Evelin Tiralongo, Shirley S Wee, Rodney A Lea
Journal: Nutrients 2016;8(4):182
PMID: 27023596
Long-haul air travel increases the occurrence of respiratory illnesses such as the common cold. Elderberries have anti-bacterial and anti-viral properties and previous studies have shown that an elderberry extract can reduce the duration and severity of cold and flu symptoms. This randomised controlled trial aimed to identify whether capsules containing a standardised elderberry extract are effective in preventing respiratory symptoms in travellers on long-haul flights. 325 healthy adults volunteered for the study. Participants were split into two groups: one group was given capsules each containing 300mg of Elderberry extract, and the other group was given placebo capsules. For both groups, participants were given 2 capsules a day for 10 days leading up to travelling, and 3 capsules a day during travel and for four to five days after reaching their destination. Participants completed health surveys 10 days and two days before travelling, and then again five days after. They also kept a daily diary of cold symptoms. Participants in both the placebo and elderberry group tended to experience an increase in respiratory symptoms after travelling. The elderberry group experienced less colds than the placebo group, although the difference was not statistically significant. Elderberry supplementation did however result in a reduction in symptoms, and shortened the cold duration by approximately two days compared to the placebo. The authors recommend that more clinical research with high quality elderberry preparations is carried out to better understand the health benefits of this traditional medicine.
Intercontinental air travel can be stressful, especially for respiratory health. Elderberries have been used traditionally, and in some observational and clinical studies, as supportive agents against the common cold and influenza. This randomized, double-blind placebo-controlled clinical trial of 312 economy class passengers travelling from Australia to an overseas destination aimed to investigate if a standardised membrane filtered elderberry (Sambucus nigra L.) extract has beneficial effects on physical, especially respiratory, and mental health. Cold episodes, cold duration and symptoms were noted in a daily diary and assessed using the Jackson score. Participants also completed three surveys containing questions regarding upper respiratory symptoms (WURSS-21) and quality of life (SF-12) at baseline, just before travel and at 4-days after travel. Most cold episodes occurred in the placebo group (17 vs. 12), however the difference was not significant (p = 0.4). Placebo group participants had a significantly longer duration of cold episode days (117 vs. 57, p = 0.02) and the average symptom score over these days was also significantly higher (583 vs. 247, p = 0.05). These data suggest a significant reduction of cold duration and severity in air travelers. More research is warranted to confirm this effect and to evaluate elderberry's physical and mental health benefits.
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