Cited by 47Berberine and alkaloids researchCurcumin's Biomedical ApplicationsGut microbiota and health

The effect of berberine supplementation on obesity parameters, inflammation and liver function enzymes: A systematic review and meta-analysis of randomized controlled trials

Asbaghi, Omid, Ghanbari, Niloofar, shekari, Mahdi, Reiner, Željko, Amirani, Elaheh, Hallajzadeh, Jamal, Mirsafaei, Liaosadat, Asemi, Zatollah·2020·Clinical Nutrition ESPEN

Abstract

Introduction So far, no study has summarized the findings on the effects of berberine intake on anthropometric parameters, C-reactive protein (CRP) and liver enzymes. This systematic review and meta-analysis were done based upon randomized controlled trials (RCTs) to analyze the effects of berberine on anthropometric parameters, CRP and liver enzymes.Method Following databases were searched for eligible studies published from inception to 30 July 2019: MEDLINE, EMBASE, Web of Science, Cochrane Library, PubMed and Google scholar. Necessary data were extracted. Data were pooled by the inverse variance method and expressed as mean difference with 95% Confidence Intervals (95% CI).Result 12 studies were included. Berberine treatment moderately but significantly decreased body weight (WMD = -2.07 kg, 95% CI -3.09, -1.05, P < 0.001), body mass index (BMI) (WMD = -0.47 kg/m 2, 95% CI -0.70, -0.23, P < 0.001), waist circumference (WC) (WMD = -1.08 cm, 95% CI -1.97, -0.19, P = 0.018) and C-reactive protein (CRP) concentrations (WMD = -0.42 mg/L, 95% CI -0.82, -0.03, P = 0.034). However, berberine intake did not affect liver enzymes, including alanine aminotransferase (ALT) (WMD = -1.66 I/U, 95% CI -3.98, 0.65, P = 0.160) and aspartate aminotransferase (AST) (WMD = -0.87 I/U, 95% CI -2.56, 0.82, P = 0.311).Conclusion This meta-analysis found a significant reduction of body weight, BMI, WC and CRP levels associated with berberine intake which may have played an indirect role in improved clinical symptoms in diseases with metabolic disorders. Berberine administration had no significant effect on ALT and AST levels.

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Crossref · 10.1016/j.clnesp.2020.04.010

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Authors
Asbaghi, O., Ghanbari, N., shekari, M., Reiner, Ž., Amirani, E., Hallajzadeh, J., Mirsafaei, L., & Asemi, Z.
Affiliations
  • Lorestan University of Medical Sciences (IR)
  • Qazvin University of Medical Sciences (IR)
  • University Hospital Centre Zagreb (HR)
  • Kashan University of Medical Sciences (IR)
  • University of Maragheh (IR)
  • Mazandaran University of Medical Sciences (IR)
Corresponding author
  • Hallajzadeh, Jamal
  • Asemi, Zatollah
Venue
Clinical Nutrition ESPEN
Publisher
Elsevier BV
Published
2020-08
Volume
38
Pages
43-49
ISSN
2405-4577 (ISSN-L)
OpenAlex
W3022904652
Cited by
47
References
62
Citations by year
2026: 15 · 2025: 7 · 2024: 3 · 2023: 7 · 2022: 6 · 2021: 7 · 2020: 2
FWCI
0.72
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Nutrition ESPEN (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Berberine and alkaloids research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Curcumin's Biomedical Applications
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
Keywords
berberine, obesity, body weight, body mass index, waist circumference, C-reactive protein, inflammation, liver enzymes, alanine aminotransferase, aspartate aminotransferase, anthropometric parameters
MeSH terms
Berberine, Humans, Inflammation, Liver, Obesity, Randomized Controlled Trials as Topic, Dietary Supplements

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