Effect of Apple Cider Vinegar Intake on Body Composition in Humans with Type 2 Diabetes and/or Overweight: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

IF 5 2区 医学 Q1 NUTRITION & DIETETICS
Nutrients Pub Date : 2025-09-19 DOI:10.3390/nu17183000
Alberto Castagna, Yvelise Ferro, Francesca Rita Noto, Rossella Bruno, Analucia Aragao Guimaraes, Carmelo Pujia, Elisa Mazza, Samantha Maurotti, Tiziana Montalcini, Arturo Pujia
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引用次数: 0

Abstract

Background: Apple cider vinegar (ACV) is a naturally fermented beverage with potential metabolic health benefits; however, its effects on weight loss remain controversial. This systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to assess the effect of ACV on anthropometric measurements in adults. Methods: We performed a systematic search of PubMed, Web of Science, Scopus, and CENTRAL up to March 2025 for randomized controlled trials (RCTs) in adults (≥18 years) evaluating the effects of ACV for ≥4 weeks on body composition parameters. Primary outcomes included changes in body weight, BMI, waist circumference, and other anthropometric measures. Risk of bias was assessed using the Revised Cochrane Risk-of-bias tool. Results: Out of 2961 reports screened, 10 RCTs comprising a total of 789 participants were eligible for inclusion in this meta-analysis. The pooled results using a random-effects model showed that daily ACV intake significantly reduced body weight [SMD: -0.39; 95% CI: -0.63, -0.15; p = 0.001; I2 = 62%], BMI [SMD: -0.65; 95% CI: -1.05, -0.26; p = 0.001; I2 = 83%], and WC [SMD: -0.34; 95% CI: -0.67, -0.02; p = 0.04; I2 = 61%]. However, no significant effects of ACV were observed on the other body composition parameters analyzed. Sensitivity analyses excluding high-risk-of-bias studies confirmed the robustness of ACV's beneficial effects on body weight and BMI. Subgroup analyses suggested that ACV consumption significantly improved anthropometric parameters when administered for up to 12 weeks, at a dose of 30 mL/day, and in adults who were overweight, obese, or had type 2 diabetes. Conclusions: Overall, this meta-analysis suggests that ACV supplementation may be a promising and accessible adjunctive strategy for short-term weight management in adults with excess body weight or metabolic complications.

苹果醋摄入对2型糖尿病和/或超重人群身体成分的影响:随机对照试验的系统回顾和荟萃分析
背景:苹果醋(ACV)是一种天然发酵饮料,具有潜在的代谢健康益处;然而,它对减肥的影响仍然存在争议。本研究对随机对照试验(rct)进行了系统回顾和荟萃分析,以评估ACV对成人人体测量的影响。方法:系统检索PubMed、Web of Science、Scopus和CENTRAL,检索截至2025年3月的成人(≥18岁)随机对照试验(rct),评估ACV治疗≥4周对身体成分参数的影响。主要结局包括体重、BMI、腰围和其他人体测量指标的变化。使用修订Cochrane风险偏倚工具评估偏倚风险。结果:在筛选的2961份报告中,有10项rct(共789名受试者)符合纳入本荟萃分析的条件。使用随机效应模型的汇总结果显示,每日摄入ACV可显著降低体重[SMD: -0.39;95% ci: -0.63, -0.15;P = 0.001;I2 = 62%], bmi [smd: -0.65;95% ci: -1.05, -0.26;P = 0.001;I2 = 83%], WC [SMD: -0.34;95% ci: -0.67, -0.02;P = 0.04;I2 = 61%]。然而,未观察到ACV对其他体成分参数的显著影响。排除高风险偏倚研究的敏感性分析证实了ACV对体重和BMI的有益作用的稳健性。亚组分析表明,在超重、肥胖或患有2型糖尿病的成年人中,以30 mL/天的剂量服用ACV可显著改善人体测量参数,治疗时间长达12周。结论:总的来说,这项荟萃分析表明,对于体重过重或代谢并发症的成年人,补充ACV可能是一种有希望的、可行的短期体重管理辅助策略。
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来源期刊
Nutrients
Nutrients NUTRITION & DIETETICS-
CiteScore
9.20
自引率
15.30%
发文量
4599
审稿时长
16.74 days
期刊介绍: Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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