PMID- 34237387 OWN - NLM STAT- MEDLINE DCOM- 20211124 LR - 20211124 IS - 1873-6963 (Electronic) IS - 0965-2299 (Linking) VI - 60 DP - 2021 Aug TI - Effects of chromium supplementation on blood pressure, body mass index, liver function enzymes and malondialdehyde in patients with type 2 diabetes: A systematic review and dose-response meta-analysis of randomized controlled trials. PG - 102755 LID - S0965-2299(21)00096-0 [pii] LID - 10.1016/j.ctim.2021.102755 [doi] AB - BACKGROUND: Several studies reported beneficial effects of chromium supplementation for management of type 2 diabetes mellitus (T2DM). The present study aimed to provide a systematic review and meta-analysis of randomized controlled trials (RCTs) examining the effects of chromium supplementation on blood pressure, body mass index (BMI), liver function enzymes and malondialdehyde (MDA) in patients with T2DM. METHODS: PubMed, Scopus, and Embase were searched up to 15 November 2020 with no language and time restriction. RCTs that reported the effects of chromium supplementation on blood pressure, BMI, liver function enzymes and MDA in patients with T2DM were included. A random-effects model was used to compute weighted mean differences (WMDs) with 95 % confidence intervals (CIs). Between-study heterogeneity was assessed by Cochran's Q test and quantified by I(2) statistic. RESULTS: Of 3586 publications, 15 RCTs were included for the meta-analysis. Pooled effect sizes indicated that chromium significantly reduced diastolic blood pressure (DBP) (WMD): -2.36 mmHg, 95 % CI: -4.14, -0.60; P = 0.008), and MDA (WMD: -0.55 umol/l, 95 % CI: -0.96, -0.14; P = 0.008). However, chromium supplementation did not significantly affect BMI, systolic blood pressure (SBP), alanine aminotransferase (ALT), aspartate aminotransferase (AST). Meta-regression analysis did not show significant linear relationship between dose of chromium and change in BMI (p = 0.412), SBP (p = 0. 319), DBP (p = 0.102), ALT (p = 0.923), AST (p = 0.986) and MDA (p = 0.055). CONCLUSION: The present systematic review and meta-analysis shows that supplementation with chromium at dose of 200-1000 mug/day may reduce DBP and MDA in T2DM patients. CI - Copyright (c) 2021 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Asbaghi, Omid AU - Asbaghi O AD - Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: omid.asbaghi@gmail.com. FAU - Naeini, Fatemeh AU - Naeini F AD - Department of Clinical Nutrition, School of Nutritional Science, Tehran University of Medical Science, Tehran, Iran. Electronic address: DR.fnaeeni@gmail.com. FAU - Ashtary-Larky, Damoon AU - Ashtary-Larky D AD - Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Electronic address: Damoon_ashtary@yahoo.com. FAU - Kaviani, Mojtaba AU - Kaviani M AD - Faculty of Pure & Applied Science, School of Nutrition and Dietetics, Acadia University, Wolfville, NS, Canada. Electronic address: Mojtaba.kaviani@acadiau.ca. FAU - Rezaei Kelishadi, Mahnaz AU - Rezaei Kelishadi M AD - Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: m.rezaei81@yahoo.com. FAU - Eslampour, Elham AU - Eslampour E AD - Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran. Electronic address: islampoor.eli@gmail.com. FAU - Moradi, Sajjad AU - Moradi S AD - Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: sajadmoradi9096@gmail.com. FAU - Mirzadeh, Elahe AU - Mirzadeh E AD - Department of Physical Education and Sports Science, Central Tehran Branch, Islamic Azad University, Tehran, Iran. FAU - Clark, Cain C T AU - Clark CCT AD - Centre for Intelligent Healthcare, Coventry University, Coventry, CV1 5FB, UK. Electronic address: ad0183@coventry.ac.uk. 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 - Review PT - Systematic Review DEP - 20210705 PL - Scotland TA - Complement Ther Med JT - Complementary therapies in medicine JID - 9308777 RN - 0R0008Q3JB (Chromium) RN - 4Y8F71G49Q (Malondialdehyde) SB - IM MH - Blood Pressure MH - Body Mass Index MH - *Chromium MH - *Diabetes Mellitus, Type 2/drug therapy MH - Dietary Supplements MH - Humans MH - Liver MH - Malondialdehyde MH - Randomized Controlled Trials as Topic OTO - NOTNLM OT - Blood pressure OT - Body mass index OT - Chromium OT - Liver function enzymes OT - Malondialdehyde OT - Type 2 diabetes EDAT- 2021/07/09 06:00 MHDA- 2021/11/25 06:00 CRDT- 2021/07/08 20:13 PHST- 2020/10/15 00:00 [received] PHST- 2021/05/10 00:00 [revised] PHST- 2021/06/21 00:00 [accepted] PHST- 2021/07/09 06:00 [pubmed] PHST- 2021/11/25 06:00 [medline] PHST- 2021/07/08 20:13 [entrez] AID - S0965-2299(21)00096-0 [pii] AID - 10.1016/j.ctim.2021.102755 [doi] PST - ppublish SO - Complement Ther Med. 2021 Aug;60:102755. doi: 10.1016/j.ctim.2021.102755. Epub 2021 Jul 5.