The effects of quercetin supplementation on lipid profiles and inflammatory markers among patients with metabolic syndrome and related disorders: A systematic review and meta-analysis of randomized controlled trials

Tabrizi, R. and Tamtaji, O.R. and Mirhosseini, N. and Lankarani, K.B. and Akbari, M. and Heydari, S.T. and Dadgostar, E. and Asemi, Z. (2020) The effects of quercetin supplementation on lipid profiles and inflammatory markers among patients with metabolic syndrome and related disorders: A systematic review and meta-analysis of randomized controlled trials. Critical Reviews in Food Science and Nutrition, 60 (11). pp. 1855-1868.

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Abstract

Aims: This systematic review and meta-analysis of randomized controlled trials (RCTs) was performed to determine the effect of quercetin administration on lipid profiles and inflammatory markers among patients with metabolic syndrome (MetS) and related disorders. Methods: We searched systematically online databases including Cochrane Library, EMBASE, MEDLINE, and Web of Science to identify the relevant RCTs until November 2018. Q-test and I2 statistics were applied to assess heterogeneity among included studies. Data were combined using fixed- or random-effects model and presented as standardized mean difference (SMD) with 95 confidence interval (CI). Results: Out of 591 citations, 16 RCTs were included in the meta-analysis. The pooled findings showed that quercetin consumption significantly decreased total-cholesterol (SMD = �0.98; 95 CI, �1.48, �0.49; p < 0.001; I2: 94.0), LDL-cholesterol (SMD = �0.88; 95 CI, �1.35, �0.41; p < 0.001; I2: 92.7) and C-reactive protein (CRP) levels (�0.64; 95 CI, �1.03, �0.25; p = 0.001; I2: 90.2). While, quercetin supplementation did not significantly affect triglycerides (TG) (SMD = �0.32; 95 CI, �0.68, 0.04; p = 0.08; I2: 84.8), HDL-cholesterol (SMD = 0.20; 95 CI, �0.20, 0.24; p = 0.84; I2: 70.6), interleukin 6 (IL-6) (SMD = �0.69; 95 CI, �1.69, 0.31; p = 0.17; I2: 94.5) and tumor necrosis factor-alpha (TNF-α) levels (SMD = �0.06; 95 CI, �0.25, 0.14; p = 0.58; I2: 35.6) Conclusions: In summary, the current meta-analysis demonstrated that quercetin supplementation significantly reduced total-cholesterol, LDL-cholesterol, and CRP levels, yet did not affect triglycerides, HDL-cholesterol, IL-6 and TNF-α among patients with MetS and related disorders. © 2019, © 2019 Taylor & Francis Group, LLC.

Item Type: Article
Additional Information: cited By 3
Uncontrolled Keywords: Cell death; Cholesterol; Metabolism; Phenols; Random processes; Vegetable oils, C-reactive proteins; Confidence interval; Metabolic syndromes; Random effects model; Randomized controlled trial; Systematic Review; Total cholesterols; Tumor necrosis factor alpha, Flavonoids
Subjects: Endocrinology Metabolism
Biochemistry, Genetics and Molecular Biology
Pharmacology, Toxicology and Pharmaceutics
Divisions: Faculty of Medicine > Basic Sciences > Department of Biochemistry
Depositing User: ART . editor
Date Deposited: 28 Jun 2020 09:53
Last Modified: 28 Jun 2020 09:53
URI: http://eprints.kaums.ac.ir/id/eprint/4891

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