1. Carotenoids supplementation and inflammation: a systematic review and meta-analysis of randomized clinical trials
- Author
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Mohammad Alizadeh, Rasoul Zarrin, Fatemeh Hajizadeh-Sharafabad, Mahsa Malekahmadi, and Elham Sharifi Zahabi
- Subjects
Oncology ,medicine.medical_specialty ,030309 nutrition & dietetics ,Beta-Cryptoxanthin ,Inflammation ,Industrial and Manufacturing Engineering ,law.invention ,03 medical and health sciences ,Lycopene ,0404 agricultural biotechnology ,Randomized controlled trial ,Zeaxanthins ,law ,Internal medicine ,medicine ,Humans ,Carotenoid ,Randomized Controlled Trials as Topic ,chemistry.chemical_classification ,0303 health sciences ,Interleukin-6 ,Tumor Necrosis Factor-alpha ,business.industry ,Lutein ,04 agricultural and veterinary sciences ,General Medicine ,Carotenoids ,040401 food science ,Inflammatory biomarkers ,C-Reactive Protein ,chemistry ,Meta-analysis ,Dietary Supplements ,medicine.symptom ,business ,Biomarkers ,Food Science - Abstract
The aim of this study was to perform a systematic review and meta-analysis on randomized controlled trials investigating the effects of carotenoids on selected inflammatory parameters. PubMed, SCOPUS, and Web of science were searched from inception until April 2021. The random-effect model was used to analyze data and the overall effect size was computed as weighted mean difference (WMD) and corresponding 95% of confidence interval (CI). A total of 26 trials with 35 effect sizes were included in this meta-analysis. The results indicated significant effects of carotenoids on C-reactive protein (CRP) (WMD: ‒0.54 mg/L, 95% CI: ‒0.71, ‒0.37, P < 0.001), and interleukin-6 (IL-6) (WMD: ‒0.54 pg/mL, 95% CI: ‒1.01, ‒0.06, P = 0.025), however the effect on tumor necrosis factor-alpha (TNF-α) was not significant (WMD: ‒0.97 pg/ml, 95% CI: ‒1.98, 0.03, P = 0.0.059). For the individual carotenoids, astaxanthin, (WMD: ‒0.30 mg/L, 95% CI: ‒0.51, ‒0.09, P = 0.005), lutein/zeaxanthin (WMD: ‒0.30 mg/L, 95% CI: ‒0.45, ‒0.15, P < 0.001), and β-cryptoxanthin (WMD: ‒0.35 mg/L, 95% CI: ‒0.54, ‒0.15, P < 0.001) significantly decreased CRP level. Also, only lycopene (WMD: ‒1.08 pg/ml, 95%CI: ‒2.03, ‒0.12, P = 0.027) led to a significant decrease in IL-6. The overall results supported possible protective effects of carotenoids on inflammatory biomarkers.
- Published
- 2021
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