Cited by 20Natural Products and Biological ResearchLipoproteins and Cardiovascular HealthPharmacology and Obesity Treatment

Efficacy and Safety of Armolipid Plus®: An Updated PRISMA Compliant Systematic Review and Meta-Analysis of Randomized Controlled Clinical Trials

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Cicero, Arrigo F. G., Kennedy, Cormac, Knežević, Tamara, Bove, Marilisa, Georges, Coralie M. G., Šatrauskienė, Agnė, Toth, Peter P., Fogacci, Federica·2021·Nutrients

Abstract

Armolipid Plus® is a multi-constituent nutraceutical that claims to improve lipid profiles. The aim of this PRISMA compliant systematic review and meta-analysis was to globally evaluate the efficacy and safety of Armolipid Plus® on the basis of the available randomized, blinded, controlled clinical trials (RCTs). A systematic literature search in several databases was conducted in order to identify RCTs assessing the efficacy and safety of dietary supplementation with Armolipid Plus®. Two review authors independently identified 12 eligible studies (1050 included subjects overall) and extracted data on study characteristics, methods, and outcomes. Meta-analysis of the data suggested that dietary supplementation with Armolipid Plus® exerted a significant effect on body mass index (mean difference (MD) = −0.25 kg/m2, p = 0.008) and serum levels of total cholesterol (MD = −25.07 mg/dL, p < 0.001), triglycerides (MD = −11.47 mg/dL, p < 0.001), high-density lipoprotein cholesterol (MD = 1.84 mg/dL, p < 0.001), low-density lipoprotein cholesterol (MD = −26.67 mg/dL, p < 0.001), high sensitivity C reactive protein (hs-CRP, MD = −0.61 mg/L, p = 0.022), and fasting glucose (MD = −3.52 mg/dL, p < 0.001). Armolipid Plus® was well tolerated. This meta-analysis demonstrates that dietary supplementation with Armolipid Plus® is associated with clinically meaningful improvements in serum lipids, glucose, and hs-CRP. These changes are consistent with improved cardiometabolic health.

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  • Prior reviews of berberine have limitations including that they included studies that did not make comparisons to placebo, compared berberine to diverse controls, assessed extracts from the barberry plant, or defined the intervention as combination nutraceutical products containing berberine.

    “Prior reviews of berberine have several limitations as they included studies that did not make comparisons to placebo, compared berberine to diverse controls (e.g., statins, oral hypoglycemics, lifestyle modification), assessed extracts from the barberry plant or defined the intervention as combination nutraceutical products containing berberine such as Armolipid Plus®.(7-13)”
  • A meta-analysis of 12 randomized double-blind placebo-controlled clinical trials suggests that dietary supplementation with red yeast rice (3 mg MonK), policosanols (10 mg), and berberine (500 mg) exerts significant effects on BMI, LDL-C, TG, HDL-C, hs-CRP, and fasting glucose.

    “A recent meta-analysis of 12 randomized double-blind placebo-controlled clinical trials including 1050 subjects suggested that dietary supplementation with this nutraceutical combination exerts a significant effect on body mass index (mean difference (MD) = − 0.25 kg/m2, p = 0.008) and serum levels of LDL-C (MD = − 26.67 mg/dL, p < 0.001), TG (MD = − 11.47 mg/dL, p < 0.001), HDL-C (MD = 1.84 mg/dL”

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References 64 · Cited by 20

Research works printed but not linked: 1

  1. [16]Higgins J. Green S. Cochrane Handbook for Systematic Reviews of Interventions Report Version 5.0.2.2009 John Wiley and Sons Ltd. Chichester, UK 2010

Authors
Cicero, A. F. G., Kennedy, C., Knežević, T., Bove, M., Georges, C. M. G., Šatrauskienė, A., Toth, P. P., & Fogacci, F.
Affiliations
  • IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
  • Trinity College Dublin (IE)
  • University Hospital Centre Zagreb (HR)
  • Cliniques Universitaires Saint-Luc (BE)
  • Vilnius University (LT)
  • Johns Hopkins University (US)
Corresponding author
Cicero, Arrigo F. G.
Venue
Nutrients
Publisher
MDPI AG
Published
2021-02-16
Volume
13
Issue
2
Pages
638
ISSN
2072-6643 (ISSN-L)
OpenAlex
W3129578081
Cited by
20
References
64
Citations by year
2026: 1 · 2024: 2 · 2023: 7 · 2022: 6 · 2021: 4
FWCI
1.14
Type
journal article
Language
en
Open access
Locations
  • Nutrients (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, cc-by)
  • Digital Access to Libraries (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Surgery › Natural Products and Biological Research
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
Keywords
nutraceuticals, dietary supplementation, lipid profile, serum cholesterol, triglycerides, HDL cholesterol, LDL cholesterol, C-reactive protein, fasting blood glucose, body mass index, cardiometabolic health, safety
MeSH terms
Humans, Lipids, Body Mass Index, Randomized Controlled Trials as Topic, Dietary Supplements, Lipid Metabolism

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