The Efficacy of Sodium Phytate as a Natural Chelating Agent in Reducing Elevated Calcium Levels in Nasal Mucus Among Individuals Experiencing Olfactory Dysfunction Following COVID-19 : A Prospective Randomized Double-Controlled Clinical Trial

BACKGROUND: COVID-19 has been associated with olfactory disturbances in many infected patients. The increase in calcium levels in nasal secretions plays an essential role in the olfactory process with a desensitizing effect on olfactory receptor neurons and negative effects on odor transmission. Calcium chelating agents have the ability to bind calcium in nasal mucus and prevent the negative effects associated with calcium increase.

OBJECTIVES: The aim of this work is to demonstrate the intra-nasal topical application of sodium phytate, an environmentally friendly, non-harmful calcium chelating agent, to reduce the adverse effects of calcium on olfactory function and improve olfactory dysfunction according to COVID-19.

METHODS: Fifty-two patients with a previous COVID-19 and olfactory dysfunction lasting longer than 90 days were enrolled in a prospective, randomized, blinded, controlled clinical trial. Patients were divided into two equal groups: 26 patients received nasal spray containing 0.9% sodium chloride and 26 patients received nasal spray containing 1% sodium phytate. Olfactory function was measured before treatment and 1 month later using the Sniffin' Sticks test. Calcium content of nasal secretions was determined before and after treatment with an ion-selective electrode.

RESULTS: A significant improvement from anosmia to hyposmia was demonstrated after the use of sodium phytate compared with no improvement after the use of sodium chloride. In addition, a decrease in the level of calcium in nasal secretions was observed after the use of sodium phytate.

CONCLUSION: Sodium phytate has benefit role on improving the olfactory function after COVID-19.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

American journal of rhinology & allergy - 38(2024), 2 vom: 16. Feb., Seite 116-122

Sprache:

Englisch

Beteiligte Personen:

Altemani, Abdullah H [VerfasserIn]
Alanazi, Mansuor A [VerfasserIn]
Altemani, Assem H [VerfasserIn]
Alharbi, Adnan [VerfasserIn]
Alsahali, Saud [VerfasserIn]
Alotaib, Nawaf M [VerfasserIn]
Abdelazim, Mohamed H [VerfasserIn]

Links:

Volltext

Themen:

451W47IQ8X
7IGF0S7R8I
Anosmia
COVID-19
Calcium
Chelating Agents
Clinical
Hyposmia
Journal Article
Nasal Sprays
Olfactory dysfunction
Phytic Acid
Randomized Controlled Trial
SY7Q814VUP
Sequestering agent
Sniffin’ sticks
Sodium Chloride
Sodium chloride
Sodium phytate

Anmerkungen:

Date Completed 20.02.2024

Date Revised 20.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/19458924231220545

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365962740