Complementary Medicine, Peninsula Medical School, University of Exeter, Exeter, UK.
Br J Nutr. 2011 Jul;106(2):196-202. doi: 10.1017/s0007114511001516.
A variety of dietary supplements are presently available as slimming aids, but their efficacy has not been proven. One such slimming aid is the bean extract, Phaseolus vulgaris. The aim of the present systematic review is to evaluate the evidence for or against the efficacy of P. vulgaris. Electronic and non-electronic searches were conducted to identify relevant human randomised clinical trials (RCT). Hand searches of bibliographies were also conducted. No age, time or language restrictions were imposed. The eligibility of studies was determined by two reviewers independently, and the methodological quality of the included studies was assessed. We identified eleven eligible trials, and six were included. All the included RCT had serious methodological flaws. A meta-analysis revealed a statistically non-significant difference in weight loss between P. vulgaris and placebo groups (mean difference (MD) − 1.77 kg, 95 % CI − 3.33, 0.33). A further meta-analysis revealed a statistically significant reduction in body fat favouring P. vulgaris over placebo (MD − 1.86 kg, 95 % CI − 3.39, − 0.32). Heterogeneity was evident in both analyses. The poor quality of the included RCT prevents us from drawing any firm conclusions about the effects of P. vulgaris supplementation on body weight. Larger and more rigorous trials are needed to objectively assess the effects of this herbal supplement.
目前有多种膳食补充剂可用作减肥辅助剂,但它们的疗效尚未得到证实。其中一种减肥辅助剂是豆类提取物菜豆。本系统评价的目的是评估菜豆减肥的疗效。进行了电子和非电子搜索以确定相关的人体随机临床试验 (RCT)。还进行了手动搜索书目。未对研究施加年龄、时间或语言限制。两位审查员独立确定研究的合格性,并评估了纳入研究的方法学质量。我们确定了 11 项合格的试验,其中 6 项被纳入。所有纳入的 RCT 都存在严重的方法学缺陷。荟萃分析显示,菜豆组与安慰剂组之间的体重减轻差异无统计学意义(平均差异 (MD) -1.77 公斤,95%置信区间 -3.33,0.33)。进一步的荟萃分析显示,菜豆组在体脂减少方面明显优于安慰剂组(MD -1.86 公斤,95%置信区间 -3.39,-0.32)。这两项分析均存在明显的异质性。纳入 RCT 的质量较差,使我们无法对菜豆补充剂对体重的影响得出任何明确的结论。需要更大和更严格的试验来客观评估这种草药补充剂的效果。