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Does strawberry supplementation ameliorate markers of cardiovascular and metabolic health? A systematic review and meta-analysis

Reihaneh Mousavi (Student Research Committee, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran)
Morteza Arab-Zozani (Social Determinant of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran)
Elaheh Foroumandi (Iranian Research Center on Healthy Aging, Medicine School, Sabzevar University of Medical Sciences, Sabzevar, Iran)
Majid Karandish (Diabetes Research Center, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran)
Leila Maghsoumi-Norouzabad (Student Research Committee, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran)
Anahita Mansoori (Nutrition and Metabolic Diseases Research Center, Faculty of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran)
Jalal Moludi (Faculty of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran)

Nutrition & Food Science

ISSN: 0034-6659

Article publication date: 14 December 2021

Issue publication date: 28 June 2022

107

Abstract

Purpose

This study aims to identify the effect of strawberry supplementation on some metabolic, inflammatory and oxidative parameters in adults with cardiovascular (CV) risk factors.

Design/methodology/approach

A systematic literature search was performed up to November 2020 using PubMed, Embase, Cochrane, Web of Sciences and Scopus databases. The pooled mean difference (MD) with 95% confidence interval (CI) was used to analyze the data by random-effects model. I2 statistics and Cochrane risk of bias tool were used for investigating heterogeneity and quality of included studies, respectively.

Findings

In total, 13 randomized controlled trials with 488 participants were included. Strawberry supplementation significantly reduced diastolic blood pressure (MD = −2.1, 95% CI [−3.7, −0.42], P = 0.01), low-density lipoprotein cholesterol (−0.16, −0.30, −0.02, P = 0.03), high-sensitivity C-reactive protein (CRP) (−0.76, −1.4, −0.05, P < 0.001) and CRP (−0.31, −0.43, −0.18, P = 0.04). Leptin levels were raised in control group compared with participants who had received strawberry (0.65, 0.09 and 1.2, P = 0.02). The results of subgroup analysis based on the follow-up duration and supplementation dose showed that consumption of strawberry for more than eight weeks and 50 g day−1 can significantly decrease some other CV risk factors compared to control group. Further, both higher follow-up duration and supplementation dose were more effective in increasing leptin levels of control group compared to intervention group.

Originality/value

The use of some useful plant foods such as strawberries by the pharmaceutical industry and the community health sector can greatly help improve people’s CV and metabolic health.

Keywords

Acknowledgements

The authors’ responsibilities were as follows: R.M., M.AZ., E.F. and L.M. contributed to design and data extraction; A.M. and M.AZ. performed the data analysis; R.M., E.F. and J.M. prepared the manuscript; and A.M. and M.K. conducted the critical review. The manuscript has been read and approved by all authors.

Funding: This work was financially supported by Ahvaz Jundishapur University of Medical Sciences from [Grant No. 98s24].

Conflicts of interest: All the authors declared that they have no conflicts of interest.

Supplementary material is available at: https://docs.google.com/document/d/1XzQnALdWOyZRnHWL4QjzXKtuUtoOkYij/edit?usp=sharing&ouid=109929776436830431035&rtpof=true&sd=true

Citation

Mousavi, R., Arab-Zozani, M., Foroumandi, E., Karandish, M., Maghsoumi-Norouzabad, L., Mansoori, A. and Moludi, J. (2022), "Does strawberry supplementation ameliorate markers of cardiovascular and metabolic health? A systematic review and meta-analysis", Nutrition & Food Science, Vol. 52 No. 5, pp. 872-885. https://doi.org/10.1108/NFS-10-2021-0295

Publisher

:

Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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