Volume 37, Issue 7 pp. 2800-2810
RESEARCH ARTICLE

The effect of a standardized capsule of Aloe vera gel on the quality of life in patients with systolic heart failure: A randomized double-blind placebo-controlled clinical trial

Saeideh Sabbaghzadegan

Saeideh Sabbaghzadegan

Department of Traditional Medicine, School of Persian Medicine, Iran University of Medical Sciences, Tehran, Iran

Department of Traditional Medicine, Institute for Studies in Medical History, Persian and Complementary Medicine, Iran University of Medical Sciences, Tehran, Iran

Student Research Committee, Iran University of Medical Sciences, Tehran, Iran

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Mohammad Hossein Soltani

Mohammad Hossein Soltani

Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

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Mohammad Kamalinejad

Mohammad Kamalinejad

Department of Pharmacognosy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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Mohsen Bahrami

Mohsen Bahrami

Private Clinic, Tehran, Iran

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Ali Kabir

Corresponding Author

Ali Kabir

Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran

Correspondence

Majid Dadmehr, Iran University of Medical Sciences, Behesht St, Vahdat Islami St., Tehran 1114733311, Iran.

Email: [email protected]; [email protected]

Ali Kabir, Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.

Email: [email protected]; [email protected]

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Majid Dadmehr

Corresponding Author

Majid Dadmehr

Department of Traditional Medicine, School of Persian Medicine, Iran University of Medical Sciences, Tehran, Iran

Department of Traditional Medicine, Institute for Studies in Medical History, Persian and Complementary Medicine, Iran University of Medical Sciences, Tehran, Iran

Correspondence

Majid Dadmehr, Iran University of Medical Sciences, Behesht St, Vahdat Islami St., Tehran 1114733311, Iran.

Email: [email protected]; [email protected]

Ali Kabir, Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.

Email: [email protected]; [email protected]

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First published: 20 February 2023

Majid Dadmehr and Ali Kabir should be considered as co-corresponding authors.

Abstract

This trial was designed to evaluate the effect of a standardized capsule of Aloe vera gel (AVG) on the quality of life (QOL) in patients with systolic heart failure (HF). Forty-two patients were randomly divided into two groups to receive either AVG 150 mg or harmonized placebo capsules twice a day for 8 weeks. The patients were evaluated before and after the intervention using the Minnesota Living with Heart Failure Questionnaire (MLHFQ), New York Heart Association (NYHA) functional class, six-minute walk test (6MWT), Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI) and STOP-BANG questionnaires. Post-intervention, AVG group indicated a significant reduction in the total score of MLHFQ (p < 0.001). The changes in MLHFQ and NYHA class were statistically significant after taking medication (p < 0.001 and p = 0.004, respectively). The change of 6MWT in the AVG group was more advanced; however, it was not statistically significant (p = 0.353). Moreover, in the AVG group, the severity of insomnia and obstructive sleep apnea decreased (p < 0.001, p = 0.01 respectively) and the sleep quality improved as well (p < 0.001). There were significantly fewer adverse events reported in the AVG group (p = 0.047). Therefore, AVG combined with standard medical therapy could provide more clinical benefits for patients with systolic HF.

CONFLICT OF INTEREST

The authors have no conflicts of interest.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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