Acerola as a dietary supplement

DEFINITION: Natural plant product promoted as a dietary supplement for specific health benefits.

PRINCIPAL PROPOSED USE: Source of vitamin C

OTHER PROPOSED USE: Antioxidant, immunity booster, antifungal, antidepressant, and anti-diarrheal

Overview

Acerola is a small tree (Malpighia glabra) that grows in tropical areas of the Western hemisphere, including the West Indies, the Caribbean, Central America, and South America. Traditionally, its cherry-like fruit has been used to treat diarrhea, arthritis, fevers, and kidney, heart, and liver problems. Acerola contains fifty to 100 times more vitamin C by weight than oranges. Other important substances found in acerola include bioflavonoids, magnesium, pantothenic acid, calcium, iron, B vitamins, and vitamin A.

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Uses and Applications

Acerola is primarily marketed as a source of vitamin C and bioflavonoids. Because of these constituents, it has substantial antioxidant properties. One study found that acerola significantly increased the antioxidant activity of soy and alfalfa. It is not clear, however, that this rather theoretical finding indicates anything of significance to human health. Other powerful antioxidants such as vitamin E and beta-carotene have proved disappointing when they were subjected to studies that could discern whether their actions as antioxidants translated into actual health benefits.

Like many plants, acerola has antibacterial and antifungal properties, at least in the test tube. However, no reliable studies in humans have been reported. Because of its similarities to witch hazel, it is also believed to be a powerful skin astringent. Clinical studies in the twenty-first century have confirmed acerola's powerful vitamin C content and anti-cancer antioxidant powers. However, more study is necessary to confirm its utility in acting as an antidepressant and enhancing athletic endurance.

Dosage

Although no clinical studies have confirmed a known therapeutic dosage, a typical supplemental dosage of acerola is 40 to 100 milligrams daily.

Safety Issues

As a widely used food, acerola is believed to have a relatively high safety factor. However, it has been discovered that people who are allergic to latex may be allergic to acerola too. Maximum safe doses in young children, pregnant or nursing women, and people with severe liver or kidney disease have not been established. Because of its high vitamin C content, taking too much acerola may result in diarrhea, cramping, dizziness or fainting, flushed appearance, frequent urination, headache, nausea, and vomiting.

Bibliography

"Acerola." Drugs, 1 Oct. 2021. www.drugs.com/npp/acerola.html. Accessed 15 Aug. 2023.

Cardoso, Pollyanna C., et al. "Vitamin C and Carotenoids in Organic and Conventional Fruits Grown in Brazil." Food Chemistry, vol. 126, no. 2, 2011, pp. 411-416, doi.org/10.1016/j.foodchem.2010.10.109. Accessed 3 Sept. 2024.

Hassimotto, N. M., et al. "Antioxidant Activity of Dietary Fruits, Vegetables, and Commercial Frozen Fruit Pulps." Journal of Agricultural and Food Chemistry, vol. 53, 2005, pp. 2928-2235.

Hwang, J., H. N. Hodis, and A. Sevanian. "Soy and Alfalfa Phytoestrogen Extracts Become Potent Low-Density Lipoprotein Antioxidants in the Presence of Acerola Cherry Extract." Journal of Agricultural and Food Chemistry, vol. 49, 2001, pp. 308-314.

Motohashi, N., et al. "Biological Activity of Barbados Cherry (Acerola Fruits, Fruit of Malpighia emarginata DC) Extracts and Fractions." Phytotherapy Research, vol. 18, 2004, pp. 212-223.

Prakash, Anand, and Revathy Baskaran. "Acerola, an Untapped Functional Superfruit: A Review on Latest Frontiers." Journal of Food Science and Technology, vol. 55, no. 9, 2018, pp. 3373-3384, doi.org/10.1007/s13197-018-3309-5. Accessed 3 Sept. 2024.

Raulf-Heimsoth, M., et al. "Anaphylactic Reaction to Apple Juice Containing Acerola: Cross-Reactivity to Latex Due to Prohevein." Journal of Allergy and Clinical Immunology, vol. 109, 2002, pp. 715-716.

Wilson, Debra Rose. “Acerola Cherry: Vitamin C, Fruit, Powder, and Benefits.” Healthline, 24 May 2017, www.healthline.com/health/food-nutrition/acerola-cherry. Accessed 3 Sept. 2024.