PMID- 34587883 OWN - NLM STAT- MEDLINE DCOM- 20220406 LR - 20221207 IS - 1875-5607 (Electronic) IS - 1389-5575 (Linking) VI - 22 IP - 3 DP - 2022 TI - Effects of Urtica dioica on Metabolic Profiles in Type 2 Diabetes: A Systematic Review and Meta-analysis of Clinical Trials. PG - 550-563 LID - 10.2174/1389557521666210929143112 [doi] AB - BACKGROUND: Several studies have investigated the effect of Urtica dioica (UD) consumption on metabolic profiles in patients with type 2 diabetes mellitus (T2DM); however, the findings are inconsistent. This systematic review and meta-analysis of clinical trials were performed to summarize the evidence of the effects of UD consumption on metabolic profiles in patients with T2DM. METHODS: Eligible studies were retrieved from searches of PubMed, Embase, Scopus, Web of Science, Cochrane Library, and Google Scholar databases until December 2019. Cochran (Q) and I-square statistics were used to examine heterogeneity across included clinical trials. Data were pooled using a fixed-effect or random-effects model and expressed as weighted mean difference (WMD) and 95% confidence interval (CI). RESULTS: Among 1485 citations, thirteen clinical trials were found to be eligible for the current metaanalysis. UD consumption significantly decreased levels of fasting blood glucose (FBG) (WMD = - 17.17 mg/dl, 95% CI: -26.60, -7.73, I2 = 93.2%), hemoglobin A1c (HbA1c) (WMD = -0.93, 95% CI: - 1.66, -0.17, I2 = 75.0%), C-reactive protein (CRP) (WMD = -1.09 mg/dl, 95% CI: -1.64, -0.53, I2 = 0.0%), triglycerides (WMD = -26.94 mg/dl, 95 % CI = [-52.07, -1.82], P = 0.03, I2 = 90.0%), systolic blood pressure (SBP) (WMD = -5.03 mmHg, 95% CI = -8.15, -1.91, I2 = 0.0%) in comparison to the control groups. UD consumption did not significantly change serum levels of insulin (WMD = 1.07 muU/ml, 95% CI: -1.59, 3.73, I2 = 63.5%), total-cholesterol (WMD = -6.39 mg/dl, 95% CI: -13.84, 1.05, I2 = 0.0%), LDL-cholesterol (LDL-C) (WMD = -1.30 mg/dl, 95% CI: -9.95, 7.35, I2 = 66.1%), HDL-cholesterol (HDL-C) (WMD = 6.95 mg/dl, 95% CI: -0.14, 14.03, I2 = 95.4%), body max index (BMI) (WMD = -0.16 kg/m2, 95% CI: -1.77, 1.44, I2 = 0.0%), and diastolic blood pressure (DBP) (WMD = -1.35 mmHg, 95% CI: -2.86, 0.17, I2= 0.0%) among patients with T2DM. CONCLUSION: UD consumption may result in an improvement in levels of FBS, HbA1c, CRP, triglycerides, and SBP, but did not affect levels of insulin, total-, LDL-, and HDL-cholesterol, BMI, and DBP in patients with T2DM. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Tabrizi, Reza AU - Tabrizi R AD - Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran. AD - Clinical Research Development Unit of Vali Asr Hospital, Fasa University of Medical Sciences, Fasa, Iran. FAU - Sekhavati, Eghbal AU - Sekhavati E AD - Larestan University of Medical Sciences, Larestan, Fars, Iran. FAU - Nowrouzi-Sohrabi, Peyman AU - Nowrouzi-Sohrabi P AD - Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. AD - Department of Biochemistry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Rezaei, Shahla AU - Rezaei S AD - Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. AD - Department of Clinical Nutrition, School of Health & Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Tabari, Parinaz AU - Tabari P AD - Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Ghoran, Salar Hafez AU - Ghoran SH AD - Department of Chemistry, Faculty of Basic Sciences, Golestan University, Gorgan, Iran. AD - Department of Medical Nanotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Jamali, Navid AU - Jamali N AD - Department of Biochemistry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Jalali, Mohammad AU - Jalali M AD - Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Moosavi, Mahsa AU - Moosavi M AD - Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Kolahi, Ali-Asghar AU - Kolahi AA AD - Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Bettampadi, Deepti AU - Bettampadi D AD - Center for Immunization and Infection Research in Cancer (CIIRC), H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA. FAU - Sahebkar, Amirhossein AU - Sahebkar A AD - Applied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. AD - Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran | School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Safiri, Saeid AU - Safiri S AD - Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Department of Community Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Department of Persian Medicine, School of Traditional Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. LA - eng GR - 21999/Shahid Beheshti University of Medical Sciences/ PT - Journal Article PT - Meta-Analysis PT - Systematic Review PL - Netherlands TA - Mini Rev Med Chem JT - Mini reviews in medicinal chemistry JID - 101094212 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Triglycerides) SB - IM MH - Blood Glucose/analysis MH - *Diabetes Mellitus, Type 2/drug therapy MH - Glycated Hemoglobin/analysis/metabolism/therapeutic use MH - Humans MH - Metabolome MH - Triglycerides MH - *Urtica dioica OTO - NOTNLM OT - Anti-diabetic OT - Urtica dioica OT - blood glucose OT - insulin OT - meta analysis OT - metabolic profiles OT - type 2 diabetes mellitus EDAT- 2021/10/01 06:00 MHDA- 2022/04/07 06:00 CRDT- 2021/09/30 05:34 PHST- 2020/09/28 00:00 [received] PHST- 2021/02/25 00:00 [revised] PHST- 2021/08/09 00:00 [accepted] PHST- 2021/10/01 06:00 [pubmed] PHST- 2022/04/07 06:00 [medline] PHST- 2021/09/30 05:34 [entrez] AID - MRMC-EPUB-118237 [pii] AID - 10.2174/1389557521666210929143112 [doi] PST - ppublish SO - Mini Rev Med Chem. 2022;22(3):550-563. doi: 10.2174/1389557521666210929143112.