The effect of psyllium consumption on weight, body mass index, lipid profile, and glucose metabolism in diabetic patients: A systematic review and dose-response 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:
Jun 2020
Historique:
received: 25 09 2019
revised: 07 12 2019
accepted: 12 12 2019
pubmed: 11 1 2020
medline: 1 8 2020
entrez: 11 1 2020
Statut: ppublish

Résumé

Water-soluble dietary fibers have been shown to improve lipid profile and glucose metabolism in diabetes. The aim of this study was to review the effects of psyllium consumption on weight, body mass index, lipid profiles, and glucose metabolism in diabetic patients in randomized controlled trials. A comprehensive systematic search was performed in PubMed/MEDLINE, Web of Sciences, Cochrane, and Scopus by two independent researchers up to August 2019 without any time and language restrictions. The DerSimonian and Laird random-effects model method performed to calculate the pooled results. Inclusion criteria were randomized controlled trial design, adult subjects, and studies reporting the mean differences with the 95% confidence interval for outcome. Eight studies containing nine arms with 395 participants were identified and included in final analysis. Combined results found a significant reduction in triglycerides, low-density lipoprotein, fasting blood sugar, and hemoglobin A1c following psyllium consumption (weighted mean differences [WMD]: -19.18 mg/dl, 95% CI [-31.76, -6.60], I

Identifiants

pubmed: 31919936
doi: 10.1002/ptr.6609
doi:

Substances chimiques

Blood Glucose 0
Lipids 0
Psyllium 8063-16-9

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1237-1247

Informations de copyright

© 2020 John Wiley & Sons, Ltd.

Références

Abutair, A. S., Naser, I. A., & Hamed, A. T. (2016). Soluble fibers from psyllium improve glycemic response and body weight among diabetes type 2 patients (randomized control trial). Nutrition Journal, 15(1), 86. https://doi.org/10.1186/s12937-016-0207-4
Abutair, A. S., Naser, I. A., & Hamed, A. T. (2018). The effect of soluble fiber supplementation on metabolic syndrome profile among newly diagnosed type 2 diabetes patients. Clin Nutr Res, 7(1), 31-39. https://doi.org/10.7762/cnr.2018.7.1.31
Anderson, J. W., Allgood, L. D., Lawrence, A., Altringer, L. A., Jerdack, G. R., Hengehold, D. A., & Morel, J. G. (2000). Cholesterol-lowering effects of psyllium intake adjunctive to diet therapy in men and women with hypercholesterolemia: Meta-analysis of 8 controlled trials. The American Journal of Clinical Nutrition, 71(2), 472-479. https://doi.org/10.1093/ajcn/71.2.472
Anderson, J. W., Allgood, L. D., Turner, J., Oeltgen, P. R., & Daggy, B. P. (1999). Effects of psyllium on glucose and serum lipid responses in men with type 2 diabetes and hypercholesterolemia. The American Journal of Clinical Nutrition, 70(4), 466-473. https://doi.org/10.1093/ajcn/70.4.466
Balk, E. M., Earley, A., Raman, G., Avendano, E. A., Pittas, A. G., & Remington, P. L. (2015). Combined diet and physical activity promotion programs to prevent type 2 diabetes among persons at increased risk: A systematic review for the community preventive services task force. Annals of Internal Medicine, 163(6), 437. https://doi.org/10.7326/M15-0452
Brum, J., Ramsey, D., McRorie, J., Bauer, B., & Kopecky, S. L. (2018). Meta-analysis of usefulness of psyllium fiber as adjuvant antilipid therapy to enhance cholesterol lowering efficacy of statins. The American Journal of Cardiology, 122(7), 1169-1174. https://doi.org/10.1016/j.amjcard.2018.06.040
Center for Disease Control and Prevention (2011). National diabetes fact sheet. Retrieved from https://www.cdc.gov/diabetes/pubs/pdf/methods11.pdf
Clark, H. D., Wells, G. A., Huët, C., McAlister, F. A., Salmi, L. R., Fergusson, D., & Laupacis, A. (1999). Assessing the quality of randomized trials: Reliability of the Jadad scale. Controlled Clinical Trials, 20(5), 448-452.
Everson, G. T., Daggy, B. P., McKinley, C., & Story, J. A. (1992). Effects of psyllium hydrophilic mucilloid on LDL-cholesterol and bile acid synthesis in hypercholesterolemic men. Journal of Lipid Research, 33(8), 1183-1192.
Feinglos, M. N., Gibb, R. D., Ramsey, D. L., Surwit, R. S., & McRorie, J. W. (2013). Psyllium improves glycemic control in patients with type-2 diabetes mellitus. Bioactive Carbohydrates and Dietary Fibre, 1(2), 156-161. https://doi.org/10.1016/j.bcdf.2013.02.003
Frati-Munari, A. C., Flores-Garduno, M. A., Ariza-Andraca, R., Islas-Andrade, S., & Chavez Negrete, A. (1989). Effect of different doses of Plantago psyllium mucilage on the glucose tolerance test. Arch Invest Med (Mex), 20(2), 147-152.
Gibb, R. D., McRorie, J. W., Jr., Russell, D. A., Hasselblad, V., & D'Alessio, D. A. (2015). Psyllium fiber improves glycemic control proportional to loss of glycemic control: A meta-analysis of data in euglycemic subjects, patients at risk of type 2 diabetes mellitus, and patients being treated for type 2 diabetes mellitus. The American Journal of Clinical Nutrition, 102(6), 1604-1614. https://doi.org/10.3945/ajcn.115.106989
Green, S. (2005). Higgins J. Cochrane handbook for systematic reviews of interventions 4.2. 5. h ttp://www. cochrane. org/resources/handbook/May.
Guariguata, L., Whiting, D. R., Hambleton, I., Beagley, J., Linnenkamp, U., & Shaw, J. E. (2014). Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Research and Clinical Practice, 103(2), 137-149. https://doi.org/10.1016/j.diabres.2013.11.002
Gunness, P., & Gidley, M. J. (2010). Mechanisms underlying the cholesterol-lowering properties of soluble dietary fibre polysaccharides. Food & Function, 1(2), 149-155. https://doi.org/10.1039/c0fo00080a
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., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions (Vol. 4). UK: John Wiley & Sons.
Hopman, W. P., Houben, P. G., Speth, P. A., & Lamers, C. B. (1988). Glucomannan prevents postprandial hypoglycaemia in patients with previous gastric surgery. Gut, 29(7), 930-934.
Hordern, M. D., Dunstan, D. W., Prins, J. B., Baker, M. K., Singh, M. A., & Coombes, J. S. (2012). Exercise prescription for patients with type 2 diabetes and pre-diabetes: A position statement from Exercise and Sport Science Australia. Journal of Science and Medicine in Sport, 15(1), 25-31. https://doi.org/10.1016/j.jsams.2011.04.005
InterAct, C. (2015). Dietary fibre and incidence of type 2 diabetes in eight European countries: The EPIC-InterAct Study and a meta-analysis of prospective studies. Diabetologia, 58(7), 1394-1408. https://doi.org/10.1007/s00125-015-3585-9
International Diabetes Federation. (2015). IDF diabetes atlas. Retrieved from https://www.idf.org/e-library/epidemiology-research/diabetes-atlas/13-diabetes-atlas-seventh-edition.html
Jalanka, J., Major, G., Murray, K., Singh, G., Nowak, A., Kurtz, C., … Spiller, R. (2019). The effect of psyllium husk on intestinal microbiota in constipated patients and healthy controls. International Journal of Molecular Sciences, 20(2), 433-440. https://doi.org/10.3390/ijms20020433
Jovanovski, E., Yashpal, S., Komishon, A., Zurbau, A., Blanco Mejia, S., Ho, H. V. T., … Vuksan, V. (2018). Effect of psyllium (Plantago ovata) fiber on LDL cholesterol and alternative lipid targets, non-HDL cholesterol and apolipoprotein B: A systematic review and meta-analysis of randomized controlled trials. The American Journal of Clinical Nutrition, 108(5), 922-932. https://doi.org/10.1093/ajcn/nqy115
Kaczmarczyk, M. M., Miller, M. J., & Freund, G. G. (2012). The health benefits of dietary fiber: Beyond the usual suspects of type 2 diabetes mellitus, cardiovascular disease and colon cancer. Metabolism, 61(8), 1058-1066. https://doi.org/10.1016/j.metabol.2012.01.017
Kamalpour, M., Ghalandari, H., & Nasrollahzadeh, J. (2018). Short-term supplementation of a moderate carbohydrate diet with psyllium reduces fasting plasma insulin and tumor necrosis factor-alpha in patients with type 2 diabetes mellitus. J Diet Suppl, 15(4), 507-515. https://doi.org/10.1080/19390211.2017.1358791
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151(4), 264-269.
Navarro-Gonzalez, J. F., Jarque, A., Muros, M., Mora, C., & Garcia, J. (2009). Tumor necrosis factor-alpha as a therapeutic target for diabetic nephropathy. Cytokine & Growth Factor Reviews, 20(2), 165-173. https://doi.org/10.1016/j.cytogfr.2009.02.005
Neal, G. W., & Balm, T. K. (1990). Synergistic effects of psyllium in the dietary treatment of hypercholesterolemia. Southern Medical Journal, 83(10), 1131-1137.
Noureddin, S., Mohsen, J., & Payman, A. (2018). Effects of psyllium vs. placebo on constipation, weight, glycemia, and lipids: A randomized trial in patients with type 2 diabetes and chronic constipation. Complementary Therapies in Medicine, 40, 1-7. https://doi.org/10.1016/j.ctim.2018.07.004
Nuttall, F. Q. (1993). Dietary fiber in the management of diabetes. Diabetes, 42(4), 503-508.
Pal, S., Khossousi, A., Binns, C., Dhaliwal, S., & Radavelli-Bagatini, S. (2012). The effects of 12-week psyllium fibre supplementation or healthy diet on blood pressure and arterial stiffness in overweight and obese individuals. The British Journal of Nutrition, 107(5), 725-734. https://doi.org/10.1017/S0007114511003497
Rahmani, J., Miri, A., Černevičiūtė, R., Thompson, J., de Souza, N. N., Sultana, R., … Hekmatdoost, A. (2019). Effects of cereal beta-glucan consumption on body weight, body mass index, waist circumference and total energy intake: A meta-analysis of randomized controlled trials. Complementary Therapies in Medicine, 43, 131-139.
Razaz, J. M., Rahmani, J., Varkaneh, H. K., Thompson, J., Clark, C., & Abdulazeem, H. M. (2019). The health effects of medical nutrition therapy by dietitians in patients with diabetes: A systematic review and meta-analysis: Nutrition therapy and diabetes. Primary care diabetes., 13, 399-408.
Rodriguez-Moran, M., Guerrero-Romero, F., & Lazcano-Burciaga, G. (1998). Lipid- and glucose-lowering efficacy of Plantago psyllium in type II diabetes. Journal of Diabetes and its Complications, 12(5), 273-278.
Ryan, P. M., Stanton, C., & Caplice, N. M. (2017). Bile acids at the cross-roads of gut microbiome-host cardiometabolic interactions. Diabetology and Metabolic Syndrome, 9, 102. https://doi.org/10.1186/s13098-017-0299-9
Sartore, G., Reitano, R., Barison, A., Magnanini, P., Cosma, C., Burlina, S., … Lapolla, A. (2009). The effects of psyllium on lipoproteins in type II diabetic patients. European Journal of Clinical Nutrition, 63(10), 1269-1271. https://doi.org/10.1038/ejcn.2009.60
Satoh, J., Yagihashi, S., & Toyota, T. (2003). The possible role of tumor necrosis factor-alpha in diabetic polyneuropathy. Experimental Diabesity Research, 4(2), 65-71. https://doi.org/10.1155/edr.2003.65
Sierra, M., Garcia, J. J., Fernandez, N., Diez, M. J., & Calle, A. P. (2002). Therapeutic effects of psyllium in type 2 diabetic patients. European Journal of Clinical Nutrition, 56(9), 830-842. https://doi.org/10.1038/sj.ejcn.1601398
Soltanian, N., & Janghorbani, M. (2019). Effect of flaxseed or psyllium vs. placebo on management of constipation, weight, glycemia, and lipids: A randomized trial in constipated patients with type 2 diabetes. Clin Nutr ESPEN, 29, 41-48. https://doi.org/10.1016/j.clnesp.2018.11.002
Tattersall, R., & Mansell, P. (1990). Fibre in the management of diabetes. 2. Benefits of fibre itself are uncertain. BMJ (Clinical research ed.), 300(6735), 1336-1337.
Van Rosendaal, G. M., Shaffer, E. A., Edwards, A. L., & Brant, R. (2004). Effect of time of administration on cholesterol-lowering by psyllium: A randomized cross-over study in normocholesterolemic or slightly hypercholesterolemic subjects. Nutrition Journal, 3, 17. https://doi.org/10.1186/1475-2891-3-17
Vergara-Jimenez, M., Conde, K., Erickson, S. K., & Fernandez, M. L. (1998). Hypolipidemic mechanisms of pectin and psyllium in guinea pigs fed high fat-sucrose diets: Alterations on hepatic cholesterol metabolism. Journal of Lipid Research, 39(7), 1455-1465.
Ziai, S. A., Larijani, B., Akhoondzadeh, S., Fakhrzadeh, H., Dastpak, A., Bandarian, F., … Emami, T. (2005). Psyllium decreased serum glucose and glycosylated hemoglobin significantly in diabetic outpatients. Journal of Ethnopharmacology, 102(2), 202-207. https://doi.org/10.1016/j.jep.2005.06.042

Auteurs

Zhifang Xiao (Z)

Department of Endocrinology, Affiliated Nanhua Hospital, University of South China, Hengyang, China.

Hui Chen (H)

Medical Group Office, Northern Jiangsu People's Hospital, Yangzhou, China.

Yu Zhang (Y)

Department of Endocrinology, Xinchang People's Hospital, Xinchang County, China.

Hui Deng (H)

Prehospital Aid Station, Danyang People's Hospital, Danyang, China.

KunWei Wang (K)

Department of Endocrinology, Tianyou Hospital Affiliated to Tongji University, Shanghai, China.

Akshaya Srikanth Bhagavathula (AS)

Department of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al Ain, UAE.

Shamma Jauaan Almuhairi (SJ)

Family Medicine Department, Tawam Hospital, Al Ain, Abu Dhabi, UAE.

Paul M Ryan (PM)

School of Medicine, University College Cork, Cork, Ireland.

Jamal Rahmani (J)

Department of Community Nutrition, Student Research Committee, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Minyan Dang (M)

Key Laboratory of Regenerative Biology, Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, Guangzhou, Guangdong, China.

Vasileios Kontogiannis (V)

Institute of Health & Society, Newcastle University, Newcastle upon Tyne, UK.

Andrew Vick (A)

Department of Nursing and Public Health, Capella University, Minneapolis, Minnesota.

Yuhe Wei (Y)

Department of Endocrinology, Affiliated Wujin Hospital, Jiangsu University, Changzhou, China.

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