• Int. J. Clin. Pract. · Oct 2021

    Meta Analysis

    Spirulina Supplementation as an Adjuvant Therapy in Enhancement of Antioxidant Capacity: A Systematic Review and Meta-Analysis of Controlled Clinical Trials.

    • Fatemeh Naeini, Meysam Zarezadeh, Sara Mohiti, Helda Tutunchi, Mehrangiz Ebrahimi Mamaghani, and Alireza Ostadrahimi.
    • Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Science, Tehran, Iran.
    • Int. J. Clin. Pract. 2021 Oct 1; 75 (10): e14618.

    BackgroundSpirulina, a type of blue-green algae, is used as an adjuvant treatment of metabolic and inflammatory diseases. Evidence about the effects of spirulina on antioxidant system are conflicting. Thus, this quantitative review aimed to summarise the effects of spirulina administration on antioxidant status biomarkers.MethodsSystematic searches were conducted using the PubMed/Medline, Scopus, Web of Science and EMBASE, up to May 2021. Random effect analysis was applied to perform meta-analysis. Subgroup analyses and multivariate meta-regression were performed to find heterogeneity sources. Quality assessment was conducted using Cochrane Collaboration's tool. Trim and fill analysis were also carried out in case of the presence of publication bias.ResultsA total of nine articles that enrolled 415 subjects were included in the present meta-analysis. Obtained findings exhibited that spirulina supplementation had marginal significant effect on total antioxidant capacity (TAC) (SMD = 0.49; 95% CI: -0.001, 0.98; P = .05) and superoxide dismutase (SOD) activity (SMD = 0.72; 95% CI: -0.03, 1.46; P = .06), while did not affect glutathione peroxidase (GPx) activity (SMD=0.27; 95% CI: -0.23, 0.77; P = .29).ConclusionsSpirulina consumption may exert beneficial effects on enhancement of antioxidant system. A marginal significant increasing effect on TAC and SOD activity were found by spirulina administration. However, it did not affect GPx activity.© 2021 John Wiley & Sons Ltd.

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