Shahraki Jazinaki Mostafa, Rashidmayvan Mohammad, Rahbarinejad Pegah, Shadmand Foumani Moghadam Mohammad Reza, Pahlavani Naseh
Department of Nutrition, Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran.
Department of Nutrition, Food Sciences and Clinical Biochemistry, School of Medicine, Social Determinants of Health Research Center Gonabad University of Medical Sciences Gonabad Iran.
Food Sci Nutr. 2025 May 5;13(5):e70196. doi: 10.1002/fsn3.70196. eCollection 2025 May.
The preceding research has produced varied results concerning the impact of Spirulina supplementation on C-reactive protein (CRP) levels, considered one of the primary risk factors associated with inflammation in chronic conditions. We aimed to understand the potential relationship between Spirulina supplementation and human CRP modulation by performing a meta-analysis. A comprehensive search was conducted up to February 2024 on prominent medical bibliographic databases, including Web of Science, Scopus, and PubMed, to identify relevant studies. The overall effect size was calculated using a random-effects model that was proposed by DerSimonian and Laird. The pooled effect size was expressed as weighted mean differences (WMD) with 95% confidence intervals (CI). Furthermore, the heterogeneity between the included studies was evaluated using Cochran's test and the statistic. Our meta-analysis included 7 trials with 283 subjects and 10 effect sizes. Spirulina supplementation significantly reduced serum CRP levels compared to the control group (WMD: -0.55 mg/L; 95% CI: -0.90 to -0.21; = 0.002). However, heterogeneity among the studies was high ( = 86.7%, < 0.001). Furthermore, no significant linear and non-linear relationship between supplementation features (dosage and duration) and changes in CRP levels was detected. The results of the current systematic review and meta-analysis suggest that the intake of Spirulina can cause significant decreases in CRP levels. However, more extensive and well-executed studies are still needed to draw definitive conclusions regarding this effectiveness.
先前的研究就补充螺旋藻对C反应蛋白(CRP)水平的影响产生了不同的结果,CRP被认为是慢性疾病中与炎症相关的主要风险因素之一。我们旨在通过进行一项荟萃分析来了解补充螺旋藻与人体CRP调节之间的潜在关系。截至2024年2月,我们在包括科学网、Scopus和PubMed在内的著名医学文献数据库中进行了全面搜索,以确定相关研究。使用DerSimonian和Laird提出的随机效应模型计算总体效应量。合并效应量表示为加权平均差(WMD)及其95%置信区间(CI)。此外,使用Cochran检验和I²统计量评估纳入研究之间的异质性。我们的荟萃分析纳入了7项试验,涉及283名受试者和10个效应量。与对照组相比,补充螺旋藻显著降低了血清CRP水平(WMD:-0.55mg/L;95%CI:-0.90至-0.21;P=0.002)。然而,研究之间的异质性很高(I²=86.7%,P<0.001)。此外,未检测到补充特征(剂量和持续时间)与CRP水平变化之间存在显著的线性和非线性关系。当前系统评价和荟萃分析的结果表明,摄入螺旋藻可导致CRP水平显著降低。然而,仍需要更广泛且执行良好的研究才能就这种有效性得出明确结论。