Ghasemzadeh Rahbardar Mahboobeh, Ferns Gordon A, Ghayour Mobarhan Majid
Clinical Research Development Unit, Shahid Hasheminejad Hospital, Mashhad University of Medical Sciences, Mashhad,Iran.
Brighton and Sussex Medical School, Division of Medical Education, Falmer, Brighton BN1 9PH, Sussex, UK.
Iran J Basic Med Sci. 2025;28(6):691-709. doi: 10.22038/ijbms.2025.84150.18198.
Obesity remains a significant worldwide health concern, and further research into other strategies, including herbal weight-loss medications, is necessary. By reviewing clinical trials, this study aims to evaluate the effectiveness of herbal medicines for weight loss or obesity. A comprehensive search was conducted using multiple databases. Clinical trials evaluating the effects of herbal medicines on weight loss or obesity management were included. Relevant data, such as study design, intervention details, and outcome measures, were extracted and analyzed. The use of herbal medicines exhibited varying efficacy in promoting weight loss or managing obesity. Some herbal interventions significantly reduced body weight, body mass index (BMI), and waist circumference. Notably, these interventions led to decreases in fasting blood glucose (FBG) and homeostatic model assessment of insulin resistance (HOMA-IR), regulating insulin levels while increasing levels of catalase (CAT) and glutathione (GSH). Additionally, reductions in inflammatory markers such as high-sensitivity C-reactive protein (hs-CRP) and tumor necrosis factor-alpha (TNF-α) were observed, indicating a potential anti-inflammatory effect. Mechanisms of action included appetite regulation, fat oxidation, increased satiety, enhanced insulin sensitivity, and modulation of lipid metabolism. However, it is important to note that these herbal interventions' efficacy and safety profiles may vary among different population groups. The findings suggest that certain herbal medicines hold promise as adjunctive therapies for weight loss and obesity management. However, comprehensive and targeted research efforts are warranted to determine these herbal interventions' optimal use, dosages, and long-term effects in specific population subgroups.
肥胖仍然是一个重大的全球健康问题,因此有必要进一步研究包括草药减肥药在内的其他策略。通过回顾临床试验,本研究旨在评估草药对减肥或肥胖的有效性。使用多个数据库进行了全面检索。纳入了评估草药对减肥或肥胖管理效果的临床试验。提取并分析了相关数据,如研究设计、干预细节和结果指标。草药在促进减肥或管理肥胖方面表现出不同的疗效。一些草药干预措施显著降低了体重、体重指数(BMI)和腰围。值得注意的是,这些干预措施导致空腹血糖(FBG)降低和胰岛素抵抗稳态模型评估(HOMA-IR)降低,在调节胰岛素水平的同时提高了过氧化氢酶(CAT)和谷胱甘肽(GSH)的水平。此外,还观察到炎症标志物如高敏C反应蛋白(hs-CRP)和肿瘤坏死因子-α(TNF-α)的降低,表明具有潜在的抗炎作用。作用机制包括食欲调节、脂肪氧化、饱腹感增强、胰岛素敏感性提高和脂质代谢调节。然而,需要注意的是,这些草药干预措施的疗效和安全性在不同人群中可能有所不同。研究结果表明,某些草药有望作为减肥和肥胖管理的辅助疗法。然而,有必要进行全面且有针对性的研究,以确定这些草药干预措施在特定人群亚组中的最佳使用方法、剂量和长期效果。