PMID- 33813266 OWN - NLM STAT- MEDLINE DCOM- 20211110 LR - 20211110 IS - 1878-3252 (Electronic) IS - 0946-672X (Linking) VI - 66 DP - 2021 Jul TI - Effects of chromium supplementation on lipid profile in patients with type 2 diabetes: A systematic review and dose-response meta-analysis of randomized controlled trials. PG - 126741 LID - S0946-672X(21)00031-6 [pii] LID - 10.1016/j.jtemb.2021.126741 [doi] AB - BACKGROUND: The purpose of this study was to determine the influence of chromium supplementation on lipid profile in patients with type 2 diabetes mellitus (T2DM). METHODS: A systematic search was performed in Scopus, Embase, Web of Science, the Cochrane library and PubMed databases to find randomized controlled trials (RCTs) related to the effect of chromium supplementation on lipid profile in patients with T2DM, up to June 2020. Meta-analyses were performed using the random-effects model, and I(2) index was used to evaluate heterogeneity. RESULTS: The primary search yielded 725 publications. 24 RCTs (with 28 effect size) were eligible. Our meta-analysis indicated that chromium supplementation resulted in a significant decrease in serum levels of triglyceride (TG) (MD: -6.54 mg/dl, 95 % CI: -13.08 to -0.00, P = 0.050) and total cholesterol (TC) (WMD: -7.77 mg/dl, 95 % CI: -11.35 to -4.18, P < 0.001). Furthermore, chromium significantly increases high-density lipoprotein (HDL) (WMD: 2.23 mg/dl, 95 % CI: 0.07-4.40, P = 0.043) level. However, chromium supplementation did not have significant effects on low-density lipoprotein (LDL) (WMD: -8.54 mg/dl, 95 % CI: -19.58 to 2.49, P = 0.129) level. CONCLUSION: Chromium supplementation may significantly improve lipid profile in patients with T2DM by decreasing TG and TC and increasing HDL. However, based on our analysis, chromium failed to affect LDL. It should be noted that the lipid-lowering properties of chromium supplementation were small and may not reach clinical importance. CI - Copyright (c) 2021 Elsevier GmbH. All rights reserved. FAU - Asbaghi, Omid AU - Asbaghi O AD - Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran. FAU - Naeini, Fatemeh AU - Naeini F AD - Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Science, Tehran, Iran. FAU - Ashtary-Larky, Damoon AU - Ashtary-Larky D AD - Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Moradi, Sajjad AU - Moradi S AD - Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran; Halal Research Centre of IRI, FDA, Tehran, Iran. FAU - Zakeri, Nazanin AU - Zakeri N AD - Nutrition Research Center, Department of Clinical Nutrition, Faculty of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Eslampour, Elham AU - Eslampour E AD - Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran. FAU - Kelishadi, Mahnaz Rezaei AU - Kelishadi MR AD - Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Naeini, Amirmansour Alavi AU - Naeini AA AD - Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: am.alavi@nutr.mui.ac.ir. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20210323 PL - Germany TA - J Trace Elem Med Biol JT - Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS) JID - 9508274 RN - 0 (Lipids) RN - 0R0008Q3JB (Chromium) SB - IM MH - Chromium/*administration & dosage/pharmacology MH - Diabetes Mellitus, Type 2/*blood/drug therapy MH - Dietary Supplements MH - Dose-Response Relationship, Drug MH - Humans MH - Lipids/*blood MH - Randomized Controlled Trials as Topic OTO - NOTNLM OT - Chromium OT - Diabetes OT - Lipid profile OT - Meta-analysis OT - RCT OT - Randomized controlled trial EDAT- 2021/04/05 06:00 MHDA- 2021/11/11 06:00 CRDT- 2021/04/04 20:53 PHST- 2021/01/05 00:00 [received] PHST- 2021/02/27 00:00 [revised] PHST- 2021/03/04 00:00 [accepted] PHST- 2021/04/05 06:00 [pubmed] PHST- 2021/11/11 06:00 [medline] PHST- 2021/04/04 20:53 [entrez] AID - S0946-672X(21)00031-6 [pii] AID - 10.1016/j.jtemb.2021.126741 [doi] PST - ppublish SO - J Trace Elem Med Biol. 2021 Jul;66:126741. doi: 10.1016/j.jtemb.2021.126741. Epub 2021 Mar 23.