The effect of Saffron supplementation on waist circumference, HA1C, and glucose metabolism: A systematic review and meta-analysis of randomized clinical trials

Jamal Rahmani, Elham Bazmi, Cain Clark, Seyed Saeed Hashemi Nazarid

Research output: Contribution to journalArticle

Abstract

Objective: Carotenoids (including zeaxanthin and lycopene) and phytosterols reportedly confer beneficial effects on metabolic profile and function, which is of clinical importance. Thus, we sought to review the saffron effects on waist circumstance (WC), fasting plasma glucose (FPG), and HA1C concentrations reported in Randomized Control Trials (RCTs). Method: A comprehensive systematic electronic search was performed in PubMed/MEDLINE, Embase, Google Scholar, Cochrane, Web of sciences, and SCOPUS to identify RCTs up to February 2019 without any language restrictions. The pooled weighted mean difference (WMD) calculated with DerSimonian-Laird random. PRISMA guidelines adhered to for this meta-analysis. Result: Nine articles with 12 arms containing 595 participants were included in this study. Our study found WC was significantly reduced (WMD: −2.18 cm, 95 % CI: −4.05, −0.32) and FPG (WMD: −6.54 mg/dl, 95 % CI: −10.22, −2.85) following saffron intervention. Subgroup analysis highlighted that FPG levels (WMD: −10.24 mg/dl, 95 % CI: −15.76, −4.72) reduced significantly when intervention duration was longer than twelve weeks. There was no significant effect on HA1C levels (WMD: −0.13 mg/dl, 95 % CI: −0.31, 0.04) following saffron intervention. Conclusion: In conclusion, the present study indicates beneficial effects on WC and FPG, following saffron supplementation.

Original languageEnglish
Article number102298
Pages (from-to)(In-Press)
JournalComplementary Therapies in Medicine
Volume49
Early online date7 Jan 2020
DOIs
Publication statusE-pub ahead of print - 7 Jan 2020

Fingerprint

Waist Circumference
Meta-Analysis
Fasting
Randomized Controlled Trials
Glucose
Phytosterols
Metabolome
Carotenoids
PubMed
MEDLINE
Language
Guidelines

Keywords

  • Crocin
  • Glucose
  • HA1C
  • Saffron
  • Waist circumstance

ASJC Scopus subject areas

  • Complementary and Manual Therapy
  • Complementary and alternative medicine
  • Advanced and Specialised Nursing

Cite this

The effect of Saffron supplementation on waist circumference, HA1C, and glucose metabolism: A systematic review and meta-analysis of randomized clinical trials. / Rahmani, Jamal; Bazmi, Elham ; Clark, Cain; Nazarid, Seyed Saeed Hashemi .

In: Complementary Therapies in Medicine, Vol. 49, 102298, 03.2020, p. (In-Press).

Research output: Contribution to journalArticle

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abstract = "Objective: Carotenoids (including zeaxanthin and lycopene) and phytosterols reportedly confer beneficial effects on metabolic profile and function, which is of clinical importance. Thus, we sought to review the saffron effects on waist circumstance (WC), fasting plasma glucose (FPG), and HA1C concentrations reported in Randomized Control Trials (RCTs). Method: A comprehensive systematic electronic search was performed in PubMed/MEDLINE, Embase, Google Scholar, Cochrane, Web of sciences, and SCOPUS to identify RCTs up to February 2019 without any language restrictions. The pooled weighted mean difference (WMD) calculated with DerSimonian-Laird random. PRISMA guidelines adhered to for this meta-analysis. Result: Nine articles with 12 arms containing 595 participants were included in this study. Our study found WC was significantly reduced (WMD: −2.18 cm, 95 {\%} CI: −4.05, −0.32) and FPG (WMD: −6.54 mg/dl, 95 {\%} CI: −10.22, −2.85) following saffron intervention. Subgroup analysis highlighted that FPG levels (WMD: −10.24 mg/dl, 95 {\%} CI: −15.76, −4.72) reduced significantly when intervention duration was longer than twelve weeks. There was no significant effect on HA1C levels (WMD: −0.13 mg/dl, 95 {\%} CI: −0.31, 0.04) following saffron intervention. Conclusion: In conclusion, the present study indicates beneficial effects on WC and FPG, following saffron supplementation.",
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N2 - Objective: Carotenoids (including zeaxanthin and lycopene) and phytosterols reportedly confer beneficial effects on metabolic profile and function, which is of clinical importance. Thus, we sought to review the saffron effects on waist circumstance (WC), fasting plasma glucose (FPG), and HA1C concentrations reported in Randomized Control Trials (RCTs). Method: A comprehensive systematic electronic search was performed in PubMed/MEDLINE, Embase, Google Scholar, Cochrane, Web of sciences, and SCOPUS to identify RCTs up to February 2019 without any language restrictions. The pooled weighted mean difference (WMD) calculated with DerSimonian-Laird random. PRISMA guidelines adhered to for this meta-analysis. Result: Nine articles with 12 arms containing 595 participants were included in this study. Our study found WC was significantly reduced (WMD: −2.18 cm, 95 % CI: −4.05, −0.32) and FPG (WMD: −6.54 mg/dl, 95 % CI: −10.22, −2.85) following saffron intervention. Subgroup analysis highlighted that FPG levels (WMD: −10.24 mg/dl, 95 % CI: −15.76, −4.72) reduced significantly when intervention duration was longer than twelve weeks. There was no significant effect on HA1C levels (WMD: −0.13 mg/dl, 95 % CI: −0.31, 0.04) following saffron intervention. Conclusion: In conclusion, the present study indicates beneficial effects on WC and FPG, following saffron supplementation.

AB - Objective: Carotenoids (including zeaxanthin and lycopene) and phytosterols reportedly confer beneficial effects on metabolic profile and function, which is of clinical importance. Thus, we sought to review the saffron effects on waist circumstance (WC), fasting plasma glucose (FPG), and HA1C concentrations reported in Randomized Control Trials (RCTs). Method: A comprehensive systematic electronic search was performed in PubMed/MEDLINE, Embase, Google Scholar, Cochrane, Web of sciences, and SCOPUS to identify RCTs up to February 2019 without any language restrictions. The pooled weighted mean difference (WMD) calculated with DerSimonian-Laird random. PRISMA guidelines adhered to for this meta-analysis. Result: Nine articles with 12 arms containing 595 participants were included in this study. Our study found WC was significantly reduced (WMD: −2.18 cm, 95 % CI: −4.05, −0.32) and FPG (WMD: −6.54 mg/dl, 95 % CI: −10.22, −2.85) following saffron intervention. Subgroup analysis highlighted that FPG levels (WMD: −10.24 mg/dl, 95 % CI: −15.76, −4.72) reduced significantly when intervention duration was longer than twelve weeks. There was no significant effect on HA1C levels (WMD: −0.13 mg/dl, 95 % CI: −0.31, 0.04) following saffron intervention. Conclusion: In conclusion, the present study indicates beneficial effects on WC and FPG, following saffron supplementation.

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