PMID- 36205586 OWN - NLM STAT- MEDLINE DCOM- 20221215 LR - 20221215 IS - 1099-1573 (Electronic) IS - 0951-418X (Linking) VI - 36 IP - 12 DP - 2022 Dec TI - The effects of curcumin-containing supplements on inflammatory biomarkers in hemodialysis patients: A systematic review and meta-analysis. PG - 4361-4370 LID - 10.1002/ptr.7642 [doi] AB - In the past decade, the effect of curcumin or turmeric supplementation on many aspects of health status in different populations has been evaluated. In the present study, a systematic review and meta-analysis were conducted to estimate the effect of curcumin administration on inflammatory markers in hemodialysis (HD) patients. A systematic search was performed in MEDLINE, EMBASE, Scopus, and Clarivate Analytics Web of Science databases from 1997 until June2022 for terms related to curcumin/turmeric and hemodialysis (HD). Randomized, double-blind/single-blind studies examining the effects of curcumin/turmeric on the inflammation of HD participants older than 18 years were considered eligible for inclusion. Data were pooled using the weighted mean difference (WMD) and 95% CI as the summary statistic, considering a random-effects analysis model. The data that were pooled from nine studies with 472 patients indicated that curcumin-containing supplement had significant effect on serum C-reactive protein (CRP) levels (WMD = -3.3 mg/L; 95% CI: -5.4 to -1.3; p < 0.001, I(2) = 76.7%, 8 studies, 467 participants), and interlukine-6 (IL-6) levels (SMD: -0.4; 95% CI: -0.8 to -0.07; p = 0.02, I(2) = 31.6%, 3 studies, 153 participants) compared control group. Although curcumin intervention could not change tumor neurosis factor-alpha (TNF-alpha) concentration (SMD = -0.3; 95% CI: -0.7 to 0.04; p = 0.08, I(2) = 25.3%, 3 studies, 153 participants), when compared with the placebo group. Our study's main limitations were small number of studies, overall high risk of bias in the included trials, and high heterogeneity in some results. The present meta-analysis suggested that intervention with curcumin-containing supplements was associated with a significant reduction in serum hs-CRP and IL-6 concentrations in HD patients. The curcumin intervention in the reduction of hs-CRP levels was greater than the minimal clinically important difference (MCID) for CRP (0.5 mg/L), which can be helpful in physicians' clinical decisions. CI - (c) 2022 John Wiley & Sons Ltd. FAU - Arabi, Seyyed Mostafa AU - Arabi SM AD - Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran. AD - Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Bahari, Hossein AU - Bahari H AD - Metabolic Syndrome Research Center, Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Hamidipor, Sina AU - Hamidipor S AD - Department of Physical Education & Sport Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran. FAU - Bahrami, Leila Sadat AU - Bahrami LS AD - Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran. AD - Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Feizy, Zahra AU - Feizy Z AD - Department of Nutritional Sciences, Texas Tech University, Lubbock, Texas, USA. FAU - Nematy, Mohsen AU - Nematy M AD - Metabolic Syndrome Research Center, Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Kesharwani, Prashant AU - Kesharwani P AUID- ORCID: 0000-0002-0890-769X AD - Department of Pharmaceutics, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi, India. FAU - Sahebkar, Amirhossein AU - Sahebkar A AUID- ORCID: 0000-0002-8656-1444 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. AD - School of Medicine, The University of Western Australia, Perth, Western Australia, Australia. AD - Department of Biotechnology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20221007 PL - England TA - Phytother Res JT - Phytotherapy research : PTR JID - 8904486 RN - IT942ZTH98 (Curcumin) RN - 9007-41-4 (C-Reactive Protein) RN - 0 (Interleukin-6) SB - IM MH - Humans MH - *Curcumin/pharmacology/therapeutic use MH - Single-Blind Method MH - C-Reactive Protein MH - Interleukin-6 MH - Randomized Controlled Trials as Topic OTO - NOTNLM OT - curcumin OT - cytokines OT - hemodialysis patients OT - inflammation OT - systematic reviews and meta-analysis OT - turmeric EDAT- 2022/10/08 06:00 MHDA- 2022/12/15 06:00 CRDT- 2022/10/07 10:06 PHST- 2022/06/27 00:00 [revised] PHST- 2022/02/03 00:00 [received] PHST- 2022/09/18 00:00 [accepted] PHST- 2022/10/08 06:00 [pubmed] PHST- 2022/12/15 06:00 [medline] PHST- 2022/10/07 10:06 [entrez] AID - 10.1002/ptr.7642 [doi] PST - ppublish SO - Phytother Res. 2022 Dec;36(12):4361-4370. doi: 10.1002/ptr.7642. Epub 2022 Oct 7.