointing and it was
not launched onto the French market. In
2011 it was introduced in Brazil, both in
the more common spoonable format and
as a dose-delivery drink.
Interestingly, General Mills — which has
just purchased a 51% controlling share in
Yoplait, the world’s number two yoghurt
brand — announced in July 2011 that it was
looking for new ingredients or technologies
for fermented dairy products. The goal
is to move “beyond the known impact of
calcium and vitamin D” in boosting the bone
formation process, in addition to looking at
solutions to increase calcium absorption.
Lu Ann Williams, research manager at
Innova Market Insights, contends that,
despite some of the problems caused
by the economic downturn, consumer
confusion and ongoing regulatory issues,
the potential for functional lines such
as bone health dairy products remains
as strong as ever. She explains: “This
is being driven by ageing populations,
rising interest in healthy lifestyles and a
growing awareness of the link between
diet and health, supported by significant
investment by the food and drinks industry
in innovative product activity.”
BONE BOOm
For more informationLu Ann WilliamsInnova Market InsightsTel. +31 263 192 [email protected]
January/February 2012 www.nutraceuticalmag.com
NUTRACEUTICAL BUSINESS & TECHNOLOGY
www.nutraceuticalmag.comWhere food and pharma meetNBT is your musT-read source of News, updaTes aNd developmeNTs iN The fuNcTioNal food, NuTraceuTical, dieTary supplemeNT aNd iNgredieNT iNdusTry.
Women’s HealtHSupplementing the fairer sex
w w w . n u t r a c e u t i c a l m a g . c o m
• ingredients • functional foods • nutraceuticals • supplements • raw materials •
ProbioticsRestoring the balance
Claims under pressure
cosmetic FocusMarketing products in Southern Africa
Functional bakery, sPorts nutrition, cognitive HealtH and more
Volume 7 Number 2 March/April 2011
See website for details on Awards and Exclusive Business Roundtabe
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EXCLUSIVE EVENT
EXCLUSIVE ROUNDTABLE
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www.nutraceuticalmag.com January/February 2012
42 bone and joint health
The ageing process is said to bring
maturity and a wealth of experience,
but it can also lead to a decline
in health and vitality — sufficient
intake of essential nutrients, however, can
help older people to stay physically active
and get the most out of life. There is a rapidly
growing portion of the population that falls
into the over-65 age group, which is resulting
in a commercial renaissance for nutritional
products targeting the senior audience.
Osteoarthritis of the knee afflicts 40% of
people above the age of 70 worldwide;
80% of sufferers are forced to limit their
movements and 25% cannot perform basic
daily activities.1
A burgeoning demand for products
that provide effective joint relief is behind
the projected growth of the the European
and US joint health markets by 7–8%
and 6%, respectively.2 Joint relief
products, mainly comprising dietary
supplements and beverage applications,
are targeted predominantly at two
consumer groups: people above the age
of 50 and sports enthusiasts.
A joint is the point at which two or more
bones come together to facilitate movement
— healthy joints move smoothly, without pain
or swelling, owing to a complex system of
lubrication and shock absorption that acts
like a cushion and prevents excessive bone
friction. Products currently available on the
market are predominantly glucosamine/
chondroitin (GC) based, but new research has
revealed that they are not as effective as once
thought.3 The search for new solutions, has
led nutraceutical manufacturers to vitamins,
minerals and omega-3 fatty acids; according
to a number of studies, vitamin E, which is
found in the synovial fluid, helps to reduce
joint discomfort and low levels of vitamin
B6 are associated with pro-inflammatory
conditions that negatively affect joint health.4–7
In addition, vitamin D deficiency has been
linked to osteoarthritis and rheumatoid
arthritis.8–11 Regular consumption of omega-3
long chain polyunsaturated fatty acids (PUFAs),
primarily docosahexaenoic acid (DHA) and
eicosapentaenoic acid (EPA), has been shown
to reduce joint discomfort as a result of their
anti-inflammatory properties.12–14 A meta-
analysis of 14 clinical trials in patients with
rheumatoid arthritis or joint pain linked PUFA
supplementation with a significant decrease
in joint pain intensity, duration of morning
stiffness and number of sensitive joints.15 In
another study, a daily high dose of omega-3
supplements was found to decrease the
severity of symptoms associated with
ankylosing spondylitis, a chronic disease
that mainly affects joints of the spine and
hips.16 Equally, a high intake of vitamin C
substantially reduces uric acid concentration
in the blood and is associated with minimized
risk of gout.17
Adding Life to YearsThe ability to move unhindered by pain is
a fundamental part of maintaining quality
A JOINT EFFOrT
43bone and joint health
The Executive Advisory Board of the Vitafoods Europe Conference is now accepting papers for consideration for the 2012 Event.
For further details visit www.vitafoods.eu.com/nbtcall Or contact Lynne Evans at [email protected]
www.vitafoods.eu.com/nbtcall
In addition to traditional presentations, we would also like to receive:Scientific papers | commercial applications | new markets | business development case studies | latest research thinking | panel debates | new applications Q&A sessions | merger and acquisition strategy | growth strategies
Key topic areas include:
• Market for Aging Consumers • Gut Health • Mental Health • Joint Health
• Physical Performance• Food Allergy & Intolerance • Ingredients from Nature
Speake
r
Opportunit
ies
For more informationDSM Nutritional ProductsCharlotte FrederiksenTel. +41 6181 583 [email protected] www.dsm.com
References1. World Health Organization, “Chronic Rheumatic Conditions,” 2009 (www.who.int/chp/topics/rheumatic/en/).2. Frost & Sullivan, “European Bone and Joint Health Ingredients,” 31 March 2009 (www.frost.com/prod/servlet/report-
toc.pag?repid=M39C-01-00-00-00).3. J.E. Silbert, et al., “Dietary Glucosamine Under Question,” Glycobiology 19(6), 564–567 (2009).4. K. Fairburn, et al., “Alpha-Tocopherol, Lipids and Lipoproteins in Knee-Joint Synovial Fluid and Serum from Patients with
Inflammatory Joint Disease,” Clin. Sci. 83(6), 657–664 (1992).5. G. Blankenhorn, ”Clinical Effectiveness of Spondyvit (Vitamin E) in Activated Arthroses. A Multicenter Placebo-Controlled
Double-Blind Study,” Z. Orthop. Ihre Grenzge. 124(3), 340–343 (1986).6. N.H. Haflah, et al., “Palm Vitamin E and Glucosamine Sulphate in the Treatment of Osteoarthritis of the Knee,”
Saudi Med. J. 30(11), 1432–1438 (2009).7. Chiang EP, et al. “Pyridoxine Supplementation Corrects Vitamin B6 Deficiency but Does Not Improve Inflammation in
Patients with Rheumatoid Arthritis,” Arthritis Res. Ther. 7(6), 1404–1411 (2005).8. C. Ding, et al., “Serum Levels of Vitamin D, Sunlight Exposire, and Knee Cartilage Loss in Older Adults: the Tasmanian
Older Adult Cohort Study,“ Arthritis Rheum. 60(5), 1381–1389 (2009).9. S.K. Das, et al., “Osteoarthritis,“ Best Pract. Res. Clin. Rheumatol. 22(4) 657–675 (2008).10. T.E. McAlindon, et al., ”Relation of Dietary Intake and Serum Levels of Vitamin D to Progression of Osteoarthritis of the
Knee Among Participants in the Framingham Study,” Ann. Intern. Med. 125(5), 353–359 (1996).11. M. Mouyis, et al., “Hypovitaminosis D Among Rheumatology Outpatients in Clinical Practice,” Rheumatology 47(9),
1348–1351 (2008).12. D. S. Kelley, et al., “DHA Lowers Blood Triglycerides in Diet Study,” J. Nutr. 139(3), 495–501 (2009).13. M. Troseid, et al., “Serum Levels of Interleukin-18 are Reduced by Diet and n-3 Fatty Acid Intervention in Elderly
High-Risk Men Metabolism 58(11), 1543–1549 (2009).14. R.J. Goldberg, et al., “A Meta-Analysis of the Analgesic Effects of Omega-3 Polyunsaturated Fatty Acid Supplementation
for Inflammatory Joint Pain,” Pain 129(1–2), 210–223 (2007).15. B. Sundstrom, et al., “Supplementation of Omega-3 Fatty Acids in Patients with Ankylosing Spondylitis,”
Scandinavian Journal of Rheumatology 35, 359–362 (2007).16. H.B. Stein, et al., ”Ascorbic Acid-Induced Uricosuria: A Consequence of Megavitamin Therapy,” Ann. Intern. Med. 84(4),
385–388 (1976).17. H.K. Choi, et al., “Vitamin C Intake and the Risk of Gout in Men: A Prospective Study,” Arch. Intern. Med. 169(5), 502–507 (2009).
of life. Strong joints help seniors to remain
independent and continue doing the things
they enjoy. DSM Nutritional Products offers
a wide range of high-quality micronutrients,
available in Quali Blends nutritional
premixes, which address all major causes
of joint discomfort and immobility. In one
easy step, DSM’s dry or liquid premixes can
be added to a vast range of food, beverage
and nutraceutical applications, providing
manufacturers with opportunities to tap
into the lucrative market for joint health
products. DSM’s nutritional solutions are
protected by the Quality for Life seal —
which ensures the ingredients come from a
dependable, safe and sustainable source —
giving manufacturers the confidence to go
to market with new products.
www.nutraceuticalmag.com January/February 2012
44weight management
During the past 20 years, there
has been a dramatic increase in
obesity and the incidence of being
overweight. Evidence suggests
that even without reaching an ideal weight,
a moderate amount of weight loss can be
beneficial in terms of reducing the levels of
some risk factors, such as blood pressure.1
SANKOM-CanDiet is a dietary supplement that
contains inulin and oligofructose enriched with
vitamins, mineral salts, green tea and natural
flavours. Inulin and oligofructose are dietary
fibres known as fructans. Inulin is a linear
fructose polymer belonging to the group of
fructans known for its fermentability and bulking
properties. Oligofructose, a short-chain fructan
obtained from inulin, might enhance satiety,
thereby resulting in greater reductions in energy
intake.2,3 Green tea, by containing both tea
catechins and caffeine, may act by inhibiting
catechol O-methyl-transferase, and by
inhibiting phosphodiesterase, providing positive
effects on body weight management.4
In an open pilot trial to evaluate body
weight reduction during a period of 4 weeks
using SANKOM-CanDiet supplement chews,
we selected 51 overweight patients (23 men
and 28 women), aged between 18 and 60
years. Patients suffering from obesity as a
result of hormonal or metabolic diseases
were not included in the trial. A daily dose of
4–6 SANKOM-CanDiet supplement chews
was recommended to each patient and the
duration of the programme was 4 weeks.
We gave each patient the following intake
recommendations:
• 1–2 chews + 1 glass of water (or warm tea)
30–40 minutes before lunch
• 1–2 chews + 1 glass of water (or warm tea)
in between lunch and dinner to prevent
hunger fluctuation
• 1–2 chews + 1 glass of water (or warm tea)
30–40 minutes before dinner.
No hypocaloric diet was suggested to
patients.
Summary of ResultsThe observational results of this trial show
a total average weight loss of 3.1 kg (an
average loss of 2.7 kg in women and 3.5 kg in
men). Considering four ranges of weight loss:
4 men and 8 women had a weight loss in the
0–2 kg range, 11 men and 6 women were in
the 2–4 kg range, 8 men and 6 women were
in the 4-6 kg range and 2 women were in the
6–8 kg range. One woman had a weight gain
of 0.1 kg and another woman experienced
a gain of 0.2 kg. No change in bodyweight
was observed in 1 man and 3 women.
Furthermore, we evaluated the Body Mass
Index in 25 randomly selected patients: at the
beginning of the trial the average BMI was
29.44, which had decreased to an average
BMI of 28.20 by the end of the trial.3
ConclusionsSANKOM-CanDiet was shown to be a
useful supplement in the management of
weight loss in overweight patients. This
open pilot trial presents a rationale to
propose oligofructose supplements for the
management of food intake in overweight
and obese patients. A double-blind
controlled study might be useful to better
evaluate the efficacy of SANKOM-CanDiet
supplement chews in weight reduction.
Furthermore, a normal calorie regimen
should be recommended and followed by
each patient, to reduce any eventual diet-
related interference.
INTuITIVE NuTrITION
References1. C.L. Ogden, et al., “The Epidemiology of Obesity,”
Gastroenterology 132(6), 2087–2102 (2007).2. P.D. Cani, et al., “Oligofructose Promotes Satiety
in Healthy Humans: A Pilot Study,” Eur. J. Clin. Nutr. 60, 567–572 (2006).
3. K. Whelan, et al., “Appetite During Consumption of Enteral Formula as a Sole Source of Nutrition: The Effect of Supplementing Pea-Fibre and Fructo-Oligosaccharides,” Br. J. Nutr. 96(2), 350–356 (2006).
4. M.S. Westerterp-Plantenga, “Green Tea Catechins, Caffeine and Body-Weight Regulation,” Physiol. Behav. 100(1), 42–46 (2010).
For more informationVladimir ShkolnikovSANKOM SwitzerlandAvenue de la Gare 49CH-2800 Delemont, SwitzerlandTel. +41 32 422 [email protected]
This open pilot trial presents a rationale to propose oligofructose supplements for the management of food intake in overweight and obese patients.
w w w . f o o d i n n o v a t e . c o m
City West Hotel, Dublin, Ireland
Researched and Produced
To register your place visit www.foodinnovate.com/NBT for only £1,795* when quoting “NBT” on the booking form. *This offer is only open to senior heads of food innovation, R&D, food technology and marketing from the food industry.
29th February – 1st March 2012
The 10th Annual World Food Technology and Innovation Forum gathers the world leaders in research and development, innovation and NPD to debate, and shape the future of the food industry
Key topics this year include-• Using Consumer Insights and Market Intelligence to Stimulate Innovation -
Optimising co-creation and innovation processes• Better Hunting Strategies - Building Open Innovation Opportunities -
Stimulating open innovation and accelerating better hunting to capture what’s outside and inside the organsition
• Successfully Taking New Ideas to Market - Understanding consumer trends and discovering new technologies that respond to consumer needs
• Combining Innovation With Sustainability - Engaging Procurement in the Innovation Process to achieve end-to-end sustainability
Who will be speaking?•Roger Leech, Open Innovation Portfolio & Scouting Director, Unilever •Richard Ebenbeck, Director - Consumer and Market Insights, Wrigley•Todd Eden, Head of Technical Innovation, Britvic Soft Drinks •Gerrit Smit, Vice President R&D, Valio•Kamel Chida, Associate Director Worldwide Innovation Network, General Mills
Host Sponsor
To find out more email Michaela Melcher, [email protected] or call +44 (0)20 7202 7690
Confirm your place before
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www.nutraceuticalmag.com January/February 2012
46industry issues
A number of recent public recalls of
food products that have occurred
in the global consumer marketplace
have caused significant turbulence
in consumer confidence when it comes to
the safety of food and beverage products.
Any loss of confidence within the consumer
mindset is obviously a horrific situation for
a brand and the company that proffers the
product; consequences include millions of
wasted marketing dollars — plus millions
more reallocated to regaining confidence
— destruction of mindshare and grossly
impacted shareholder/ownership value. Most
importantly, the safety of people who trust a
brand enough to ingest it is, in many cases,
placed at serious risk.
Safely manufacturing products —
any products — within the food chain
has two prime points of contact: raw
material procurement and processing.
This short paper intends to provide an
overview for both.
T=0 (time begins at 0) begins at the
point of raw material procurement, but not
the actual purchasing of the material. The
primary point of failure in any supply chain is
the company’s cultural focus on “how they
buy;” a professionally managed organization
will have clear and concise specifications,
guidelines and processes to ensure that
there can be no misinterpretation by the
vendor, buyer or receiving organization.
Failure point number two occurs when the
buyer is rated and incentivized; show me
a purchase price incentivized buyer and I
will show you a buyer singularly focused
on price. Incentivize a buyer on the total
cost of quality, including being penalized
for rejections, and I will show you a buyer
who is motivated to find the highest quality
raw material at a market competitive price.
I always make the argument that no buyer
in a commodity market is so good that
they can negotiate a price more than 10%
below the market value. If you are receiving
a product significantly below this, then it’s
guaranteed that you are also receiving a
product below quality standards.
Once the procurement hygiene
is calibrated, the process of finding
specification compliant providers of raw
materials can begin. When one or more
is located, we find ourselves with the
opportunity for failure point three: the
qualification and continued surveillance of
an approved supplier. Taking a Suppliers
Certificate of Approval at face value only
makes the litigator’s job easy, stopping
by a supplier once a year for lunch or
a ceremonial dinner does not qualify
a supplier. It is imperative that your
procurement funds are buying a vendor’s
consistent process, internal safeguards
and market compensated professionals
who understand the deliverable that they
are providing. The deliverable must be a
specification compliant product harvested
or manufactured within accepted and
recognized agricultural or manufacturing
practices. Continued surveillance means
just that — continuous; a $2000 travel
expense is nickel slots compared with
a line down situation caused by a
product rejection at month or quarter’s
end. Garner your savings by operating
efficiently because you can schedule with
confidence, not by shortchanging your
quality focus.
Now that the raw material has arrived at
your dock, how squared away are you? The
media is replete with stories about government
inspected production facilities that were
grossly mismanaged, poorly run and downright
dangerous. The responsibility for safety is with
you, not an industry or governmental audit.
Once again, the company’s cultural focus goes
a long way to determine how professionally the
company is managed. Incentive programmes,
reviews and promotions must have a significant
quality hygiene component that rewards
(or is highly punitive) towards a professional
manager. Senior leadership cannot physically
be in every department, facility and supplier.
Nearly every case study of a recall begins
at a level far removed from the boardroom.
Despite this, we, as senior leaders, are totally
responsible for the actions of our colleagues and
the safety of our products and processes. How
one enforces and reinforces the standards of
professional conduct does much to protect your
business and ensure consumer safety.
wITHOuT A sAFETy NET
For more informationGeorge PontiakosPresident and CEOBI [email protected]
Inspiring innovations in ingredients
22 - 24 May 2012 | Palexpo | GENEVA PALEXPO | Switzerland
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www.nutraceuticalmag.com January/February 2012
48pharma foods
An increased awareness of advances
in biotechnology has led to a growing
interest in the use of foods for medical
purposes, building on the long-standing
tradition in many cultures of using natural herbs
and foods to treat ailments. So-called ‘superfoods’
have been in receipt of increasing attention in
recent years, particularly from the media — this
interest is now rapidly expanding to foods with
clinically enhanced properties.
Probiotics, prebiotics, functional foods, clinical
foods and nutraceuticals are discussed and
promoted in terms of offering general health
benefits or specifically targeting a bodily function,
such as improving digestion, bone density
and so on. As technology evolves and more is
understood about how to tailor food and drug
combinations to better fit individual needs, the
opportunity for tailored food that uses improved
genetic profiling is burgeoning. Many in the
pharmaceutical and food industries predict that,
by 2020, biotechnical advances will allow us
regularly to combine foods grown in the field with
drugs developed in the lab; in the next decade,
we can expect to see a shift in some of our
basics from traditional ‘farmer foods’ to more
sophisticated ‘pharma foods.’
The term nutraceutical, a combination
of nutrition and pharmaceutical, is used
to describe food, or a part of a food, that
provides medical or health benefits, including
the prevention and/or treatment of a disease:
one person’s functional food can be another
person’s nutraceutical. Given that they are
cheaper than pharmaceutical products
and may provide some of the benefits, the
nutraceutical industry is an area of growth that
is now attracting pharmaceutical and biotech
companies; including the likes of Monsanto,
DuPont, Abbott, Johnson & Johnson, Novartis
and Genzyme Transgenic. Clinical — or medical
— foods are by contrast specifically formulated
to meet the particular nutritional requirements
of individuals with specific illnesses. They
are regulated and therefore prescribed by
physicians. Nutraceuticals therefore, are not
clinical foods.
These products have been entering the
market during recent years — but the greatest
potential now lies in foods created for medical
benefit. The big change is the link between
food preparation and nutrigenomics, which
refers to applying the sciences of genomics,
transcriptomics, proteomics and metabolomics
to human nutrition. Nutrigenomics is a
relatively new science and is the application
of highthroughput genomic tools to nutrition
research: now that human genes have been
sequenced and we understand more about
our genetic make-up, we can use the science
of nutrigenomics to tailor food to fit our genetic
profiles. Pharma foods, biopharmaceuticals
or ‘farmaceuticals,’ compounds produced
from genetically modified crops or animals,
are the result of this. They provide higher than
usual amounts of various nutrients that can be
consumed as foods but are distinguished from
functional foods, nutraceuticals and the like in
that they are not naturally occurring. They are
engineered to provide specific health benefits;
for instance, gene ‘pharming’ allows scientists
to alter an animal’s DNA by combining it with
DNA from another species. The resulting
genetically modified animals — transgenic fish,
cattle, sheep, goats and chickens — are tailored
to provide embedded drugs and proteins for
human consumption. Proponents, such as the
Biotechnology Industry Organization, see that
not only can transgenic animals be provided with
traits that will improve disease resistance, but that
they can also accelerate growth and increase
proteins, provider leaner meats, increased
muscle mass and improved nutritional quality.
So, for example, a salmon can be raised in half
the normal time, have less fat, more meat and
include extra nutrients. Although no products
of this kind are currently on the market, the
US National Academy of Science undertook
a study that did not identify any food safety
concerns. However, alongside the ethical issues
of blurring the differences between separate
species, issues around environmental impact
and animal welfare are raised by those who
oppose this type of development. Plant-made
pharmaceuticals are produced using similar
technology in plants: transgenic plants are
engineered to have resistance to pests and harsh
conditions in addition to improved shelf-life and
nutritional value. Modified potatoes have been
enhanced with protein and, in 2008, scientists
altered a carrot so that it would produce calcium
and become a possible cure for osteoporosis.
There has also been discussion of the benefits to
vitamin A deficiency offered by the consumption
of golden rice, which was developed by the
International Rice Research Institute to alleviate
micronutrient deficiencies in developing countries.
As a group, pharma foods of this kind have
been a controversial issue. For example, back
in 2007 several food companies lobbied the US
Department of Agriculture against the introduction
of pharma foods owing to “concerns about their
negative impacts on food safety, on markets for
food crops and on the integrity of the wider food
supply.” PepsiCo saw that “the significant risk of
crop contamination that is present when plant-
made pharmaceuticals are produced in food
and/or feed crops leads us to the conclusion that
the only way to prevent such a contamination is
to prohibit their production.” In its 2008 corporate
social responsibility report, which addressed
concern surrounding the testing of plant-made
pharmaceuticals, General Mills stated that “to
fully ensure the safety of world production via
plants and grains, General Mills currently opposes
moving to production of any so-called ‘pharma-
food’ that would use a food crop or food grain to
grow or produce plant-made pharmaceuticals.”
Despite this reticence, however, and given
the increasingly populous and hungry world,
many companies are now proceeding with
the development of pharma foods. In his initial
perspective on the future of food, Jim Kirkwood
highlighted the opportunities and challenges:
“Pharma-food, the intersection between food and
pharmaceuticals, is an area of growing opportunity
for many in the food sector. As consumers
demand more technologically sophisticated
foods with unique, complex health benefits,
food companies will need to respond. We now
understand more about individuals’ disease
propensities from the human genome. Therefore,
nutrigenomic determination of diet becomes
technically possible. Technology is advancing
and as natural bioactive components are better
understood, the line between pharma and food
will blur: the challenge will be to find new ways
to continue to provide natural, food-delivered
preventive health benefits and begin to provide
natural, food-delivered disease state improvement
benefits without food becoming a drug.”
In a New York workshop this view gained
clear support. Besides the wider recognition
of the global need for more proteins and
nutrients, participants perceived that “genetic
profiling is advancing very quickly and is now
accepted as a good thing,” “business models
in the pharmaceuticals sector are encouraging
significant investment in the area” and that
“nutrigenomics will fundamentally change
consumer healthcare, as nutritional screening
becomes a standard part of health check-ups
and consumers readily provide their genetic
profile.” Although a controversial subject,
given the benefits to be gained, the fast pace
of technology development and a shift in
government regulation on the horizon, the advent
of widespread availability of pharma foods by
2020 looks increasingly likely. Customized foods
that match medical benefit to your genetic profile
will be in your shopping basket soon.
FrOm FArmEr TO PHArmA
For more informationTim Jones and Caroline DewingInfinite Ideas Limited36 St GilesOxford OX1 3LDUK
This article was originally published in “Future Agenda: The World in 2020,” by Infinite Ideas Limited (www.infideas.com) and is reproduced with kind permission.
Many in the
pharmaceutical and
and food industries
predict that, by 2020,
biotechnical advances
will allow us regularly
to combine foods grown
in the field with drugs
developed in the labs
50regulatory review
There is nothing more frustrating than
being pressed for time to get an order
filled — all you are waiting for are the
analytical results to release a product …
only the results are nothing like what is expected.
It is important to evaluate how a given method
might affect the product by considering the
analyte being tested in addition to everything else:
the sample matrix. This is a simple task in relation
to multivitamins or other products for which every
compound is known. However, for botanical
extracts — which are very complex mixtures
that can contain hundreds of different chemical
compounds, the chemical structure of which may
be unknown— it poses major difficulties. Many of
the USP assay methods for a specific analyte are
designed for raw materials or a defined finished
product and will not perform effectively for a
finished product containing botanical extracts. A
simple physical analysis or colourimetric method
might be sufficient for a raw material because
there are no other components to interfere,
whereas one must assess all possible interfering
components with a finished product.
The general progression for testing an
analyte in a complex matrix involves sample
preparation/extraction, separation and
detection; each step must be considered
in relation to each product, even if only
one component is different. For example,
in a finished product tested for individual
bioflavanoids containing various fruit and
vegetable sources including grape seed extract,
the substitution of grape seed extract with green
tea extract could drastically affect
analytical results. For optimal method
selection, one must consider the
chemistry that occurs at each of
the phases of analysis, keeping
in mind that detector
results rely heavily on
the way in which the
sample is prepared.
Extractions are of two
main types: liquid-
liquid (also
known as
partitioning or solvent extraction) and solid-
liquid, including solid phase extraction (SPE)
and, more recently, solid phase micro
extraction (SPME). Liquid extractions are
based on the chemical concept of immiscibility
between two phases, as seen between oil and
water. An anlayte has more affinity to dissolve
with one or the other based on the chemistry
concept of “like dissolves like.” There are many
solvents available to the chemist, which possess
various properties that allow the removal of the
analyte from the matrix; properties to consider
are polarity, dipole moment and hydrogen
bonding capacity — sugars, for example, are
polar and as a result readily dissolve in polar
solvents such as water or alcohols. Super critical
fluid extraction is gaining in popularity as another
type of extraction technique, although the
cost of equipment prevents it from becoming
commonplace in most analytical laboratories.
The extraction fluid is neither a liquid nor a gas
but it maintains the transport properties of a
gas and the solvent-like characteristics of a
liquid, with the advantages of good analyte
selectivity, efficiency with repeat runs, suitability
with thermally labile compounds and low solvent
consumption. Only high throughput analysis can
justify using this type of extraction.
For solid-liquid phase extractions, ionic
and covalent interactions are also possibilities
to consider when attempting to remove an
analyte from the matrix. In the case of solid
samples, a liquid extraction must be performed
prior to solid-liquid phase extractions as liquid
containing the analyte must pass over the solid
support. This support provides a surface for
chemical interactions to occur between the
solid and the different compounds in solution.
The solid can be used to selectively bind
the analyte or bind unwanted compounds;
either way, it is a method for trying to isolate
the analyte being tested. Once the analyte or
unwanted compounds bind to the solid support,
the first solvent is removed and a second is
added to break the bond formed between
the solid and the analyte, which leaves the
compound dissolved in the new solvent. The
second solvent must have a higher affinity for
the compound than the solid support — if the
analyte of interest has no affinity for the solid,
it will simply remain in the first solvent while
many of the unwanted compounds stay bound
to the solid support. Both processes help to
clarify the mixture and make the next steps of
separation and detection easier. SPE can also
be used to concentrate the analyte in cases
where it is present at very low concentrations
(such as vitamin B12 in liquid products).
SPE solid supports include reverse phase,
normal phase, ion exchange and adsorption.
However, it is constantly evolving and some
of the new technologies, including molecularly
imprinted polymers (MIPs), are selective for
a single analyte or a group of structurally
related analytes, thus reducing the amount of
nonspecific binding of unwanted compounds.
Once the anlayte is drawn out of the matrix
and into a suitable solvent, the next step is
to separate it from other compounds also
extracted into the solvent, using a highly
controlled and repeatable process with
sophisticated chromatographic instrumentation
and identify/quantitate it with technologically
advanced detectors. The ultimate goal is to
make preparation simple with as few steps
as possible, which reduces human error.
Nevertheless, the reality is that extraction and
sample preparation are limited by the structure
of the compounds in the matrix and complex
samples will likely mean complex preparation.
FINDING THE NEEDLE IN THE HAysTACk
For more informationDr Cheri TurmanDirector of ChemistryAnalytical Food Laboratories Tel. +1 800 242 [email protected]
Dr Cheri Turman
www.nutraceuticalmag.com January/February 2012
January/February 2012 www.nutraceuticalmag.com
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