The Role of Resveratrol Administration in Human Obesity
Open accessAbstract
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.
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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.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
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Cites
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Claims the paper makes
0 of 113 cited sources checked · 0 supported · 0 flagged
- 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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- Also stated in: § 1. Introduction · hedged
- 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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- Premisecitation
Numerous pieces of evidence suggest that resveratrol activates AMPK.
“Among these, numerous pieces of evidence suggest that resveratrol activates AMPK [13,16].”
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
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- cites [16] Bitterman, 2015, Metabolic effects of resveratrol: Addressing the controversies, Cell Mol. Life Sci. source
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- Premisecitation
Resveratrol is able to induce the expression of genes that promote oxidative phosphorylation and mitochondrial biogenesis as a result of SIRT-1.
“Resveratrol is in fact able to induce the expression of genes that promote oxidative phosphorylation and mitochondrial biogenesis as a result of SIRT-1 [23].”
Quote in the paperNot a substantial 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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- Interpretationreasoning
Resveratrol appears to activate the same metabolic pathways commonly stimulated by available and validated therapies for obesity.
“Therefore, resveratrol appears to activate the same metabolic pathways commonly stimulated by available and validated therapies for obesity.”
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.
- Premisecitation
Resveratrol can indirectly inhibit adipocyte differentiation by modulating their gene expression.
“Resveratrol can also indirectly inhibit adipocyte differentiation by modulating their gene expression [26].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [26] Meng, X., Zhou, J., Zhao, C.N., Gan, R.Y., and Li, H.B. (2020). Health benefits and molecular mechanisms of resveratrol: A narrative review. Foods, 9. source
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- Premisecitation
Resveratrol concentrations between 25-50 μM significantly reduce lipid accumulation in pre-adipocytes after 6 days of incubation due to decreased adipogenesis and reduced cell viability.
“Concentrations between 25–50 μM have been shown to significantly reduce the lipid accumulation in pre-adipocytes after 6 days of incubation, due to both decreased adipogenesis and reduced cell viability [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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- Premisecitation
Direct activation of SIRT-1 by resveratrol is controversial because in-vitro experiments showed that interaction between resveratrol and the artificial fluorescent substrate used could generate artifacts.
“The direct activation of SIRT-1 by resveratrol is controversial since in-vitro experiments have shown that the interaction between resveratrol and the artificial fluorescent substrate used could generate artifacts [15].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] Auwerx, 2009, Caloric restriction, SIRT1 and longevity, Trends Endocrinol. Metab. source
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- Premisecitation
Resveratrol can inhibit the activity of phosphodiesterases (PDE), particularly PDE4, thus increasing intracellular cAMP.
“As for other mechanisms of action of resveratrol, experimental evidence has shown that this polyphenol can inhibit the activity of phosphodiesterases (PDE) and in particular of the PDE4 isoform, thus increasing the intracellular levels of cyclic adenosine monophosphate (cAMP) [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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- Premisecitation
Phosphorylation of AMPK hinders adipogenesis.
“This is an important finding since the phosphorylation state of AMPK represents a signal for adipogenesis and its phosphorylation hinders this metabolic pathway [12].”
Quote in the paperSubstantial 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
Daily administration of resveratrol at 0.11 mg/kg body weight for 12 months significantly downregulated lipoprotein lipase mRNA in PBMC of pigs.
“Consistent with this, another study reported significant downregulation of lipoprotein lipase mRNA in peripheral blood mononuclear cells (PBMC) of pigs after daily administration of resveratrol at a dose of 0.11 mg/kg of body weight for 12 months [19].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [19] Larrosa, 2012, Effects of long-term consumption of low doses of resveratrol on diet-induced mild hypercholesterolemia in pigs: A transcriptomic approach to disease prevention, J. Nutr. Biochem. source
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- Premisecitation
Disruption of adipocyte differentiation and expansion could lead to ectopic fat accumulation and metabolic alterations such as insulin resistance and type 2 diabetes mellitus.
“Although the inhibition of adipogenesis may be considered an interesting strategy for obesity prevention, some evidence highlights that the disruption of adipocyte differentiation and expansion could lead to ectopic fat accumulation and metabolic alterations, such as insulin resistance and type 2 diabetes mellitus [30].”
Quote in the paperSubstantial 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
SIRT-1 levels are higher in muscular tissue under caloric restriction (calorie intake lower by about 20-40%).
“The levels of SIRT-1 are higher in the muscular tissue in the presence of caloric restriction (calorie intake lower of about 20–40%) [15].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] Auwerx, 2009, Caloric restriction, SIRT1 and longevity, Trends Endocrinol. Metab. source
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- Premisecitation
Resveratrol has low bioavailability.
“As reported for other polyphenols, resveratrol has a low bioavailability [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
Resveratrol has been shown to promote the differentiation of white adipocytes into brown ones.
“Resveratrol has also been shown to promote the differentiation of white adipocytes into brown ones [23].”
Quote in the paperNot a substantial 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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- Interpretationreasoning
This increases the likelihood that resveratrol could be an effective weapon for the management of obesity.
“This further increases the likelihood this compound could be an effective weapon for the management of obesity.”
Quote in the paperNot a substantial claim- Rests on an assumption: Findings from animal and in-vitro studies about resveratrol's mechanisms are relevant to human obesity.
- Interpretationcitation
Resveratrol has an inhibitory effect on lipoprotein lipase.
“Hence, these results suggest the presence of an inhibitory effect of resveratrol on lipoprotein lipase [18].”
Quote in the paperSubstantial 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
Impaired adipocyte differentiation is associated with inflammatory processes in adipose tissue, which are well-known pathogenetic aspects of obesity.
“Impaired adipocyte differentiation, moreover, is also associated with inflammatory processes in the adipose tissue that are well-known pathogenetic aspects of obesity [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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- Premisecitation
Animal studies, mainly in rats, have shown a reduction of abdominal fat, lipoprotein lipase, and ACC activities after treatment with resveratrol.
“Other animal studies, mainly conducted in rats, have shown a reduction of abdominal fat, lipoprotein lipase, and ACC activities after treatment with resveratrol [20,21,22].”
Quote in the paperNot a substantial claim0 of 3 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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- cites [21] Lasa, 2013, Effects of resveratrol on obesity-related inflammation markers in adipose tissue of genetically obese rats, Nutrition source
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- cites [22] Nagao, 2013, Effect of dietary resveratrol on the metabolic profile of nutrients in obese OLETF rats, Lipids Health Dis. source
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- Premisereasoning
There is general agreement that resveratrol has an inhibitory effect on adipogenesis.
“There is general agreement on the inhibitory effect that resveratrol has on adipogenesis, as numerous studies have examined this aspect in-vitro in animal models and most of them have shown concordant results.”
Quote in the paperNot a substantial claim - Premisecitation
In the differentiation of adipocytes from stem cells, C/EBPα, SREBP-1c, and PPARγ play a fundamental role in promoting changes from fibroblastic form to spherical cell.
“In the process of differentiation of adipocytes from stem cells, certain proteins such as CCAAT-enhancer-binding protein (C/EBPα), sterol regulatory element-binding protein 1c (SREBP-1c), and PPARγ play a fundamental role in promoting changes from fibroblastic form to spherical cell [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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- Premisecitation
No adverse reactions were reported in Timmers et al.'s study.
“No adverse reactions were reported [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
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- Premisecitation
No adverse effects were reported in that 2013 study.
“No adverse effects were reported [35].”
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
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- Premisecitation
In Timmers et al.'s study, resveratrol significantly reduced sleeping and resting metabolic rate in otherwise healthy obese patients.
“At the end of treatment, the administration of resveratrol significantly reduced blood glucose, insulin concentrations, the homeostasis model assessment (HOMA) index, triglycerides, sleeping and resting metabolic rate, and blood pressure.”
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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- Interpretationcitation
Poulsen et al. concluded that resveratrol has no effects in obese patients with moderate insulin-resistance.
“Based on these results, they concluded that resveratrol has no effects in obese patients with moderate insulin-resistance [36].”
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, resveratrol significantly reduced insulin concentrations in otherwise healthy obese patients.
“At the end of treatment, the administration of resveratrol significantly reduced blood glucose, insulin concentrations, the homeostasis model assessment (HOMA) index, triglycerides, sleeping and resting metabolic rate, and blood pressure.”
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
Timmers et al. demonstrated that resveratrol administration causes metabolic changes similar to those seen in calorie restriction regimens.
“Timmers and colleagues were among the first researchers to demonstrate that resveratrol administration causes metabolic changes similar to those seen in calorie restriction regimens [13].”
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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- Study design and conductcitation
In a 2011 uncontrolled, open-label pilot study, 10 overweight/obese adults (72 ± 3 years) with moderate insulin-resistance were randomly assigned to take resveratrol at doses of 1, 1.5, or 2 g once a day for 4 weeks.
“In 2011, in an uncontrolled, open-label pilot study, 10 overweight/obese adults (72 ± 3 years) with moderate insulin-resistance, diagnosed after a 75 g oral glucose tolerance test, were randomly assigned to take resveratrol at the doses of 1, 1.5, or 2 g once a day for 4 weeks [33].”
Quote in the paperSubstantial 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 Timmers et al.'s study, resveratrol down-regulated genes involved in inflammation.
“Resveratrol up-regulated the expression of genes linked to mitochondrial oxidative phosphorylation, while it down-regulated those involved in inflammation.”
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
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- Premisecitation
In that 2011 pilot, resveratrol significantly decreased postprandial glucose peak.
“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 paperSubstantial 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 Wong et al.'s study, there was a linear relationship between the dose of resveratrol administered and its plasma concentrations.
“The results of this study showed a linear relationship between the dose of resveratrol administered and its plasma concentrations.”
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
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- Study design and conductcitation
In Timmers et al.'s placebo-controlled, double-blind cross-over study, 11 otherwise healthy obese patients (52.5 ± 2.1 years) were treated with 150 mg of resveratrol once daily for 30 days.
“In their placebo-controlled, double-blind cross-over study, 11 otherwise healthy obese patients (52.5 ± 2.1 years) were treated with placebo and subsequently, after a 4-week wash-out period, with 150 mg of resveratrol once daily for 30 days.”
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
In Timmers et al.'s study, resveratrol significantly reduced blood pressure in otherwise healthy obese patients.
“At the end of treatment, the administration of resveratrol significantly reduced blood glucose, insulin concentrations, the homeostasis model assessment (HOMA) index, triglycerides, sleeping and resting metabolic rate, and blood pressure.”
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
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- Premisecitation
In Timmers et al.'s study, resveratrol significantly reduced the HOMA index in otherwise healthy obese patients.
“At the end of treatment, the administration of resveratrol significantly reduced blood glucose, insulin concentrations, the homeostasis model assessment (HOMA) index, triglycerides, sleeping and resting metabolic rate, and blood pressure.”
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
In van der Made et al.'s trial, resveratrol 150 mg once daily for 4 weeks in overweight/obese patients with type 2 diabetes produced no change in metabolic parameters (fasting glucose, insulin, lipid profile), inflammation markers, or endothelial function (IL-6, TNFα, sVCAM-1, sICAM-1).
“No change in metabolic parameters (fasting glucose, insulin, and lipid profile), inflammation markers, and endothelial function i.e., interleukin-6 (IL-6), tumor necrosis factor α (TNF α), soluble vascular adhesion molecule-1 (sVCAM-1), and soluble intracellular adhesion molecule-1 (sICAM-1) was observed.”
Quote in the paperSubstantial 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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- Premisecitation
In Timmers et al.'s study, liver function improved after resveratrol treatment.
“Also, liver function improved.”
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
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- Premisecitation
At 270 mg once daily, flow-mediated dilation (FMD) of the brachial artery increased in a dose-related manner.
“At the dose of 270 mg administered once a day, flow-mediated dilation (FMD) of the brachial artery increased in a dose-related manner [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
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- Premisecitation
In the same 2013 study, resveratrol suppressed postprandial secretion of glucagon in obese patients.
“The authors concluded that the polyphenol did not affect fasting and postprandial incretin hormone concentrations, but it suppressed postprandial secretion of glucagon [38].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [38] Knop, 2013, Thirty days of resveratrol supplementation does not affect postprandial incretin hormone responses, but suppresses postprandial glucagon in obese subjects, Diabet. Med. source
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- Study design and conductcitation
In 2013, the same group conducted a randomized placebo-controlled cross-over study of 28 healthy obese patients (BMI 30-45 kg/m2, aged 40-75 years).
“In 2013, the same group of authors conducted another randomized placebo-controlled, cross-over study to evaluate the effects of resveratrol at the dose of 75 mg once daily to 28 healthy obese patients (BMI 30–45 kg/m2, aged 40–75 years) [35].”
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
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- Premisecitation
In Timmers et al.'s study, resveratrol significantly reduced triglycerides in otherwise healthy obese patients.
“At the end of treatment, the administration of resveratrol significantly reduced blood glucose, insulin concentrations, the homeostasis model assessment (HOMA) index, triglycerides, sleeping and resting metabolic rate, and blood pressure.”
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
In Timmers et al.'s study, resveratrol up-regulated the expression of genes linked to mitochondrial oxidative phosphorylation.
“Resveratrol up-regulated the expression of genes linked to mitochondrial oxidative phosphorylation, while it down-regulated those involved in inflammation.”
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
In the 2013 randomized, double-blind, placebo-controlled study, resveratrol 150 mg once daily for 30 days did not affect fasting and postprandial incretin hormone concentrations in obese patients.
“The authors concluded that the polyphenol did not affect fasting and postprandial incretin hormone concentrations, but it suppressed postprandial secretion of glucagon [38].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [38] Knop, 2013, Thirty days of resveratrol supplementation does not affect postprandial incretin hormone responses, but suppresses postprandial glucagon in obese subjects, Diabet. Med. source
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- Premisecitation
During resveratrol supplementation, there is a dose-dependent response between the amount administered and its Cmax.
“During supplementation, there is a dose-dependent response between the amount of resveratrol administered and its Cmax.”
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
In van der Made et al.'s trial, alkaline phosphatase (ALP) increased significantly after resveratrol administration.
“they found that alkaline phosphatase (ALP) increased significantly after administration of resveratrol.”
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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- Premisecitation
In Timmers et al.'s study, resveratrol had no effect on body weight.
“No effect was found on body weight.”
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
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- Premisecitation
In Timmers et al.'s study, resveratrol significantly reduced blood glucose in otherwise healthy obese patients.
“At the end of treatment, the administration of resveratrol significantly reduced blood glucose, insulin concentrations, the homeostasis model assessment (HOMA) index, triglycerides, sleeping and resting metabolic rate, and blood pressure.”
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
In the same study, HbA1c decreased significantly.
“The authors found no improvement in insulin sensitivity but HbA1c decreased significantly [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.
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- Premisecitation
In the very recent randomized, double-blind, placebo-controlled study, resveratrol 150 mg/day for 6 months in overweight patients produced no improvement in insulin sensitivity.
“The authors found no improvement in insulin sensitivity but HbA1c decreased significantly [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.
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- Premisecitation
In Dash et al.'s study, resveratrol significantly reduced apoB-48 and apoB-100.
“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 paperSubstantial 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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- Premisecitation
Konings et al. found that resveratrol causes downregulation of some genes involved in intercellular junction, Wnt signaling, angiogenesis, G protein-coupled receptors, and Notch signaling.
“Indeed, the authors found that resveratrol causes downregulation of some genes involved in intercellular junction, Wnt signaling, angiogenesis, G protein-coupled receptors, and Notch signaling.”
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
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- Premisecitation
In the 2018 largest randomized trial, resveratrol 75 mg twice daily for 12 weeks in overweight/obese patients with insulin resistance produced no changes in cardiometabolic risk markers or liver fat content.
“No changes in cardiometabolic risk markers and liver fat content were found.”
Quote in the paperSubstantial 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
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- Interpretationreasoning
Resveratrol may be useful as a therapeutic strategy in the fight against obesity.
“Many preclinical studies have also reported that resveratrol improves glucose metabolism and homeostasis, thus suggesting its possible use as a therapeutic strategy in the fight against obesity.”
Quote in the paperSubstantial claim - Premisecitation
In the same pilot study, a small Caucasian subgroup showed improvement in insulin sensitivity and glucose homeostasis after a 2-h oral glucose tolerance test.
“A small Caucasian subgroup showed improvement in insulin sensitivity and glucose homeostasis after a 2-h oral glucose tolerance test [42].”
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.
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- Premisenone given
Many preclinical studies have reported that resveratrol improves glucose metabolism and homeostasis.
“Many preclinical studies have also reported that resveratrol improves glucose metabolism and homeostasis, thus suggesting its possible use as a therapeutic strategy in the fight against obesity.”
Quote in the paperSubstantial claim - Premisecitation
In the same pilot study, the fecal microbiota was altered by administration of resveratrol.
“The fecal microbiota was altered by the administration of resveratrol [42].”
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.
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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
May combine two claims.
PremisecitationResveratrol 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).
PremisecitationResveratrol 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).
PremisecitationResveratrol 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
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- 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.
PremisecitationIn 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
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May combine two claims.
PremisecitationResveratrol 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).
PremisecitationResveratrol 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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May combine two claims.
PremisecitationSCO 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.
PremisecitationSome 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).
PremisecitationSimilar 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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May combine two claims.
PremisecitationSIRT-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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PremisecitationResveratrol 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
Not checked in the free run.
May combine two claims.
PremisecitationSIRT-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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May combine two claims.
PremisecitationIn 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.
PremisecitationHu 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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May combine two claims.
PremisecitationSIRT-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
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May combine two claims.
PremisecitationPDE 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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InterpretationcitationResveratrol 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
Not checked in the free run.
The quote only partly states this claim.
PremisecitationIn 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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May combine two claims.
PremisecitationAn 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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May combine two claims.
PremisecitationIncreased 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.
InterpretationreasoningFindings 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.
PremisecitationOther 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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PremisecitationLasa 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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PremisecitationIn 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.
InterpretationcitationResveratrol 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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May combine two claims.
PremisecitationIncubation 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
Not checked in the free run.
May combine two claims.
PremisecitationIn 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
Not checked in the free run.
May combine two claims. The quote only partly states this claim.
PremisecitationIn 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).
PremisecitationIn 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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May combine two claims.
PremisecitationIn 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.
PremisecitationIn 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
Not checked in the free run.
May combine two claims.
PremisecitationOral 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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PremisecitationIn 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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May combine two claims.
PremisecitationIn 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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May combine two claims.
PremisecitationMultiple 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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May combine two claims.
PremisecitationIn 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
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The quote only partly states this claim.
PremisecitationAfter 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
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PremisecitationThere 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 givenOnly 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 claimMay combine two claims.
Study design and conductcitationWong 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
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May combine two claims.
PremisecitationIn 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
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May combine two claims.
PremisecitationIn 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
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May combine two claims.
PremisecitationIn 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
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PremisecitationKonings 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
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- 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
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PremisecitationIn 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
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PremisecitationKonings 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.
PremisecitationIn 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.
PremisecitationIn 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.
PremisecitationIn 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.
InterpretationreasoningThe 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 claimClassified as probably not a substantial claim.
InterpretationreasoningThe 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 claimMay combine two claims.
PremisecitationIn 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.
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).”
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?
Molecular targets of resveratrol include PGC1α, SIRT1, NFκB, AMPK, FoxO3, and PPARγ, which are responsible for modulating mitochondrial activity.
“Studies have demonstrated the characterization of molecular targets of resveratrol, including PGC1α, SIRT1, NFκB, AMPK, FoxO3, and PPARγ [16, 61, 85, 89], that are responsible for modulating mitochondrial activity.”
From Mitochondrial Adaptation in Skeletal Muscle: Impact of Obesity, Caloric Restriction, and Dietary Compounds (2024) · cites this paper as [89]
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
MinorThe paper identifies SIRT-1 as a deacetylase, but later calls it an acetylase and says it acts by acetylating promoter regions.
“Being an acetylase and therefore acting epigenetically, SIRT-1 can influence gene expression by acetylating their promoter region.”
“SIRT-1 is a human deacetylase that negatively regulates the p53 tumor suppressor gene, thus it promotes cell survival [14].”
Summary reverses the stated effect on glycolysis
MinorThe 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.
“In summary, these findings strongly suggest a role for resveratrol in inhibiting adipogenesis and glycolysis, and in stimulating gluconeogenesis and mitochondrial activity (Figure 1).”
“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]. 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].”
Rats in the Rivera study are subsequently called mice
MinorThe paragraph says the study used Zucker rats, then describes the treated animals as mice.
“No changes in food intake were observed in the treated mice.”
“Specifically, Rivera and colleagues evaluated the effects of resveratrol on de-novo lipogenesis in obese and lean 13-week-old Zucker rats.”
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“The scientific interest in resveratrol dates back to 1997 when studies on animal models demonstrated its anticancer properties [7].”
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Pilot study of resveratrol in older adults with impaired glucose tolerance
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Chronic resveratrol consumption improves brachial flow-mediated dilatation in healthy obese adults
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Effectiveness of a Very Low Calorie Ketogenic Diet on Testicular Function in Overweight/Obese Men
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“Obesity is an important risk factor for chronic diseases, such as metabolic syndrome, diabetes mellitus, cardiovascular/cerebrovascular diseases, hypertension, obstructive sleep apnea syndrome, oncological diseases, and sexual and hormonal disorders [1].”
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Physiologically achievable doses of resveratrol enhance 3T3-L1 adipocyte differentiation
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Dose response biology of resveratrol in obesity
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Flagged first, then by citations
Research works printed but not linked: 2
- 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
- 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
Liu, X., Zhang, Z., Song, Y., Xie, H., & Dong, M. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.1065263 · Cited by 102 · see citing works
Jun, L., Tao, Y.-X., Geetha, T., & Babu, J. R. (2024) · Current Nutrition Reports · doi:10.1007/s13668-024-00555-7 · Cited by 27 · see citing works
- 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.
- ORCID
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2021-04-22
- Volume
- 22
- Issue
- 9
- Pages
- 4362
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC8122246
- OpenAlex
- W3153681733
- Semantic Scholar
- f398fa4639a28ca6417a46942394eb9172c4d854
- 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
- gold
- doi.org
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.
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