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The effects of green tea extract supplementation on body composition, obesity-related hormones and oxidative stress markers: a grade-assessed systematic review and dose–response meta-analysis of randomised controlled trials

Published online by Cambridge University Press:  30 November 2023

Omid Asbaghi
Affiliation:
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mahnaz Rezaei Kelishadi
Affiliation:
Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
Damoon Ashtary Larky
Affiliation:
Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Reza Bagheri
Affiliation:
Department of Exercise Physiology, University of Isfahan, Isfahan, Iran
Niusha Amirani
Affiliation:
Faculty of Medicine, Alborz University of Medical Sciences, Alborz, Iran
Kian Goudarzi
Affiliation:
Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Fatemeh Kargar
Affiliation:
School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Matin Ghanavati*
Affiliation:
National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, P.O.19395-4741, Iran
Mohammad Zamani
Affiliation:
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
*
*Corresponding author: Dr Matin Ghanavati, email matinghanavati@sbmu.ac.ir

Abstract

Research indicates that green tea extract (GTE) supplementation is beneficial for a range of conditions, including several forms of cancer, CVD and liver diseases; nevertheless, the existing evidence addressing its effects on body composition, oxidative stress and obesity-related hormones is inconclusive. This systematic review and meta-analysis aimed to investigate the effects of GTE supplementation on body composition (body mass (BM), body fat percentage (BFP), fat mass (FM), BMI, waist circumference (WC)), obesity-related hormones (leptin, adiponectin and ghrelin) and oxidative stress (malondialdehyde (MDA) and total antioxidant capacity (TAC)) markers. We searched proper databases, including PubMed/Medline, Scopus and Web of Science, up to July 2022 to recognise published randomised controlled trials (RCT) that investigated the effects of GTE supplementation on the markers mentioned above. A random effects model was used to carry out a meta-analysis. The heterogeneity among the studies was assessed using the I2 index. Among the initial 11 286 studies identified from an electronic database search, fifty-nine studies involving 3802 participants were eligible to be included in this meta-analysis. Pooled effect sizes indicated that BM, BFP, BMI and MDA significantly reduced following GTE supplementation. In addition, GTE supplementation increased adiponectin and TAC, with no effects on FM, leptin and ghrelin. Certainty of evidence across outcomes ranged from low to high. Our results suggest that GTE supplementation can attenuate oxidative stress, BM, BMI and BFP, which are thought to negatively affect human health. Moreover, GTE as a nutraceutical dietary supplement can increase TAC and adiponectin.

Type
Systematic Review and Meta-Analysis
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society

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