Literature DB >> 26599766

Correction: The Effect of Ginger (Zingiber officinale) on Platelet Aggregation: A Systematic Literature Review.

Wolfgang Marx, Daniel McKavanagh, Alexandra L McCarthy, Robert Bird, Karin Ried, Alexandre Chan, Liz Isenring.   

Abstract

[This corrects the article DOI: 10.1371/journal.pone.0141119.].

Entities:  

Year:  2015        PMID: 26599766      PMCID: PMC4657915          DOI: 10.1371/journal.pone.0143675

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


Table 1 appears incorrectly in the published article. Please see the corrected Table 1 here.
Table 1

Extraction table of reviewed clinical trials.

Author/DateBordia et al. 1997Bordia et al. 1997Janssen et al. 1996Jiang et al. 2004Lumb. 1994Srivastava 1989Verma et al. 1993Young et al. 2006
Study designPlacebo-controlled trialPlacebo-controlled trialRandomised, placebo-controlled cross-over trialRandomized, open label, three-way cross-over trialRandomised, double-blinded placebo-controlled cross-over trialOpen-label single-arm trialRandomised placebo-controlled trialCross-over trial
Sample SizeN = 60N = 20N = 18N = 12N = 8N = 7N = 20N = 10 for each group
Total study period:3 months.One day6 weeks (3x2 weeks)3x13 days, 14 days washout period between each study period.2x1 day, at least 14 days washout period.7 days14 days, high-calorie diet for first 7 days, high-calorie diet and ginger/placebo consumed for next 7 days.72 days, 4x washout period of 7–10 days, 5x7 days intervention consumed
PopulationPatients with confirmed myocardial infarctionPatients with confirmed myocardial infarctionHealthy volunteersHealthy male volunteersHealthy male volunteersHealth female volunteersHealth male volunteersHealthy & Hypertensive volunteers
Outcomes measured at:Baseline, 1.5 months and 3 months.Outcomes measured at: baseline, 4 hours post-consumptionOutcomes measured at day 12 and 14 of each study period.Outcomes measured at multiple time points, starting 2 days pre-warfarin consumption to 7 days post-consumptionOutcomes measured immediately before, 3h, and 24h post consumption of gingerOutcomes measured at baseline and 7 days post-consumptionOutcomes measured at baseline, 7, and 14 daysOutcomes measured at baseline and 7 days post-consumption for each intervention
InterventionDose: 4g per day of unstandardized capsulesDose: 10g single dose of unstandardized capsulesDose: 15g raw & 40g cooked ginger placebo, once per day. Contained within 125g custardDose: 3.6g (3x0.4g, thrice per day) of unstandardized capsules. Consumed with 25 mg dose of rac-warfarin, consumed once per study period.Dose: 2g (4x500mg) dried ginger per day of unstandardized capsulesDose: 5g raw ginger per dayDose: 5g (4x625mg, twice per day) dry ginger powder of Unstandardized capsules. Consumed with 100g (2x50g) butter, 2 cups of milk, 8 slices of bread.Dose: 1g dried ginger per day, either alone or in combination with 10mg nifedipine
OutcomePlatelet aggregationPlatelet aggregationThromboxane B2 production (Payton Aggregation Module)Platelet aggregationPlatelet aggregationPlatelet thromboxane B2 productionPlatelet aggregationPlatelet aggregation
 - Agonist(s): ADP and Epi- Agonist(s): ADP and Epi - Agonist(s): AA- Agonist(s): AA, ADP, collagen, ristocetin - Agonist(s): ADP and Epi- Agonist(s): ADP, Epi, collagen
 - Method (Device, if reported): Turbidimetric- Method (Device, if reported): Turbidimetric - Method (Device, if reported): Turbidimetric (Chrono-log)- Method (Device, if reported): Electrical impedance (Chrono-log) - Method (Device, if reported): turbidimetric (ELVI-840)- Method (Device, if reported): Turbidimetric (Chronolog 560)
 Fibrinogen  INRBleeding time   
 Fibrinolytic activity  Plasma warfarin enantiomer protein binding & warfarin enantiomer concentrationsPlatelet count   
    Urinary S-7-hydroxywarfarinThromboelastography   
ResultsGinger had no significant effect on both measures of aggregationReduction of both measures of platelet aggregation when compared to placebo (p<0.05).Both types of ginger had no significant effect on maximum thromboxane B2 production (p = 0.616)No significant changes in any outcomeNo significant changes in any outcome at any time point.Ginger consumption resulted in a 37% inhibition of thromboxane B2 production (p<0.01).Ginger significantly reduced platelet aggregation using both agonists when compared to placebo group (p<0.001).Ginger combined with nifedipine resulted in a significant decrease in platelet aggregation (p<0.001). Ginger alone had no significant effect.
CountryIndiaIndiaNetherlandsAustraliaUKDenmarkIndiaTaiwan
Level of evidenceIII-1* III-1IIIII-1IIIII-3IIIII-2
CommentGinger had no significant effect on blood lipids or blood sugar. Results relating to fenugreek excluded from table. No mention of randomisation. P value not reported.This study was detailed in same manuscript as previous study. No placebo group was included in study. Results relating to ginkgo group excluded from table. P value not reported. Results relating to onion group excluded from table.Platelet aggregation reduced close to baseline but did not decrease further.No placebo group. Unclear if participants were blinded.

Abbreviations: AA, arachidonic acid; ADP, Adenosine Diphosphate; Epi, epinephrine; INR, International Normalised Ratio; TxB2, Thromboxane B2;.

* Indicates some study details were missing and that scoring was based on details available.

Abbreviations: AA, arachidonic acid; ADP, Adenosine Diphosphate; Epi, epinephrine; INR, International Normalised Ratio; TxB2, Thromboxane B2;. * Indicates some study details were missing and that scoring was based on details available.
  1 in total

1.  The Effect of Ginger (Zingiber officinale) on Platelet Aggregation: A Systematic Literature Review.

Authors:  Wolfgang Marx; Daniel McKavanagh; Alexandra L McCarthy; Robert Bird; Karin Ried; Alexandre Chan; Liz Isenring
Journal:  PLoS One       Date:  2015-10-21       Impact factor: 3.240

  1 in total

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