PMID- 35332564 OWN - NLM STAT- MEDLINE DCOM- 20220708 LR - 20220930 IS - 1745-4514 (Electronic) IS - 0145-8884 (Linking) VI - 46 IP - 7 DP - 2022 Jul TI - Effects of medical plants from Zingiberaceae family on cardiovascular risk factors of type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials. PG - e14130 LID - 10.1111/jfbc.14130 [doi] AB - We performed a meta-analysis on randomized controlled trials (RCTs) to evaluate the efficacy of Zingiberaceae on cardiovascular risk factors in type 2 diabetes mellitus (T2DM). PubMed, Web of Science, Embase, The Cochrane Library, and Scopus were searched systematically until October 18, 2021. Thirty-four RCTs with 2154 patients met our inclusion. Pooled analysis indicated that Zingiberaceae can significantly improve body weight (BW) (WMD = -1.012, 95% CI: -1.673, -0.351, p = .003), fasting blood glucose (FBG) (WMD = -14.292, 95% CI: -18.588, -9.995, p < .001), glycosylated hemoglobin 1c (HbA1c) (WMD = -0.432, 95% CI: -0.607, -0.257, p < .001), serum insulin (WMD = -2.036, 95% CI: -2.857, -1.216, p < .001), homeostasis model assessment insulin resistance (HOMA-IR) (WMD = -0.886, 95% CI: -1.375, -0.398, p < .001), high density lipoprotein-cholesterol (HDL-C) (WMD = 0.850, 95% CI: 0.018, 1.682, p = .045), triglyceride (TG) (WMD = -17.636, 95% CI: -27.121, -8.151, p < .001), diastolic blood pressure (DBP) (WMD = -0.642, 95% CI: -1.148, -0.137, p = .013), C-reactive protein (CRP) (WMD = -0.623, 95% CI: -1.061, -0.186, p = .005), tumor necrosis factor-alpha (TNF-alpha) (WMD = -3.020, 95% CI: -4.327, -1.712, p < .001), and interleukin 6 (IL-6) (WMD = -1.147, 95% CI: -1.887, -0.406, p = .002). The supplementation of Zingiberaceae may be an effective adjunctive therapy in management of T2DM and prevention cardiovascular complications by decreasing BW, improving blood glucose control, insulin resistance, lipid profiles (HDL-C and TG), blood pressure (DBP), and reducing inflammation (CRP, TNF-alpha, and IL-6). PRACTICAL APPLICATIONS: Approximately half of the deaths of individuals with diabetes mellitus (DM) are attributable to cardiovascular disease (CVD), and individuals with T2DM have a two-fold increased risk of cardiovascular mortality than healthy individuals. Currently, T2DM is mainly treated with hypoglycemic medication such as sulfonylureas, thiazolidinediones, meglitinides, and biguanides. Nevertheless, most of them with long-term usage could cause side effects, including hypoglycemia and gastrointestinal troubles. Several species of the Zingiberaceae family are used in traditional herbal medicines, which have been widely used in traditional and complementary medicine. Proving the potential benefits of Zingiberaceae on T2DM and its cardiovascular complications has positive clinical implications for the use of this practical herb. CI - (c) 2022 Wiley Periodicals LLC. FAU - Zhang, Xiaofeng AU - Zhang X AD - Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Chen, Xiaoli AU - Chen X AD - Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Tang, Yujun AU - Tang Y AD - Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Guan, Xiaoxian AU - Guan X AD - Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Deng, Jinlan AU - Deng J AD - Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, China. FAU - Fan, Jianming AU - Fan J AUID- ORCID: 0000-0002-4961-3399 AD - Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, China. LA - eng GR - 152102310260/Henan Institute of Science and Technology/ GR - 31372453/National Natural Science Foundation of China/ PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20220325 PL - United States TA - J Food Biochem JT - Journal of food biochemistry JID - 7706045 RN - 0 (Blood Glucose) RN - 0 (Cholesterol, HDL) RN - 0 (Interleukin-6) RN - 0 (Plant Preparations) RN - 0 (Triglycerides) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Blood Glucose MH - C-Reactive Protein/analysis/metabolism MH - Cholesterol, HDL MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Heart Disease Risk Factors MH - Humans MH - *Insulin Resistance MH - Interleukin-6 MH - *Plant Preparations/therapeutic use MH - Plants, Medicinal/chemistry MH - Randomized Controlled Trials as Topic MH - Triglycerides MH - Tumor Necrosis Factor-alpha MH - *Zingiberaceae/chemistry OTO - NOTNLM OT - Zingiberaceae OT - cardiovascular risk OT - medical plants OT - meta-analysis OT - systematic review OT - type 2 diabetes mellitus EDAT- 2022/03/26 06:00 MHDA- 2022/07/09 06:00 CRDT- 2022/03/25 05:38 PHST- 2022/03/06 00:00 [revised] PHST- 2022/01/08 00:00 [received] PHST- 2022/03/08 00:00 [accepted] PHST- 2022/03/26 06:00 [pubmed] PHST- 2022/07/09 06:00 [medline] PHST- 2022/03/25 05:38 [entrez] AID - 10.1111/jfbc.14130 [doi] PST - ppublish SO - J Food Biochem. 2022 Jul;46(7):e14130. doi: 10.1111/jfbc.14130. Epub 2022 Mar 25.