Dietary polyphenols and the risk of metabolic syndrome: a systematic review and meta-analysis

Abstract Background Accumulating evidence has suggested that dietary polyphenols may be protective against metabolic syndrome (MetS); however, the available evidence is contradictory. The aim of this meta-analysis was to assess the association between dietary intake of polyphenols and the odds of Me...

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Main Authors: Pushpamala Ramaiah, Kamilya Jamel Baljon, Ahmed Hjazi, Maytham T. Qasim, Omar Abdulwahid Salih Al-ani, Shad Imad, Beneen M. Hussien, Ali Alsalamy, Nazila Garousi
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Endocrine Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12902-024-01556-x
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author Pushpamala Ramaiah
Kamilya Jamel Baljon
Ahmed Hjazi
Maytham T. Qasim
Omar Abdulwahid Salih Al-ani
Shad Imad
Beneen M. Hussien
Ali Alsalamy
Nazila Garousi
author_facet Pushpamala Ramaiah
Kamilya Jamel Baljon
Ahmed Hjazi
Maytham T. Qasim
Omar Abdulwahid Salih Al-ani
Shad Imad
Beneen M. Hussien
Ali Alsalamy
Nazila Garousi
author_sort Pushpamala Ramaiah
collection DOAJ
description Abstract Background Accumulating evidence has suggested that dietary polyphenols may be protective against metabolic syndrome (MetS); however, the available evidence is contradictory. The aim of this meta-analysis was to assess the association between dietary intake of polyphenols and the odds of MetS. Methods The PubMed and Scopus databases were systematically searched to obtain eligible studies. The risk of MetS for the highest versus the lowest intakes of total, subclasses and individual polyphenols were examined by pooling odds ratios (OR) and 95% confidence intervals (95%CI) using the random effects model. Results A total of 14 studies (6 cohort and 8 cross-sectional studies) involving a total of 50,366 participants with 10,879 cases of MetS were included. When various polyphenol compounds were pooled, they were significantly related to a 22% decreased odds of MetS (([5 studies]; OR: 0.78; 95%CI: 0.72–0.85). Higher intakes of total flavonoids (([9 studies]; OR: 0.78; 95%CI: 0.72–0.85), flavan-3-ols (([2 studies]; OR: 0.64; 95%CI: 0.43–0.94), isoflavones (([3 studies]; OR: 0.84; 95%CI: 0.75–0.93), stilbenes (([4 studies]; OR: 0.86; 95%CI: 0.76–0.97), flavones (([2 studies]; OR: 0.79; 95%CI: 0.71–0.89), and quercetin (([2 studies]; OR: 0.63; 95%CI: 0.43–0.93) were also significantly associated with a decreased risk of MetS. The associations were not modified by the age of the participants. No association was found for total polyphenols, phenolic acids, lignans, anthocyanins, and flavonols. Conclusion The results of this meta-analysis supported that higher polyphenol intake can lower the risk of MetS.
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spelling doaj.art-08e6c53db15b45578b5c791cc60ca6822024-03-05T19:22:17ZengBMCBMC Endocrine Disorders1472-68232024-03-0124111410.1186/s12902-024-01556-xDietary polyphenols and the risk of metabolic syndrome: a systematic review and meta-analysisPushpamala Ramaiah0Kamilya Jamel Baljon1Ahmed Hjazi2Maytham T. Qasim3Omar Abdulwahid Salih Al-ani4Shad Imad5Beneen M. Hussien6Ali Alsalamy7Nazila Garousi8Faculty of Nursing, Umm al- Qura UniversityFaculty of Nursing, Umm al- Qura UniversityDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz UniversityDepartment of Anesthesia, College of Health and Medical Technololgy, Al-Ayen UniversityDepartment of Pharmacy, Al Rafidain University CollegeMedical Technical College, Al-Farahidi UniversityMedical Laboratory Technology Department, College of Medical Technology, The Islamic UniversityCollege of medical technology, Imam Ja’afar Al-Sadiq UniversityDepartment of Clinical Nutrition, School of Nutrition and Food Science, Isfahan University of Medical SciencesAbstract Background Accumulating evidence has suggested that dietary polyphenols may be protective against metabolic syndrome (MetS); however, the available evidence is contradictory. The aim of this meta-analysis was to assess the association between dietary intake of polyphenols and the odds of MetS. Methods The PubMed and Scopus databases were systematically searched to obtain eligible studies. The risk of MetS for the highest versus the lowest intakes of total, subclasses and individual polyphenols were examined by pooling odds ratios (OR) and 95% confidence intervals (95%CI) using the random effects model. Results A total of 14 studies (6 cohort and 8 cross-sectional studies) involving a total of 50,366 participants with 10,879 cases of MetS were included. When various polyphenol compounds were pooled, they were significantly related to a 22% decreased odds of MetS (([5 studies]; OR: 0.78; 95%CI: 0.72–0.85). Higher intakes of total flavonoids (([9 studies]; OR: 0.78; 95%CI: 0.72–0.85), flavan-3-ols (([2 studies]; OR: 0.64; 95%CI: 0.43–0.94), isoflavones (([3 studies]; OR: 0.84; 95%CI: 0.75–0.93), stilbenes (([4 studies]; OR: 0.86; 95%CI: 0.76–0.97), flavones (([2 studies]; OR: 0.79; 95%CI: 0.71–0.89), and quercetin (([2 studies]; OR: 0.63; 95%CI: 0.43–0.93) were also significantly associated with a decreased risk of MetS. The associations were not modified by the age of the participants. No association was found for total polyphenols, phenolic acids, lignans, anthocyanins, and flavonols. Conclusion The results of this meta-analysis supported that higher polyphenol intake can lower the risk of MetS.https://doi.org/10.1186/s12902-024-01556-xMetabolic syndromeFlavonoidsPolyphenolsMeta-analysis
spellingShingle Pushpamala Ramaiah
Kamilya Jamel Baljon
Ahmed Hjazi
Maytham T. Qasim
Omar Abdulwahid Salih Al-ani
Shad Imad
Beneen M. Hussien
Ali Alsalamy
Nazila Garousi
Dietary polyphenols and the risk of metabolic syndrome: a systematic review and meta-analysis
BMC Endocrine Disorders
Metabolic syndrome
Flavonoids
Polyphenols
Meta-analysis
title Dietary polyphenols and the risk of metabolic syndrome: a systematic review and meta-analysis
title_full Dietary polyphenols and the risk of metabolic syndrome: a systematic review and meta-analysis
title_fullStr Dietary polyphenols and the risk of metabolic syndrome: a systematic review and meta-analysis
title_full_unstemmed Dietary polyphenols and the risk of metabolic syndrome: a systematic review and meta-analysis
title_short Dietary polyphenols and the risk of metabolic syndrome: a systematic review and meta-analysis
title_sort dietary polyphenols and the risk of metabolic syndrome a systematic review and meta analysis
topic Metabolic syndrome
Flavonoids
Polyphenols
Meta-analysis
url https://doi.org/10.1186/s12902-024-01556-x
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