Vajdi Mahdi, Bonyadian Atefeh, Pourteymour Fard Tabrizi Fatemeh, Hassanizadeh Reza, Noshadi Nooshin, Alipour Beitullah, Abbasalizad-Farhangi Mahdieh, Darzi Melika, Golpour-Hamedani Sahar, Askari Gholamreza
Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Clinical Nutrition, Faculty of Nutrition and Food Sciences, Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Curr Ther Res Clin Exp. 2024 Jul 25;101:100754. doi: 10.1016/j.curtheres.2024.100754. eCollection 2024.
Research on the effects of propolis consumption on body composition, and blood pressure (BP) has produced inconsistent results. This systematic review and dose-response meta-analysis was carried out to compile the data from the randomized controlled trials (RCTs) on how propolis supplementation affects body composition, and BP level in adults.
A systematic literature search was conducted using electronic databases, including PubMed, Embase, Scopus, Web of Science, and Cochrane library, up to January 2024. The RCTs, evaluating the effects of propolis consumption on weight, body mass index (BMI), waist circumference (WC), hip circumference (HC), waist-hip ratio (WHR), fat mass (FM), systolic BP (SBP), and diastolic BP (DBP), were included in the study. We used the random-effects model to establish the pooled effect size.
A total of 22 RCTs involving 1082 participants were included in the study. Propolis supplementation demonstrated significant reductions in weight (weighted mean difference [WMD]: -0.37 kg; 95% confidence interval [CI]: -0.63 to -0.12), and BMI (WMD: -0.11 kg/m; 95% CI: -0.13 to -0.09). However, there were no significant effects on WC, WHR, FM, HC, SBP, and DBP levels. The dose-response analysis revealed a significant nonlinear relationship between propolis dosage and WC ( = 0.020). Moreover, the BMI ( = 0.047) and WC ( = 0.004) reduction trend continues until 8 weeks of intervention and then this impact plateaued.
Supplementation with propolis seems to be effective in reducing weight and BMI. However, it should be noted that the anti-obesity properties of propolis supplementation were small and may not reach clinical importance. Therefore, future well-designed studies with a large sample size are needed to investigate the effect of propolis on body composition and BP in adults.
关于食用蜂胶对身体成分和血压(BP)影响的研究结果并不一致。本系统评价和剂量反应荟萃分析旨在汇总随机对照试验(RCT)的数据,以探讨补充蜂胶对成年人身体成分和血压水平的影响。
截至2024年1月,使用电子数据库进行了系统的文献检索,包括PubMed、Embase、Scopus、Web of Science和Cochrane图书馆。纳入评估食用蜂胶对体重、体重指数(BMI)、腰围(WC)、臀围(HC)、腰臀比(WHR)、脂肪量(FM)、收缩压(SBP)和舒张压(DBP)影响的RCT。我们使用随机效应模型来确定合并效应量。
本研究共纳入22项RCT,涉及1082名参与者。补充蜂胶可显著降低体重(加权平均差[WMD]:-0.37 kg;95%置信区间[CI]:-0.63至-0.12)和BMI(WMD:-0.11 kg/m²;95%CI:-0.13至-0.09)。然而,对WC、WHR、FM、HC、SBP和DBP水平无显著影响。剂量反应分析显示,蜂胶剂量与WC之间存在显著的非线性关系(P = 0.020)。此外,BMI(P = 0.047)和WC(P = 0.004)的降低趋势持续到干预8周,然后这种影响趋于平稳。
补充蜂胶似乎对减轻体重和降低BMI有效。然而,应注意的是,补充蜂胶的抗肥胖作用较小,可能未达到临床意义。因此,未来需要进行设计良好且样本量较大的研究,以探讨蜂胶对成年人身体成分和血压的影响。