Mao Ting, Zhang Yizi, Kaushik Rakesh, Mohan Maneesha S
Alfred Dairy Science Laboratory, Department of Dairy and Food Science, South Dakota State University, Brookings, South Dakota, USA.
Department of Agricultural and Biosystems Engineering, South Dakota State University, Brookings, South Dakota, USA.
Crit Rev Food Sci Nutr. 2024 Dec 3:1-18. doi: 10.1080/10408398.2024.2436644.
Polyphenols are potent antioxidants with anti-microbial, anti-inflammatory, and prebiotic effects. However, no meta-analysis of human studies has confirmed these properties in individuals with overweight or obesity and elucidated the underlying mechanisms. Hence, this work aimed to investigate the impact of polyphenols on gut microbiota composition, short-chain fatty acids (SCFAs), and inflammatory markers in individuals with overweight or obesity from randomized controlled trials. Five databases were searched. The weighted mean differences were calculated using random effects DerSimonian-Laird model, with publication bias detected by Egger's test. Study quality and evidence certainty were assessed using the Cochrane risk of bias tool and GRADE guidelines, respectively. Our results indicated that an average daily intake of 452 mg phenolic content for a mean duration of 5 wks significantly reduced the abundance of Firmicutes, Proteobacteria, and the Firmicutes/Bacteroidetes ratio, in individuals with overweight or obesity. While SCFAs production was not affected, lipopolysaccharides were significantly decreased, suggesting polyphenols can alleviate chronic inflammation in these individuals. The evidence was rated as high quality. Polyphenols hold the potential to enhance health and lower the risk of metabolic disorders in individuals with overweight or obesity through their prebiotic, anti-microbial, and anti-inflammatory properties.
多酚是具有抗菌、抗炎和益生元作用的强效抗氧化剂。然而,尚无对人体研究的荟萃分析证实超重或肥胖个体具有这些特性并阐明其潜在机制。因此,这项工作旨在通过随机对照试验研究多酚对超重或肥胖个体肠道微生物群组成、短链脂肪酸(SCFAs)和炎症标志物的影响。检索了五个数据库。使用随机效应DerSimonian-Laird模型计算加权平均差异,通过Egger检验检测发表偏倚。分别使用Cochrane偏倚风险工具和GRADE指南评估研究质量和证据确定性。我们的结果表明,超重或肥胖个体平均每天摄入452毫克酚类物质,平均持续5周,可显著降低厚壁菌门、变形菌门的丰度以及厚壁菌门/拟杆菌门的比例。虽然短链脂肪酸的产生未受影响,但脂多糖显著减少,这表明多酚可以减轻这些个体的慢性炎症。证据被评为高质量。多酚具有通过其益生元、抗菌和抗炎特性增强超重或肥胖个体健康并降低代谢紊乱风险的潜力。
Cochrane Database Syst Rev. 2022-2-1
Curr Opin Clin Nutr Metab Care. 2025-7-1