Acerola: benefits, dosage, contraindications

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Acerola is an edible, tangy fruit with a bright red color, from the acerola tree, a tropical tree of the Malpighiaceae family and similar to a cherry. It grows mainly in South America (in Peru, Brazil, Venezuela...) as well as in the Caribbean. The fruit is used to make juices or dietary supplements. Acerola offers multiple health benefits and virtues, notably due to its high vitamin C content. At full maturity, the fruit's ascorbic acid content ranges from 1 to 2 g per 100 g. Acerola is used as a source of vitamin C, particularly to prevent or treat scurvy. Traditionally, acerola has been used to treat colds, pollen allergies and tooth decay. Acerola is widely marketed today as a source of vitamin C.

Other name(s) 

Barbados cherry, West Indian cherry

Scientific name(s)

Malpighia glabra, Malpighia punicifolia

Family or group: 

Plants

Active ingredients:

Vitamin C

Vitamin B6

Vitamin B1

Vitamin A

Flavonoids

Potassium


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Vitamin C deficiency
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Acerola is a natural, very rich source of vitamin C that is better absorbed by the body than synthetic ascorbic acid.nnVitamin C plays a key role in the biosynthesis of collagen, carnitine, neurotransmitters, corticosteroids and catecholamines, as well as in the synthesis and maintenance of tissues, notably the formation of bones, teeth and muscles.nn

Posologie

posologieOral: fruit

posologie1 g

formulationdry extract


Immune support
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Vitamin C in acerola affects the immune system in several different ways, and there is considerable evidence that the immune system is sensitive to circulating levels of vitamin C. Ascorbic acid modulates gene expression in T cells, specifically affecting genes involved in signaling, carbohydrate metabolism, apoptosis, transcription, and immune function. It can also stimulate the production of interferons, the proteins that protect cells against viral attack and promote the synthesis of thymic humoral factor and antibodies of the immunoglobulin G (IgG) and IgM classes. In vivo and in vitro studies provide evidence of immunostimulant effects, generally at doses higher than recommended dietary intakes. At high doses, it is a potent immunomodulator and is preferentially cytotoxic to neoplastic cells. Vitamin C enhances natural killer cell activity in vivo as well as B- and T-cell activity. In addition to these direct effects on the immune system, the antioxidant properties of vitamin C play a role. When neutrophils are activated during an infection, they release free radicals. However, neutrophils themselves are susceptible to damage by free radicals. Protection against auto-oxidation is provided by ascorbic acid and other antioxidants and is essential during the mobilization of host defenses. Besides its own effects, vitamin C indirectly supports immune system function by protecting the antioxidant capacity of vitamin E, which is an immune-enhancing nutrient in its own right.

Posologie

posologieOrally: fruit

posologie1 g

formulationdry extract


Oxidative stress
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At physiological concentrations, vitamin C is the most effective water-soluble antioxidant in plasma, interstitial fluids and the soluble phases of cells. Vitamin C acts as a powerful free radical scavenger in plasma, protecting cells against oxidative damage caused by reactive oxygen species (ROS). It traps oxygen- and nitrogen-derived free radicals such as superoxide, hydroxyl, peroxyl and nitroxide radicals, as well as non-radical reactive species such as singlet oxygen, peroxynitrite and hypochlorite. In addition to its direct antioxidant function, it also indirectly increases free radical scavenging by regenerating vitamin E and maintaining glutathione in a reduced form. Vitamin C reduces oxidants in gastric juice, decreases lipid peroxidation, and reduces oxidative damage to DNA and proteins.

Posologie

posologieOral use: fruit

posologie1 g

formulationdry extract


Osteoporosis
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Some data suggest that vitamin C intake may be related to bone mineral density in premenopausal women. In postmenopausal women who use estrogens and smoke, higher vitamin C levels may reduce the risk of fracture. However, in menopausal women without a history of smoking or estrogen use, higher serum vitamin C levels have been associated with lower bone mineral density. At present, there is insufficient information to make recommendations regarding vitamin C and bone density.

Posologie

posologieOral: fruit

posologie1 g

formulationdry extract


Properties


Antioxidant

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This fruit is recognized as the best natural source of vitamin C. Acerola is a fruit with antioxidant properties. Indeed, it fights cellular aging by minimizing the effects of free radicals within the body.

Usages associés

Vitamin C deficiency, Immune support, Oxidative stress

Energizing

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The vitamin C in acerola appears to be easily absorbed and stored in skeletal muscle tissues, where it can provide antioxidant protection and support collagen synthesis.

Usages associés

Immune support

Remineralizing

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Although the relationship between calcium, vitamin D and bone mineral density is well known, other nutrients, such as vitamin C, are also essential for the development, repair and maintenance of bones. Epidemiological studies have shown a positive association between bone density and vitamin C intake. Low vitamin C intake has been associated with decreased mineral density, particularly at the femoral neck and total hip. Data collected from 13,080 adults between 1988 and 1994 identified an association between dietary and serum ascorbic acid, bone mineral density and bone fracture.nn

Usages associés

Osteoporosis


Safe dosage

Adults (18 years and older): 1 g - 3 g (dry extract)


Interactions

Médicaments

Fluphenazine: minor interaction

Concurrent use of acerola with fluphenazine (a neuroleptic) may reduce the effectiveness of fluphenazine because of acerola's vitamin C content.

Warfarin: minor interaction

Concurrent use of acerola with warfarin may reduce warfarin's anticoagulant activity due to acerola's vitamin C content.

Anticancer drugs: minor interaction

The use of antioxidants such as vitamin C during chemotherapy or other anticancer medications is controversial. Indeed, they may reduce the effect of chemotherapy by producing free radicals. On the other hand, some researchers believe that antioxidants can make chemotherapy more effective by inducing oxidative stress that may interfere with dead or cancerous cells.

Estrogens: low interaction

Combining vitamin C with oral contraceptives can increase estrogen levels by 55%. It is thought that vitamin C prevents the oxidation of estrogens in tissues, regenerates oxidized estrogens, and reduces the conjugation of estrogens to sulfate in the intestinal wall. These effects are not observed when tissue levels of vitamin C are high.

Plantes ou autres actifs

Acerola: moderate interaction

Vitamin C increases iron absorption, which can be a desired effect or one to avoid depending on the advice of your healthcare professional.


Precautions

Pregnant women: use with caution

Breastfeeding women: use with caution

Gout: use with caution

The vitamin C contained in acerola may increase uric acid levels.

Kidney stones: use with caution

The vitamin C present in acerola may cause precipitation of urate, cystine, or oxalate stones.