PMID- 24206044 OWN - NLM STAT- MEDLINE DCOM- 20150522 LR - 20181202 IS - 1365-277X (Electronic) IS - 0952-3871 (Linking) VI - 27 IP - 5 DP - 2014 Oct TI - Effects of green tea or green tea extract on insulin sensitivity and glycaemic control in populations at risk of type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials. PG - 501-12 LID - 10.1111/jhn.12181 [doi] AB - BACKGROUND: Although the regular consumption of green tea or green tea extract has been considered to improve insulin sensitivity, the reported results are inconsistent. Therefore, we conducted a meta-analysis to evaluate the effect of green tea or green tea extract on insulin sensitivity and glycaemic control in populations at risk of type 2 diabetes mellitus (T2DM). METHODS: Electronic databases, including PUBMED, The Cochrane Library, EMBASE, ISI Web of Knowledge, Chinese Biomedical Literature Database and Chinese Scientific Journals Fulltext Database, were systematically searched to identify randomised controlled trials (RCTs) up to December 2011, supplemented by the Clinicaltrials.gov websites and the reference lists of identified studies. Two reviewers independently selected trials, extracted data, and evaluated the methodological qualities and evidence levels. RESULTS: Seven RCTs involving 510 participants were identified. There was no statistically significant difference between green tea or green tea extract group and placebo group with regard to fasting plasma glucose [standardised mean difference (SMD) 0.04; 95% confidence interval (CI) -0.15 to 0.24], fasting serum insulin (SMD -0.09; 95% CI -0.30 to 0.11), 2-h plasma glucose in the oral glucose tolerance test (OGTT-2 h) (SMD -0.14; 95% CI -0.63 to 0.34), haemoglobin A(1)c (SMD 0.10; 95% CI -0.13 to 0.33) and homeostasis model of insulin resistance (HOMA(IR)) index (SMD -0.06; 95% CI -0.35 to 0.23) in participants at risk of T2DM. CONCLUSIONS: The consumption of green tea did not decrease the levels of fasting plasma glucose, fasting serum insulin, OGTT-2 h glucose, haemoglobin A(1)c and HOMA(IR) in populations at risk of T2DM. Larger, longer-term and high-quality RCTs are needed to further definitely determine the effect of green tea or green tea extract on insulin sensitivity and glycaemic control in populations at risk of T2DM. CI - (c) 2013 The British Dietetic Association Ltd. FAU - Wang, X AU - Wang X AD - Key Laboratory of Endocrinology, Ministry of Health, Department of Endocrinology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. FAU - Tian, J AU - Tian J FAU - Jiang, J AU - Jiang J FAU - Li, L AU - Li L FAU - Ying, X AU - Ying X FAU - Tian, H AU - Tian H FAU - Nie, M AU - Nie M LA - eng PT - Comparative Study PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20131108 PL - England TA - J Hum Nutr Diet JT - Journal of human nutrition and dietetics : the official journal of the British Dietetic Association JID - 8904840 RN - 0 (Plant Extracts) RN - 0 (Tea) SB - IM MH - Diabetes Mellitus, Type 2/diet therapy/epidemiology/metabolism/*prevention & control MH - Dietary Supplements MH - *Evidence-Based Medicine MH - Food Handling MH - Humans MH - Hyperglycemia/*prevention & control MH - Hyperinsulinism/*prevention & control MH - *Insulin Resistance MH - Oxidation-Reduction MH - Plant Extracts/*therapeutic use MH - Plant Leaves/chemistry MH - Randomized Controlled Trials as Topic MH - Risk Factors MH - *Tea/chemistry OTO - NOTNLM OT - green tea OT - insulin resistance OT - meta-analysis OT - randomised controlled trials OT - type 2 diabetes mellitus EDAT- 2013/11/12 06:00 MHDA- 2015/05/23 06:00 CRDT- 2013/11/12 06:00 PHST- 2013/11/12 06:00 [entrez] PHST- 2013/11/12 06:00 [pubmed] PHST- 2015/05/23 06:00 [medline] AID - 10.1111/jhn.12181 [doi] PST - ppublish SO - J Hum Nutr Diet. 2014 Oct;27(5):501-12. doi: 10.1111/jhn.12181. Epub 2013 Nov 8.