Efficacy and safety of Coccinia grandis (L.) Voigt on blood glucose and lipid profile: An updated systematic review and meta-analysis

Introduction: Coccinia grandis has been shown to improve blood glucose and lipids. The results of earlier clinical studies on the effects of C. grandis on blood sugar and lipid profile are debatable. This meta-analysis aimed to evaluate, using randomized controlled trials (RCTs), the effects of cons...

Full description

Saved in:
Bibliographic Details
Main Authors: Wiraphol Phimarn, Chatmanee Taengthonglang, Bunleu Sungthong
Format: Article
Language:English
Published: Shahrekord University of Medical Sciences 2024-07-01
Series:Journal of HerbMed Pharmacology
Subjects:
Online Access:https://herbmedpharmacol.com/PDF/jhp-13-342.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850057125152161792
author Wiraphol Phimarn
Chatmanee Taengthonglang
Bunleu Sungthong
author_facet Wiraphol Phimarn
Chatmanee Taengthonglang
Bunleu Sungthong
author_sort Wiraphol Phimarn
collection DOAJ
description Introduction: Coccinia grandis has been shown to improve blood glucose and lipids. The results of earlier clinical studies on the effects of C. grandis on blood sugar and lipid profile are debatable. This meta-analysis aimed to evaluate, using randomized controlled trials (RCTs), the effects of consuming C. grandis on lipid profiles and blood glucose levels. Methods: Thai and English articles by two independent authors were searched in PubMed, ScienceDirect, Scopus, and ThaiJo up to November 2023 for a systematic review. The keywords were developed based on MeSH terms as follows: (Coccinia grandis OR Coccinia cordifolia OR Coccinia indica) AND (fasting blood glucose OR FBS OR fasting plasma glucose OR FPG OR HbA1C OR postprandial glucose OR PPG OR lipid profile OR low-density lipoprotein OR LDL OR high-density lipoprotein OR HDL OR total cholesterol OR TC OR triglyceride OR TG). The Laird and DerSimonian random-effect model was used to pool the findings. Seven trials with 595 individuals and 1–90-day treatments were included. Results: The combined data revealed a noteworthy decline in fasting blood sugar (FBS); standardized mean difference (SMD) by -1.99 mg/dL (P<0.001), 1-hour postprandial glucose (PPG) by -0.99 mg/dL (P<0.001), 2-hour PPG by -0.69 mg/dL (P=0.004) and triglycerides (TG) by -0.46 mg/dL (P=0.001). However, there were no significant differences in hemoglobin A1C (HbA1C), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and total cholesterol (TC). No major intervention side effects were recorded. Conclusion: Our investigation found that C. grandis reduced FBS, PPG, and TG. The treatment’s long-term advantages and safety are unknown.
format Article
id doaj-art-025336c5fcdb4f5fab5b43d15b67177d
institution DOAJ
issn 2345-5004
language English
publishDate 2024-07-01
publisher Shahrekord University of Medical Sciences
record_format Article
series Journal of HerbMed Pharmacology
spelling doaj-art-025336c5fcdb4f5fab5b43d15b67177d2025-08-20T02:51:31ZengShahrekord University of Medical SciencesJournal of HerbMed Pharmacology2345-50042024-07-0113334235210.34172/jhp.2024.49331jhp-49331Efficacy and safety of Coccinia grandis (L.) Voigt on blood glucose and lipid profile: An updated systematic review and meta-analysisWiraphol Phimarn0Chatmanee Taengthonglang1Bunleu Sungthong2Social Pharmacy Research Unit, Faculty of Pharmacy, Mahasarakham University, Kantharawichai, Maha Sarakham, Thailand, 44150Pharmacy department, Surin Hospital, Surin, Thailand, 32000Integrative Pharmaceuticals and Innovative of Pharmaceutical Technology Research Unit, Faculty of Pharmacy, Mahasarakham University, Khamriang, Kantharawichai, Maha Sarakham, Thailand, 44150Introduction: Coccinia grandis has been shown to improve blood glucose and lipids. The results of earlier clinical studies on the effects of C. grandis on blood sugar and lipid profile are debatable. This meta-analysis aimed to evaluate, using randomized controlled trials (RCTs), the effects of consuming C. grandis on lipid profiles and blood glucose levels. Methods: Thai and English articles by two independent authors were searched in PubMed, ScienceDirect, Scopus, and ThaiJo up to November 2023 for a systematic review. The keywords were developed based on MeSH terms as follows: (Coccinia grandis OR Coccinia cordifolia OR Coccinia indica) AND (fasting blood glucose OR FBS OR fasting plasma glucose OR FPG OR HbA1C OR postprandial glucose OR PPG OR lipid profile OR low-density lipoprotein OR LDL OR high-density lipoprotein OR HDL OR total cholesterol OR TC OR triglyceride OR TG). The Laird and DerSimonian random-effect model was used to pool the findings. Seven trials with 595 individuals and 1–90-day treatments were included. Results: The combined data revealed a noteworthy decline in fasting blood sugar (FBS); standardized mean difference (SMD) by -1.99 mg/dL (P<0.001), 1-hour postprandial glucose (PPG) by -0.99 mg/dL (P<0.001), 2-hour PPG by -0.69 mg/dL (P=0.004) and triglycerides (TG) by -0.46 mg/dL (P=0.001). However, there were no significant differences in hemoglobin A1C (HbA1C), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and total cholesterol (TC). No major intervention side effects were recorded. Conclusion: Our investigation found that C. grandis reduced FBS, PPG, and TG. The treatment’s long-term advantages and safety are unknown.https://herbmedpharmacol.com/PDF/jhp-13-342.pdfcoccinia grandislipid profilesblood glucosedyslipidemiasmeta-analysissystematic review
spellingShingle Wiraphol Phimarn
Chatmanee Taengthonglang
Bunleu Sungthong
Efficacy and safety of Coccinia grandis (L.) Voigt on blood glucose and lipid profile: An updated systematic review and meta-analysis
Journal of HerbMed Pharmacology
coccinia grandis
lipid profiles
blood glucose
dyslipidemias
meta-analysis
systematic review
title Efficacy and safety of Coccinia grandis (L.) Voigt on blood glucose and lipid profile: An updated systematic review and meta-analysis
title_full Efficacy and safety of Coccinia grandis (L.) Voigt on blood glucose and lipid profile: An updated systematic review and meta-analysis
title_fullStr Efficacy and safety of Coccinia grandis (L.) Voigt on blood glucose and lipid profile: An updated systematic review and meta-analysis
title_full_unstemmed Efficacy and safety of Coccinia grandis (L.) Voigt on blood glucose and lipid profile: An updated systematic review and meta-analysis
title_short Efficacy and safety of Coccinia grandis (L.) Voigt on blood glucose and lipid profile: An updated systematic review and meta-analysis
title_sort efficacy and safety of coccinia grandis l voigt on blood glucose and lipid profile an updated systematic review and meta analysis
topic coccinia grandis
lipid profiles
blood glucose
dyslipidemias
meta-analysis
systematic review
url https://herbmedpharmacol.com/PDF/jhp-13-342.pdf
work_keys_str_mv AT wirapholphimarn efficacyandsafetyofcocciniagrandislvoigtonbloodglucoseandlipidprofileanupdatedsystematicreviewandmetaanalysis
AT chatmaneetaengthonglang efficacyandsafetyofcocciniagrandislvoigtonbloodglucoseandlipidprofileanupdatedsystematicreviewandmetaanalysis
AT bunleusungthong efficacyandsafetyofcocciniagrandislvoigtonbloodglucoseandlipidprofileanupdatedsystematicreviewandmetaanalysis