The objective of this study was to evaluate the effect of winter savory (Satureja montana L.) on the peripheral body temperature of people who experience a 'feeling of cold' (hie-sho). We conducted a clinical trial with a double-blind, randomized, placebo-controlled, single-ingestion crossover design. First, under cold-water loading conditions, the ingestion of powdered winter savory extract (WSE) was found to accelerate the recovery rate of the medial middle-finger temperature. Next, under daily living conditions, the peripheral temperature of the wrist, medial and dorsal middle finger, and middle toe after WSE ingestion was found to be higher than that after the placebo ingestion. In addition, the blood flow and thermal sensation data agreed with the changes in the peripheral body temperature observed by WSE ingestion. This is the first report to demonstrate that WSE ingestion has a warming effect on the peripheral body temperature of people who experience a 'feeling of cold'.Keywords: winter savory, peripheral body temperature, feeling of cold, human, warming, thermoception *To whom correspondence should be addressed. E-mail: masuda.hideki@ogawa.net
IntroductionThe 'feeling of cold' (hie-sho) occurs at epidemic proportions among Japanese women and causes a variety of troubling symptoms. These symptoms include: shoulder stiffness, headache, swelling, sleeplessness, frequent urination, peripheral numbness, limb pain, chilblains, and purple fingernails (Miura et al., 2001;Yamato and Aomine, 2002). These symptoms are not limited to menopausal women, as they are also observed in young women (Miyamoto et al., 1995); therefore, it is worth studying methods of alleviating these symptoms.The feeling of cold is thought to be caused by sympathetic hypertonia, which causes disturbances in peripheral circulation induced by contraction of peripheral vessels (Takatori et al., 1990;Ushiroyama, 2005). Therefore, improving peripheral circulation is important for alleviating the symptoms of feeling of cold.Endothelial nitric oxide (NO), which is synthesized by the activation of nitric oxide synthase (NOS), was reported to participate in locally mediated vasodilation, followed by an increase in peripheral skin temperature (Kellogg et al., 1999 and. The activity of NOS is affected by dietary factors (Wu and Meininger, 2002), and a variety of polyphenolic compounds have been demonstrated to induce the activation of NOS (Grande et al., 2004;Duarte et al., 1993;Herrera et al., 1996;Andriambeloson et al., 1998;Flesch et al., 1998;Burns et al., 2000;Karim et al., 2000;Mullen et al., 2002; Pérez-Vizcaíno et al., 2002). Therefore, the ingestion of these compounds might improve peripheral circulation, followed by alleviation of the symptoms of feeling of cold.Winter savory (Satureja montana L.), which belongs to the Laminaceae family and has been used as a food condiment for hundreds of years, contains a variety of active components, such as essential oil (Piccaglia and Marotti, 1993;Grosso et al., 2010) and phenolic compounds (Tomás-Ba...