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Natural Products in the Clinical Management of Metabolic Syndrome

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Handbook of Experimental Pharmacology

Abstract

Metabolic syndrome (MetS) is a prevalent health condition that requires significant attention and intervention due to its multifaceted nature. It encompasses a variety of ailments such as diabetes mellitus, hypertension, obesity, and dyslipidemia. Despite extensive research, the underlying pathophysiology of MetS is not entirely understood, and current synthetic drugs used to treat it have adverse effects and can be expensive. Therefore, natural products are being investigated as a potential alternative treatment for MetS. This chapter provides an overview of studies on natural products as a treatment for MetS. The available evidence suggests that bioactive phytochemicals and herbal medicines, such as curcumin, resveratrol, Nigella sativa, Hibiscus sabdariffa, and Theobroma cacao, have the potential to treat MetS effectively. Furthermore, natural products can be explored as a novel drug discovery approach for MetS. However, it is imperative to conduct well-designed randomized controlled trials with large sample sizes to confirm these findings. Based on our review, we conclude that natural products could be a promising alternative for treating MetS. Further research is warranted to explore this potential fully. The use of natural products for MetS treatment could reduce the reliance on synthetic drugs, many of which have harmful side effects and are costly. The development of natural products as a treatment for MetS could have significant implications for public health, and we encourage further research in this area.

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References

  • Adamafio N (2013) Theobromine toxicity and remediation of cocoa by-products: an overview. J Biol Sci 13(7):570–576

    Google Scholar 

  • Ahmed T, Abdollahi M, Daglia M, Nabavi SF, Nabavi SM (2015) Berberine and neurodegeneration: a review of the literature. Pharmacol Rep 67(5):970–979

    Google Scholar 

  • Akbari M, Lankarani KB, Tabrizi R, Ghayour-Mobarhan M, Peymani P, Ferns G et al (2019) The effects of curcumin on weight loss among patients with metabolic syndrome and related disorders: a systematic review and meta-analysis of randomized controlled trials. Front Pharmacol 10:649

    Google Scholar 

  • Akhondzadeh S, Tahmacebi-Pour N, Noorbala AA, Amini H, Fallah-Pour H, Jamshidi AH, Khani M (2005) Crocus sativus L. in the treatment of mild to moderate depression: a double-blind, randomized and placebo-controlled trial. Phytother Res 19(2):148–151

    Google Scholar 

  • Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA et al (2009) Harmonizing the metabolic syndrome: a joint interim statement of the international diabetes federation task force on epidemiology and prevention; national heart, lung, and blood institute; American heart association; world heart federation; international atherosclerosis society; and international association for the study of obesity. Circulation 120(16):1640–1645

    Google Scholar 

  • Alberti KGMM, Zimmet P, Shaw J (2006) Metabolic syndrome—a new world-wide definition. A consensus statement from the international diabetes federation. Diabet Med 23(5):469–480

    Google Scholar 

  • Ali BH, Blunden G, Tanira MO, Nemmar A (2008) Some phytochemical, pharmacological and toxicological properties of ginger (Zingiber officinale Roscoe): a review of recent research. Food Chem Toxicol 46(2):409–420

    Google Scholar 

  • Amini MR, Sheikhhossein F, Naghshi S, Djafari F, Askari M, Shahinfar H et al (2020) Effects of berberine and barberry on anthropometric measures: a systematic review and meta-analysis of randomized controlled trials. Complement Ther Med 49:102337

    Google Scholar 

  • Amiri M, Ghaneian MT, Zare-Sakhvidi MJ, Rahmanian M, Nadjarzadeh A, Moghtaderi F et al (2019) The effect of canola oil compared with sesame and sesame-canola oil on cardio-metabolic biomarkers in patients with type 2 diabetes: design and research protocol of a randomized, triple-blind, three-way, crossover clinical trial. ARYA Atheroscler 15(4):168

    Google Scholar 

  • Amiri M, Raeisi-Dehkordi H, Sarrafzadegan N, Forbes SC, Salehi-Abargouei A (2020) The effects of Canola oil on cardiovascular risk factors: a systematic review and meta-analysis with dose-response analysis of controlled clinical trials. Nutr Metab Cardiovasc Dis 30(12):2133–2145

    Google Scholar 

  • Asbaghi O, Fouladvand F, Gonzalez MJ, Ashtary-Larky D, Choghakhori R, Abbasnezhad A (2021) Effect of green tea on glycemic control in patients with type 2 diabetes mellitus: a systematic review and meta-analysis. Diabetes Metab Syndr 15(1):23–31. https://doi.org/10.1016/j.dsx.2020.11.004

    Article  Google Scholar 

  • Asgary S, Karimi R, Momtaz S, Naseri R, Farzaei MH (2019) Effect of resveratrol on metabolic syndrome components: a systematic review and meta-analysis. Rev Endocr Metab Disord 20:173–186

    Google Scholar 

  • Asghari S, Asghari-Jafarabadi M, Somi M-H, Ghavami S-M, Rafraf M (2018) Comparison of calorie-restricted diet and resveratrol supplementation on anthropometric indices, metabolic parameters, and serum sirtuin-1 levels in patients with nonalcoholic fatty liver disease: a randomized controlled clinical trial. J Am Coll Nutr 37(3):223–233

    Google Scholar 

  • Ayati Z, Yang G, Ayati MH, Emami SA, Chang D (2020) Saffron for mild cognitive impairment and dementia: a systematic review and meta-analysis of randomised clinical trials. BMC Complement Med Therapies 20:1–10

    Google Scholar 

  • Baek S-H, Shin W-C, Ryu H-S, Lee D-W, Moon E, Seo C-S et al (2013) Creation of resveratrol-enriched rice for the treatment of metabolic syndrome and related diseases. PLoS One 8(3):e57930

    Google Scholar 

  • Bahaeddin Z, Khodagholi F, Foolad F, Emadi F, Alijaniha F, Zareh Shahamati S et al (2023) Almond intake during pregnancy in rats improved the cognitive performance of adult male offspring. Nutr Neurosci 26(9):888–900

    Google Scholar 

  • Bahramsoltani R, Rahimi R, Farzaei MH (2017) Pharmacokinetic interactions of curcuminoids with conventional drugs: a review. J Ethnopharmacol 209:1–12

    Google Scholar 

  • Baile CA, Yang JY, Rayalam S, Hartzell DL, Lai CY, Andersen C, Della-Fera MA (2011) Effect of resveratrol on fat mobilization. Ann N Y Acad Sci 1215(1):40–47

    Google Scholar 

  • Bedrood Z, Rameshrad M, Hosseinzadeh H (2018) Toxicological effects of Camellia sinensis (green tea): a review. Phytother Res 32(7):1163–1180

    Google Scholar 

  • Beydoun MA, Chen X, Jha K, Beydoun HA, Zonderman AB, Canas JA (2019) Carotenoids, vitamin A, and their association with the metabolic syndrome: a systematic review and meta-analysis. Nutr Rev 77(1):32–45

    Google Scholar 

  • Birdsall TC (1997) Berberine: therapeutic potential of alkaloid found in several medicinal plants. Altern Med Rev 2:94–103

    Google Scholar 

  • Black Seed – Uses, S. E., and More (2023). Retrieved from https://www.webmd.com/vitamins/ai/ingredientmono-901/black-seed

  • Cameron J, Ranheim T, Kulseth MA, Leren TP, Berge KE (2008) Berberine decreases PCSK9 expression in HepG2 cells. Atherosclerosis 201(2):266–273

    Google Scholar 

  • Canola Oil – Uses, S. E., and More (2023). Retrieved from https://www.webmd.com/vitamins/ai/ingredientmono-1563/canola-oil

  • Capsicum – Uses, S. E., and More (2023). Retrieved from https://www.webmd.com/vitamins/ai/ingredientmono-945/capsicum

  • Cardoza V, Stewart CN Jr (2006) Canola (Brassica napus L.). Methods Mol Biol 343:257–266. https://doi.org/10.1385/1-59745-130-4:257

    Article  Google Scholar 

  • Cerbin-Koczorowska M, Waszyk-Nowaczyk M, Bakun P, Goslinski T, Koczorowski T (2021) Current view on green tea catechins formulations, their interactions with selected drugs, and prospective applications for various health conditions. Appl Sci 11(11):4905

    Google Scholar 

  • Chelghoum M, Khitri W, Bouzid S, Lakermi A (2021) New trends in the use of medicinal plants by Algerian diabetic patients, considerations of herb-drug interactions. J Ethnopharmacol 274:113984

    Google Scholar 

  • Chen S, Zhao X, Ran L, Wan J, Wang X, Qin Y et al (2015) Resveratrol improves insulin resistance, glucose and lipid metabolism in patients with non-alcoholic fatty liver disease: a randomized controlled trial. Dig Liver Dis 47(3):226–232

    Google Scholar 

  • Chu C, Li D, Zhang S, Ikejima T, Jia Y, Wang D, Xu F (2018) Role of silibinin in the management of diabetes mellitus and its complications. Arch Pharm Res 41:785–796

    Google Scholar 

  • Chukwuma CI, Matsabisa MG, Ibrahim MA, Erukainure OL, Chabalala MH, Islam MS (2019) Medicinal plants with concomitant anti-diabetic and anti-hypertensive effects as potential sources of dual acting therapies against diabetes and hypertension: a review. J Ethnopharmacol 235:329–360

    Google Scholar 

  • Cocoa – Uses, S. E., and More (2023). Retrieved from https://www.webmd.com/vitamins/ai/ingredientmono-812/cocoa

  • Cordell GA, Quinn-Beattie ML, Farnsworth NR (2001) The potential of alkaloids in drug discovery. Phytother Res 15(3):183–205

    Google Scholar 

  • Crichton M, Davidson AR, Innerarity C, Marx W, Lohning A, Isenring E, Marshall S (2022) Orally consumed ginger and human health: an umbrella review. Am J Clin Nutr 115(6):1511–1527

    Google Scholar 

  • Dakshinamurti K (2015) Vitamins and their derivatives in the prevention and treatment of metabolic syndrome diseases (diabetes). Can J Physiol Pharmacol 93(5):355–362

    Google Scholar 

  • Desch S, Schmidt J, Kobler D, Sonnabend M, Eitel I, Sareban M et al (2010) Effect of cocoa products on blood pressure: systematic review and meta-analysis. Am J Hypertens 23(1):97–103. https://doi.org/10.1038/ajh.2009.213

    Article  Google Scholar 

  • Di Costanzo A, Angelico R (2019) Formulation strategies for enhancing the bioavailability of Silymarin: the state of the art. Molecules 24(11):2155. Retrieved from https://www.mdpi.com/1420-3049/24/11/2155

    Google Scholar 

  • Eid AM, Jaradat N (2020) Public knowledge, attitude, and practice on herbal remedies used during pregnancy and lactation in West Bank Palestine. Front Pharmacol 11. https://doi.org/10.3389/fphar.2020.00046

  • Einhorn D (2003) American College of Endocrinology position statement on the insulin resistance syndrome. Endocr Pract 9:5–21

    Google Scholar 

  • Fahed G, Aoun L, Bou Zerdan M, Allam S, Bou Zerdan M, Bouferraa Y, Assi HI (2022) Metabolic syndrome: updates on pathophysiology and management in 2021. Int J Mol Sci 23(2):786

    Google Scholar 

  • Fakhr L, Chehregosha F, Zarezadeh M, Chaboksafar M, Tarighat-Esfanjani A (2023) Effects of fenugreek supplementation on the components of metabolic syndrome: a systematic review and dose-response meta-analysis of randomized clinical trials. Pharmacol Res 187:106594. https://doi.org/10.1016/j.phrs.2022.106594

    Article  Google Scholar 

  • Fenugreek – Uses, S. E., and More (2023). Retrieved from https://www.webmd.com/vitamins/ai/ingredientmono-733/fenugreek

  • Gruenwald J, Brendler T, Jaenicke C (2007) PDR for herbal medicines: Thomson, Reuters

    Google Scholar 

  • Hadi A, Arab A, Hajianfar H, Talaei B, Miraghajani M, Babajafari S et al (2020) The effect of fenugreek seed supplementation on serum irisin levels, blood pressure, and liver and kidney function in patients with type 2 diabetes mellitus: a parallel randomized clinical trial. Complement Ther Med 49:102315

    Google Scholar 

  • Hallajzadeh J, Milajerdi A, Mobini M, Amirani E, Azizi S, Nikkhah E et al (2020) Effects of Nigella sativa on glycemic control, lipid profiles, and biomarkers of inflammatory and oxidative stress: a systematic review and meta-analysis of randomized controlled clinical trials. Phytother Res 34(10):2586–2608

    Google Scholar 

  • Hamdan A, Haji Idrus R, Mokhtar MH (2019) Effects of nigella sativa on type-2 diabetes mellitus: a systematic review. Int J Environ Res Public Health 16(24). https://doi.org/10.3390/ijerph16244911

  • Hannan MA, Rahman MA, Sohag AAM, Uddin MJ, Dash R, Sikder MH et al (2021) Black Cumin (Nigella sativa L.): a comprehensive review on phytochemistry, health benefits, molecular pharmacology, and safety. Nutrients 13(6):1784. Retrieved from https://www.mdpi.com/2072-6643/13/6/1784

    Google Scholar 

  • Harikumar KB, Aggarwal BB (2008) Resveratrol: a multitargeted agent for age-associated chronic diseases. Cell Cycle 7(8):1020–1035

    Google Scholar 

  • Hartley L, Flowers N, Holmes J, Clarke A, Stranges S, Hooper L, Rees K (2013) Green and black tea for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev 6

    Google Scholar 

  • Hernandez-Garcia D, Granado-Serrano AB, Martín-Gari M, Naudi A, Serrano JC (2019) Efficacy of Panax ginseng supplementation on blood lipid profile. A meta-analysis and systematic review of clinical randomized trials. J Ethnopharmacol 243:112090

    Google Scholar 

  • Hu G-X, Lin H, Lian Q-Q, Zhou S-H, Guo J, Zhou H-Y et al (2013) Curcumin as a potent and selective inhibitor of 11β-hydroxysteroid dehydrogenase 1: improving lipid profiles in high-fat-diet-treated rats. PLoS One 8(3):e49976

    Google Scholar 

  • Imanshahidi M, Hosseinzadeh H (2008) Pharmacological and therapeutic effects of Berberis vulgaris and its active constituent, berberine. Phytother Res 22(8):999–1012

    Google Scholar 

  • Irfan M, Kim M, Rhee MH (2020) Anti-platelet role of Korean ginseng and ginsenosides in cardiovascular diseases. J Ginseng Res 44(1):24–32

    Google Scholar 

  • Jang HH, Lee J, Lee SH, Lee YM (2020) Effects of Capsicum annuum supplementation on the components of metabolic syndrome: a systematic review and meta-analysis. Sci Rep 10(1). https://doi.org/10.1038/s41598-020-77983-2

  • Javed S, Kohli K, Ali M (2011) Reassessing bioavailability of silymarin. Altern Med Rev 16(3):239

    Google Scholar 

  • Javkhedkar AA, Quiroz Y, Rodriguez-Iturbe B, Vaziri ND, Lokhandwala MF, Banday AA (2015) Resveratrol restored Nrf2 function, reduced renal inflammation, and mitigated hypertension in spontaneously hypertensive rats. Am J Physiol Regul Integr Comp Physiol 308(10):R840–R846

    Google Scholar 

  • Khodamoradi K, Khosropanah MH, Ayati Z, Chang D, Nasli-Esfahani E, Ayati MH, Namazi N (2020) The effects of fenugreek on cardiometabolic risk factors in adults: a systematic review and meta-analysis. Complement Ther Med 52:102416

    Google Scholar 

  • Kruse M, von Loeffelholz C, Hoffmann D, Pohlmann A, Seltmann AC, Osterhoff M et al (2015) Dietary rapeseed/canola-oil supplementation reduces serum lipids and liver enzymes and alters postprandial inflammatory responses in adipose tissue compared to olive-oil supplementation in obese men. Mol Nutr Food Res 59(3):507–519

    Google Scholar 

  • Kumar A, Chopra K, Mukherjee M, Pottabathini R, Dhull DK (2015) Current knowledge and pharmacological profile of berberine: an update. Eur J Pharmacol 761:288–297

    Google Scholar 

  • Kysenius K, Brunello CA, Huttunen HJ (2014) Mitochondria and NMDA receptor-dependent toxicity of berberine sensitizes neurons to glutamate and rotenone injury. PLoS One 9(9):e107129

    Google Scholar 

  • Lacerda DC, Costa PCT, de Oliveira Y, de Brito Alves JL (2023) The effect of resveratrol in cardio-metabolic disorders during pregnancy and offspring outcomes: a review. J Dev Orig Health Dis 14(1):3–14

    Google Scholar 

  • Lan J, Zhao Y, Dong F, Yan Z, Zheng W, Fan J, Sun G (2015) Meta-analysis of the effect and safety of berberine in the treatment of type 2 diabetes mellitus, hyperlipemia and hypertension. J Ethnopharmacol 161:69–81

    Google Scholar 

  • Leermakers ET, Darweesh SK, Baena CP, Moreira EM, Melo van Lent D, Tielemans MJ et al (2016) The effects of lutein on cardiometabolic health across the life course: a systematic review and meta-analysis. Am J Clin Nutr 103(2):481–494

    Google Scholar 

  • Lillich FF, Imig JD, Proschak E (2021) Multi-target approaches in metabolic syndrome. Front Pharmacol 11:554961

    Google Scholar 

  • Lin B, Yu H, He Y, Xu Y, Zhang W, Lu C, Ao Q (2016a) Protective effects of resveratrol on autologous nucleus pulposus model of radiculopathy. Exp Ther Med 12(6):3917–3922

    Google Scholar 

  • Lin X, Zhang I, Li A, Manson JE, Sesso HD, Wang L, Liu S (2016b) Cocoa flavanol intake and biomarkers for cardiometabolic health: a systematic review and meta-analysis of randomized controlled trials. J Nutr 146(11):2325–2333

    Google Scholar 

  • Liu H, Lu X, Hu Y, Fan X (2020) Chemical constituents of Panax ginseng and Panax notoginseng explain why they differ in therapeutic efficacy. Pharmacol Res 161:105263

    Google Scholar 

  • Luo B, Mohammad WT, Jalil AT, Saleh MM, Al-Taee MM, Alshahrani MY et al (2023) Effects of almond intake on oxidative stress parameters: a systematic review and meta-analysis of clinical trials. Complement Ther Med 73:102935. https://doi.org/10.1016/j.ctim.2023.102935

    Article  Google Scholar 

  • Ma Y-G, Liang L, Zhang Y-B, Wang B-F, Bai Y-G, Dai Z-J et al (2017) Berberine reduced blood pressure and improved vasodilation in diabetic rats. J Mol Endocrinol 59(3):191–204

    Google Scholar 

  • Majeed M, Nagabhushanam K, Devarajan T, Saklecha S, Reddy SVK, Mundkur L (2023) A minor metabolite from Curcuma longa effective against metabolic syndrome: results from a randomized, double-blind, placebo-controlled clinical study. Food Funct 14(10):4722–4733

    Google Scholar 

  • Mandal SK, Rath SK, Logesh R, Mishra SK, Devkota HP, Das N (2023) Capsicum annuum L. and its bioactive constituents: a critical review of a traditional culinary spice in terms of its modern pharmacological potentials with toxicological issues. Phytother Res 37(3):965–1002

    Google Scholar 

  • McCracken E, Monaghan M, Sreenivasan S (2018) Pathophysiology of the metabolic syndrome. Clin Dermatol 36(1):14–20

    Google Scholar 

  • Morvaridzadeh M, Qorbani M, Eshkiki ZS, Estevao MD, Ganjaroudi NM, Toupchian O et al (2022) The effect of almond intake on cardiometabolic risk factors, inflammatory markers, and liver enzymes: a systematic review and meta-analysis. Phytother Res 36(12):4325–4344. https://doi.org/10.1002/ptr.7622

    Article  Google Scholar 

  • Najafpour Boushehri S, Karimbeiki R, Ghasempour S, Ghalishourani SS, Pourmasoumi M, Hadi A et al (2020) The efficacy of sour tea (Hibiscus sabdariffa L.) on selected cardiovascular disease risk factors: a systematic review and meta-analysis of randomized clinical trials. Phytother Res 34(2):329–339

    Google Scholar 

  • Nigam P, Bhatt S, Misra A, Chadha DS, Vaidya M, Dasgupta J, Pasha QM (2014) Effect of a 6-month intervention with cooking oils containing a high concentration of monounsaturated fatty acids (olive and canola oils) compared with control oil in male Asian Indians with nonalcoholic fatty liver disease. Diabetes Technol Ther 16(4):255–261. https://doi.org/10.1089/dia.2013.0178

    Article  Google Scholar 

  • Noubiap JJ, Nansseu JR, Lontchi-Yimagou E, Nkeck JR, Nyaga UF, Ngouo AT et al (2022a) Geographic distribution of metabolic syndrome and its components in the general adult population: a meta-analysis of global data from 28 million individuals. Diabetes Res Clin Pract 188:109924. https://doi.org/10.1016/j.diabres.2022.109924

    Article  Google Scholar 

  • Noubiap JJ, Nansseu JR, Lontchi-Yimagou E, Nkeck JR, Nyaga UF, Ngouo AT et al (2022b) Global, regional, and country estimates of metabolic syndrome burden in children and adolescents in 2020: a systematic review and modelling analysis. Lancet Child Adolesc Health

    Google Scholar 

  • Nunes MA, Rodrigues F, Alves RC, Oliveira MBPP (2017) Herbal products containing Hibiscus sabdariffa L., Crataegus spp., and Panax spp.: labeling and safety concerns. Food Res Int 100:529–540. https://doi.org/10.1016/j.foodres.2017.07.031

    Article  Google Scholar 

  • Nurcahyanti ADR, Cokro F, Wulanjati MP, Mahmoud MF, Wink M, Sobeh M (2022) Curcuminoids for metabolic syndrome: meta-analysis evidences toward personalized prevention and treatment management. Front Nutr 9:891339

    Google Scholar 

  • Okonta J, Uboh M, Obonga W (2008) Herb-drug interaction: a case study of effect of ginger on the pharmacokinetic of metronidazole in rabbit. Indian J Pharm Sci 70(2):230

    Google Scholar 

  • Oracz J, Nebesny E, Zyzelewicz D, Budryn G, Luzak B (2020) Bioavailability and metabolism of selected cocoa bioactive compounds: a comprehensive review. Crit Rev Food Sci Nutr 60(12):1947–1985. https://doi.org/10.1080/10408398.2019.1619160

    Article  Google Scholar 

  • Park SH, Chung S, Chung MY, Choi HK, Hwang JT, Park JH (2022) Effects of Panax ginseng on hyperglycemia, hypertension, and hyperlipidemia: a systematic review and meta-analysis. J Ginseng Res 46(2):188–205. https://doi.org/10.1016/j.jgr.2021.10.002

    Article  Google Scholar 

  • Payab M, Hasani-Ranjbar S, Shahbal N, Qorbani M, Aletaha A, Haghi-Aminjan H et al (2020) Effect of the herbal medicines in obesity and metabolic syndrome: a systematic review and meta-analysis of clinical trials. Phytother Res 34(3):526–545. https://doi.org/10.1002/ptr.6547

    Article  Google Scholar 

  • Pourmasoumi M, Hadi A, Marx W, Najafgholizadeh A, Kaur S, Sahebkar A (2021) The effect of green coffee bean extract on cardiovascular risk factors: a systematic review and meta-analysis. Natural products and human diseases: pharmacology, molecular targets, and therapeutic benefits, pp 323–345

    Google Scholar 

  • Qidwai W, Hamza HB, Qureshi R, Gilani A (2009) Effectiveness, safety, and tolerability of powdered Nigella sativa (kalonji) seed in capsules on serum lipid levels, blood sugar, blood pressure, and body weight in adults: results of a randomized, double-blind controlled trial. J Altern Complement Med 15(6):639–644

    Google Scholar 

  • Qiu J-X, Zhou Z-W, He Z-X, Zhang X, Zhou S-F, Zhu S (2015) Estimation of the binding modes with important human cytochrome P450 enzymes, drug interaction potential, pharmacokinetics, and hepatotoxicity of ginger components using molecular docking, computational, and pharmacokinetic modeling studies. Drug Des Devel Ther:841–866

    Google Scholar 

  • Qiu L, Gao C, Wang H, Ren Y, Li J, Li M et al (2023) Effects of dietary polyphenol curcumin supplementation on metabolic, inflammatory, and oxidative stress indices in patients with metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials. Front Endocrinol (Lausanne) 14:1216708. https://doi.org/10.3389/fendo.2023.1216708

    Article  Google Scholar 

  • Ratnani S, Malik S (2022) Therapeutic properties of green tea: a review. J Multidiscip Appl Nat Sci 2(2):90–102

    Google Scholar 

  • Razavi BM, Hosseinzadeh H (2014) A review of the effects of Nigella sativa L. and its constituent, thymoquinone, in metabolic syndrome. J Endocrinol Invest 37(11):1031–1040. https://doi.org/10.1007/s40618-014-0150-1

    Article  Google Scholar 

  • Riaz G, Chopra R (2018) A review on phytochemistry and therapeutic uses of Hibiscus sabdariffa L. Biomed Pharmacother 102:575–586

    Google Scholar 

  • Rojas M, Chávez-Castillo M, Pirela D, Parra H, Nava M, Chacín M et al (2021) Metabolic syndrome: is it time to add the central nervous system? Nutrients 13(7). https://doi.org/10.3390/nu13072254

  • Ros P, Díaz F, Freire-Regatillo A, Argente-Arizón P, Barrios V, Argente J, Chowen JA (2017) Resveratrol intake during pregnancy and lactation modulates the early metabolic effects of maternal nutrition differently in male and female offspring. Endocrinology 159(2):810–825. https://doi.org/10.1210/en.2017-00610

    Article  Google Scholar 

  • Saffron – Uses, S. E., and More (2023). Retrieved from https://www.webmd.com/vitamins/ai/ingredientmono-844/saffron

  • Salaramoli S, Mehri S, Yarmohammadi F, Hashemy SI, Hosseinzadeh H (2022) The effects of ginger and its constituents in the prevention of metabolic syndrome: a review. Iran J Basic Med Sci 25(6):664

    Google Scholar 

  • Sanati S, Razavi BM, Hosseinzadeh H (2018) A review of the effects of Capsicum annuum L. and its constituent, capsaicin, in metabolic syndrome. Iran J Basic Med Sci 21(5):439–448. https://doi.org/10.22038/ijbms.2018.25200.6238

    Article  Google Scholar 

  • Sanlier N, Atik A, Atik I (2019) Consumption of green coffee and the risk of chronic diseases. Crit Rev Food Sci Nutr 59(16):2573–2585

    Google Scholar 

  • Siavash M, Tabbakhian M, Sabzghabaee AM, Razavi N (2017) Severity of gastrointestinal side effects of metformin tablet compared to metformin capsule in type 2 diabetes mellitus patients. J Res Pharm Pract 6(2):73

    Google Scholar 

  • Soleas GJ, Diamandis EP, Goldberg DM (2001) The world of resveratrol. Nutrition and cancer prevention: new insights into the role of phytochemicals, pp 159–182

    Google Scholar 

  • Soleimani V, Delghandi PS, Moallem SA, Karimi G (2019) Safety and toxicity of silymarin, the major constituent of milk thistle extract: an updated review. Phytother Res 33(6):1627–1638. https://doi.org/10.1002/ptr.6361

    Article  Google Scholar 

  • Soleimani V, Sahebkar A, Hosseinzadeh H (2018) Turmeric (Curcuma longa) and its major constituent (curcumin) as nontoxic and safe substances: review. Phytother Res 32(6):985–995. https://doi.org/10.1002/ptr.6054

    Article  Google Scholar 

  • Soleymani S, Ayati MH, Mansourzadeh MJ, Namazi N, Zargaran A (2022) The effects of Silymarin on the features of cardiometabolic syndrome in adults: a systematic review and meta-analysis. Phytother Res 36(2):842–856. https://doi.org/10.1002/ptr.7364

    Article  Google Scholar 

  • Sweet Almond – Uses, S. E., and More (2023). Retrieved from https://www.webmd.com/vitamins/ai/ingredientmono-59/sweet-almond

  • Szkudelski T, Szkudelska K (2015) Resveratrol and diabetes: from animal to human studies. Biochim Biophys Acta 1852(6):1145–1154

    Google Scholar 

  • Tabatabaei-Malazy O, Larijani B, Abdollahi M (2015) Targeting metabolic disorders by natural products. J Diabetes Metab Disord 14:1–21

    Google Scholar 

  • Tabrizi R, Vakili S, Lankarani KB, Akbari M, Mirhosseini N, Ghayour-Mobarhan M et al (2018) The effects of curcumin on glycemic control and lipid profiles among patients with metabolic syndrome and related disorders: a systematic review and meta-analysis of randomized controlled trials. Curr Pharm Des 24(27):3184–3199

    Google Scholar 

  • Tahir HE, Mahunu GK, Xiaobo Z, Mariod AA (2021) Hibiscus sabdariffa interactions and toxicity. In: Roselle (Hibiscus sabdariffa). Elsevier, pp 187–198

    Google Scholar 

  • Taleb A, Ahmad KA, Ihsan AU, Qu J, Lin N, Hezam K et al (2018) Antioxidant effects and mechanism of silymarin in oxidative stress induced cardiovascular diseases. Biomed Pharmacother 102:689–698

    Google Scholar 

  • Tillhon M, Ortiz LMG, Lombardi P, Scovassi AI (2012) Berberine: new perspectives for old remedies. Biochem Pharmacol 84(10):1260–1267

    Google Scholar 

  • Wang P, Ma XM, Geng K, Jiang ZZ, Yan PY, Xu Y (2022) Effects of Camellia tea and herbal tea on cardiometabolic risk in patients with type 2 diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials. Phytother Res 36(11):4051–4062. https://doi.org/10.1002/ptr.7572

    Article  Google Scholar 

  • Wu L-Y, Chen C-W, Chen L-K, Chou H-Y, Chang C-L, Juan C-C (2019) Curcumin attenuates adipogenesis by inducing preadipocyte apoptosis and inhibiting adipocyte differentiation. Nutrients 11(10):2307

    Google Scholar 

  • Yadav UC, Baquer NZ (2014) Pharmacological effects of Trigonella foenum-graecum L. in health and disease. Pharm Biol 52(2):243–254

    Google Scholar 

  • Yücel Ç, Karatoprak GÅž, Açıkara ÖB, Akkol EK, Barak TH, Sobarzo-Sánchez E et al (2022) Immunomodulatory and anti-inflammatory therapeutic potential of gingerols and their nanoformulations. Front Pharmacol 13:902551

    Google Scholar 

  • Zamani M, Zarei M, Nikbaf-Shandiz M, Gholami F, Hosseini AM, Nadery M et al (2022a) The effects of saffron supplementation on cardiovascular risk factors in adults: a systematic review and dose-response meta-analysis. Front Nutr 9:1055517. https://doi.org/10.3389/fnut.2022.1055517

    Article  Google Scholar 

  • Zamani M, Zarei M, Nikbaf-Shandiz M, Hosseini S, Shiraseb F, Asbaghi O (2022b) The effects of berberine supplementation on cardiovascular risk factors in adults: a systematic review and dose-response meta-analysis. Front Nutr 9. https://doi.org/10.3389/fnut.2022.1013055

  • Zhang X, Chen X, Tang Y, Guan X, Deng J, Fan J (2022) Effects of medical plants from Zingiberaceae family on cardiovascular risk factors of type 2 diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials. J Food Biochem 46(7):e14130. https://doi.org/10.1111/jfbc.14130

    Article  Google Scholar 

  • Zhao T, Li C, Wang S, Song X (2022) Green tea (Camellia sinensis): a review of its phytochemistry, pharmacology, and toxicology. Molecules 27(12):3909. Retrieved from https://www.mdpi.com/1420-3049/27/12/3909

    Google Scholar 

  • Zhou P, Xie W, He S, Sun Y, Meng X, Sun G, Sun X (2019) Ginsenoside Rb1 as an anti-diabetic agent and its underlying mechanism analysis. Cell 8(3):204

    Google Scholar 

  • Zimmermann MB, Aeberli I (2008) Dietary determinants of subclinical inflammation, dyslipidemia and components of the metabolic syndrome in overweight children: a review. Int J Obes (Lond) 32(6):S11–S18

    Google Scholar 

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Tabatabaei-Malazy, O., Lavari, N., Abdollahi, M. (2024). Natural Products in the Clinical Management of Metabolic Syndrome. In: Handbook of Experimental Pharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/164_2024_711

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  • DOI: https://doi.org/10.1007/164_2024_711

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