Impacts of Curcumin Supplementation on Cardiometabolic Risk Factors in Patients With Polycystic Ovary Syndrome: A Systematic Review and Dose-Response Meta-Analysis.

Shooka Mohammadi, Somayeh Ziaei, Mehrnaz Morvaridi, Motahareh Hasani, Elham Mirtaheri, Farnaz Farsi, Sara Ebrahimi, Elnaz Daneshzad, Javad Heshmati
Author Information
  1. Shooka Mohammadi: Nutrition and Metabolic Diseases Research Center Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran. ORCID
  2. Somayeh Ziaei: Departemt of Anesthesia, Imam Reza Hospital Kermanshah University of Medical Sciences Kermanshah Iran.
  3. Mehrnaz Morvaridi: School of Public Health Iran University of Medical Sciences Tehran Iran.
  4. Motahareh Hasani: Department of Nutritional Sciences School of Health, Golestan University of Medical Sciences Gorgan Iran.
  5. Elham Mirtaheri: Department of Human Sciences Human Nutrition Program, The Ohio State University Columbus Ohio USA.
  6. Farnaz Farsi: Minimally Invasive Surgery Research Center Iran University of Medical Sciences Tehran Iran.
  7. Sara Ebrahimi: Institute for Physical Activity and Nutrition School of Exercise and Nutrition Sciences, Deakin University Geelong VIC Australia.
  8. Elnaz Daneshzad: Non-Communicable Diseases Research Center Alborz University of Medical Sciences Karaj Iran.
  9. Javad Heshmati: University of Ottawa Heart Institute Ottawa Canada. ORCID

Abstract

Background and Aim: Patients with polycystic ovary syndrome (PCOS) commonly have cardiometabolic risk factors. Oxidative stress (OS) significantly contributes to the development of cardiometabolic diseases. Curcumin (CUR) exhibits antioxidant properties that aid in OS regulation. This systematic review and dose-response meta-analysis of randomized clinical trials (RCTs) evaluated the effects of CUR supplementation on cardiometabolic risk factors in women with PCOS.
Methods: A systematic search across various databases was implemented to identify eligible RCTs published until January 2024. A meta-analysis was conducted employing a random-effects model.
Results: Eight RCTs were included in the meta-analysis. It was indicated that CUR supplementation substantially reduced fasting blood sugar (FBS) (standardized mean difference [SMD]: -0.40 mg/dL, 95% confidence interval [CI]: -0.59, -0.21;  < 0.001), insulin (SMD: -0.32 µU/mL, 95% CI: -0.49, -0.14;  < 0.001), homeostasis model assessment of insulin resistance (HOMA-IR) (SMD: -0.36, 95% CI: -0.54, -0.19;  < 0.001), and total cholesterol (TC) (SMD: -0.34 mg/dL, 95% CI: -0.61, -0.08;  = 0.01). In addition, it substantially increased the quantitative insulin sensitivity check index (QUICKI) (SMD: 0.37, 95% CI: 0.13, 0.61;  < 0.001) in the CUR-treated group compared with the control group. However, CUR did not have significant impacts on body mass index (BMI), body weight, serum levels of follicle-stimulating hormone (FSH), triglycerides (TG), dehydroepiandrosterone (DHEA), high-density lipoprotein (HDL), testosterone, low-density lipoprotein (LDL), and luteinizing hormone (LH).
Conclusion: This study revealed that CUR may have the potential to enhance cardiometabolic health by reducing hyperglycemia, insulin resistance, and serum TC levels in women with PCOS.

Keywords

References

Foods. 2017 Oct 22;6(10): [PMID: 29065496]
Nutrients. 2018 Jul 01;10(7): [PMID: 29966389]
Food Chem Toxicol. 2019 Feb;124:182-191 [PMID: 30529260]
Nutr Metab (Lond). 2022 Nov 8;19(1):76 [PMID: 36348361]
Control Clin Trials. 1986 Sep;7(3):177-88 [PMID: 3802833]
Mol Immunol. 2021 Feb;130:20-30 [PMID: 33348246]
Molecules. 2022 Jun 24;27(13): [PMID: 35807304]
Cardiovasc Diabetol. 2023 Jun 16;22(1):141 [PMID: 37328862]
Mol Nutr Food Res. 2011 Dec;55(12):1829-40 [PMID: 22058071]
Front Nutr. 2022 May 17;9:865497 [PMID: 35662932]
Phytother Res. 2019 Nov;33(11):2989-2995 [PMID: 31423626]
Front Pharmacol. 2020 Sep 15;11:01021 [PMID: 33041781]
Indian J Pharmacol. 2012 Mar;44(2):155-6 [PMID: 22529466]
Front Endocrinol (Lausanne). 2023 Jul 14;14:1216708 [PMID: 37522129]
Nutrients. 2020 Sep 29;12(10): [PMID: 33003472]
Int J Mol Sci. 2023 Feb 07;24(4): [PMID: 36834734]
Obes Rev. 2013 Feb;14(2):95-109 [PMID: 23114091]
Nutrients. 2019 Oct 05;11(10): [PMID: 31590362]
Adv Exp Med Biol. 2021;1291:165-177 [PMID: 34331690]
Int J Mol Sci. 2019 Feb 27;20(5): [PMID: 30818786]
BMC Endocr Disord. 2023 Feb 15;23(1):40 [PMID: 36788534]
Curr Opin Clin Nutr Metab Care. 2019 Nov;22(6):459-464 [PMID: 31577640]
Chin J Integr Med. 2022 Dec;28(12):1088-1095 [PMID: 36327049]
Food Funct. 2019 Aug 1;10(8):4584-4592 [PMID: 31347643]
Avicenna J Phytomed. 2016 Sep-Oct;6(5):567-577 [PMID: 27761427]
Front Endocrinol (Lausanne). 2022 Oct 27;13:1051111 [PMID: 36387924]
Biomed Pharmacother. 2018 Mar;99:411-421 [PMID: 29367110]
Front Endocrinol (Lausanne). 2021 May 03;12:669448 [PMID: 34012421]
BMJ. 2008 Apr 26;336(7650):924-6 [PMID: 18436948]
J Am Med Dir Assoc. 2017 Jun 1;18(6):503-508 [PMID: 28236605]
Nutrients. 2024 Jul 26;16(15): [PMID: 39125322]
Int J Vitam Nutr Res. 2015;85(1-2):79-87 [PMID: 26780280]
Probiotics Antimicrob Proteins. 2019 Dec;11(4):1236-1247 [PMID: 30547393]
Clin Chim Acta. 2020 Mar;502:214-221 [PMID: 31733195]
Crit Rev Food Sci Nutr. 2020;60(6):887-939 [PMID: 30632782]
Poult Sci. 2019 Sep 1;98(9):3705-3714 [PMID: 30869142]
Food Funct. 2022 Nov 28;13(23):11999-12010 [PMID: 36367124]
Trends Cardiovasc Med. 2020 Oct;30(7):399-404 [PMID: 31519403]
Adv Exp Med Biol. 2021;1308:109-117 [PMID: 33861440]
Obes Rev. 2019 Feb;20(2):339-352 [PMID: 30339316]
J Exp Pharmacol. 2020 Oct 08;12:363-369 [PMID: 33116951]
Diabetes Metab Syndr. 2019 Sep - Oct;13(5):2819-2825 [PMID: 31425942]
Reprod Sci. 2022 Nov;29(11):3124-3133 [PMID: 34655047]
J Cell Physiol. 2010 Jun;223(3):771-8 [PMID: 20205235]
Prostaglandins Other Lipid Mediat. 2022 Dec;163:106666 [PMID: 35914666]
Mediators Inflamm. 2016;2016:8254590 [PMID: 27563174]
Phytomedicine. 2021 Jan;80:153395 [PMID: 33137599]
Metabol Open. 2021 Dec 20;13:100160 [PMID: 35005596]
Curr Pharm Des. 2018;24(27):3184-3199 [PMID: 30156145]
Nutrients. 2021 Mar 22;13(3): [PMID: 33809891]
Crit Rev Food Sci Nutr. 2020;60(1):171-180 [PMID: 30373373]
Nutrients. 2021 Feb 21;13(2): [PMID: 33669954]
Chem Biol Interact. 2019 Sep 1;310:108729 [PMID: 31255636]
Pharmacol Res. 2019 Dec;150:104472 [PMID: 31585179]
Arch Physiol Biochem. 2020 May;126(2):183-186 [PMID: 30450993]
Diabetes Metab Syndr. 2023 Aug;17(8):102824 [PMID: 37523928]
Res Synth Methods. 2010 Apr;1(2):97-111 [PMID: 26061376]
J Matern Fetal Neonatal Med. 2016;29(3):461-5 [PMID: 25655530]
Free Radic Res. 2011 Jul;45(7):788-95 [PMID: 21548839]
Biofactors. 2016 Nov 12;42(6):561-580 [PMID: 27325504]
PLoS One. 2019 Apr 23;14(4):e0215840 [PMID: 31013312]
Eur J Med Chem. 2019 Feb 1;163:527-545 [PMID: 30553144]
Clin Nutr ESPEN. 2020 Apr;36:128-133 [PMID: 32220355]
BMJ. 1997 Sep 13;315(7109):629-34 [PMID: 9310563]
Molecules. 2020 Mar 19;25(6): [PMID: 32204372]
Transl Res. 2016 Jan;167(1):257-80 [PMID: 26207884]
Complement Ther Clin Pract. 2017 Feb;26:53-60 [PMID: 28107851]
Pharmacol Res. 2017 May;119:208-218 [PMID: 28192240]
Curr Pharm Biotechnol. 2016;17(11):1002-7 [PMID: 27640646]
Clin Epidemiol. 2013 Dec 18;6:1-13 [PMID: 24379699]
BMJ. 2019 Aug 28;366:l4898 [PMID: 31462531]
Antioxidants (Basel). 2024 Mar 24;13(4): [PMID: 38671838]
Crit Rev Food Sci Nutr. 2023;63(28):9282-9298 [PMID: 35475714]
J Clin Endocrinol Metab. 1998 Jun;83(6):2001-5 [PMID: 9626131]
Obstet Gynecol Surv. 2000 May;55(5):321-8 [PMID: 10804539]
Med Res Rev. 2019 Nov;39(6):2505-2533 [PMID: 31074028]
Crit Rev Food Sci Nutr. 2020;60(15):2643-2653 [PMID: 31423805]
Exp Clin Endocrinol Diabetes. 2012 Apr;120(4):205-9 [PMID: 22421986]
J Med Food. 2021 Jul;24(7):675-685 [PMID: 33155879]
Complement Ther Med. 2019 Dec;47:102201 [PMID: 31780025]
Evid Based Complement Alternat Med. 2020 May 10;2020:7656919 [PMID: 32454872]
Best Pract Res Clin Obstet Gynaecol. 2004 Oct;18(5):671-83 [PMID: 15380140]
J Integr Med. 2022 May;20(3):193-203 [PMID: 35292209]
Adv Biomed Res. 2018 Feb 28;7:38 [PMID: 29629341]
Diabetes Metab Syndr. 2019 Jul - Aug;13(4):2747-2753 [PMID: 31405703]
Int J Reprod Med. 2014;2014:719050 [PMID: 25763405]
Food Sci Nutr. 2023 Jun 01;11(9):5091-5101 [PMID: 37701206]
Nutrients. 2021 Nov 22;13(11): [PMID: 34836431]
Clin Med Insights Reprod Health. 2019 Sep 09;13:1179558119874042 [PMID: 31523137]
Complement Ther Med. 2020 Jan;48:102283 [PMID: 31987259]
Molecules. 2015 May 20;20(5):9183-213 [PMID: 26007179]
J Food Biochem. 2021 Jan;45(1):e13543 [PMID: 33111340]
Life Sci. 2016 Mar 1;148:183-93 [PMID: 26851532]
Biochem Biophys Res Commun. 2009 Oct 16;388(2):377-82 [PMID: 19665995]
Mol Cell Endocrinol. 2023 Mar 1;563:111840 [PMID: 36592923]
Int J Clin Pharmacol Ther. 2022 Dec;60(12):530-538 [PMID: 36278294]
Taiwan J Obstet Gynecol. 2019 Jul;58(4):447-453 [PMID: 31307731]
J Food Biochem. 2022 Oct;46(10):e14358 [PMID: 35945662]
World J Methodol. 2016 Mar 26;6(1):112-7 [PMID: 27019802]
Arch Med Res. 2018 Nov;49(8):516-521 [PMID: 30528299]
Front Pharmacol. 2020 Aug 13;11:1234 [PMID: 32903449]
Int J Surg. 2021 Apr;88:105906 [PMID: 33789826]
Nutrients. 2019 Dec 25;12(1): [PMID: 31881654]
Cell Biochem Funct. 2024 Jun;42(4):e4030 [PMID: 38720663]
Aging (Albany NY). 2022 Jan 11;14(1):225-239 [PMID: 35017319]
Curr Pharm Des. 2023;29(25):1971-1974 [PMID: 37493160]
Int J Epidemiol. 2009 Dec;38(6):1740-2 [PMID: 18940836]
Crit Rev Food Sci Nutr. 2018;58(16):2790-2799 [PMID: 28662351]
Phytother Res. 2024 May;38(5):2572-2593 [PMID: 38475999]
Antioxidants (Basel). 2024 Mar 08;13(3): [PMID: 38539864]
Evid Based Complement Alternat Med. 2013;2013:636053 [PMID: 24348712]

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