Introduction
Obesity is a crucial factor in numerous chronic diseases and represents a major public health problem globally[
1]. According to the report of the World Health Organization (WHO) that in 2016 more than 1.9 billion adults were obese; furthermore, over 650 million of these adults were obese [
2]. According to the Taiwan Statistical Yearbook of Health Promotion 2014, 7 of the top 10 causes of death were related to obesity. In addition, the obesity rate in Taiwan was reported as 47.9% in adults aged over 18 years. According to the National Health Service Standard of the Taiwan Ministry of Health, women with >30% and men with >25% body fat are considered to be obese [
3]. Excess body fat causes obesity and is associated with chronic and relapsing diseases. Moreover, obesity is the leading risk factor for early death, which is estimated to affect approximately 13% of adults worldwide [
4,
5]. The body fat rate is calculated based on subcutaneous and visceral fat percentages. A high percentage of visceral fat is harmful to health and increases the risk of various diseases and conditions, including fatty liver, diabetes, hypertension, heart disease, and cancers.
A high-fat diet can vary the composition of intestinal flora, leading to obesity [
6]. In contrast, eating healthy foods can regulate intestinal flora’s balance, preventing diseases caused by their imbalance [
7]. In addition, foods such as fruits can lower triglycerides (TGs), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C), playing a crucial role in managing obesity [
8].
After bananas, citrus fruits are the most common tropical fruits grown worldwide [
9]. Lemons (
Citrus limon) are the most widely grown citrus fruit, with a global production of 7.3 billion tons [
10]. Lemons are full of natural compounds, including citric acid, polyphenols, ascorbic acid, and minerals, which possess antioxidant properties and can scavenge free radicals. Among citrus fruits, the total polyphenol content (TPC) is the highest in lemon peels, followed by grapefruit and other citrus fruit peels [
11,
12]. Polyphenols exert anticancer effects, modulate immune function, regulate blood lipids and blood pressure, and promote wound healing[
8].
Lemons’ juice is the most used component, as it can prevent hypercholesterolemia symptoms by reducing plasma TG, and LDL-C and increasing HDL-C levels [
13,
14]. Lemon peel and pomace are often treated as waste and discarded. However, lemon peel contains numerous active compounds, including polyphenols, pectin, and flavonoids [
15]. In addition, lemon peel polyphenols are proposed to prevent weight gain, fat accumulation, and hyperlipidemia [
16]. Lemon pulp also contains diverse active ingredients, including limonin, phenolic derivatives, dietary fiber, and vitamins [
17], making it a good source of nutrition.
Fermentation is an ancient technique for preserving food [
18]. In recent years, increasing research has focused on fermented foods, especially traditionally fermented foods [
19]. Fermented foods constitute one-third of the global diet [
20] and are mainly consumed as beverage products. Fermentation enhances the nutrient profile, prolongs storage time, and prevents changes in the flavor of food [
21,
22]. For example, fermented lemon juice has been reported to have better overall sensory acceptability than unfermented lemon juice [
23]. Furthermore, no reduction in antioxidants was noted after fermentation. Fermented sweet lemon juice has been found to have a high ascorbic acid concentration and TPC, in addition to robust antibacterial and antioxidant activities [
24].
However, only a few research have studied the effects of consuming sugar-free fermented lemon juice with peel on body fat. Therefore, this study examined unfermented lemon peel juice (un-FLPJ), sugar-added fermented lemon peel juice (SA-FLPJ) and sugar-free fermented lemon peel juice (SF-FLPJ) with their TPC, sugar content, and 2,2-diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging activity.
The study’s results demonstrated that the TPC of SA-FLPJ was considerably lower than that of SF-FLPJ. Moreover, SF-FLPJ presented higher free radical scavenging activity and antioxidant capability than SA-FLPJ. Furthermore, the sugar content of SA-FLPJ was about 3 times higher than that of unfermented lemon peel juice. In contrast, the SF-FLPJ’s sugar content was lower than the un-FLPJ, indicating that probiotics metabolized sugar during the fermentation process.
Sugar-free fermentation demonstrated better results lower sugar content and was identified as the preferred fermentation method [
25]. This study established an animal model of hyperlipidemia by feeding rats a high-fat diet and investigating the effect of SF-FLPJ on body fat.
Figure 1.
Experimental flow chart.
Figure 1.
Experimental flow chart.
Materials and methods
Preparation of unfermented lemon peel juice (un-FLPJ), sugar-added fermented lemon peel juice (SA- FLPJ) and sugar-free fermented lemon peel juice (SF-FLPJ)
In order to select a best remedy for animal test, we prepared 3 different solutions: (1) un-FLPJ, (2) SA- FLPJ, and (3) SF-FLPJ.
- (1)
the preparation of un-FLPJ by smashing whole lemons, and then obtained lemon juice with smashed peel, seed and pulp.
- (2)
added sugar up to 50% with un-FLPJ and then implanted cultivated yeast as SA-FLPJ;
- (3)
the un-FLPJ was mixed with cultivated yeast as SF-FLPJ.
The yeast strains DMS32001 and DMS32002 (Kaohsiung Jianmao Biotechnology Co., Ltd., Taiwan), were selected. The yeast consistence ranged from 5 × 106 to 5 × 107 colony forming units CFU/mL, and culture environment is 27±1°C at a pH of 2.3±1. The SA-FLPJ and SF-FLPJ was sterilized at 121°C for 15 minutes after 21 days of fermentation and keeping at room temperature until further use.
Detection of the lemon peel juices’ total phenol content (TPC)
The method according to this reported source [
26] is suitable for examining TPCs other than FLPJ. 10~20 mL of SF-FLPJ and un-FLPJ were centrifuged to remove the precipitate, and the remaining lemon peel juice was utilized as a sample. Then, dilute the test sample 60-fold, use distilled water as the base, add it to the quantitative bottle to mix, then add 5 mL Folin-Ciocalteu reagent, and let it stand for 5 minutes. Then add 7% sodium carbonate solution and let it sit for 1 hour. This experiment was performed using a BioTek Eon microplate spectrophotometer (Agilent Technologies Inc., Santa Clara, CA, USA), measuring the absorbance of the sample at a wavelength of 750 nm.
Determination of the lemon peel juices’ 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging assay
The method according to this reported source [
27] was applied to determine the DPPH radical scavenging assay of FLPJs. First, 10~20 mL of fermented raw un-FLPJ was centrifuged, and after removing the sediment, the remaining lemon peel juice supernatant was used as a sample. Samples were diluted 20, 40, 60, 80, or 100-fold using 95% ethanol. Subsequently, each diluted sample (150 µL) was added to 150 µL of DPPH reagent and allowed to stand for 30 minutes. Use a spectrophotometer at 517 nm to detect the concentration required for 50% antioxidant effect.
Juices’ sugar content determination
The un-FLPJ, SA-FLPJ and SF-FLPJs’ sugar content was determined using an Atago® refractometer PAL-1 (Atago Co., Ltd., Tokyo, Japan).
Experimental animal care
The Institutional Animal Care and Use Committee (IACUC) approved this study approval number MG-104172, July 10, 2015). In addition, all animal experiments were per-formed following the IACUC protocol. The 48 Sprague Dawley male rats used in this study were obtained from BioLASCO Co., Ltd. (Taipei, Taiwan). Rats were housed in individual rat cages in the animal house of MedGaea Life Science Ltd. (Medgaea Life Science Ltd., Taipei, Taiwan) with lights on at 6 a.m. and lights off at 6 p.m., a 12-hour light and dark cycle, and the temperature environment is 22±3℃. Healthy rats were selected for subsequent experiments after 1 week of adaptation. The rats were assigned randomly and equally into 4 groups according to their body weight. Food (AIN-93 diet [
28]) and purified water were provided
ad libitum.
Standard and high-fat diet composition
Establish a hyperlipidemia animal model: feed rats a high-fat diet (HFD). The standard feed (Research Diets, Inc., AIN-93M) contains 3.85 kcal/g, 14.2% protein, 4% fat, and 73.1% carbohydrate. The high-calorie feed [
29] was HF, containing 4.6 kcal/g, 18% protein, 20% fat, 51% carbohydrate, 100% soybean oil, and 100% lard. Standard feed was fed to the control group, and HF was fed to the hyperlipidemia model rats to induce hyperlipidemia for 8 consecutive weeks.
Animal study & SF-FLPJ Dosage
The rats were assigned into four groups randomly of similar weight (n = 12 per group) according to average body weight, and the groups were as follows: control group (standard feed), HF group without SF-FLPJ (HF), HF dose with SF-FLPJ Group 1 (0.45 g/kg/day), and HF dose Group 2 with SF-FLPJ (0.9 g/kg/day).
Rats were housed in a monitored environment (one per cage, 12-h light/dark cycle, 22 ± 3°C) and provided with food and water ad libitum during acclimation and during the study period. The control group was fed standard diet every day, and the HF group was fed HFD every day for 8 weeks (i.e., a total of 8 weeks of study period).
The rat to a human-equivalent dose was converted using the maximum safe starting dose estimated by the US Food and Drug Administration (FDA) in clinical trials for healthy adult volunteers. The suggested use of SF-FLPJ for persons is approximately 25 mL once a day, along with a standard diet. Therefore, assuming that the human body weight is 60 kg, the equivalent human dose is (25 ml/day/60 kg), which is equivalent to the dose of 0.45 g/kg body weight/day in rats. A conversion factor of 6.2 will be used to calculate for differences in body surface area between rats and persons.
Discussion
Obesity is a major factor in numerous chronic diseases and represents a substantial global public health problem. According to the National Nutrition and Health Status Survey conducted in Taiwan from 2017 to 2020 [
31], most people’s intake of vegetables and fruits is considerably lower than the recommended dietary intake, and the consumption of saturated fat is substantially higher than it should be these dietary choices can relate to obesity. According to data from Taiwan’s Ministry of Health and Welfare [
3], the prevalence of obesity and overweight in adults in Taiwan is increasing.
Fermented lemons contain bountiful bioactive components that benefit human health [
15], and can improve the nutrition and effectiveness of food [
32], antioxidant activity, and promote the decomposition of plant cell walls, which helps to release or produce various antioxidants. Compounds with potential health benefits, such as reducing the probability of cardiovascular and chronic diseases [
33]. Sugar, yeast or lactic acid bacteria, etc. are added to the raw materials for fermentation, thereby activating various enzymes in the raw materials and producing various functional substances, while the nutrients contained in the raw materials are converted into a form that is easier to digest and absorb [
34], fermentation can increase the phenolic content and antioxidant activity of plants [
33]. For example, fermented lemons have higher TPC and DPPH free radical scavenging activity than unfermented lemons [
35].
Most studies have used experimental animals fed a HFD to obtain diet-induced obesity, resulting in increased visceral fat, dyslipidemia, or fatty liver [
36]. In this study, an animal model of hyperlipidemia was established by feeding rats an HFD, and the effect of SF-FLPJ on body fat composition was evaluated. In this experiment, organic lemon raw materials (including peel, seeds and pulp) were used, and adds selected specific strains DMS32001 and DMS32002. The whole lemon (including peel, seeds and pulp) was processed to prepare un-FLPJ, and then fermented under different conditions to screen for the best fermentation conditions. SF-FLPJ that differs from traditional SA-FLPJ, which requires a longer fermentation time and produces a large amount of sugar; the sugar content after saccharification and fermentation can be as high as 26.7 °Brix, about three times higher than un-FLPJ. The SF-FLPJ’s sugar content was lower than the un-FLPJ; the Degree °Brix dropped from 8.7 to 6.9 after fermentation. This finding supports that the probiotics metabolized some of the un-FLPJ’s sugars during fermentation. In addition, the probiotics in the SF-FLPJ can reduce body weight and body mass index [
37]. Fermenting natural foods with probiotics has been proven to improve positive effects on lipid metabolism and anti-obesity through the effect of probiotics [
38].
The main risk factors for atherosclerotic cardiovascular disease (ASCVD) are dyslipidemia, including TG Elevated, LDL-C, HDL-C [
39], HDL-C is considered a beneficial factor in lowering blood lipid levels [
40], and the regulation of TGs, LDL-C, and HDL-C is crucial in managing obesity [
8]. Fermented foods can reduce serum glucose and cholesterol levels [
41]. Lemons are reported to prevent hypercholesterolemia and lower animals’ TC [
42]. According to the fermentation method screening and sugar-free fermentation experimental results of this study indicated that SF-FLPJ effectively reduced TG and TC levels in the blood and liver of rats (
Table 5).
Obesity is caused by many factors such as fat accumulation and elevated blood lipid levels, including LDL-C, TC and TG. LDL-C and TC are considered to be the causes of hyperlipidemia, and a high-fat diet can lead to the accumulation of white fat in the epididymis and induce hyperlipidemia [
43,
44]. High-fat diet-induced obesity is an important animal model because of its similarity to human obesity [
45]. In this study, fat was collected from around the kidney and above the mesentery near the testes of the experimental rats to determine the body fat mass and percentage. The control group’s average body fat weight was lower significantly compared with the HF dose 1 and 2 groups. Furthermore, the average body fat weight was lower significantly in the HF dose 2 compared with the HF dose 1 group, the control group’s average body fat percentage was lower significantly compared with the HF, HF dose 1, and HF dose 2 groups. Furthermore, the average body fat percentage was significantly lower in the HF dose 2 compared with the HF dose 1 group. In the eighth week SF-FLPJ administration, the experimental rats’ hepatic TG and TC levels were significantly lower in the HF dose 1 and 2 groups compared with the HF (p < 0.05). Furthermore, the HF dose 2 group’s average body weight was substantially lower than the HF.
Polyphenols have antioxidant and anti-inflammatory properties, and flavonoids in particular have been shown to have the ability to improve insulin sensitivity and regulate lipid metabolism [
46]. Studies have shown that increasing fruit intake can reduce cardiovascular disease mortality and high mortality. Blood pressure and stroke risk [
44], fermented apple juice can effectively inhibit weight gain and regulate blood lipid levels [
43]. The results of this study show that feeding SF-FLPJ effectively reduces body weight, fat mass, fat percentage, and liver fat.
This experiment investigated the effect of SF-FLPJ on body fat. The doses of SF-FLPJ investigated effectively reduced liver fat in the experimental animals. Considerable reductions in body weight, fat mass, fat percentage, were observed in the HF administered a higher SF-FLPJ dose. Therefore, it can be concluded that SF-FLPJ effectively regulates body fat and can positively reduce obesity. Applying SF-FLPJ as our daily drinks, may reduce obesity-associated issues, and provide a better health management.