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Wellness Foods Europe Bioactives<br />
Benegut ® demons trated beneficial<br />
effects to improve gastro intestinal<br />
discomfort in healthy people<br />
<strong>Dr</strong> Sybille Buchwald-Werner<br />
Gastrointestinal discomfort, e. g. bloating or<br />
rumbling, is a common symptom in other wise<br />
healthy adults. Approximately 20 % of the<br />
population, particularly women, suffer from<br />
gastrointestinal discomfort and thus affects<br />
quality of life. People feel uncomfortable and<br />
have to loosen their clothes. Often a reduced<br />
ability to work and participate in social or<br />
recreational activities is reported. Consumer<br />
research indicates that today one third of<br />
consumers looking for gut health support do<br />
not find an effective product that works for<br />
them. [1] This may be related to the fact that<br />
even people with a healthy gut micro flora<br />
and no food intolerance suffer from digestive<br />
discomfort.<br />
Recent studies discovered a link between<br />
the body and mind, called the brain-gut-axis.<br />
Psychosocial factors, such as e. g. daily stress<br />
may cause altered gut physiology leading to<br />
18 | Wellness Foods Europe – May 2013
Bioactives Wellness Foods Europe<br />
PubID-Alg71,5x217mm.pdf 1 12/04/13 16:14<br />
ileum contractions and consequently gastrointestinal<br />
symptoms. [2]<br />
Vital Solutions identified this interesting<br />
business opportunity and develop a proprietary<br />
Perilla frutescens extract, branded as<br />
Benegut ® , which is ideally suited to improve<br />
gastrointestinal discomfort by interacting<br />
with the neurological system. Benegut ® is<br />
a proprietary Perilla frutescens leaf extract,<br />
which contains a specific ratio of selected<br />
flavonoids, particularly Vicenin 2, in combination<br />
with rosmarinic acid; all active compounds<br />
naturally found in Perilla. Peril la<br />
frutescens (L.) Britton is an annual eatable<br />
herbaceous plant native to Asia. Common<br />
names are Shiso, Japanese Melisse or Japanese<br />
Basil. Perilla belongs to the mint family,<br />
Lamiaceae. The green Perilla leaves are used<br />
as tea, food or spice. In vitro and ex vivo<br />
studies demonstrated that Benegut ® C<br />
combines<br />
prokinetic and antispasmodic as well<br />
M<br />
J<br />
as anti-inflammatory effects. [3, 4] A human<br />
nutritional study was consequently the next<br />
research and development step to substantiate<br />
the results.<br />
The aim of the intervention was to<br />
demons trate the effects of the proprietary<br />
N<br />
Perilla extract on gastrointestinal discomfort<br />
in healthy subjects with gastrointestinal discomfort<br />
and reduced bowel movements in<br />
comparison to a placebo product. It is challenging<br />
to show beneficial gut health effects<br />
within the target population of healthy people,<br />
because the intention is to demonstrate<br />
an improvement of a physiological status<br />
which is still defined as healthy but affects<br />
quality of life. In addition it is known that<br />
human studies investigating gastrointestinal<br />
health show a high placebo effect. [5]<br />
The study was performed double blind,<br />
randomized, placebo-controlled and with<br />
parallel design. It consisted of screening, a<br />
two-week run-in phase followed by a fourweek<br />
blinded study product consumption<br />
phase. Prior to trial start, volunteers were<br />
screened for their eligibility to take part in<br />
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May 2013 – Wellness Foods Europe | 19
Wellness Foods Europe Bioactives<br />
the nutritional intervention trial and selected<br />
based on a defined degree of gastrointestinal<br />
discomfort and bowel function. A 2<br />
weeks run-in phase was carried out, without<br />
treatment, to asses baseline conditions for<br />
gastrointestinal (GI) discomfort and bowel<br />
function. Comparable results between<br />
groups and volunteers were found and 41<br />
females and 9 males were included into the<br />
study.<br />
50 healthy people, ages 30–70, were administered<br />
capsules containing 150 mg proprietary<br />
Perilla frutescens leaf extract or Placebo<br />
product twice a day, for four weeks.<br />
The study population represented the distribution<br />
of GI discomfort within the general<br />
population. Particularly women suffer from<br />
GI discomfort and reduced bowel movements<br />
and they are generally more willing<br />
to participate in trials. During the study the<br />
subjects were asked not to consume any<br />
obvious pro- and prebiotic supplements,<br />
food or drinks, and food especially rich in<br />
fibre, or other pro ducts, which may affect<br />
the study results. 14 days prior to and during<br />
the whole study period, volunteers were<br />
not allowed to take any laxatives. All volunteers<br />
were compliant to this demand. As<br />
stress might have a great impact on bowel<br />
function, different facets of stress were assessed<br />
using the perceived stress questionnaire<br />
(PSQ20). During the study period, no<br />
signifi cant changes of tension and demands<br />
were reported. During the run-in and during<br />
the intake period volun teers daily documented<br />
their gastrointestinal discomfort<br />
symptoms. Bloating, passage of gas, feeling<br />
of fullness, GI-rumbling and abdominal discomfort<br />
was daily rated from 0 (not at all)<br />
to 4 (extremely).<br />
Benegut ® improved all investigated symptoms<br />
(bloating, passage of gas, GI-rumbling,<br />
feeling of fullness and abdominal discomfort)<br />
significantly over the four week intake<br />
phase and was particularly effective to reduce<br />
bloating and abdominal discomfort in<br />
women. 80 % of volunteers taking Benegut ®<br />
reported substantial improvement of gastrointestinal<br />
discomfort. See figure 1.<br />
Figure 1: Responder rates in %<br />
Benegut ® was able to improve gastrointestinal<br />
discomfort up to over 40%. See figure 1.<br />
Benegut ® was particularly effective to reduce<br />
bloating and abdominal discomfort in women.<br />
See figure 3.<br />
Figure 2 Improvement rates (%) total study population<br />
Reduction in bloating was already measurable<br />
within the first two weeks of intake and was<br />
even strengthened within the second two<br />
weeks of treatment. 83 % of all volunteers<br />
within the Perilla group showed a reduction<br />
in bloating. Within the Perilla group passage<br />
20 | Wellness Foods Europe – May 2013
Bioactives Wellness Foods Europe<br />
Figure 3: Improvement rates (%) subgroup women<br />
of gas was significantly reduced, with a responder<br />
rate of 67 %. Also this effect was already<br />
measurable within the first two weeks<br />
of intake and was even strengthened within<br />
the second two weeks of treatment. Perilla intake<br />
led to a continuous reduction in rumbling<br />
in the course of the four week intake<br />
phase. Within the Perilla group rumbling was<br />
significantly reduced and the responder rate<br />
was 71 %. Perilla demonstrated also a significantly<br />
reduction in abdominal discomfort<br />
with a responder rate of 71 %.<br />
Study results confirmed in vitro and ex<br />
vivo results, which identified that the mode<br />
of actions of Benegut ® are prokinetic and anti-spasmodic<br />
effects, leading to an immediate,<br />
perceptible relief from GI discomfort.<br />
Responder rates and odds values demonstrated<br />
physiological relevance of Benegut ® for reduction<br />
of GI symptoms and that Benegut ® is<br />
suitable to reduce GI discomfort symptoms<br />
prior to placebo. Benegut ® is particularly effective<br />
to reduce bloating and abdominal discomfort<br />
in women.<br />
The study results are very promising,<br />
taking into consideration the challenging setup<br />
of a nutritional human study with healthy<br />
volunteers and the area of digestive health,<br />
which is known for high placebo effects.<br />
Benegut ® is an unique ingredient, because<br />
it combines prokinetic as well as antispasmodic<br />
and anti-inflammatory efficacy leading<br />
to an immediate relief of gastrointestinal<br />
discomfort and thus contributing to overall<br />
quality of life. Benegut ® is a high quality, sustainable,<br />
natural food ingredient, which is IP<br />
protected and approved to be used in dietary<br />
supplements in Europe and the U.S.<br />
Benegut ® was developed and is marketed<br />
by Vital Solutions. Vital Solutions is an innovative<br />
and fast growing company specialized<br />
in the development and marketing of innovative,<br />
natural ingredients to be used in dietary<br />
supplements, functional foods and foods.<br />
References ><br />
[1] http://www.progressivegrocer.com/products/supplier-news/id994/category-captaindigestive-<br />
health-novartis-consumer-health/<br />
[2] D.A. <strong>Dr</strong>ossmann, The functional gastrointestinal<br />
disorder and the Rome III process,<br />
Gastroenterology, 2006<br />
[3] Verspohl, E.J., et al.Testing of Perilla<br />
frutescens extract and Vicenin 2 for their<br />
antispasmodic effect. Phytomedicine, 2013<br />
[4] Buchwald-Werner S., et al, Investigation<br />
of a Perilla frutescens special extract, Anti-inflammatory<br />
and immune-modulatory<br />
proper ties, Agrofood Industry Hi Tech, 2012<br />
[5] Irvine, E. J, et al, Design of Treatment<br />
Trials for Functional Gastrointestinal Disorders,<br />
Gastroenterology, 2006<br />
The Author: <strong>Dr</strong> Sybille Buchwald-Werner,<br />
Founder and managing director of<br />
Vital Solutions GmbH<br />
Hausinger Str. 6<br />
40764 Langenfeld, Germany<br />
E-Mail: Sybille.Buchwald-Werner@vitalsolutions.biz<br />
www.vitalsolutions.biz<br />
www.benegut.com<br />
May 2013 – Wellness Foods Europe | 21