Effects of melatonin supplementation on blood lipid concentrations: A systematic review and meta-analysis of randomized controlled trials
Abstract
Background & aims Melatonin supplementation may be associated with blood lipids improvement; however, the current evidence from randomized controlled trials (RCTs) is inconsistent. The present study aimed to systematically review and analyze RCTs assessing the effects of melatonin supplementation on blood lipids.Methods A comprehensive literature search in several database was performed up to January 2017. Quantitative data synthesis was performed using a fixed or random-effects model, with weight mean difference (WMD) and 95% confidence intervals (CI). Standard methods were used for assessment of heterogeneity, meta-regression, sensitivity analysis and publication bias.Results A total of 8 RCTs were eligible. Meta-analysis suggested a significant association between melatonin supplementation and a reduction in triglycerides (WMD: -31.54 mg/dL, 95% CI: -50.71, -12.38, p = 0.001), and total cholesterol levels (WMD: -18.48 mg/dL, 95% CI: -35.33, -1.63, p = 0.032), while no significant effect on LDL-C (WMD: -2.37 mg/dL, 95% CI: -11.61, -6.86, p = 0.615) and HDL-C (WMD: 1.28 mg/dL, 95% CI: -0.66, 3.23, p = 0.197) was found. In sub-group analysis, a significant decrease in triglycerides was found at doses ≥8 mg/d and when trials last ≥8 weeks. In addition, a significant decrease of total cholesterol was found at doses ≥8 mg/d and when total cholesterol baseline levels were ≥200 mg/dL.Conclusions Melatonin supplementation has significant effects on triglycerides and total cholesterol levels, which was more evident in higher dose and longer duration and also in a higher concentration of cholesterol levels. Further studies are required to determine the benefits of melatonin on lipid profile.
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A new systematic review and meta-analysis of RCTs demonstrated the beneficial impacts of melatonin consumption on lipids at doses greater than 8 mg/d and long durations of more than 8 weeks including a notable reduction in TG, TC, and a small reduction in LDL-c and HDL-c.
“In agreement with our results, a new systematic review and meta-analysis of RCTs demonstrated the beneficial impacts of melatonin consumption on lipids at doses greater than 8 mg/d and long durations of more than 8 weeks including a notable reduction in TG, TC, and a small reduction in LDL-c and HDL-c. 33”
From Melatonin supplementation improves glycemic hemostasis, lipid profile, and adipokine concentrations of obese women: A double-blind randomized clinical trial (2024) · cites this paper as [33]
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“33 The lipid-promoting effects of melatonin arise from the promotion of innate cholesterol release through the production of bilirubin acid and the prevention of low-density lipoprotein receptor function.”
- Authors
- Mohammadi-Sartang, M., Ghorbani, M., & Mazloom, Z.
- Affiliations
- Torbat Heydarieh University of Medical Sciences (IR)
- Shiraz University of Medical Sciences (IR)
- Corresponding author
- Mazloom, Zohreh
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 37
- Issue
- 6
- Pages
- 1943-1954
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2770508056
- Cited by
- 94
- References
- 58
- Citations by year
- 2026: 11 · 2025: 6 · 2024: 17 · 2023: 9 · 2022: 7 · 2021: 11 · 2020: 17 · 2019: 10 · 2018: 6
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- melatonin supplementation, serum lipids, triglycerides, total cholesterol, LDL cholesterol, HDL cholesterol, lipid profile, dose-response relationship, duration of supplementation, hypercholesterolemia
- MeSH terms
- Adult, Aged, Cholesterol, Female, Humans, Lipids, Cholesterol, HDL, Cholesterol, LDL, Male, Melatonin, Middle Aged, Triglycerides, Randomized Controlled Trials as Topic, Dietary Supplements
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