Cited by 71Sirtuins and Resveratrol in MedicinePhytochemicals and Antioxidant ActivitiesAdipokines, Inflammation, and Metabolic Diseases

The Role of Resveratrol Administration in Human Obesity

Open access
Mongioì, Laura M., La Vignera, Sandro, Cannarella, Rossella, Cimino, Laura, Compagnone, Michele, Condorelli, Rosita A., Calogero, Aldo E.·2021·International Journal of Molecular Sciences

Abstract

Obesity is a widespread disease that is associated with numerous and serious comorbidities. These include metabolic syndrome, diabetes mellitus, cardiovascular-cerebrovascular disease, hypertension, obstructive sleep apnea syndrome, cancer, and sexual and hormonal disorders. The treatment of obesity has therefore become a goal of great clinical and social relevance. Among the therapeutic strategies against obesity, resveratrol has aroused great interest. This polyphenol has anticancer and antioxidant properties and cytoprotective and anti-inflammatory effects. Other favorable effects attributed to resveratrol are anti-lipid, anti-aging, anti-bacterial, anti-viral, and neuroprotective actions. Administration of resveratrol appears to improve the metabolic profile in obese and/or insulin-resistant patients. This article aims to review the main results of clinical studies evaluating the effects of administering resveratrol alone in overweight/obese patients.

AI snapshot

Written from the paper’s full text.

TL;DR

This review examines clinical studies of resveratrol administered alone in overweight/obese patients and reviews its possible mechanisms of action in weight gain. Human trial results are scarce and contradictory, with some metabolic improvements but inconsistent effects on body weight/BMI and some safety signals at higher doses.

Key findings

  • In Timmers et al., 11 otherwise healthy obese patients received 150 mg/day resveratrol for 30 days; this significantly reduced blood glucose, insulin, HOMA index, triglycerides, sleeping and resting metabolic rate, and blood pressure, and improved liver function, but had no effect on body weight. Muscle biopsy showed increased AMPK phosphorylation and SIRT-1 and PGC-1α expression.
  • Other trials were largely negative: 500 mg three times daily for 4 weeks in 24 obese men had no effect on glucose homeostasis, HbA1c, insulin sensitivity, lipid profile, blood pressure, total body fat mass, resting energy expenditure, or glucose/lipid oxidation; 150 mg/day for 4 weeks in 45 overweight/obese patients with type 2 diabetes showed no change in metabolic, inflammation, or endothelial markers, though alkaline phosphatase increased significantly.
  • Some studies reported benefits: 75 mg/day for 6 weeks in 28 healthy obese patients increased flow-mediated dilation by more than 23%; 1000 mg/day then 2000 mg/day for 2 weeks in 8 overweight/obese subjects with mild hypertriglyceridemia significantly reduced apoB-48 and apoB-100 without changes in insulin sensitivity or triglycerides; 250 mg/day plus a physical activity and diet program in 25 obese patients with metabolic syndrome lowered BMI and waist circumference in both groups, but only the resveratrol group showed increased HDL and significant decreases in VLDL, total cholesterol, urea, creatinine, and albumin.
  • Proposed mechanisms include effects on AMPK, SIRT-1, and PGC-1α; inhibition of adipogenesis; and stimulation of mitochondrial activity. Resveratrol has low bioavailability, with oral absorption approximately 75%, and in vitro concentrations range from 5–100 µM, most commonly 50 µM.

Methods

  • Narrative review of clinical studies evaluating the effects of resveratrol administered alone, not in combination with other nutraceuticals, in overweight/obese patients, plus a review of mechanisms of action in weight gain.
  • Summarizes human trials with varied designs, including placebo-controlled, double-blind, crossover, randomized, and open-label studies; doses ranged from 30 to 2000 mg/day, durations from 2 weeks to 6 months, and sample sizes from 8 to 112 patients.
  • Table 1 summarizes the main clinical trials; no systematic search strategy, meta-analysis, or formal risk-of-bias assessment is described.

Limitations

  • The paper states that human data are still scarce and at times contradictory and inconclusive, possibly due to different resveratrol dosages and treatment lengths; further studies with long-term follow-up and larger sample sizes are needed.
  • The paper states that the exact mechanisms of resveratrol’s beneficial effects are not fully understood, that direct SIRT-1 activation by resveratrol is controversial, and that bioavailability is low with inter-individual variation and unclear roles of metabolites.
  • Evident from the text: this is a narrative review rather than a systematic review or meta-analysis, and many included trials are small, heterogeneous, and sometimes conducted in patients with comorbidities or co-interventions, limiting generalizability.

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Integrity signals

Registry

Crossref · 10.3390/ijms22094362

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

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  • Interpretationcitation

    Resveratrol administration appears to improve the metabolic profile in obese and/or insulin-resistant patients.

    “Administration of resveratrol appears to improve the metabolic profile in obese and/or insulin-resistant patients.”
    • Also stated in: § 1. Introduction · hedged
      “Finally, supplementation of resveratrol appears to improve the metabolic profile in obese and/or insulin-resistant patients [3,4,5].”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [3] Pretorius, 2009, Is the use of resveratrol in the treatment and prevention of obesity premature?, Nutr. Res. Rev. source

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    • cites [4] Silveira, 2020, Oral resveratrol supplementation improves metabolic syndrome features in obese patients submitted to a lifestyle-changing program, Life Sci. source

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    • cites [5] Singh, 2019, Health benefits of resveratrol: Evidence from clinical studies, Med. Res. Rev. source

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  • Premisecitation

    Experiments in animal models have shown that resveratrol significantly reduces body weight.

    “Experiments in animal models have shown that resveratrol significantly reduces body weight [14].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [14] Howitz, 2003, Small molecule activators of sirtuins extend Saccharomyces cerevisiae lifespan, Nature source

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  • Premisecitation

    Resveratrol can influence gene expression by inducing changes that mimic those seen under calorie restriction conditions.

    “In particular, resveratrol can influence gene expression by inducing changes that mimic those seen under calorie restriction conditions [12].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [12] Scapagnini, 2014, Dose response biology of resveratrol in obesity, J. Cell Commun. Signal. source

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  • Premisecitation

    Resveratrol has anti-inflammatory effects.

    “This polyphenol also has anti-inflammatory effects. In fact, it inhibits cyclooxygenase-2 (COX-2), nuclear factor-kB (NF-kB), and other molecules involved in inflammatory processes [6,8].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [6] Alamo, A., Condorelli, R.A., Mongioì, L.M., Cannarella, R., Giacone, F., Calabrese, V., La Vignera, S., and Calogero, A.E. (2019). Environment and male fertility: Effects of benzo-α-pyrene and resveratrol on human sperm function in vitro. J. Clin. Med., 8. source

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    • cites [8] Smoliga, 2011, Resveratrol and health—A comprehensive review of human clinical trials, Mol. Nutr. Food Res. source

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  • Premisecitation

    Resveratrol-induced AMPK phosphorylation appears to be high-dose dependent.

    “However, resveratrol-induced AMPK phosphorylation appears to be high-dose dependent [12].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [12] Scapagnini, 2014, Dose response biology of resveratrol in obesity, J. Cell Commun. Signal. source

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  • May combine two claims. 43
  • Classified as probably not a substantial claim. 11
  • The quote only partly states this claim. 3
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    Premisecitation

    Resveratrol may affect the activity of AMPK, SIRT-1, and PGC-1α, all altered in the metabolic abnormalities present in patients with obesity.

    “Resveratrol may affect the activity of various intracellular targets such as adenosine monophosphate-activated protein kinase (AMPK), the deacetylating enzyme sirtuin-1 (SIRT-1), and the peroxisome proliferator-activated receptor γ coactivator-1α (PGC-1α), all altered in the metabolic abnormalities present in patients with obesity [12,13].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [12] Scapagnini, 2014, Dose response biology of resveratrol in obesity, J. Cell Commun. Signal. source

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    • cites [13] Timmers, 2011, Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans, Cell Metab. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Resveratrol has antioxidant properties.

    “This polyphenol has anticancer and antioxidant properties and cytoprotective and anti-inflammatory effects.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [6] Alamo, A., Condorelli, R.A., Mongioì, L.M., Cannarella, R., Giacone, F., Calabrese, V., La Vignera, S., and Calogero, A.E. (2019). Environment and male fertility: Effects of benzo-α-pyrene and resveratrol on human sperm function in vitro. J. Clin. Med., 8. source

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    • cites [8] Smoliga, 2011, Resveratrol and health—A comprehensive review of human clinical trials, Mol. Nutr. Food Res. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Resveratrol has cytoprotective effects.

    “Resveratrol also has cytoprotective effects and antioxidant properties, and modulates anti- and pro-apoptotic mediators, protecting cells from DNA damage.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [6] Alamo, A., Condorelli, R.A., Mongioì, L.M., Cannarella, R., Giacone, F., Calabrese, V., La Vignera, S., and Calogero, A.E. (2019). Environment and male fertility: Effects of benzo-α-pyrene and resveratrol on human sperm function in vitro. J. Clin. Med., 8. source

      Not checked in the free run.

    • cites [8] Smoliga, 2011, Resveratrol and health—A comprehensive review of human clinical trials, Mol. Nutr. Food Res. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In animal models, resveratrol improves mitochondrial function and cellular sensitivity to insulin in mice fed a high-energy diet.

    “It also improves mitochondrial function, which is compromised in numerous metabolic diseases, and cellular sensitivity to insulin in mice fed a high-energy diet [3].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [3] Pretorius, 2009, Is the use of resveratrol in the treatment and prevention of obesity premature?, Nutr. Res. Rev. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Resveratrol inhibits COX-2, NF-kB, and other molecules involved in inflammatory processes.

    “In fact, it inhibits cyclooxygenase-2 (COX-2), nuclear factor-kB (NF-kB), and other molecules involved in inflammatory processes [6,8].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [6] Alamo, A., Condorelli, R.A., Mongioì, L.M., Cannarella, R., Giacone, F., Calabrese, V., La Vignera, S., and Calogero, A.E. (2019). Environment and male fertility: Effects of benzo-α-pyrene and resveratrol on human sperm function in vitro. J. Clin. Med., 8. source

      Not checked in the free run.

    • cites [8] Smoliga, 2011, Resveratrol and health—A comprehensive review of human clinical trials, Mol. Nutr. Food Res. source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Resveratrol has anticancer properties.

    “The scientific interest in resveratrol dates back to 1997 when studies on animal models demonstrated its anticancer properties [7].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [7] Jang, 1997, Cancer chemopreventive activity of resveratrol, a natural product derived from grapes, Science source

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    Premisecitation

    SCO seems to interfere with the inflammatory pathway, reducing metabolic dysfunction, and has a favorable effect on pancreatic β-cells.

    “Furthermore, SCO seems to interfere with the inflammatory pathway, thus reducing metabolic dysfunction, and has a favorable effect on pancreatic β-cells [31].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [31] Boudreau, 2020, Mechanisms of Artemisia scoparia’s anti-inflammatory activity in cultured adipocytes, macrophages, and pancreatic β-cells, Obesity source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Some studies reported an increase in adipocyte apoptosis via the SIRT-1/AMPK axis and a lipolytic effect of resveratrol, although the latter effect is still debated.

    “Some studies have also reported an increase in adipocyte apoptosis via the SIRT-1/AMPK axis and a lipolytic effect of resveratrol, although the latter effect is still debated [27].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [27] Aguirre, 2014, Resveratrol: Anti-obesity mechanisms of action, Molecules source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Similar metabolic pathways are triggered by physical activity and calorie restriction with diet.

    “Similar metabolic pathways are also triggered by physical activity and calorie restriction with diet.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [24] Matta, 2021, The effect of acute aerobic exercise on redox homeostasis and mitochondrial function of rat white adipose tissue, Oxid. Med. Cell Longev. source

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    • cites [25] Abete, 2009, Legume-, fish-, or high-protein-based hypocaloric diets: Effects on weight loss and mitochondrial oxidation in obese men, J. Med. Food source

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    Premisecitation

    SIRT-1 can increase the activity of PGC-1α, which induces gluconeogenesis and glycolysis in the liver by increasing transcription of glycogenetic genes.

    “SIRT-1 can also increase the activity of PGC-1α, which in turn induces gluconeogenesis and glycolysis in the liver by increasing the transcription of glycogenetic genes [23].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [23] Lagouge, 2006, Resveratrol improves mitochondrial function and protects against metabolic disease by activating SIRT1 and PGC-1alpha, Cell source

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    Premisecitation

    Resveratrol stimulates mitochondrial activity through SIRT-1-mediated activation of PGC-1α, contributing to fiber-type switching and adaptive thermogenesis in muscles and brown adipose tissue.

    “Some evidence indicates that resveratrol stimulates mitochondrial activity through SIRT-1-mediated activation of PGC-1α, which contributes to fiber-type switching and adaptive thermogenesis in muscles and brown adipose tissue, respectively [23].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [23] Lagouge, 2006, Resveratrol improves mitochondrial function and protects against metabolic disease by activating SIRT1 and PGC-1alpha, Cell source

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    Premisecitation

    SIRT-1 is a human deacetylase that negatively regulates the p53 tumor suppressor gene and thus promotes cell survival.

    “SIRT-1 is a human deacetylase that negatively regulates the p53 tumor suppressor gene, thus it promotes cell survival [14].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [14] Howitz, 2003, Small molecule activators of sirtuins extend Saccharomyces cerevisiae lifespan, Nature source

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    Premisecitation

    In a SIRT-1 knock-out mouse model, resveratrol is unable to induce AMPK phosphorylation at a low dose, but AMPK phosphorylation is observed at a 10 times higher dose.

    “Indeed, in a SIRT-1 knock-out mouse model, resveratrol is unable to induce AMPK phosphorylation at a low dose. In contrast, AMPK phosphorylation was observed at 10 times higher dose.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [17] Price, 2012, SIRT1 is required for AMPK activation and the beneficial effects of resveratrol on mitochondrial function, Cell Metab. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Hu et al. reported dose-dependent stimulation of adipocyte differentiation at resveratrol concentrations of 1 and 10 μM, and an inhibitory effect at 50 and 100 μM, confirmed by reduction in C/EBPα, FABP4, and PPARγ.

    “The author reported a dose-dependent stimulation of adipocytes differentiation at concentrations of 1 and 10 μM. Conversely, an inhibitory effect was found at concentrations of 50 and 100 μM, as confirmed by the reduction in the expression of C/EBPα, FABP4, and PPARγ.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [29] Hu, 2015, Physiologically achievable doses of resveratrol enhance 3T3-L1 adipocyte differentiation, Eur. J. Nutr. source

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    Premisecitation

    SIRT-1 acts as a regulator of healthspan in mammals, protecting against aging and stressful metabolic conditions such as impaired glucose homeostasis, obesity, and cancer.

    “In mammals, SIRT-1 acts as a regulator of healthspan, protecting against aging and stressful metabolic conditions such as impaired glucose homeostasis, obesity, and cancer [13].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [13] Timmers, 2011, Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans, Cell Metab. source

      Not checked in the free run.

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    Premisecitation

    PDE regulate pancreatic β-cell signaling, modulating Ca2+ levels and insulin secretion.

    “PDE regulate the signaling of pancreatic β-cell within which they modulate the Ca2+ levels and, consequently, the secretion of insulin [16].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [16] Bitterman, 2015, Metabolic effects of resveratrol: Addressing the controversies, Cell Mol. Life Sci. source

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    Interpretationcitation

    Resveratrol can phosphorylate AMPK in a dose-dependent manner and independently of SIRT-1.

    “These results, therefore, indicate that resveratrol can phosphorylate AMPK in a dose-dependent manner and independently of SIRT-1 [17].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [17] Price, 2012, SIRT1 is required for AMPK activation and the beneficial effects of resveratrol on mitochondrial function, Cell Metab. source

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  • The quote only partly states this claim.

    Premisecitation

    In obese Zucker rats, resveratrol 10 mg/kg for 8 weeks increased phosphorylated ACC protein expression.

    “Also, an increase in phosphorylated ACC protein expression was found.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [20] Rivera, 2009, Long-term resveratrol administration reduces metabolic disturbances and lowers blood pressure in obese Zucker rats, Biochem. Pharmacol. source

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    Premisecitation

    An ethanolic extract of Artemisia scoparia (SCO), a PPARγ agonist, showed both in-vitro and in-vivo beneficial effects on insulin sensitivity and adipocyte function.

    “Interestingly, an agonist of PPARγ, an ethanolic extract of Artemisia scoparia (SCO), showed both in-vitro and in-vivo beneficial effects on insulin sensitivity and adipocyte function [30].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [30] Richard, A.J., Fuller, S., Fedorcenco, V., Beyl, R., Burris, T.P., Mynatt, R., Ribnicky, D.M., and Stephens, J.M. (2014). Artemisia scoparia enhances adipocyte development and endocrine function in vitro and enhances insulin action in vivo. PLoS ONE, 9. source

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    Premisecitation

    Increased cAMP activates PKA and EPAC, inducing activation of AMPK and consequently SIRT-1.

    “The increase of cAMP levels activates protein kinase A (PKA) and exchange protein activated by cAMP (EPAC), inducing the activation of AMPK e consequently of SIRT-1 [16].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [16] Bitterman, 2015, Metabolic effects of resveratrol: Addressing the controversies, Cell Mol. Life Sci. source

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  • May combine two claims.

    Interpretationreasoning

    Findings strongly suggest a role for resveratrol in inhibiting adipogenesis and glycolysis, and in stimulating gluconeogenesis and mitochondrial activity.

    “In summary, these findings strongly suggest a role for resveratrol in inhibiting adipogenesis and glycolysis, and in stimulating gluconeogenesis and mitochondrial activity (Figure 1).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Findings from animal and in-vitro studies about resveratrol's mechanisms are relevant to human obesity.
  • May combine two claims.

    Premisecitation

    Other authors confirmed that resveratrol at dosages 10-40 μM and incubation times 2, 4, and 6 days inhibits pre-adipocyte differentiation, with the greatest inhibition of 40% at 40 μM for 6 days.

    “These findings were confirmed by other authors, who used different dosages (10–40 μM) and incubation times (2, 4, and 6 days). The greatest amount of inhibition of pre-adipocyte differentiation was 40% and was achieved at a dose of 40 μM for 6 days [28].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [28] Kang, 2012, Resveratrol inhibits the protein expression of transcription factors related adipocyte differentiation and the activity of matrix metalloproteinase in mouse fibroblast 3T3-L1 preadipocytes, Nutr. Res. Pract. source

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    Premisecitation

    Lasa et al. reported that incubating pre-adipocyte cells with increasing concentrations of resveratrol (1, 10, and 25 μM) for 24 h decreased triacylglycerol content and lower expression of ACC.

    “Lasa and colleagues [18] incubated pre-adipocyte cells with increasing concentrations of resveratrol (1, 10, and 25 µM) for 24 h, reporting a decrease in triacylglycerol content and a lower expression of acetyl-CoA carboxylase (ACC).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [18] Lasa, 2012, Delipidating effect of resveratrol metabolites in 3T3-L1 adipocytes, Mol. Nutr. Food Res. source

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    Premisecitation

    In the context of obesity, resveratrol appears to be responsible for modulating mitochondrial activity, with activation of SIRT-1 playing a key role.

    “In the context of obesity, resveratrol appears to be responsible for modulating mitochondrial activity for which activation of SIRT-1 plays a key role.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [13] Timmers, 2011, Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans, Cell Metab. source

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationcitation

    Resveratrol decreased ACC activity and thus de-novo lipogenesis in obese Zucker rats.

    “Since it is an inactive form of ACC, the authors suggested that resveratrol decreased ACC activity and thus de-novo lipogenesis [20].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [20] Rivera, 2009, Long-term resveratrol administration reduces metabolic disturbances and lowers blood pressure in obese Zucker rats, Biochem. Pharmacol. source

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    Premisecitation

    Incubation of pre-adipocytes with resveratrol at concentrations >10 μM down-regulated gene and protein expression of C/EBPα, SREBP-1c, and PPARγ, thereby reducing adipogenesis.

    “Some authors found that after incubation of pre-adipocytes with resveratrol at concentrations >10 μM, gene and protein expression of C/EBPα, SREBP-1c, and PPARγ were down-regulated, thereby reducing adipogenesis.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [27] Aguirre, 2014, Resveratrol: Anti-obesity mechanisms of action, Molecules source

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    Premisecitation

    In obese Zucker rats, resveratrol 10 mg/kg for 8 weeks lowered abdominal fat content compared with pre-treatment, with no change in lean rats.

    “Obese rats were found to have lower abdominal fat content than pre-treatment values, while no change was found in lean ones.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [20] Rivera, 2009, Long-term resveratrol administration reduces metabolic disturbances and lowers blood pressure in obese Zucker rats, Biochem. Pharmacol. source

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  • May combine two claims. The quote only partly states this claim.

    Premisecitation

    In Dash et al.'s crossover study, resveratrol (1000 mg/day first week, 2000 mg/day second week) for 2 weeks in overweight/obese subjects with mild hypertriglyceridemia produced no changes in insulin sensitivity or triglyceride concentration.

    “The authors found no changes in insulin sensitivity and triglyceride concentration, but they observed a significant reduction in apoB-48 and apoB-100, which are lipoprotein particles produced by the intestine and liver, respectively [39].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [39] Dash, 2013, High-dose resveratrol treatment for 2 weeks inhibits intestinal and hepatic lipoprotein production in overweight/obese men, Arter. Thromb. Vasc. Biol. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    In that 2011 pilot, one patient reported only mild diarrhea.

    “Regarding adverse reactions, one patient reported only mild diarrhea [33].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [33] Crandall, 2012, Pilot study of resveratrol in older adults with impaired glucose tolerance, J. Gerontol. A Biol. Sci. Med. Sci. source

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    Premisecitation

    In van der Made et al.'s trial, resveratrol was well tolerated and no adverse reactions were reported.

    “Resveratrol was well tolerated and no adverse reactions were reported [37].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [37] van der Made, S.M., Plat, J., and Mensink, R.P. (2015). Resveratrol does not influence metabolic risk markers related to cardiovascular health in overweight and slightly obese subjects: A randomized, placebo-controlled crossover trial. PLoS ONE, 10. source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    In in-vitro experiments, resveratrol concentrations range from 5-100 μM, with 50 μM most commonly used.

    “In in-vitro experiments, resveratrol concentrations range from 5–100 µM, although the concentration of 50 µM is the most commonly used [12].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [12] Scapagnini, 2014, Dose response biology of resveratrol in obesity, J. Cell Commun. Signal. source

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    Premisecitation

    Oral absorption of resveratrol is approximately 75%, but unmetabolized resveratrol is not easy to identify in human plasma.

    “Although oral absorption is approximately 75%, it is actually not easy to identify unmetabolized resveratrol in human plasma [32].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [32] Walle, 2011, Bioavailability of resveratrol, Ann. N. Y. Acad. Sci. source

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    Premisecitation

    In Poulsen et al.'s trial, resveratrol 500 mg three times daily for 4 weeks in obese men with moderate insulin resistance had no effect on glucose homeostasis, HbA1c, insulin sensitivity, lipid profile, blood pressure, total body fat mass, resting energy expenditure, or glucose/lipid oxidation rate.

    “At the end of the study, the authors found no effects on glucose homeostasis, glycosylated hemoglobin (HbA1c), insulin sensitivity, lipid profile, blood pressure, total body fat mass, resting energy expenditure, glucose or lipid oxidation rate.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [36] Poulsen, 2013, High-dose resveratrol supplementation in obese men: An investigator-initiated, randomized, placebo-controlled clinical trial of substrate metabolism, insulin sensitivity, and body composition, Diabetes source

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    Premisecitation

    In Timmers et al.'s study, muscle biopsy showed increased AMPK phosphorylation and SIRT-1 and PGC-1α expression after resveratrol treatment.

    “After muscle biopsy, the authors also found increased AMPK phosphorylation and SIRT-1 and PGC-1α expression.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [13] Timmers, 2011, Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans, Cell Metab. source

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    Premisecitation

    Multiple daily doses increase the Cmax of resveratrol, and resveratrol and its metabolites accumulate in human cells in a dose-dependent and tissue-specific manner.

    “Multiple daily doses increase the Cmax of resveratrol and it appears that this polyphenol and its metabolites accumulate in human cells in a dose-dependent and tissue-specific manner [8].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [8] Smoliga, 2011, Resveratrol and health—A comprehensive review of human clinical trials, Mol. Nutr. Food Res. source

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    Premisecitation

    In that 2011 pilot, resveratrol had no significant effect on fasting blood glucose, insulin secretion, HOMA index, blood pressure, fasting lipid profile, c-reactive protein, adiponectin, and body weight.

    “Resveratrol had no significant effect on fasting blood glucose levels, insulin secretion, HOMA index, blood pressure, fasting lipid profile, c-reactive protein, adiponectin, and body weight, but significantly decreased postprandial glucose peak.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [33] Crandall, 2012, Pilot study of resveratrol in older adults with impaired glucose tolerance, J. Gerontol. A Biol. Sci. Med. Sci. source

      Not checked in the free run.

  • The quote only partly states this claim.

    Premisecitation

    After 6 weeks of resveratrol 75 mg once daily, FMD increased by more than 23% in healthy obese patients.

    “After 6 weeks of resveratrol administration, FMD increased by more than 23%.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [35] Wong, 2013, Chronic resveratrol consumption improves brachial flow-mediated dilatation in healthy obese adults, J. Hypertens. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    There are inter-individual variations in resveratrol bioavailability, and the exact role of its metabolites is unclear.

    “However, there are inter-individual variations in its bioavailability and, to date, the exact role of its metabolites is unclear [8].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [8] Smoliga, 2011, Resveratrol and health—A comprehensive review of human clinical trials, Mol. Nutr. Food Res. source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisenone given

    Only a few trials have evaluated the effects of resveratrol administered alone and not in combination with other nutraceuticals on obesity in humans.

    “Despite numerous studies conducted on experimental models in animals, only a few trials have evaluated the effects of resveratrol administered alone and not in combination with other nutraceuticals on obesity in humans.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductcitation

    Wong et al. enrolled 19 overweight/obese patients and postmenopausal women (BMI 25-35 kg/m2, aged 30-70 years) with blood hypertension in a placebo-controlled, double-blind, randomized crossover study.

    “In the same year, Wong and colleagues in their placebo-controlled, double-blind, randomized crossover study enrolled 19 overweight/obese patients and postmenopausal women (BMI 25–35 kg/m2, aged 30–70 years) with blood hypertension [34].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [34] Wong, 2011, Acute resveratrol supplementation improves flow-mediated dilatation in overweight/obese individuals with mildly elevated blood pressure, Nutr. Metab. Cardiovasc. Dis. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In that 2011 pilot, endothelial function improved but not significantly.

    “Endothelial function, assessed by reactive hyperemia of peripheral arterial tonometry, improved but not significantly.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [33] Crandall, 2012, Pilot study of resveratrol in older adults with impaired glucose tolerance, J. Gerontol. A Biol. Sci. Med. Sci. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In the 2018 trial, resveratrol was well tolerated and no adverse events were reported.

    “Resveratrol was well tolerated and no adverse events were reported [43].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [43] Kantartzis, 2018, Effects of resveratrol supplementation on liver fat content in overweight and insulin-resistant subjects: A randomized, double-blind, placebo-controlled clinical trial, Diabetes Obes. Metab. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In Batista-Jorge et al.'s study, only the resveratrol group showed an increase in HDL and a significant decrease of VLDL, total cholesterol, urea, creatinine, and albumin.

    “After 3 months, BMI and waist circumference were significantly lower in both groups, however, only the resveratrol group showed an increase in HDL and a significant decrease of very-low-density lipoprotein (VLDL), total cholesterol, urea, creatinine, and albumin [4].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [4] Silveira, 2020, Oral resveratrol supplementation improves metabolic syndrome features in obese patients submitted to a lifestyle-changing program, Life Sci. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Konings et al. showed that administration of 150 mg/day resveratrol for 30 days to 11 obese but otherwise healthy patients decreased the size of subcutaneous adipocytes of the abdominal area and enhanced and improved adipogenesis, probably by modulating gene expression.

    “Konings and colleagues, integrating their previous study [13], showed that the administration of 150 mg per day of resveratrol for 30 days to 11 obese but otherwise healthy patients decreased the size of subcutaneous adipocyte of the abdominal area and enhanced and improved adipogenesis, probably by modulating gene expression.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [13] Timmers, 2011, Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans, Cell Metab. source

      Not checked in the free run.

    • cites [41] Konings, 2014, The effects of 30-days resveratrol supplementation on adipose tissue morphology and gene expression patterns in obese men, Int. J. Obes. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In the 2014 study, after 90 days, fasting glucose and bilirubin levels were significantly lower in patients treated with resveratrol than in those receiving placebo, but not compared to values at study enrollment.

    “After 90 days of treatment, fasting glucose and bilirubin levels were significantly lower in patients treated with resveratrol than in those receiving placebo, but not compared to the values at study enrollment.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [40] Anton, 2014, Safety and metabolic outcomes of resveratrol supplementation in older adults: Results of a twelve-week, placebo-controlled pilot study, Exp. Gerontol. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Konings et al. found that resveratrol upregulated pathways involved in cell cycle regulation and is associated with lysosome, phagosome, inflammation, and glucose transport.

    “At the same time, resveratrol has upregulated pathways involved in cell cycle regulation and is associated with lysosome, phagosome, inflammation, and glucose transport [41].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [41] Konings, 2014, The effects of 30-days resveratrol supplementation on adipose tissue morphology and gene expression patterns in obese men, Int. J. Obes. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In Batista-Jorge et al.'s study, after 3 months, BMI and waist circumference were significantly lower in both placebo and resveratrol groups (all patients followed physical activity and diet).

    “After 3 months, BMI and waist circumference were significantly lower in both groups, however, only the resveratrol group showed an increase in HDL and a significant decrease of very-low-density lipoprotein (VLDL), total cholesterol, urea, creatinine, and albumin [4].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [4] Silveira, 2020, Oral resveratrol supplementation improves metabolic syndrome features in obese patients submitted to a lifestyle-changing program, Life Sci. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In the pilot study of 28 obese patients with metabolic syndrome, resveratrol 1000 mg twice daily for 30 days was well tolerated but had no substantial effects on glucose homeostasis except for a lower 120-minute glucose concentration compared to placebo.

    “At the end of the observation period, resveratrol was well tolerated but the authors found no substantial effects on glucose homeostasis except for a lower 120 minutes glucose concentration in patients treated with resveratrol compared to the placebo group.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [42] Walker, 2018, The effects of trans-resveratrol on insulin resistance, inflammation, and microbiota in men with the metabolic syndrome: A pilot randomized, placebo-controlled clinical trial, J. Clin. Transl. Res.

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In the same study, no effect was recorded on intrahepatic lipid content, body composition, blood pressure, resting energy metabolism, and quality of life and/or sleep.

    “No effect was recorded on intrahepatic lipid content, body composition, blood pressure, resting energy metabolism, and quality of life and/or sleep [44].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [44] Bergman, 2020, No effect of resveratrol supplementation after 6 months on insulin sensitivity in overweight adults: A randomized trial, Am. J. Clin. Nutr.

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    The data from human studies on resveratrol and obesity are still scarce and, at times, contradictory and inconclusive.

    “However, the data from human studies are still scarce and, at times, contradictory and inconclusive.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    The contradictory and inconclusive nature of human data on resveratrol and obesity may be due to the different dosages of resveratrol and the various lengths of treatment used in these clinical trials.

    “This may also be due to the different dosages of resveratrol and the various lengths of treatment used in these clinical trials.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    In the 2014 study, a decrease in hemoglobin levels and mean corpuscular volume was observed in patients receiving 300 mg/day resveratrol, whereas patients given the highest dose (1000 mg/day) had an increase in alkaline phosphatase and aspartate aminotransferase levels.

    “However, a decrease in hemoglobin levels and mean corpuscular volume was observed in the group of patients receiving 300 per day of resveratrol, whereas the patients given the highest dose had an increase in alkaline phosphatase and aspartate aminotransferase levels [40].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [40] Anton, 2014, Safety and metabolic outcomes of resveratrol supplementation in older adults: Results of a twelve-week, placebo-controlled pilot study, Exp. Gerontol. source

      Not checked in the free run.

52 of 52
  • The paper relies on this without support.

    Obesity has a complex and multifaceted etiopathogenesis.

    “Therefore, given that obesity is a disease with complex and multifaceted etiopathogenesis, this review evaluated the effects of administering resveratrol alone in patients with obesity.”
  • The paper relies on this without support.

    Findings from animal and in-vitro studies about resveratrol's mechanisms are relevant to human obesity.

    “In summary, these findings strongly suggest a role for resveratrol in inhibiting adipogenesis and glycolysis, and in stimulating gluconeogenesis and mitochondrial activity (Figure 1).”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • SIRT-1 is described as both a deacetylase and an acetylase

    Minor

    The paper identifies SIRT-1 as a deacetylase, but later calls it an acetylase and says it acts by acetylating promoter regions.

  • Summary reverses the stated effect on glycolysis

    Minor

    The mechanistic discussion says the SIRT-1/PGC-1α pathway induces glycolysis, but the summary says resveratrol inhibits glycolysis despite describing its action through that pathway.

  • Rats in the Rivera study are subsequently called mice

    Minor

    The paragraph says the study used Zucker rats, then describes the treated animals as mice.

3 of 3

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Tabrizi, 2020, The effects of resveratrol intake on weight loss: A systematic review and meta-analysis of randomized controlled trials, Crit. Rev. Food Sci. Nutr., 60, 375, 10.1080/10408398.2018.1529654 · DOI
  2. Poulsen, 2013, High-dose resveratrol supplementation in obese men: An investigator-initiated, randomized, placebo-controlled clinical trial of substrate metabolism, insulin sensitivity, and body composition, Diabetes, 62, 1186, 10.2337/db12-0975 · DOI · Paper page

Cited by

Sorted by citations

Authors
Mongioì, L. M., La Vignera, S., Cannarella, R., Cimino, L., Compagnone, M., Condorelli, R. A., & Calogero, A. E.
Affiliations
  • University of Catania (IT)
  • Department of Clinical and Experimental Medicine, University of Catania, Policlinico “G. Rodolico”, Via S. Sofia 78, 95123 Catania, Italy
Corresponding author
Calogero, Aldo E.
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2021-04-22
Volume
22
Issue
9
Pages
4362
ISSN
1422-0067 (ISSN-L)
OpenAlex
W3153681733
Cited by
71
References
42
Citations by year
2026: 12 · 2025: 13 · 2024: 11 · 2023: 17 · 2022: 17 · 2021: 1
FWCI
1.72
Type
journal article
Language
en
Open access
Locations
  • International Journal of Molecular Sciences (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
  • Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
Keywords
resveratrol, obesity, polyphenols, insulin resistance, metabolic syndrome, diabetes mellitus, antioxidant activity, anti-inflammatory activity, anti-aging effects, neuroprotection, clinical trials
MeSH terms
Resveratrol, Antioxidants, Humans, Obesity, Anti-Obesity Agents

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