Effects of saffron (Crocus sativus L.) on anthropometric and cardiometabolic indices in overweight and obese patients: A systematic review and meta-analysis of randomized controlled trials.


Journal

Phytotherapy research : PTR
ISSN: 1099-1573
Titre abrégé: Phytother Res
Pays: England
ID NLM: 8904486

Informations de publication

Date de publication:
Sep 2022
Historique:
revised: 08 05 2022
received: 29 11 2021
accepted: 05 06 2022
pubmed: 23 7 2022
medline: 11 9 2022
entrez: 22 7 2022
Statut: ppublish

Résumé

The worldwide prevalence of obesity is approximately tripled between 1975 and 2016 according to World Health Organization; therefore, obesity is now considered a global pandemic that needs academic and clinical focus. In search of antiobesity agents, Crocus sativus, known widely as saffron, has been praised for its beneficial effects. Several randomized controlled trials (RCTs) have been conducted to investigate the weight lowering effect of saffron. Following PRISMA guidelines, several medical databases were comprehensively searched for RCTs with a population consisting of obese individuals. A random-effects meta-analysis was used to pool estimates across studies, and standardized mean difference (SMD) was used to synthesize quantitative results. Twenty-five RCTs met the inclusion criteria. Meta-analysis showed a nonsignificant decrease for weight (-0.32 kg; CI: -3.15, 2.51; p = 0.82), BMI (-0.06 kg/m

Identifiants

pubmed: 35866520
doi: 10.1002/ptr.7530
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3394-3414

Subventions

Organisme : Tabriz University of Medical Sciences
ID : 67486

Informations de copyright

© 2022 John Wiley & Sons Ltd.

Références

Abedimanesh, N., Bathaie, S. Z., Abedimanesh, S., Motlagh, B., Separham, A., & Ostadrahimi, A. (2017). Saffron and crocin improved appetite, dietary intakes and body composition in patients with coronary artery disease. Journal of Cardiovascular and Thoracic Research, 9(4), 200-208.
Agha-Hosseini, M., Kashani, L., Aleyaseen, A., Ghoreishi, A., Rahmanpour, H., Zarrinara, A., & Akhondzadeh, S. (2008). Crocus sativus L. (saffron) in the treatment of premenstrual syndrome: A double-blind, randomised and placebo-controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 115(4), 515-519. https://doi.org/10.1111/j.1471-0528.2007.01652.x
Ahmadi Khatir, S., Bayatian, A., Barzegari, A., Roshanravan, N., Safaiyan, A., Pavon-Djavid, G., & Ostadrahimi, A. (2018). Saffron (Crocus sativus L.) supplements modulate circulating MicroRNA (miR-21) in atherosclerosis patients; a randomized, double-blind, placebo-controlled trial. Iranian Red Crescent Medical Journal, 20(10), e80260.
Ajam, M., Reyhani, T., Roshanravan, V., & Zare, Z. (2014). Increased miscarriage rate in female farmers working in saffron fields: A possible effect of saffron toxicity. Asia Pacific Journal of Medical Toxicology, 3(2), 73-75.
Akhondzadeh, S., Mostafavi, S. A., Keshavarz, S. A., Mohammadi, M. R., Hosseini, S., & Eshraghian, M. R. (2020). A placebo controlled randomized clinical trial of Crocus sativus L. (saffron) on depression and food craving among overweight women with mild to moderate depression. Journal of Clinical Pharmacy and Therapeutics, 45(1), 134-143.
Asbaghi, O., Soltani, S., Norouzi, N., Milajerdi, A., Choobkar, S., & Asemi, Z. (2019). The effect of saffron supplementation on blood glucose and lipid profile: A systematic review and meta-analysis of randomized controlled trials. Complementary Therapies in Medicine, 47, 102158. https://doi.org/10.1016/j.ctim.2019.07.017
Ayati, Z., Yang, G., Ayati, M. H., Emami, S. A., & Chang, D. (2020). Saffron for mild cognitive impairment and dementia: A systematic review and meta-analysis of randomised clinical trials. BMC Complementary Medicine and Therapies, 20(1), 333. https://doi.org/10.1186/s12906-020-03102-3
Azimi, P., Ghiasvand, R., Feizi, A., Hariri, M., & Abbasi, B. (2014). Effects of cinnamon, cardamom, saffron, and ginger consumption on markers of glycemic control, lipid profile, oxidative stress, and inflammation in type 2 diabetes patients. The Review of Diabetic Studies, 11(3), 258-266.
Bahmani, M., Eftekhari, Z., Saki, K., Fazeli-Moghadam, E., Jelodari, M., & Rafieian-Kopaei, M. (2015). Obesity Phytotherapy: Review of native herbs used in traditional medicine for obesity. Journal of Evidence-Based Complementary & Alternative Medicine, 21(3), 228-234. https://doi.org/10.1177/2156587215599105
Bolhassani, A., Khavari, A., & Bathaie, S. Z. (2014). Saffron and natural carotenoids: Biochemical activities and anti-tumor effects. Biochimica et Biophysica Acta (BBA) - reviews on. Cancer, 1845(1), 20-30. https://doi.org/10.1016/j.bbcan.2013.11.001
Chandler, J., Cumpston, M., Li, T., Page, M., & Welch, V. (2019). Cochrane handbook for systematic reviews of interventions. Hoboken: Wiley.
Cochran, W. G. (1954). The combination of estimates from different experiments. Biometrics, 10(1), 101-129.
De Pergola, G., & Silvestris, F. (2013). Obesity as a major risk factor for cancer. Journal of Obesity, 2013, 291546. https://doi.org/10.1155/2013/291546
Ebrahimi, F., Aryaeian, N., Pahlavani, N., Abbasi, D., Hosseini, A. F., Fallah, S., … Heydari, I. (2019). The effect of saffron (Crocus sativus L.) supplementation on blood pressure, and renal and liver function in patients with type 2 diabetes mellitus: A double-blinded, randomized clinical trial. Avicenna Journal of Phytomedicine, 9(4), 322.
Ebrahimi, F., Sahebkar, A., Aryaeian, N., Pahlavani, N., Fallah, S., Moradi, N., … Hosseini, A. F. (2019). Effects of saffron supplementation on inflammation and metabolic responses in type 2 diabetic patients: A randomized, double-blind, placebo-controlled trial. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 12, 2107-2115.
Fabbrini, E., Sullivan, S., & Klein, S. (2010). Obesity and nonalcoholic fatty liver disease: Biochemical, metabolic, and clinical implications. Hepatology, 51(2), 679-689. https://doi.org/10.1002/hep.23280
Fadai, F., Mousavi, B., Ashtari, Z., Farhang, S., Hashempour, S., Shahhamzei, N., & Bathaie, S. Z. (2014). Saffron aqueous extract prevents metabolic syndrome in patients with schizophrenia on olanzapine treatment: A randomized triple blind placebo controlled study. Pharmacopsychiatry, 47(04/05), 156-161.
Gonzalez, A. M., Sell, K. M., Ghigiarelli, J. J., Spitz, R. W., Accetta, M. R., & Mangine, G. T. (2018). Effect of multi-ingredient supplement containing satiereal, naringin, and vitamin d on body composition, mood, and satiety in overweight adults. Journal of Dietary Supplements, 15, 965-976.
Gout, B., Bourges, C., & Paineau-Dubreuil, S. (2010). Satiereal, a Crocus sativus L extract, reduces snacking and increases satiety in a randomized placebo-controlled study of mildly overweight, healthy women. Nutrition Research, 30(5), 305-313.
Guh, D. P., Zhang, W., Bansback, N., Amarsi, Z., Birmingham, C. L., & Anis, A. H. (2009). The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health, 9(1), 88. https://doi.org/10.1186/1471-2458-9-88
Haiming, C. (2014). Adipocytokines in obesity and metabolic disease. Journal of Endocrinology, 220(2), T47-T59. https://doi.org/10.1530/JOE-13-0339
Hebert, J. R., Allison, D. B., Archer, E., Lavie, C. J., & Blair, S. N. (2013). Scientific decision making, policy decisions, and the obesity pandemic. Mayo Clinic Proceedings, 88(6), 593-604. https://doi.org/10.1016/j.mayocp.2013.04.005
Higgins, J. P., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., … Sterne, J. A. (2011). The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 343, d5928.
Higgins, J. P., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta-analysis. Statistics in Medicine, 21(11), 1539-1558.
Hutton, B., Salanti, G., Caldwell, D. M., Chaimani, A., Schmid, C. H., Cameron, C., … Jansen, J. P. (2015). The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: Checklist and explanations. Annals of Internal Medicine, 162(11), 777-784.
Imenshahidi, M., Hosseinzadeh, H., & Javadpour, Y. (2010). Hypotensive effect of aqueous saffron extract (Crocus sativus L.) and its constituents, safranal and crocin, in normotensive and hypertensive rats. Phytotherapy Research, 24(7), 990-994.
Jam, I. N., Sahebkar, A. H., Eslami, S., Mokhber, N., Nosrati, M., Khademi, M., … Ferns, G. (2017). The effects of crocin on the symptoms of depression in subjects with metabolic syndrome. Advances in Clinical and Experimental Medicine, 26(6), 925-930.
Javandoost, A., Afshari, A., Nikbakht-Jam, I., Khademi, M., Eslami, S., Nosrati, M., … Ghayour-Mobarhan, M. (2017). Effect of crocin, a carotenoid from saffron, on plasma cholesteryl ester transfer protein and lipid profile in subjects with metabolic syndrome: A double blind randomized clinical trial. ARYA Atherosclerosis, 13(5), 245-252.
Karimi-Nazari, E., Nadjarzadeh, A., Masoumi, R., Marzban, A., Mohajeri, S. A., Ramezani-Jolfaie, N., & Salehi-Abargouei, A. (2019). Effect of saffron (Crocus sativus L.) on lipid profile, glycemic indices and antioxidant status among overweight/obese prediabetic individuals: A double-blinded, randomized controlled trial. Clinical Nutrition ESPEN, 34, 130-136.
Karri, S., Sharma, S., Hatware, K., & Patil, K. (2019). Natural anti-obesity agents and their therapeutic role in management of obesity: A future trend perspective. Biomedicine & Pharmacotherapy, 110, 224-238. https://doi.org/10.1016/j.biopha.2018.11.076
Kermani, T., Kazemi, T., Molki, S., Ilkhani, K., Sharifzadeh, G., & Rajabi, O. (2017). The efficacy of crocin of saffron (Crocus sativus L.) on the components of metabolic syndrome: A randomized controlled clinical trial. Journal of Research in Pharmacy Practice, 6(4), 228-232.
Kermani, T., Mousavi, S. H., Shemshian, M., Norouzy, A., Mazidi, M., Moezzi, A., … Ferns, G. A. (2015). Saffron supplements modulate serum pro-oxidant-antioxidant balance in patients with metabolic syndrome: A randomized, placebo-controlled clinical trial. Avicenna Journal of Phytomedicine, 5(5), 427-433.
Kermani, T., Zebarjadi, M., Mehrad-Majd, H., Mirhafez, S.-R., Shemshian, M., Ghasemi, F., … Moghiman, T. (2017). Anti-inflammatory effect of Crocus sativus on serum cytokine levels in subjects with metabolic syndrome: A randomized, double-blind, placebo-controlled trial. Current Clinical Pharmacology, 12(2), 122-126.
Kianbakht, S., & Hashem Dabaghian, F. (2015). Anti-obesity and anorectic effects of saffron and its constituent crocin in obese Wistar rat. Journal of Medicinal Plants, 14(53), 25-33.
Liu, Y., Sun, M., Yao, H., Liu, Y., & Gao, R. (2017). Herbal medicine for the treatment of obesity: An overview of scientific evidence from 2007 to 2017. Evidence-based Complementary and Alternative Medicine, 2017, 8943059. https://doi.org/10.1155/2017/8943059
Lopresti, A. L., & Drummond, P. D. (2017). Efficacy of curcumin, and a saffron/curcumin combination for the treatment of major depression: A randomised, double-blind, placebo-controlled study. Journal of Affective Disorders, 207, 188-196.
Lopresti, A. L., Smith, S. J., Hood, S. D., & Drummond, P. D. (2019). Efficacy of a standardised saffron extract (Affron®) as an add-on to antidepressant medication for the treatment of persistent depressive symptoms in adults: A randomised, double-blind, placebo-controlled study. Journal of Psychopharmacology, 33(11), 1415-1427.
Mancini, A., Serrano-Díaz, J., Nava, E., D'Alessandro, A. M., Alonso, G. L., Carmona, M., & Llorens, S. (2014). Crocetin, a carotenoid derived from saffron (Crocus sativus L.), IMPROVES acetylcholine-induced vascular relaxation in hypertension. Journal of Vascular Research, 51(5), 393-404. https://doi.org/10.1159/000368930
Mashmoul, M., Azlan, A., Khaza'ai, H., Yusof, B. N. M., & Noor, S. M. (2013). Saffron: A natural potent antioxidant as a promising anti-obesity drug. Antioxidants, 2(4), 293-308.
Mashmoul, M., Azlan, A., Mohtarrudin, N., Mohd Yusof, B. N., Khaza'ai, H., Khoo, H. E., … Boroushaki, M. T. (2016). Protective effects of saffron extract and crocin supplementation on fatty liver tissue of high-fat diet-induced obese rats. BMC Complementary and Alternative Medicine, 16(1), 401. https://doi.org/10.1186/s12906-016-1381-9
Meldrum, D. R., Morris, M. A., & Gambone, J. C. (2017). Obesity pandemic: Causes, consequences, and solutions-But do we have the will? Fertility and Sterility, 107(4), 833-839. https://doi.org/10.1016/j.fertnstert.2017.02.104
Mobasseri, M., Ostadrahimi, A., Tajaddini, A., Asghari, S., Barati, M., Akbarzadeh, M., … Alamdari, N. M. (2020). Effects of saffron supplementation on glycemia and inflammation in patients with type 2 diabetes mellitus: A randomized double-blind, placebo-controlled clinical trial study. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(4), 527-534.
Moher, D., Altman, D. G., Liberati, A., & Tetzlaff, J. (2011). PRISMA statement. Epidemiology, 22(1), 128.
Moravej Aleali, A., Amani, R., Shahbazian, H., Namjooyan, F., Latifi, S. M., & Cheraghian, B. (2019). The effect of hydroalcoholic saffron (Crocus sativus L.) extract on fasting plasma glucose, HbA1c, lipid profile, liver, and renal function tests in patients with type 2 diabetes mellitus: A randomized double-blind clinical trial. Phytotherapy Research, 33(6), 1648-1657.
Moshiri, M., Vahabzadeh, M., & Hosseinzadeh, H. (2015). Clinical applications of saffron (Crocus sativus) and its constituents: A review. Drug Research, 65(06), 287-295.
Mousavi, S. Z., & Bathaie, S. Z. (2011). Historical uses of saffron: Identifying potential new avenues for modern research. Avicenna Journal of Phytomedicine, 1(2), 57-66. https://doi.org/10.22038/ajp.2011.122
Must, A., Spadano, J., Coakley, E. H., Field, A. E., Colditz, G., & Dietz, W. H. (1999). The disease burden associated with overweight and obesity. JAMA, 282(16), 1523-1529.
Mzabri, I., Addi, M., & Berrichi, A. (2019). Traditional and modern uses of saffron (crocus Sativus). Cosmetics, 6(4), 63.
Namazi, N., Larijani, B., Ayati, M. H., & Abdollahi, M. (2018). The effects of Nigella sativa L. on obesity: A systematic review and meta-analysis. Journal of Ethnopharmacology, 219, 173-181. https://doi.org/10.1016/j.jep.2018.03.001
Nikbakht-Jam, I., Khademi, M., Nosrati, M., Eslami, S., Foroutan-Tanha, M., Sahebkar, A., … Hadizadeh, F. (2016). Effect of crocin extracted from saffron on pro-oxidant-anti-oxidant balance in subjects with metabolic syndrome: A randomized, placebo-controlled clinical trial. European Journal of Integrative Medicine, 8(3), 307-312.
Nosrati, M., Nikbakht-Jam, I., Eslami, S., Khademi, M. M., Foroutan-Tanha, M., Hadizadeh, F., … Ghayour-Mobarhan, M. (2017). Effect of crocin on antibody titers to heat-shock protein 27 in subjects with metabolic syndrome. Current Clinical Pharmacology, 12(2), 113-121.
Parsi, A., Torkashvand, M., Hajiani, E., Rahimlou, M., & Sadeghi, N. (2020). The effects of Crocus sativus extract on serum lipid profile and liver enzymes in patients with non-alcoholic fatty liver disease: A randomized placebo-controlled study. Obesity Medicine, 17, 100165.
Pourmasoumi, M., Hadi, A., Najafgholizadeh, A., Kafeshani, M., & Sahebkar, A. (2019). Clinical evidence on the effects of saffron (Crocus sativus L.) on cardiovascular risk factors: A systematic review meta-analysis. Pharmacological Research, 139, 348-359. https://doi.org/10.1016/j.phrs.2018.11.038
Rahmani, J., Bazmi, E., Clark, C., & Hashemi Nazari, S. S. (2020). The effect of saffron supplementation on waist circumference, HA1C, and glucose metabolism: A systematic review and meta-analysis of randomized clinical trials. Complementary Therapies in Medicine, 49, 102298. https://doi.org/10.1016/j.ctim.2020.102298
Rasi Marzabadi, L., Mohammadinasab, R., Ghazi Sharbaf, J., Araj-Khodaei, M., Fazljou, S. M., Talebi, M., & Sadigh-Eteghad, S. (2021). Use of saffron against dementia and memory impairment in traditional Persian medicine: A historical perspective. ERCİYES Medical Journal, 43(4), 412-416. https://doi.org/10.14744/etd.2021.89248
Roth, J., Qiang, X., Marbán, S. L., Redelt, H., & Lowell, B. C. (2004). The obesity pandemic: Where have we been and where are we going? Obesity Research, 12(S11), 88S-101S. https://doi.org/10.1038/oby.2004.273
Saleem, S., Ahmad, M., Ahmad, A. S., Yousuf, S., Ansari, M. A., Khan, M. B., … Islam, F. (2006). Effect of saffron (Crocus sativus) on neurobehavioral and neurochemical changes in cerebral ischemia in rats. Journal of Medicinal Food, 9(2), 246-253. https://doi.org/10.1089/jmf.2006.9.246
Shafiee, M., Arekhi, S., Omranzadeh, A., & Sahebkar, A. (2018). Saffron in the treatment of depression, anxiety and other mental disorders: Current evidence and potential mechanisms of action. Journal of Affective Disorders, 227, 330-337. https://doi.org/10.1016/j.jad.2017.11.020
Shahbazian, H., Aleali, A. M., Amani, R., Namjooyan, F., Cheraghian, B., Latifi, S. M., … Ghadiri, A. (2019). Effects of saffron on homocysteine, and antioxidant and inflammatory biomarkers levels in patients with type 2 diabetes mellitus: A randomized double-blind clinical trial. Avicenna Journal of Phytomedicine, 9(5), 436.
Shemshian, M., Mousavi, S. H., Norouzy, A., Kermani, T., Moghiman, T., Sadeghi, A., … Ferns, G. A. (2014). Saffron in metabolic syndrome: Its effects on antibody titers to heat-shock proteins 27, 60, 65 and 70. Journal of Complementary and Integrative Medicine, 11(1), 43-49.
Sheng, L., Qian, Z., Zheng, S., & Xi, L. (2006). Mechanism of hypolipidemic effect of crocin in rats: Crocin inhibits pancreatic lipase. European Journal of Pharmacology, 543(1), 116-122. https://doi.org/10.1016/j.ejphar.2006.05.038
Sun, N.-N., Wu, T.-Y., & Chau, C.-F. (2016). Natural dietary and herbal products in anti-obesity treatment. Molecules, 21(10), 1351. https://doi.org/10.3390/molecules21101351
Swinburn, B. A., Sacks, G., Hall, K. D., McPherson, K., Finegood, D. T., Moodie, M. L., & Gortmaker, S. L. (2011). The global obesity pandemic: Shaped by global drivers and local environments. The Lancet, 378(9793), 804-814. https://doi.org/10.1016/S0140-6736(11)60813-1
Vasudeva, N., Yadav, N., & Sharma, S. K. (2012). Natural products: A safest approach for obesity. Chinese Journal of Integrative Medicine, 18(6), 473-480.
Weyer, C., Funahashi, T., Tanaka, S., Hotta, K., Matsuzawa, Y., Pratley, R. E., & Tataranni, P. A. (2001). Hypoadiponectinemia in obesity and type 2 diabetes: Close association with insulin resistance and hyperinsulinemia. The Journal of Clinical Endocrinology & Metabolism, 86(5), 1930-1935. https://doi.org/10.1210/jcem.86.5.7463
Williamson, E. M., Liu, X., & Izzo, A. A. (2020). Trends in use, pharmacology, and clinical applications of emerging herbal nutraceuticals. British Journal of Pharmacology, 177(6), 1227-1240.
Withrow, D., & Alter, D. A. (2011). The economic burden of obesity worldwide: A systematic review of the direct costs of obesity. Obesity Reviews, 12(2), 131-141.
Wolin, K. Y., Carson, K., & Colditz, G. A. (2010). Obesity and cancer. The Oncologist, 15(6), 556-565. https://doi.org/10.1634/theoncologist.2009-0285
World Health Organization, W. H. (2015). Obesity and overweight. Fact sheet no. 311. January 2015. Im Internet: http://www.who.int/mediacentre/factsheets/fs311/en/Stand, 13.
Zalesin, K. C., Franklin, B. A., Miller, W. M., Peterson, E. D., & McCullough, P. A. (2008). Impact of obesity on cardiovascular disease. Endocrinology and Metabolism Clinics of North America, 37(3), 663-684. https://doi.org/10.1016/j.ecl.2008.06.004
Zilaee, M., Soukhtanloo, M., Ghayour-Mobarhan, M., Shemshian, M., Salehi, M., & Ferns, G. A. (2018). Effect of saffron on serum leptin levels in patients with metabolic syndrome, a double-blind, randomized and placebo-controlled trial study. Progress in Nutrition, 20, 140-144.

Auteurs

Fateme Tahmasbi (F)

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.

Mostafa Araj-Khodaei (M)

Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Persian Medicine, Faculty of Persian medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Ata Mahmoodpoor (A)

Anesthesiology and critical care department, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Sarvin Sanaie (S)

Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH