Effects of aged garlic extract on blood pressure in hypertensive patients: A systematic review and meta-analysis of randomized controlled trials

被引:0
作者
Saadh, Mohamed J. [1 ]
Kariem, Muthena [2 ,3 ,4 ]
Shukla, Madhu [5 ]
Ballal, Suhas [6 ]
Kumar, Abhishek [7 ,8 ]
Chahar, Mamata [9 ]
Saini, Suman [10 ]
Kapila, Ish [11 ]
Hasaanzadeh, Shirin [12 ]
机构
[1] Middle East Univ, Fac Pharm, Amman 11831, Jordan
[2] Islamic Univ, Med Lab Tech Coll, Dept Med Anal, Najaf, Iraq
[3] Islamic Univ Al Diwaniyah, Med Lab Tech Coll, Dept Med Anal, Al Diwaniyah, Iraq
[4] Islamic Univ Babylon, Med Lab Tech Coll, Dept Med Anal, Babylon, Iraq
[5] Marwadi Univ, Res Ctr, Fac Engn & Technol, Dept Comp Engn, Rajkot 360003, Gujarat, India
[6] JAIN Deemed Univ, Sch Sci, Dept Chem & Biochem, Bangalore, Karnataka, India
[7] Shobhit Univ, Adarsh Vijendra Inst Pharmaceut Sci, Sch Pharm, Gangoh 247341, Uttar Pradesh, India
[8] Arka Jain Univ, Dept Pharm, Jamshedpur 831001, Jharkhand, India
[9] NIMS Univ Rajasthan, NIMS Inst Engn & Technol, Dept Chem, Jaipur, India
[10] Chandigarh Engn Coll, Chandigarh Grp Coll Jhanjeri, Dept Appl Sci, Mohali 140307, Punjab, India
[11] Chitkara Univ, Inst Engn & Technol, Ctr Res Impact & Outcome, Rajpura 140401, Punjab, India
[12] Shahid Sadoughi Univ Med Sci, Sch Publ Hlth, Dept Nutr, Yazd, Iran
关键词
Garlic; Blood pressure; Hypertension; Aged garlic extract; Meta-analysis; DISEASE; PROTEIN; LIVER; RATS; BIAS;
D O I
10.1016/j.prostaglandins.2024.106914
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Background: There is no consensus based on the existing literature regarding the effect of aged garlic extract (AGE) on blood pressure. The present systematic review and meta-analysis was conducted to synthesize existing data from randomized clinical trials (RCTs) concerning the impact of AGE supplementation on blood pressure in hypertensive patients. Methods: We searched English web databases including, PubMed, Scopus, Embase, Web of Science until August 2024. Random-effects meta-analysis was used to pool weighted mean differences (WMD) and 95 % CI for the outcomes. Results: Overall, nine RCTs with584 participants met inclusion criteria. AGE tea supplementation reduces systolic blood pressure (SBP) (WMD: -4.03; %95CI: -6.87, -1.20; I2: 57.1 %) and diastolic blood pressure (DBP) (WMD: -1.44; 95 % CI= -2.87, -0.02; P = 0.052; I2: 36.8 %; P: 0.105). Moreover, subgroup analysis indicated that higher doses of AGE supplementation in hypertensive patients significantly decreased DBP, and SBP. Conclusion: The results of this study suggest that AGE supplements may be beneficial for improving blood pressure in hypertensive patients, but significant effects are observed only at doses over 1200 mg/day. To confirm these results, well-designed future trials will be needed.
引用
收藏
页数:7
相关论文
共 51 条
[1]  
Adak M., 2010, Int J. Biomed. Pharm. Sci., V4, P1
[2]   Assessment of study quality for systematic reviews: a comparison of the Cochrane Collaboration Risk of Bias Tool and the Effective Public Health Practice Project Quality Assessment Tool: methodological research [J].
Armijo-Olivo, Susan ;
Stiles, Carla R. ;
Hagen, Neil A. ;
Biondo, Patricia D. ;
Cummings, Greta G. .
JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2012, 18 (01) :12-18
[3]   Antidiabetic role of a novel protein from garlic via NO in expression of Glut-4/insulin in liver of alloxan induced diabetic mice [J].
Bhattacharya, Suman ;
Maji, Uttam ;
Khan, Gausal A. ;
Das, Rahul ;
Sinha, Asru K. ;
Ghosh, Chandradipa ;
Maiti, Smarajit .
BIOMEDICINE & PHARMACOTHERAPY, 2019, 111 :1302-1314
[4]  
Borenstein M., 2009, Introduction to meta-analysis, DOI [10.1002/9780470743386, DOI 10.1002/9780470743386]
[5]   Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure [J].
Chobanian, AV ;
Bakris, GL ;
Black, HR ;
Cushman, WC ;
Green, LA ;
Izzo, JL ;
Jones, DW ;
Materson, BJ ;
Oparil, S ;
Wright, JT ;
Roccella, EJ .
HYPERTENSION, 2003, 42 (06) :1206-1252
[6]  
DEFRONZO RA, 1981, DIABETOLOGIA, V21, P165, DOI 10.1007/BF00252649
[7]   Random-effects model for meta-analysis of clinical trials: An update [J].
DerSimonian, Rebecca ;
Kacker, Raghu .
CONTEMPORARY CLINICAL TRIALS, 2007, 28 (02) :105-114
[8]  
Dorobantu M., 2024, Hypertension and Heart Failure: Epidemiology, Mechanisms and Treatment
[9]   Bias in meta-analysis detected by a simple, graphical test [J].
Egger, M ;
Smith, GD ;
Schneider, M ;
Minder, C .
BMJ-BRITISH MEDICAL JOURNAL, 1997, 315 (7109) :629-634
[10]   Aged garlic has more potent antiglycation and antioxidant properties compared to fresh garlic extract in vitro [J].
Elosta, Abdulhakim ;
Slevin, Mark ;
Rahman, Khalid ;
Ahmed, Nessar .
SCIENTIFIC REPORTS, 2017, 7