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Letters in Drug Design & Discovery

Editor-in-Chief

ISSN (Print): 1570-1808
ISSN (Online): 1875-628X

Systematic Review Article

Efficacy of Ginger, Cardamom, Purslane, Saffron and Cinnamon Consumption on Lipid Profile, Glycemic Control, Blood Pressure and Markers of Anthropometric and Inflammation in Metabolic Syndrome Patients: A Systematic Review and Network Meta-Analysis

Author(s): Sajjad Salimi, Zahra Asgari, Tahereh Sadat Mousavi, Seyed Amir Karimi, Arezoo Hamidi, Shayan Mostafaei, Pardis Mohammadi Pour and Mohammad Hossein Farzaei*

Volume 21, Issue 15, 2024

Published on: 29 January, 2024

Page: [3085 - 3107] Pages: 23

DOI: 10.2174/0115701808270287240105092957

Price: $65

Abstract

Background: Metabolic syndrome (MetS), also known as syndrome X or insulin resistance, is a complex disorder characterized by multiple risk factors. It is caused by insulin resistance, which is accompanied by abnormal accumulation and dysfunction of adipose tissue.

Introduction: Recently, several studies have evaluated the efficacy of herbs on MetS. The purpose of this meta-analysis is the comprehensive assessment of the impact of cardamom, cinnamon, saffron, purslane and ginger on the parameters of MetS in patients with MetS.

Methods: A systematic search was performed based on the English language reports of literature from databases including PubMed, Scopus, Cochrane, and Web of Science and 29 RCT (randomized clinical trial) studies were included in the meta-analysis. This meta-analysis was registered in PROSPERO.

Results: The results showed significant beneficial effects of cardamom on Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) and waist circumference (WC), cinnamon on diastolic blood pressure (DBP) and weight, ginger on fasting blood sugar (FBS), Hemoglobin A1c HbA1c and HOMA-IR and purslane on triglyceride (TG), total cholesterol (TC), body mass index (BMI) and FBS compared to the placebo; thus, they can be useful in the management of patients with MetS.

Conclusion: It is suggested that more RCT studies should be performed on the factors affecting the efficacy of these plants on the parameters of the MetS.

[1]
Jameson, J.L. Harrison’s principles of internal medicine, 20th ed.; The McGraw-Hill Companies: New York, 2018, p. 2903.
[2]
Kohno, S.; Kida, H.; Mizuguchi, M.; Shimada, J. Efficacy and safety of intravenous peramivir for treatment of seasonal influenza virus infection. Antimicrob. Agents Chemother., 2010, 54(11), 4568-4574.
[http://dx.doi.org/10.1128/AAC.00474-10] [PMID: 20713668]
[3]
Zhang, S.M.; Hernán, M.A.; Olek, M.J.; Spiegelman, D.; Willett, W.C.; Ascherio, A. Intakes of carotenoids, vitamin C, and vitamin E and MS risk among two large cohorts of women. Neurology, 2001, 57(1), 75-80.
[http://dx.doi.org/10.1212/WNL.57.1.75] [PMID: 11445631]
[4]
Alberti, K.G.M.M.; Zimmet, P.; Shaw, J. The metabolic syndrome—a new worldwide definition. Lancet, 2005, 366(9491), 1059-1062.
[http://dx.doi.org/10.1016/S0140-6736(05)67402-8] [PMID: 16182882]
[5]
Cook, S. Metabolic Syndrome.Pediatric Clinical Advisor, 2nd ed; Garfunkel, L.C.; Kaczorowski, J.M.; Christy, C., Eds.; Mosby: Philadelphia, 2007, pp. 371-372.
[http://dx.doi.org/10.1016/B978-032303506-4.10210-X]
[6]
Modarres, M.; Esmaeilzadeh Bahabadi, S.; Taghavizadeh Yazdi, M.E. Enhanced production of phenolic acids in cell suspension culture of Salvia leriifolia Benth. using growth regulators and sucrose. Cytotechnology, 2018, 70(2), 741-750.
[http://dx.doi.org/10.1007/s10616-017-0178-0] [PMID: 29349583]
[7]
Cӑtoi, A.; Pârvu, A.; Andreicuţ, A.; Mironiuc, A.; Crӑciun, A.; Cӑtoi, C.; Pop, I. Metabolically healthy versus unhealthy morbidly obese: Chronic inflammation, nitro-oxidative stress, and insulin resistance. Nutrients, 2018, 10(9), 1199.
[http://dx.doi.org/10.3390/nu10091199] [PMID: 30200422]
[8]
Saklayen, M.G. The Global Epidemic of the Metabolic Syndrome. Curr. Hypertens. Rep., 2018, 20(2), 12.
[http://dx.doi.org/10.1007/s11906-018-0812-z] [PMID: 29480368]
[9]
Fietze, I.; Laharnar, N.; Obst, A.; Ewert, R.; Felix, S.B.; Garcia, C.; Gläser, S.; Glos, M.; Schmidt, C.O.; Stubbe, B.; Völzke, H.; Zimmermann, S.; Penzel, T. Prevalence and association analysis of obstructive sleep apnea with gender and age differences – Results of SHIP‐Trend. J. Sleep Res., 2019, 28(5), e12770.
[http://dx.doi.org/10.1111/jsr.12770] [PMID: 30272383]
[10]
Hooijschuur, M.C.E.; Ghossein-Doha, C.; Kroon, A.A.; De Leeuw, P.W.; Zandbergen, A.A.M.; Van Kuijk, S.M.J.; Spaanderman, M.E.A. Metabolic syndrome and pre‐eclampsia. Ultrasound Obstet. Gynecol., 2019, 54(1), 64-71.
[http://dx.doi.org/10.1002/uog.20126] [PMID: 30246464]
[11]
Asgary, S.; Karimi, R.; Momtaz, S.; Naseri, R.; Farzaei, M.H. Effect of resveratrol on metabolic syndrome components: A systematic review and meta-analysis. Rev. Endocr. Metab. Disord., 2019, 20(2), 173-186.
[http://dx.doi.org/10.1007/s11154-019-09494-z] [PMID: 31065943]
[12]
Azimi, P.; Ghiasvand, R.; Feizi, A.; Hariri, M.; Abbasi, B. Effects of Cinnamon, Cardamom, Saffron, and Ginger Consumption on Markers of Glycemic Control, Lipid Profile, Oxidative Stress, and Inflammation in Type 2 Diabetes Patients. Rev. Diabet. Stud., 2014, 11(3-4), 258-266.
[http://dx.doi.org/10.1900/RDS.2014.11.258] [PMID: 26177486]
[13]
Pourmasoumi, M.; Hadi, A.; Rafie, N.; Najafgholizadeh, A.; Mohammadi, H.; Rouhani, M.H. The effect of ginger supplementation on lipid profile: A systematic review and meta-analysis of clinical trials. Phytomedicine, 2018, 43, 28-36.
[http://dx.doi.org/10.1016/j.phymed.2018.03.043] [PMID: 29747751]
[14]
Verma, S. Blood pressure lowering, fibrinolysis enhancing and antioxidant activities of cardamom (Elettaria cardamomum). Indian J. Biochem. Biophys., 2009, 646, 503-506.
[15]
Asbaghi, O.; Eslampour, E.; Reiner, Ž.; Badehnoosh, B.; Kolahdooz, F.; Moradi, S.; Hashemi Dizaji, S.; Asemi, Z. Effect of green cardamom on lipoproteins, glycemic control and anthropometric parameters: A meta-analysis of randomized clinical trials. Clin. Nutr. ESPEN, 2020, 37, 24-33.
[http://dx.doi.org/10.1016/j.clnesp.2020.03.015] [PMID: 32359750]
[16]
Jarvill-Taylor, K.J.; Anderson, R.A.; Graves, D.J. A hydroxychalcone derived from cinnamon functions as a mimetic for insulin in 3T3-L1 adipocytes. J. Am. Coll. Nutr., 2001, 20(4), 327-336.
[http://dx.doi.org/10.1080/07315724.2001.10719053] [PMID: 11506060]
[17]
Vanschoonbeek, K.; Thomassen, B.J.W.; Senden, J.M.; Wodzig, W.K.W.H.; van Loon, L.J.C. Cinnamon supplementation does not improve glycemic control in postmenopausal type 2 diabetes patients. J. Nutr., 2006, 136(4), 977-980.
[http://dx.doi.org/10.1093/jn/136.4.977] [PMID: 16549460]
[18]
Qin, B.; Panickar, K.S.; Anderson, R.A. Cinnamon: Potential role in the prevention of insulin resistance, metabolic syndrome, and type 2 diabetes. J. Diabetes Sci. Technol., 2010, 4(3), 685-693.
[http://dx.doi.org/10.1177/193229681000400324] [PMID: 20513336]
[19]
Wang, J.; Ke, W.; Bao, R.; Hu, X.; Chen, F. Beneficial effects of ginger Zingiber officinale Roscoe on obesity and metabolic syndrome: A review. Ann. N. Y. Acad. Sci., 2017, 1398(1), 83-98.
[http://dx.doi.org/10.1111/nyas.13375] [PMID: 28505392]
[20]
Zeinali, M.; Zirak, M.R.; Rezaee, S.A.; Karimi, G.; Hosseinzadeh, H. Immunoregulatory and anti-inflammatory properties of Crocus sativus (Saffron) and its main active constituents: A review. Iran. J. Basic Med. Sci., 2019, 22(4), 334-344.
[PMID: 31223464]
[21]
Hadi, A.; Pourmasoumi, M.; Najafgholizadeh, A.; Kafeshani, M.; Sahebkar, A. Effect of purslane on blood lipids and glucose: A systematic review and meta‐analysis of randomized controlled trials. Phytother. Res., 2019, 33(1), 3-12.
[http://dx.doi.org/10.1002/ptr.6203] [PMID: 30281177]
[22]
Aghasi, M.; Koohdani, F.; Qorbani, M.; Nasli-Esfahani, E.; Ghazi-Zahedi, S.; Khoshamal, H.; Keshavarz, A.; Sotoudeh, G. Beneficial effects of green cardamom on serum SIRT1, glycemic indices and triglyceride levels in patients with type 2 diabetes mellitus: A randomized double‐blind placebo controlled clinical trial. J. Sci. Food Agric., 2019, 99(8), 3933-3940.
[http://dx.doi.org/10.1002/jsfa.9617] [PMID: 30701554]
[23]
Azimi, P.; Ghiasvand, R.; Feizi, A.; Hosseinzadeh, J.; Bahreynian, M.; Hariri, M.; Khosravi-Boroujeni, H. Effect of cinnamon, cardamom, saffron and ginger consumption on blood pressure and a marker of endothelial function in patients with type 2 diabetes mellitus: A randomized controlled clinical trial. Blood Press., 2016, 25(3), 133-140.
[http://dx.doi.org/10.3109/08037051.2015.1111020] [PMID: 26758574]
[24]
Wainstein, J.; Stern, N.; Heller, S.; Boaz, M. Dietary cinnamon supplementation and changes in systolic blood pressure in subjects with type 2 diabetes. J. Med. Food, 2011, 14(12), 1505-1510.
[http://dx.doi.org/10.1089/jmf.2010.0300] [PMID: 21861719]
[25]
Zare, R.; Nadjarzadeh, A.; Zarshenas, M.M.; Shams, M.; Heydari, M. Efficacy of cinnamon in patients with type II diabetes mellitus: A randomized controlled clinical trial. Clin. Nutr., 2019, 38(2), 549-556.
[http://dx.doi.org/10.1016/j.clnu.2018.03.003] [PMID: 29605574]
[26]
Rahimlou, M.; Yari, Z.; Rayyani, E.; Keshavarz, S.A.; Hosseini, S.; Morshedzadeh, N.; Hekmatdoost, A. Effects of ginger supplementation on anthropometric, glycemic and metabolic parameters in subjects with metabolic syndrome: A randomized, double-blind, placebo-controlled study. J. Diabetes Metab. Disord., 2019, 18(1), 119-125.
[http://dx.doi.org/10.1007/s40200-019-00397-z] [PMID: 31275882]
[27]
El Gayar, M.H.; Aboromia, M.M.M.; Ibrahim, N.A.; Abdel Hafiz, M.H. Effects of ginger powder supplementation on glycemic status and lipid profile in newly diagnosed obese patients with type 2 diabetes mellitus. Obes. Med., 2019, 14, 100094.
[http://dx.doi.org/10.1016/j.obmed.2019.100094]
[28]
Ebrahimi, F.; Sahebkar, A.; Aryaeian, N.; Pahlavani, N.; Fallah, S.; Moradi, N.; Abbasi, D.; Hosseini, A.F. Effects Of Saffron Supplementation On Inflammation And Metabolic Responses In Type 2 Diabetic Patients: A Randomized, Double-Blind, Placebo-Controlled Trial. Diabetes Metab. Syndr. Obes., 2019, 12, 2107-2115.
[http://dx.doi.org/10.2147/DMSO.S216666] [PMID: 31686882]
[29]
Kermani, T.; Zebarjadi, M.; Mehrad-Majd, H.; Mirhafez, S.R.; Shemshian, M.; Ghasemi, F.; Mohammadzadeh, E.; Mousavi, S.H.; Norouzy, A.; Moghiman, T.; Sadeghi, A.; Ferns, G.; Avan, A.; Mahdipour, E.; Ghayour-Mobarhan, M. Anti-Inflammatory Effect of Crocus sativus on Serum Cytokine Levels in Subjects with Metabolic Syndrome: A Randomized, Double-Blind, Placebo- Controlled Trial. Curr. Clin. Pharmacol., 2018, 12(2), 122-126.
[http://dx.doi.org/10.2174/1574884712666170622082737] [PMID: 28637418]
[30]
Esmaillzadeh, A.; Zakizadeh, E.; Faghihimani, E.; Gohari, M.; Jazayeri, S. The effect of purslane seeds on glycemic status and lipid profiles of persons with type 2 diabetes: A randomized controlled cross-over clinical trial. J. Res. Med. Sci., 2015, 20(1), 47-53.
[PMID: 25767522]
[31]
Papoli, M. Effects of consuming purslane seed powder on indicators of metabolic syndrome in women: A randomized clinical trial. Prog. Nutr., 2019, 21(1-S), 329-335.
[32]
Moher, D. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med., 2009, 6(7), e1000097.
[33]
Santos, C.M.C.; Pimenta, C.A.M.; Nobre, M.R.C. The PICO strategy for the research question construction and evidence search. Rev. Lat. Am. Enfermagem, 2007, 15(3), 508-511.
[http://dx.doi.org/10.1590/S0104-11692007000300023] [PMID: 17653438]
[34]
Landis, J.R.; Koch, G.G. The measurement of observer agreement for categorical data. Biometrics, 1977, 33(1), 159-174.
[http://dx.doi.org/10.2307/2529310] [PMID: 843571]
[35]
Higgins, J.P.T.; Thompson, S.G.; Deeks, J.J.; Altman, D.G. Measuring inconsistency in meta-analyses. BMJ, 2003, 327(7414), 557-560.
[http://dx.doi.org/10.1136/bmj.327.7414.557] [PMID: 12958120]
[36]
Daneshi-Maskooni, M.; Keshavarz, S.A.; Qorbani, M.; Mansouri, S.; Alavian, S.M.; Badri-Fariman, M.; Jazayeri-Tehrani, S.A.; Sotoudeh, G. Green cardamom increases Sirtuin-1 and reduces inflammation in overweight or obese patients with non-alcoholic fatty liver disease: a double-blind randomized placebo-controlled clinical trial. Nutr. Metab. (Lond.), 2018, 15(1), 63.
[http://dx.doi.org/10.1186/s12986-018-0297-4] [PMID: 30263038]
[37]
Daneshi-Maskooni, M.; Keshavarz, S.A.; Qorbani, M.; Mansouri, S.; Alavian, S.M.; Badri-Fariman, M.; Jazayeri-Tehrani, S.A.; Sotoudeh, G. Green cardamom supplementation improves serum irisin, glucose indices, and lipid profiles in overweight or obese non-alcoholic fatty liver disease patients: a double-blind randomized placebo-controlled clinical trial. BMC Complement. Altern. Med., 2019, 19(1), 59.
[http://dx.doi.org/10.1186/s12906-019-2465-0] [PMID: 30871514]
[38]
Fatemeh, Y.; Siassi, F.; Rahimi, A.; Koohdani, F.; Doostan, F.; Qorbani, M.; Sotoudeh, G. The effect of cardamom supplementation on serum lipids, glycemic indices and blood pressure in overweight and obese pre-diabetic women: A randomized controlled trial. J. Diabetes Metab. Disord., 2017, 16(1), 40.
[http://dx.doi.org/10.1186/s40200-017-0320-8] [PMID: 29026804]
[39]
Kazemi, S.; Yaghooblou, F.; Siassi, F.; Rahimi Foroushani, A.; Ghavipour, M.; Koohdani, F.; Sotoudeh, G. Cardamom supplementation improves inflammatory and oxidative stress biomarkers in hyperlipidemic, overweight, and obese pre‐diabetic women: A randomized double‐blind clinical trial. J. Sci. Food Agric., 2017, 97(15), 5296-5301.
[http://dx.doi.org/10.1002/jsfa.8414] [PMID: 28480505]
[40]
Abedimanesh, S.; Bathaie, S.Z.; Ostadrahimi, A.; Asghari Jafarabadi, M.; Taban Sadeghi, M. The effect of crocetin supplementation on markers of atherogenic risk in patients with coronary artery disease: A pilot, randomized, double-blind, placebo-controlled clinical trial. Food Funct., 2019, 10(11), 7461-7475.
[http://dx.doi.org/10.1039/C9FO01166H] [PMID: 31667483]
[41]
Zilaee, M. Effect of saffron on serum leptin levels in patients with metabolic syndrome, a double-blind, randomized and placebo-controlled trial study. Prog. Nutr., 2018, 20(1-S), 140-144.
[42]
Kazemi, T.; Kermani, T.; Molki, S.; Ilkhani, K.; Sharifzadeh, G.; Rajabi, O. The efficacy of crocin of saffron (Crocus sativus L.) on the components of metabolic syndrome: A randomized controlled clinical trial. J. Res. Pharm. Pract., 2017, 6(4), 228-232.
[http://dx.doi.org/10.4103/jrpp.JRPP_17_26] [PMID: 29417083]
[43]
Javandoost, A.; Afshari, A.; Nikbakht-Jam, I.; Khademi, M.; Eslami, S.; Nosrati, M.; Foroutan-Tanha, M.; Sahebkar, A.; Tavalaie, S.; Ghayour-Mobarhan, M.; Ferns, G.; Hadizadeh, F.; Tabassi, A.; Mohajeri, A. Effect of crocin, a carotenoid from saffron, on plasma cholesteryl ester transfer protein and lipid profile in subjects with metabolic syndrome: A double blind randomized clinical trial. ARYA Atheroscler., 2017, 13(5), 245-252.
[PMID: 29371871]
[44]
Arablou, T.; Aryaeian, N.; Valizadeh, M.; Sharifi, F.; Hosseini, A.; Djalali, M. The effect of ginger consumption on glycemic status, lipid profile and some inflammatory markers in patients with type 2 diabetes mellitus. Int. J. Food Sci. Nutr., 2014, 65(4), 515-520.
[http://dx.doi.org/10.3109/09637486.2014.880671] [PMID: 24490949]
[45]
Talaei, B. The Effect of Ginger on Blood Glucose, Lipid and Lipoproteins in Patients with Type 2 Diabetes: A Double-Blind Randomized Clinical Controlled Trial. Journal of Shaeed Sdoughi University of Medical Sciences Yazd., 2012, 20(3), 383-395.
[46]
Gheflati, A.; Adelnia, E.; Nadjarzadeh, A. The clinical effects of purslane (PORTULACA OLERACEA) seeds on metabolic profiles in patients with nonalcoholic fatty liver disease: A randomized controlled clinical trial. Phytother. Res., 2019, 33(5), 1501-1509.
[http://dx.doi.org/10.1002/ptr.6342] [PMID: 30895694]
[47]
Bedakhanian, M. The Effects of Portulaca Oleracea on Lipid Profile, C-Reactive Protein, and Fasting Blood Glucose in Men with Metabolic Syndrome: A Double-Blind Randomized Clinical Trial. Journal of Health System Research., 2017, 12(4), 478-483.
[48]
Dehghan, F.; Soori, R.; Gholami, K.; Abolmaesoomi, M.; Yusof, A.; Muniandy, S.; Heidarzadeh, S.; Farzanegi, P.; Ali azarbayjani, M. Purslane (Portulaca oleracea) Seed Consumption And Aerobic Training Improves Biomarkers Associated with Atherosclerosis in Women with Type 2 Diabetes (T2D). Sci. Rep., 2016, 6(1), 37819.
[http://dx.doi.org/10.1038/srep37819] [PMID: 27917862]
[49]
Wainstein, J.; Landau, Z.; Dayan, Y.B.; Jakubowicz, D.; Grothe, T.; Perrinjaquet-Moccetti, T.; Boaz, M. Purslane Extract and Glucose Homeostasis in Adults with Type 2 Diabetes: A Double-Blind, Placebo-Controlled Clinical Trial of Efficacy and Safety. J. Med. Food, 2016, 19(2), 133-140.
[http://dx.doi.org/10.1089/jmf.2015.0090] [PMID: 26854844]
[50]
Sengsuk, C.; Sanguanwong, S.; Tangvarasittichai, O.; Tangvarasittichai, S. Effect of cinnamon supplementation on glucose, lipids levels, glomerular filtration rate, and blood pressure of subjects with type 2 diabetes mellitus. Diabetol. Int., 2016, 7(2), 124-132.
[http://dx.doi.org/10.1007/s13340-015-0218-y] [PMID: 30603255]
[51]
Vafa, M.; Mohammadi, F.; Shidfar, F.; Sormaghi, M.S.; Heidari, I.; Golestan, B.; Amiri, F. Effects of cinnamon consumption on glycemic status, lipid profile and body composition in type 2 diabetic patients. Int. J. Prev. Med., 2012, 3(8), 531-536.
[PMID: 22973482]
[52]
Mang, B.; Wolters, M.; Schmitt, B.; Kelb, K.; Lichtinghagen, R.; Stichtenoth, D.O.; Hahn, A. Effects of a cinnamon extract on plasma glucose, HbA 1c, and serum lipids in diabetes mellitus type 2. Eur. J. Clin. Invest., 2006, 36(5), 340-344.
[http://dx.doi.org/10.1111/j.1365-2362.2006.01629.x] [PMID: 16634838]
[53]
Akilen, R.; Tsiami, A.; Devendra, D.; Robinson, N. Glycated haemoglobin and blood pressure‐lowering effect of cinnamon in multi‐ethnic Type 2 diabetic patients in the UK: A randomized, placebo‐controlled, double‐blind clinical trial. Diabet. Med., 2010, 27(10), 1159-1167.
[http://dx.doi.org/10.1111/j.1464-5491.2010.03079.x] [PMID: 20854384]
[54]
Shekarchizadeh-Esfahani, P.; Arab, A.; Ghaedi, E.; Hadi, A.; Jalili, C. Effects of cardamom supplementation on lipid profile: A systematic review and meta‐analysis of randomized controlled clinical trials. Phytother. Res., 2020, 34(3), 475-485.
[http://dx.doi.org/10.1002/ptr.6543] [PMID: 31755188]
[55]
Hadi, A.; Campbell, M.S.; Hassani, B.; Pourmasoumi, M.; Salehi-sahlabadi, A.; Hosseini, S.A. The effect of cinnamon supplementation on blood pressure in adults: A systematic review and meta-analysis of randomized controlled trials. Clin. Nutr. ESPEN, 2020, 36, 10-16.
[http://dx.doi.org/10.1016/j.clnesp.2020.01.002] [PMID: 32220351]
[56]
Jamali, N.; Jalali, M.; Saffari-Chaleshtori, J.; Samare-Najaf, M.; Samareh, A. Effect of cinnamon supplementation on blood pressure and anthropometric parameters in patients with type 2 diabetes: A systematic review and meta-analysis of clinical trials. Diabetes Metab. Syndr., 2020, 14(2), 119-125.
[http://dx.doi.org/10.1016/j.dsx.2020.01.009] [PMID: 32032898]
[57]
Yazdanpanah, Z.; Azadi-Yazdi, M.; Hooshmandi, H.; Ramezani-Jolfaie, N.; Salehi-Abargouei, A. Effects of cinnamon supplementation on body weight and composition in adults: A systematic review and meta‐analysis of controlled clinical trials. Phytother. Res., 2020, 34(3), 448-463.
[http://dx.doi.org/10.1002/ptr.6539] [PMID: 31800140]
[58]
Maharlouei, N.; Tabrizi, R.; Lankarani, K.B.; Rezaianzadeh, A.; Akbari, M.; Kolahdooz, F.; Rahimi, M.; Keneshlou, F.; Asemi, Z. The effects of ginger intake on weight loss and metabolic profiles among overweight and obese subjects: A systematic review and meta-analysis of randomized controlled trials. Crit. Rev. Food Sci. Nutr., 2019, 59(11), 1753-1766.
[http://dx.doi.org/10.1080/10408398.2018.1427044] [PMID: 29393665]
[59]
Huang, F.; Deng, T.; Meng, L.; Ma, X. Dietary ginger as a traditional therapy for blood sugar control in patients with type 2 diabetes mellitus. Medicine (Baltimore), 2019, 98(13), e15054.
[http://dx.doi.org/10.1097/MD.0000000000015054] [PMID: 30921234]
[60]
Moradi, M.T. The effects of Purslane (Portulaca oleracea L.) on serum level of lipids, lipoproteins and paraoxanase 1(PON1) activity in hypercholesterolemia patients. Life Sci. J., 2012, 9, 5548-5552.
[61]
Pourmasoumi, M.; Hadi, A.; Najafgholizadeh, A.; Kafeshani, M.; Sahebkar, A. Clinical evidence on the effects of saffron (Crocus sativus L.) on cardiovascular risk factors: A systematic review meta-analysis. Pharmacol. Res., 2019, 139, 348-359.
[http://dx.doi.org/10.1016/j.phrs.2018.11.038] [PMID: 30502528]
[62]
Rahmani, J.; Manzari, N.; Thompson, J.; Clark, C.C.T.; Villanueva, G.; Varkaneh, H.K.; Mirmiran, P. The effect of saffron on weight and lipid profile: A systematic review, meta‐analysis, and dose–response of randomized clinical trials. Phytother. Res., 2019, 33(9), 2244-2255.
[http://dx.doi.org/10.1002/ptr.6420] [PMID: 31264281]
[63]
Asbaghi, O. Effects of saffron (Crocus sativus L.) supplementation on inflammatory biomarkers: A systematic review and meta‐analysis. Phytother. Res., 2020, 35(1), 20-32.
[PMID: 32525606]
[64]
Asbaghi, O.; Soltani, S.; Norouzi, N.; Milajerdi, A.; Choobkar, S.; Asemi, Z. The effect of saffron supplementation on blood glucose and lipid profile: A systematic review and meta-analysis of randomized controlled trials. Complement. Ther. Med., 2019, 47, 102158.
[http://dx.doi.org/10.1016/j.ctim.2019.07.017] [PMID: 31779990]
[65]
Rahmani, J.; Bazmi, E.; Clark, C.; Hashemi Nazari, S.S. The effect of Saffron supplementation on waist circumference, HA1C, and glucose metabolism: A systematic review and meta-analysis of randomized clinical trials. Complement. Ther. Med., 2020, 49, 102298.
[http://dx.doi.org/10.1016/j.ctim.2020.102298] [PMID: 32147057]
[66]
Zhu, C.; Yan, H.; Zheng, Y.; Santos, H.O.; Macit, M.S.; Zhao, K. Impact of Cinnamon Supplementation on cardiometabolic Biomarkers of Inflammation and Oxidative Stress: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Complement. Ther. Med., 2020, 53, 102517.
[http://dx.doi.org/10.1016/j.ctim.2020.102517] [PMID: 33066854]
[67]
Hasani, H.; Arab, A.; Hadi, A.; Pourmasoumi, M.; Ghavami, A.; Miraghajani, M. Does ginger supplementation lower blood pressure? A systematic review and meta‐analysis of clinical trials. Phytother. Res., 2019, 33(6), 1639-1647.
[http://dx.doi.org/10.1002/ptr.6362] [PMID: 30972845]
[68]
Mazidi, M.; Gao, H.K.; Rezaie, P.; Ferns, G.A. The effect of ginger supplementation on serum C-reactive protein, lipid profile and glycaemia: A systematic review and meta-analysis. Food Nutr. Res., 2016, 60(1), 32613.
[http://dx.doi.org/10.3402/fnr.v60.32613] [PMID: 27806832]
[69]
Zhu, Y.; Huang, Y.; Santos, H.O.; de Oliveira, C.V.C.; Zhou, H.; Tang, N. Effects of purslane supplementation on C‐reactive protein levels and biomarkers of oxidative stress as marks for metabolic syndrome: A systematic review and meta‐analysis of randomized controlled trials. Phytother. Res., 2021, 35(10), 5477-5486.
[http://dx.doi.org/10.1002/ptr.7182] [PMID: 34109686]
[70]
Jamali, N.; Kazemi, A.; Saffari-Chaleshtori, J.; Samare-Najaf, M.; Mohammadi, V.; Clark, C.C.T. The effect of cinnamon supplementation on lipid profiles in patients with type 2 diabetes: A systematic review and meta-analysis of clinical trials. Complement. Ther. Med., 2020, 55, 102571.
[http://dx.doi.org/10.1016/j.ctim.2020.102571] [PMID: 33220625]
[71]
Swarup, S. Metabolic Syndrome; StatPearls: Treasure Island, (FL), 2021.
[72]
Ashokkumar, K.; Murugan, M.; Dhanya, M.K.; Warkentin, T.D. Botany, traditional uses, phytochemistry and biological activities of cardamom [Elettaria cardamomum (L.) Maton] – A critical review. J. Ethnopharmacol., 2020, 246, 112244.
[http://dx.doi.org/10.1016/j.jep.2019.112244] [PMID: 31541721]
[73]
Gupta Jain, S.; Puri, S.; Misra, A.; Gulati, S.; Mani, K. Effect of oral cinnamon intervention on metabolic profile and body composition of Asian Indians with metabolic syndrome: A randomized double -blind control trial. Lipids Health Dis., 2017, 16(1), 113.
[http://dx.doi.org/10.1186/s12944-017-0504-8] [PMID: 28606084]
[74]
Hafizur, R.M.; Hameed, A.; Shukrana, M.; Raza, S.A.; Chishti, S.; Kabir, N.; Siddiqui, R.A. Cinnamic acid exerts anti-diabetic activity by improving glucose tolerance in vivo and by stimulating insulin secretion in vitro. Phytomedicine, 2015, 22(2), 297-300.
[http://dx.doi.org/10.1016/j.phymed.2015.01.003] [PMID: 25765836]
[75]
Mercader, J.; Palou, A.; Bonet, M.L. Resveratrol enhances fatty acid oxidation capacity and reduces resistin and Retinol-Binding Protein 4 expression in white adipocytes. J. Nutr. Biochem., 2011, 22(9), 828-834.
[http://dx.doi.org/10.1016/j.jnutbio.2010.07.007] [PMID: 21109418]
[76]
Uchiyama, S.; Taniguchi, Y.; Saka, A.; Yoshida, A.; Yajima, H. Prevention of diet-induced obesity by dietary black tea polyphenols extract in vitro and in vivo. Nutrition, 2011, 27(3), 287-292.
[http://dx.doi.org/10.1016/j.nut.2010.01.019] [PMID: 20627658]
[77]
Harada, M.; Yano, S. Pharmacological studies on Chinese cinnamon. II. Effects of cinnamaldehyde on the cardiovascular and digestive systems. Chem. Pharm. Bull. (Tokyo), 1975, 23(5), 941-947.
[http://dx.doi.org/10.1248/cpb.23.941] [PMID: 1181070]
[78]
Wansi, S.L. Blood pressure lowering effect of the ethanol extract from the stembark of cinnamomum zeylanicum (lauraceae) in rats. Pharmacol online., 2007, 3, 166-76.
[79]
Priya Rani, M.; Padmakumari, K.P.; Sankarikutty, B.; Lijo Cherian, O.; Nisha, V.M.; Raghu, K.G. Inhibitory potential of ginger extracts against enzymes linked to type 2 diabetes, inflammation and induced oxidative stress. Int. J. Food Sci. Nutr., 2011, 62(2), 106-110.
[http://dx.doi.org/10.3109/09637486.2010.515565] [PMID: 20874376]
[80]
Uddin, M.K.; Juraimi, A.S.; Hossain, M.S.; Nahar, M.A.U.; Ali, M.E.; Rahman, M.M. Purslane weed (Portulaca oleracea): A prospective plant source of nutrition, omega-3 fatty acid, and antioxidant attributes. ScientificWorldJournal, 2014, 2014, 1-6.
[http://dx.doi.org/10.1155/2014/951019] [PMID: 24683365]
[81]
Wang, Z.; He, Z.; Zhang, D.; Li, H. Antioxidant activity of purslane extract and its inhibitory effect on the lipid and protein oxidation of rabbit meat patties during chilled storage. J. Sci. Food Agric., 2021, 101(5), 1953-1962.
[http://dx.doi.org/10.1002/jsfa.10811] [PMID: 32918299]
[82]
Lee, J.I.; Oh, J.H.; Kong, C.S.; Seo, Y. Evaluation of anti-adipogenic active homoisoflavonoids from Portulaca oleracea. Z. Naturforsch. C J. Biosci., 2019, 74(9-10), 265-273.
[http://dx.doi.org/10.1515/znc-2018-0114] [PMID: 31150363]
[83]
Mousa, A.M.; Taha, M.E.; ELdeighdye, S.M.; Kamal, A.M. The role of purslane in modulating diverse effects of high fat diet on biochemical, histological, and molecular parameters of rats’ liver. Braz. J. Biol., 2023, 83, e248755.
[http://dx.doi.org/10.1590/1519-6984.248755] [PMID: 34817021]
[84]
Ghaffari, S.; Roshanravan, N. Saffron; An updated review on biological properties with special focus on cardiovascular effects. Biomed. Pharmacother., 2019, 109, 21-27.
[http://dx.doi.org/10.1016/j.biopha.2018.10.031] [PMID: 30391705]

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