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RCT · 2018 · n=17

Strawberries decrease circulating levels of tumor necrosis factor and lipid peroxides in obese adults with knee osteoarthritis

Basu A, Kurien BT, Tran H, Byrd B, Maher J, Schell J, Masek E, Barrett JR, Lyons TJ, Betts NM, Scofield RH · Food & Function

Promisingcounts toward this tier

Extends the pain trial into the inflammation panel. Of 24 inflammatory biomarkers assayed, 12 were detectable; of those, high-sensitivity TNF-α and soluble TNF receptor 2 fell on strawberry (p < 0.05), as did the lipid-peroxidation markers 4-hydroxy-2-nonenal and conjugated dienes. Other TNF-superfamily members (APRIL, BAFF) did not move, nor did body weight, obesity-related hormones or osteocalcin.

Population
The same obese knee-OA cohort as the 2017 pain trial
Intervention
Freeze-dried strawberry, 50 g/day for 12 weeks
Comparator
Calorie- and fibre-matched placebo, crossover with a 2-week washout
Limitations
Same 17 participants as the companion paper, so this is a second report on one small trial rather than independent replication. Twelve of 24 biomarkers were detectable and two moved — a multiplicity problem the paper does not adjust for.

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