Circadian Rhythm-Aligned Antioxidant Delivery: A Non-Invasive Strategy to Combat Oxidative Stress in Indian Adults
DOI:
https://doi.org/10.56450/JEFI.2025.v3i02.009Keywords:
Circadian Rhythm, Antioxidants, Oxidative Stress, Non-Invasive Therapy, Indian AdultsAbstract
Introduction: Oxidative stress contributes to chronic diseases like diabetes, cardiovascular ailments, and neurodegenerative conditions, which are common among Indian adults. Aligning antioxidant administration with biological circadian rhythms may offer a promising, non-invasive intervention strategy (1,2). Methodology: This cross-sectional observational study was conducted between January and June 2024 and enrolled 1,000 Indian adults aged 30–60 years from urban and rural areas. Participants were randomized into two groups: Group A received Vitamin C and E at circadian-optimized timings, while Group B received them at fixed standard times. Oxidative stress biomarkers were assessed via salivary assays. Statistical analysis was performed in May 2024 using SPSS (p<0.05 considered significant). Results: Group A showed significantly reduced levels of malondialdehyde (1.85 ± 0.23 µmol/L) compared to Group B (2.32 ± 0.27 µmol/L, p<0.001), and higher total antioxidant capacity (1.67 ± 0.14 vs. 1.42 ± 0.15 mmol/L, p<0.001). Discussion: Chronotherapy-based antioxidant delivery was found effective in reducing oxidative stress markers. This supports its potential as a cost-effective, personalized intervention for lifestyle-related conditions.
Downloads
References
1. World Health Organization. Global status report on noncommunicable diseases 2014. Geneva: WHO; 2014.
2. Smolensky MH, Lemmer B, Reinberg A. Chronobiology and chronotherapy of allergic rhinitis and bronchial asthma. Adv Drug Deliv Rev. 2007;59(9-10):852-82. DOI: https://doi.org/10.1016/j.addr.2007.08.016
3. Sies H. Oxidative stress: from basic research to clinical application. Am J Med. 1991;91(3C):31S-38S. DOI: https://doi.org/10.1016/0002-9343(91)90281-2
4. Panda S. Circadian physiology of metabolism. Science. 2016;354(6315):1008-15. DOI: https://doi.org/10.1126/science.aah4967
5. Hardeland R. Melatonin and oxidative stress: from molecular mechanisms to clinical practice. Cell Mol Life Sci. 2005;62(7-8):791-808.
6. Gupta R, Guptha S, Sharma KK. Prevalence of cardiovascular disease risk factors in Indian adolescents. Indian J Pediatr. 2012;79(12):1641-1645.
7. Reiter RJ, Tan DX, Galano A. Melatonin: exceeding expectations. Physiology. 2014;29(5):325-333. DOI: https://doi.org/10.1152/physiol.00011.2014
8. Reppert SM, Weaver DR. Coordination of circadian timing in mammals. Nature. 2002;418(6901):935-941. DOI: https://doi.org/10.1038/nature00965
9. Cermakian N, Sassone-Corsi P. Multilevel regulation of the circadian clock. Nat Rev Mol Cell Biol. 2000;1(1):59-67. DOI: https://doi.org/10.1038/35036078
10. Gachon F, Nagoshi E, Brown SA, et al. The mammalian circadian timing system: from gene expression to physiology. Chromosoma. 2004;113(3):103-112. DOI: https://doi.org/10.1007/s00412-004-0296-2
11. Arendt J. Melatonin and human rhythms. Chronobiol Int. 2006;23(1-2):21-37. DOI: https://doi.org/10.1080/07420520500464361
12. Partch CL, Green CB, Takahashi JS. Molecular architecture of the mammalian circadian clock. Trends Cell Biol. 2014;24(2):90-99. DOI: https://doi.org/10.1016/j.tcb.2013.07.002
13. Bonnefont X, Raynaud F, Lacassagne E, et al. Circadian rhythms in liver metabolism and pathology. Compr Physiol. 2014;4(2):1395-1430.
14. Sharma M, Mishra S, Mishra V. Role of antioxidants in Indian dietary practices. J Clin Nutr Diet. 2019;5(2):1-6.
15. Buijs RM, Kalsbeek A. Hypothalamic integration of clocks. Nat Rev Neurosci. 2001;2(7):521-526. DOI: https://doi.org/10.1038/35081582
16. Tan DX, Hardeland R. Melatonin and brain protection. Indian J Med Res. 2014;139(6):851-857.
17. Gangwisch JE. Sleep duration and hypertension. Am J Hypertens. 2014;27(10):1235-1242. DOI: https://doi.org/10.1093/ajh/hpu071
18. Atkinson G, Reilly T. Circadian variation in sports performance. Sports Med. 1996;21(4):292-312. DOI: https://doi.org/10.2165/00007256-199621040-00005
19. Arble DM, Bass J, Behn CD, et al. Circadian disruption and diabetes. Obesity. 2015;23(2):292-294.
20. Rao S, Shah S, Mohapatra A. Antioxidant therapy in metabolic syndrome. Indian J Clin Biochem. 2018;33(3):318-325.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Dinesh Reddy Sagam (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.