Effects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trials

Background: Tart cherries are rich in bioactive compounds, such as anthocyanins and other phytochemicals known to have antioxidant properties and exert cardiovascular protective effects. However, there is no definitive consensus on this context. The present systematic review and meta-analysis aimed...

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Main Authors: Seyedeh Parisa Moosavian, Maryam Maharat, Mahla Chambari, Fateme Moradi, Mehran Rahimlou
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Complementary Therapies in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0965229922000851
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author Seyedeh Parisa Moosavian
Maryam Maharat
Mahla Chambari
Fateme Moradi
Mehran Rahimlou
author_facet Seyedeh Parisa Moosavian
Maryam Maharat
Mahla Chambari
Fateme Moradi
Mehran Rahimlou
author_sort Seyedeh Parisa Moosavian
collection DOAJ
description Background: Tart cherries are rich in bioactive compounds, such as anthocyanins and other phytochemicals known to have antioxidant properties and exert cardiovascular protective effects. However, there is no definitive consensus on this context. The present systematic review and meta-analysis aimed to investigate the effect of tart cherry juice consumption on cardio-metabolic risk factors. Methods: A systematic search was conducted on electronic databases, including PubMed, Web of Science, Scopus, and Google Scholar from inception up to December 2021 to identify eligible RCT studies. A random-effect model was utilized to estimate the weighted mean difference (WMD) and 95% confidence (95% CI). Results: Ten RCTs were included in the present meta-analysis. The pooled analysis revealed that tart cherry juice consumption led to a significant reduction in the fasting blood sugar (FBS) levels (WMD = −0.51 mg/dl [95% CI: −0.98, −0.06]). This lowering effect of FBS was robust in subgroups with cross-over studies, participants with age range ≥ 40, duration of follow-up ≤ 4 weeks, and baseline BMI ≥ 30. In contrast, tart cherry juice had no effect on total cholesterol (TC), triglycerides (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), insulin, body mass index (BMI), fat mass, systolic and diastolic blood pressure. However, in the subgroup analysis, some significant effects were observed for insulin, TG, TC, LDL-C, and HDL-C. Conclusion: In summary, this meta-analysis showed that tart cherry juice mostly had a favorable effect on FBG levels. However, further RCTs with long-term intervention with different doses of administration are needed.
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spelling doaj.art-4e166c4f6e4e4b34b0dae145592b7bba2022-12-22T03:00:28ZengElsevierComplementary Therapies in Medicine0965-22992022-12-0171102883Effects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trialsSeyedeh Parisa Moosavian0Maryam Maharat1Mahla Chambari2Fateme Moradi3Mehran Rahimlou4Department of Community Nutrition Improvement, Vice-Chancellery for Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Community Nutrition Improvement, Vice-Chancellery for Health, Shiraz University of Medical Sciences, Shiraz, IranNoncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, IranDepartment of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Nutrition, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran; Corresponding author.Background: Tart cherries are rich in bioactive compounds, such as anthocyanins and other phytochemicals known to have antioxidant properties and exert cardiovascular protective effects. However, there is no definitive consensus on this context. The present systematic review and meta-analysis aimed to investigate the effect of tart cherry juice consumption on cardio-metabolic risk factors. Methods: A systematic search was conducted on electronic databases, including PubMed, Web of Science, Scopus, and Google Scholar from inception up to December 2021 to identify eligible RCT studies. A random-effect model was utilized to estimate the weighted mean difference (WMD) and 95% confidence (95% CI). Results: Ten RCTs were included in the present meta-analysis. The pooled analysis revealed that tart cherry juice consumption led to a significant reduction in the fasting blood sugar (FBS) levels (WMD = −0.51 mg/dl [95% CI: −0.98, −0.06]). This lowering effect of FBS was robust in subgroups with cross-over studies, participants with age range ≥ 40, duration of follow-up ≤ 4 weeks, and baseline BMI ≥ 30. In contrast, tart cherry juice had no effect on total cholesterol (TC), triglycerides (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), insulin, body mass index (BMI), fat mass, systolic and diastolic blood pressure. However, in the subgroup analysis, some significant effects were observed for insulin, TG, TC, LDL-C, and HDL-C. Conclusion: In summary, this meta-analysis showed that tart cherry juice mostly had a favorable effect on FBG levels. However, further RCTs with long-term intervention with different doses of administration are needed.http://www.sciencedirect.com/science/article/pii/S0965229922000851Tart cherry juiceBlood pressureFasting blood sugarBody mass indexLipid profileMeta-analysis
spellingShingle Seyedeh Parisa Moosavian
Maryam Maharat
Mahla Chambari
Fateme Moradi
Mehran Rahimlou
Effects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trials
Complementary Therapies in Medicine
Tart cherry juice
Blood pressure
Fasting blood sugar
Body mass index
Lipid profile
Meta-analysis
title Effects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trials
title_full Effects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trials
title_fullStr Effects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trials
title_full_unstemmed Effects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trials
title_short Effects of tart cherry juice consumption on cardio-metabolic risk factors: A systematic review and meta-analysis of randomized-controlled trials
title_sort effects of tart cherry juice consumption on cardio metabolic risk factors a systematic review and meta analysis of randomized controlled trials
topic Tart cherry juice
Blood pressure
Fasting blood sugar
Body mass index
Lipid profile
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S0965229922000851
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