Effects of Hesperidin Supplementation on Cardiometabolic Markers: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

IF 5.9 2区 医学 Q1 NUTRITION & DIETETICS Nutrition reviews Pub Date : 2024-07-22 DOI:10.1093/nutrit/nuae084
Zeinab Heidari, Fatemeh Farahmandpour, Hadi Bazyar, Fereshteh Pashayee-Khamene
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Abstract

Context: Hesperidin is a naturally occurring bioactive compound that may influence cardiometabolic markers, but the existing evidence is inconclusive.

Objective: This study aims to further investigate the effects of hesperidin supplementation on cardiometabolic markers in adults.

Data sources: A comprehensive search was conducted up to August 2023, utilizing relevant key words in databases such as PubMed, Scopus, Embase, and the Cochrane Central Register of Controlled Trials, focusing on randomized controlled trials (RCTs).

Data extraction: RCTs that examined the impact of hesperidin on fasting blood sugar (FBS), insulin, quantitative insulin-sensitivity check index (QUICKI), homeostatic model assessment of insulin resistance (HOMA-IR), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglyceride (TG), systolic blood pressure (SBP), diastolic blood pressure (DBP), tumor necrosis factor-alpha (TNF-α), and high-sensitivity C-reactive protein (hs-CRP) were selected independently by 2 authors. The GRADE assessment was used to ascertain the certainty of the evidence. Results were pooled using a random-effects model as weighted mean differences and 95% CIs.

Data analysis: The results of this study demonstrate that hesperidin supplementation had a significant impact on reducing FBS, TG, TC, LDL-C, SBP, and TNF-α. However, there was no significant effect observed on insulin, HOMA-IR, QUICKI, HDL-C, DBP, and hs-CRP. The study's subgroup analyses also revealed that interventions lasting more than 12 weeks were effective in reducing FBS, TG, TC, and LDL-C. Moreover, hesperidin dosage exceeding 500 mg/day showed significance in reducing FBS, TC, and LDL-C levels.

Conclusion: In conclusion, this research suggests that hesperidin can be consumed as an effective dietary approach to enhance cardiometabolic markers.

Systematic review registration: PROSPERO registration no. CRD42022325775.

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补充橙皮甙对心脏代谢指标的影响:随机对照试验的系统回顾和元分析》。
背景:橙皮甙是一种天然生物活性化合物,可能会影响心脏代谢指标,但现有证据尚无定论:本研究旨在进一步研究补充橙皮甙对成人心脏代谢指标的影响:截至 2023 年 8 月,我们利用相关关键词在 PubMed、Scopus、Embase 和 Cochrane Central Register of Controlled Trials 等数据库中进行了全面检索,重点关注随机对照试验(RCT):研究橙皮甙对空腹血糖(FBS)、胰岛素、胰岛素敏感性定量检查指数(QUICKI)、胰岛素抵抗的稳态模型评估(HOMA-IR)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HOMA-IR)的影响的 RCT、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、甘油三酯(TG)、收缩压(SBP)、舒张压(DBP)、肿瘤坏死因子-α(TNF-α)和高敏 C 反应蛋白(hs-CRP)由两位作者独立选定。采用 GRADE 评估方法确定证据的确定性。采用随机效应模型对结果进行加权平均差和 95% CIs 的汇总:本研究结果表明,补充橙皮素对降低 FBS、TG、TC、LDL-C、SBP 和 TNF-α 有显著影响。但对胰岛素、HOMA-IR、QUICKI、HDL-C、DBP 和 hs-CRP 没有明显影响。该研究的亚组分析还显示,持续 12 周以上的干预可有效降低 FBS、TG、TC 和 LDL-C。此外,橙皮甙用量超过 500 毫克/天对降低 FBS、TC 和 LDL-C 水平有显著作用:总之,这项研究表明,橙皮甙可作为一种有效的膳食方法来提高心脏代谢指标:系统综述注册:PROSPERO 注册号CRD42022325775。
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来源期刊
Nutrition reviews
Nutrition reviews 医学-营养学
CiteScore
12.20
自引率
1.60%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Nutrition Reviews is a highly cited, monthly, international, peer-reviewed journal that specializes in the publication of authoritative and critical literature reviews on current and emerging topics in nutrition science, food science, clinical nutrition, and nutrition policy. Readers of Nutrition Reviews include nutrition scientists, biomedical researchers, clinical and dietetic practitioners, and advanced students of nutrition.
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