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Review
. 2020 May 15;19(1):645-660.
doi: 10.1007/s40200-020-00536-x. eCollection 2020 Jun.

The effect of green coffee extract supplementation on cardio metabolic risk factors: a systematic review and meta-analysis of randomized controlled trials

Affiliations
Review

The effect of green coffee extract supplementation on cardio metabolic risk factors: a systematic review and meta-analysis of randomized controlled trials

Mehrnaz Morvaridi et al. J Diabetes Metab Disord. .

Abstract

Purpose: Considering the present controversies on the association between green coffee supplementation and cardio metabolic risk factors, this systematic review and meta-analysis was conducted to evaluate the effect of green coffee supplementation on cardio metabolic risk factors.

Method: A systematic literature search was performed throughout the PubMed, Embase, Scopus, and Web of Science databases up to October 2019. As a result, all randomized controlled trials over the effect of green coffee supplementation on fasting blood sugar (FBS), insulin, triglyceride, high-density lipoprotein (HDL), low-density lipoprotein (LDL), C - reactive protein (CRP), and homeostatic model assessment for insulin resistance (HOMA-IR) in adults were examined. Data were extracted from the relevant studies and analyzed using the random-effect or pooled model and standardized mean difference (SMD) with 95% confidence interval (CI).

Results: After excluding the irrelevant articles, 27 studies were included in the final analysis. Pooled results revealed that green coffee supplementation significantly reduced FBS (WMD = -2.28, 95% CI: -4.49 to -0.07, P = 0.043), insulin (WMD = -0.53, 95% CI: -0.93 to -0.14, P = 0.008), and triglyceride (WMD = -9.28, 95% CI: -14.93 to - 3.63, P = 0.001). Furthermore, green coffee supplementation increased the HDL levels (WMD = 1.33, 95% CI: 0.08 to 2.58, P = 0.037). However, the changes in HOMA-IR, LDL, and CRP levels were not significant (P > 0.05).

Conclusion: This meta-analysis indicated that green coffee supplementation significantly decreased FBS, insulin, and triglyceride, but improved HDL. No statistically significant improvement was found in HOMA-IR, LDL, and CRP indices following the green coffee supplementation.

Keywords: Cardiometabolic risk factors; Chlorogenic acid; Fasting blood sugar; Green-coffee; Meta-analysis.

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Conflict of interest statement

Conflict of interestNo conflict of interest was declared.

Figures

Fig. 1
Fig. 1
Flow diagram of literature search according to the PRISMA statement
Fig. 2
Fig. 2
Forest plot summarizing the association between green coffee extract supplementation on circulating FBS concentrations
Fig. 3
Fig. 3
Funnel plots detailing publication bias in the selected studies of the relation between intakes of green coffee extract and FBS
Fig. 4
Fig. 4
Forest plot summarizing the association between green coffee extract supplementation on circulating insulin concentrations
Fig. 5
Fig. 5
Forest plot summarizing the association between green coffee extract supplementation on HOMA-IR
Fig. 6
Fig. 6
Forest plot summarizing the association between green coffee extract supplementation on TG
Fig. 7
Fig. 7
Forest plot summarizing the association between green coffee extract supplementation on Total cholesterol
Fig. 8
Fig. 8
Forest plot summarizing the association between green coffee extract supplementation on LDL
Fig. 9
Fig. 9
Forest plot summarizing the association between green coffee extract supplementation on HDL
Fig. 10
Fig. 10
Forest plot summarizing the association between green coffee extract supplementation on CRP

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