Evidence mapPaperPMID 41901190Full record

Trial reportNutrients2026

Standardized Berry Extract Improves Selected Visual Function Outcomes in Presbyopia: A Randomized, Double-Blind, Placebo-Controlled Crossover Trial with Exploratory Biomarker Analysis.

Dorota Szumny, Alicja Zofia Kucharska, Karolina Czajor, Karolina Kaptsiuh, Sabina Ziółkowska, Patrycja Krzyżanowska-Berkowska, Marta Misiuk-Hojło, Monika Skrzypiec-Spring, Jakub Szyller, Adam Szeląg and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Dorota SzumnyDepartment of Pharmacology, Faculty of Medicine, Wroclaw Medical University, Mikulicza-Radeckiego 2, 50-345 Wrocław, Poland.ORCID 0000-0002-7814-3517
Alicja Zofia KucharskaDepartment of Fruit, Vegetable and Plant Nutraceutical Technology, Wrocław University of Environmental and Life Sciences, Chełmońskiego 37, 51-630 Wrocław, Poland.ORCID 0000-0002-2172-0408
Karolina CzajorOphthalmology Clinic, University Clinical Hospital, Borowska 213, 50-556 Wrocław, Poland.ORCID 0000-0002-4230-6134
Karolina KaptsiuhDepartment of Fruit, Vegetable and Plant Nutraceutical Technology, Wrocław University of Environmental and Life Sciences, Chełmońskiego 37, 51-630 Wrocław, Poland.ORCID 0000-0002-5985-3687
Sabina ZiółkowskaOphthalmology Clinic, University Clinical Hospital, Borowska 213, 50-556 Wrocław, Poland.
Patrycja Krzyżanowska-BerkowskaOphthalmology Clinic, University Clinical Hospital, Borowska 213, 50-556 Wrocław, Poland.
Marta Misiuk-HojłoOphthalmology Clinic, University Clinical Hospital, Borowska 213, 50-556 Wrocław, Poland.ORCID 0000-0002-4020-3203
Monika Skrzypiec-SpringDepartment of Pharmacology, Faculty of Medicine, Wroclaw Medical University, Mikulicza-Radeckiego 2, 50-345 Wrocław, Poland.
Jakub SzyllerDepartment of Preclinical Sciences, Pharmacology and Medical Diagnostics, Faculty of Medicine, Wrocław University of Science and Technology, Wybrzeże Wyspiańskiego 27, 50-370 Wrocław, Poland.ORCID 0000-0002-1320-4112
Adam SzelągDepartment of Pharmacology, Faculty of Medicine, Wroclaw Medical University, Mikulicza-Radeckiego 2, 50-345 Wrocław, Poland.ORCID 0000-0001-8104-5267
Tomasz SozańskiDepartment of Preclinical Sciences, Pharmacology and Medical Diagnostics, Faculty of Medicine, Wrocław University of Science and Technology, Wybrzeże Wyspiańskiego 27, 50-370 Wrocław, Poland.ORCID 0000-0003-1722-3190

Funding

Wroclaw Medical University SUBZ.A080.22.076Wroclaw Medical University SUBZ.A080.22.076 and Subz.A080.25.084
6 · The paper itself

Abstract

BACKGROUND/

objectivesPresbyopia is an age-related decline in near vision associated with lens stiffening and neuroretinal changes, while evidence for the effects of berry-derived phytochemicals remains limited. We investigated whether AKB, a double-standardised berry extract (anthocyanins ≥ 25%, iridoids ≥ 4.5%) from

methodsIn a randomised, double-blind, placebo-controlled, two-period crossover trial, 23 adults aged >50 years received AKB (400 mg twice daily) or placebo for 6 weeks, separated by a 5-week washout.

resultsCompared with placebo, AKB was associated with improvements in selected visual-function outcomes, including near contrast sensitivity and visual-field parameters, together with directionally favourable changes in VEP and OCT readouts. AKB supplementation was also associated with lower circulating αA-/αB-crystallin and ALDH1A1 levels and higher circulating TRPV4 levels, whereas systemic antioxidant enzymes and advanced glycation end-products remained unchanged. Given the small sample size and the indirect nature of the biomarker assessment, these findings should be considered preliminary.

conclusionsOverall, short-term AKB supplementation was associated with modest, exploratory changes in selected functional and systemic biomarker outcomes, but larger and longer-term studies are needed to confirm clinical relevance and clarify underlying mechanisms.

Indexed as

FruitPlant ExtractsPresbyopiaVision, OcularAgedAnthocyaninsBiomarkersContrast SensitivityCross-Over StudiesDouble-Blind MethodFemaleHumansIridoidsLoniceraMaleMiddle AgedAnthocyaninsBiomarkersIridoidsPlant Extractsanthocyaninscrystallinsiridoidsoptical coherence tomographypresbyopiaTRPV4visual evoked potentialsvisual function

Identifiers

PMID41901190
PMCPMC13028795

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.