Abstract
Chromium (Cr) is an essential trace element which found naturally in a daily diet and available in the form of supplementary tablets to boost disorders like diabetes mellitus (DM) and functions like lipid metabolism and beneficial on depression too. Diabetes is one of the most prevalent endocrine diseases or in other words, the most severe metabolic syndrome (MS), which associated with high production of free-radicals which is out of bodies detoxifying machine capacity or high oxidative stress (HOS), vasculitis and elevated lipid profile. many research papers and clinical trials published about the significance of chromium on biological activities, pre and post clinical. For this review research articles, clinical trials, from 1st Jan’10 to 31st Dec’18 and refer literature for the biochemical, pharmacological and biological activity of Chromium. Primarily articles gathered from the above search engines. Then precisely according to our aim and goal and regarding designed objectives dismisses similar articles and finally came to 84 articles for the above said period. This review trying to cover the entire picture from what chromium is to the recent updates on their greater role in increasing insulin sensitivity of cells and enhancing lipid metabolism and even recent findings suggest its positive effects including prevention and ameliorating properties on depression. The biological activities, pharmacological features, clinical implications including efficacy and role of chromium compounds on the glycaemic index will be discussed. The outcome of this review is to bring the pros and cons of chromium supplementation along with is safety and toxicity concern beside molecular pathways, biochemistry and clinical trials, all in one comprehensive review.
Similar content being viewed by others
References
Wilbur S, Abadin H, Fay M, Yu D, and Tencza B, Ingerman L, Klotzbach J, and James S. Textbook: toxicological profile for chromium. Division of Toxicology, Agency for Toxic Substances and Disease Registry, 1600 Clifton Road, Mailstop E-29, Atlanta, Georgia 30333; 2000.
Chromium, dietary supplement fact sheet. 2018. Retrieved from https://ods.od.nih.gov/factsheets/Chromium-HealthProfessional/
Anderson RA. Chromium, glucose intolerance and diabetes. J Am Coll Nutr. 1998;17(6):548–55.
Anderson RA. Chromium in the prevention and control of diabetes. Diabetes Metab. 2000;26(1):22–8.
Cefalu WT, Hu FB. Role of chromium in human health and in diabetes. Diabetes Care. 2004;27(11):2741–51.
Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States. JAMA. 2006;295(13):1549–55.
Hua Y, Clark S, Ren J, Sreejayan N. Molecular Mechanisms of chromium in Alleviating Insulin Resistance. J Nutr Biochem. 2012;23(4):313–9.
Hogan P, Dall T, Nikolov P. Economic costs of diabetes in the US in 2002. Diabetes Care. 2003;26:917–32.
Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289:76–9.
Popkin BM. Recent dynamics suggest selected countries catching up to US obesity. Am J Clin Nutr. 2010;91:284–8.
Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303:235–41.
Koh-Banerjee P, Wang Y, Hu FB, Spiegelman D, Willett WC, Rimm EB. Changes in body weight and body fat distribution as risk factors for clinical diabetes in US men. Am J Epidemiol. 2004;159:1150–9.
Yeghiazaryan K, Schild H, Golubnitschaja O. Chromium-picolinate therapy in diabetes care: individual outcomes require new guidelines and navigation by predictive diagnostics. Infect Disord Drug Targets. 2012;12(5):332–9.
Glaser E, Halpern G. Uber Die Aktivierung des Insulins Durch Hefeprebasft. Biochem Z. 1929;207:377–83 (Article in German).
Schwarz K, Mertz W. A glucose tolerance factor and its differentiation from factor 3. Arch Biochem Biophys. 1957;72(2):515–8.
Colapinto ND, Bedard P, Goldman BS. Bloodstream infection associated with prolonged intravenous therapy. Canadian journal of surgery. Journal canadien de chirurgie. 1972;15(1):27–9.
Chen YL, Lin JD, Hsia TL, Mao FC, Hsu CH, Pei D. The effect of chromium on inflammatory markers, 1st and 2nd phase insulin secretionin type 2 diabetes. Eur J Nutr. 2014;53(1):127–33.
Wilson BE, Gondy A. Effects of chromium supplementation on fasting insulin levels and lipid parameters in healthy, non-obese young subjects. Diabetes Res Clin Pract. 1995;28(3):179–84.
San Mauro Martín I, Ruiz León AM, Garicano Vilar E, Camina Martín MA, de Mateo-Silleras B, de Paz Redondo del Río M and et al. Chromium supplementation in patients with type 2 diabetes and high risk of type 2 diabetes: a meta-analysis of randomized controlled trials. Nutr Hosp. 2016; 33(1).
Aziza AK and El Mugdad AA Preparation, characterization and biological activity Chromium Phthalocyanine chloride complex. 2012 Dept. of chem. Sudan university of science and technology (SUST).
Food labelling: reference daily intakes, final rule. The Food and Drug Administration, pp 67164-175. 1995 https://www.nal.usda.gov/sites/default/files/fnic_uploads//guiding_principles_labeling_full_report.pdf
Cefalu WT. New clinical study uncovers mechanism by which chromium picolinate may enhance insulin sensitivity. Effective and safe complementary nutrition therapy. 2003. https://www.eurekalert.org/pub_releases/2003-08/sc-ncs082103.php
Bury TF, van Vroonhoven TJ, Stuifbergen WN. The role of surgical intervention in the treatment of patients with Crohn's disease. Ned Tijdschr Geneeskd. 1988;132(53):2414.
Rains JL, Jain SK. Oxidative stress, insulin signalling and diabetes. Free Radic Biol Med. 2011;50:567–75.
Hardie DG, Scott JW, Pan DA, Hudson ER. Management of cellular energy by the AMP-activated protein kinase system. FEBS Lett. 2003;546:113–20.
Kemp BE, Stapleton D, Campbell DJ, Chen ZP, Murthy S, Walter M, et al. AMP-activated protein kinase, super metabolic regulator. Biochem Soc Trans. 2003;31:162–8.
Kudo N, Barr AJ, Barr RL, Desai S, Lopaschuk GD. High rates of fatty acid oxidation during reperfusion of ischemic hearts are associated with a decrease in malonyl-CoA levels due to an increase in 5′-AMP-activated protein kinase inhibition of acetyl-CoA carboxylase. J Biol Chem. 1995;270:17513–20.
Winder WW, Hardie DG. Inactivation of acetyl-CoA carboxylase and activation of AMP-activated protein kinase in muscle during exercise. Am J Phys. 1996;270:E299–304.
Rutter GA, Da Silva XG, Leclerc I. Roles of 5′-AMP-activated protein kinase (AMPK) in mammalian glucose homoeostasis. Biochem J. 2003;375:1–16.
Balk EM, Tatsioni A, Lichtenstein AH, Lau J, Pittas AG. Effect of chromium supplementation on glucose metabolism and lipids: a systematic review of randomized controlled trials. Diabetes Care. 2007;30(8):2154–63.
Yechoor VK, Patti M-E, Ueki K, Laustden PG, Saccone R, Rauniyar R, et al. Distinct pathways of insulin-regulated vs diabetes-regulated gene expression: an in vivo analysis in MIRKO mice. Proc Natl Acad Sci U S A. 2004;101(47):16525–30.
Sun Y, Ramirez J, Woski SA, Vincent JB. The binding of trivalent chromium to low-molecular-weight chromium-binding substance (LMWCr) and the transfer of chromium from transferrin and chromium picolinate to LMWCr. JBIC J Biol Inorg Chem. 2000;5(1):129–36.
Hepburn DD, Vincent JB. Tissue and subcellular distribution of chromium picolinate with time after entering the bloodstream. J Inorg Biochem. 2003;94:86–93.
Wasser WG, Feldman NS, D’Agati VD. Chronic renal failure after ingestion of over-the-counter chromium picolinate (Letter). Ann Intern Med. 1997;126:410.
Institute of Medicine (IOM). Chromium picolinate: prototype monograph. In Dietary Supplements: A Framework for Evaluating Safety. Washington, DC, Institute of Medicine, 2004; p. B1-B80.
Berner TO, Murphy MM, Slesinski R. Determining the safety of chromium tripicolinate for addition to foods as a nutrient supplement. Food Chem Toxicol. 2004;42:1029–42.
Jeejeebhoy KN. The role of chromium in nutrition and therapeutics and as a potential toxin. Nutr Rev. 1999;57:329–35.
Brownley KA, Boettiger CA, Young L, Cefalu WT. Dietary chromium supplementation for targeted treatment of diabetes patients with comorbid depression and binge eating. Med Hypotheses. 2015;85(1):45–8.
Jeejeebhoy KN, Chu RC, Marliss EB, Greenberg GR, Bruce-Robertson A. Chromium deficiency, glucose intolerance, and neuropathy reversed by chromium supplementation, in a patient receiving long-term total parenteral nutrition. Am J Clin Nutr. 1977;30(4):531–8.
Prasad A. Role of chromium compounds in diabetes. Indian J Pharm Pharmacol. 2016;3(1):17–23.
Gröber U, Kisters K, Schmidt J. Micronutrients in diabetology: complementary medicine update 2014. Med Monatsschr Pharm. 2014;37(8):284–92.
Jacobs E, Hoyer A, Brinks R, Icks A, Kuß O, Rathmann W. Healthcare costs of Type 2 diabetes in Germany. Diabet Med. 2017;34(6):855–61.
Suksomboon N, Poolsup N, Yuwanakorn A. Systematic review and meta-analysis of the efficacy and safety of chromium supplementation in diabetes. J Clin Pharm Ther. 2014;39(3):292–306.
Rotter I, Kosik-Bogocka D, Dolegowska B, Safranow K, Lubkowska A, Laszczynska M. Relationship between the concentration of heavy metals and bio elements in aging men with metabolic syndrome. Int J Environ Res Public Health. 2015;12(4):3944–61.
Sharma S, Agarwal RP, Choudhary M, Jain S, Goyal S, Agarwal V. Beneficial effect of chromium supplementation on glucose, HbA1C and lipid variables in individuals with newly onset type-2 diabetes. J Trace Elem Med Biol. 2011;25(3):149–53.
Li Y, Li S, Meng X, Gan R-Y, Zhang J-J, Li H-B. Dietary Natural Products for Prevention and Treatment of Breast Cancer. Nutrients. 2017;9:728.
Lang UE, Beglinger C, Schweinfurth N, Walter M, Borgwardt S. Nutritional aspects of depression. Cell Physiol Biochem. 2015;37(3):1029.
Anderson RA, Polansky MM, Bryden NA, Bhathena SJ, Canary JJ. Effects of supplemental chromium on patients with symptoms of reactive hypoglycemia. Metab Clin Exp. 1987;36(4):351–5.
Sylvia LG, Peters AT, Deckersbach T, Nierenberg AA. Nutrient-based therapies for bipolar disorder: a systematic review. Psychother Psychosom. 2013;82(1):10–9.
Amann BL, Mergl R, Vieta E, Born C, Hermisson I, Seemueller F, et al. A 2-year, open-label pilot study of adjunctive chromium in patients with treatmentresistant rapid-cycling bipolar disorder. J Clin Psychopharmacol. 2007;2(7):104–6.
Attenburrow MJ, Williams C, Odonliatis J, Powell J, Van de Ouderaa F, Williams M, et al. The effect of a nutritional source of tryptophan on dieting-induced changes in brain 5HT function. Psychol Med. 2003;33(8):1381–6.
Młyniec K, Davies CL, de Agueero Sanchez IG, Pytka K, Budziszewska B, Nowak G. Essential elements in depression and anxiety. Part I. Pharmacol Rep. 2014;66(4):534–44.
Lang UE, Borgwardt S. Molecular mechanisms of depression: perspectives on new treatment strategies. Cell Physiol Biochem. 2013;31:761–77.
Whitfield P, Parry-Strong A, Walsh E, Weatherall M, Krebs JD. The effect of a cinnamon-, chromium-and magnesium-formulated honey on glycaemic control, weight loss and lipid parameters in type 2 diabetes: an open-label cross-over randomised controlled trial. Eur J Nutr. 2016;55(3):1123–31.
FDA Approves Chromium Claim 2005 retrieved from http://www.speciation.net/News/FDA-Approves-Chromium-Claim-;~/2005/09/15/1611.html
Azimi P, Ghiasvand R, Feizi A, Hosseinzadeh J, Bahreynian M, Hariri M, et al. Effect of cinnamon, cardamom, saffron and ginger consumption on blood pressure and a marker of endothelial function in patients with type 2 diabetes mellitus: A randomized controlled clinical trial. Blood Press. 2016;25(3):133–40.
Mirfeizi M, Mehdizadeh Tourzani Z, Mirfeizi SZ, Asghari Jafarabadi M, Rezvani HR, Afzali M. Controlling type 2 diabetes mellitus with herbal medicines: A triple-blind randomized clinical trial of efficacy and safety. J Diabetes. 2016;8(5):647–56.
Liu Y, Cotillard A, Vatier C, Bastard JP, Fellahi S, Stévant M, et al. A dietary supplement containing cinnamon, chromium and carnosine decreases fasting plasma glucose and increases lean mass in overweight or obese pre-diabetic subjects: a randomized, placebo-controlled trial. PLoS One. 2015;10(9):e0138646.
McIver DJ, Grizales AM, Brownstein JS, Goldfine AB. Risk of Type 2 Diabetes Is Lower in US Adults Taking Chromium-Containing Supplements. J Nutr. 2015;145(12):2675–82.
Peruzzu A, Solinas G, Asara Y, Forte G, Bocca B, Tolu F, et al. Association of trace elements with lipid profile and glycaemic control in patients with type 1 diabetes mellitus in northern Sardinia, Italy: An observational study. Chemosphere. 2015;132:101–7.
Paiva AN, de Lima JG, de Medeiros AC, Figueiredo HA, de Andrade RL, Ururahy MA, et al. Beneficial effects of oral chromium picolinate supplementation on glycemic control in patients with type 2 diabetes: a randomized clinical study. J Trace Elem Med Biol. 2015;32:66–72.
Hansen AF, Simić A, Åsvold BO, Romundstad PR, Midthjell K, Syversen T, et al. Trace elements in early phase type 2 diabetes mellitus-A population-based study. The HUNT study in Norway. J Trace Elem Med Biol. 2017;40:46–53.
Smic A, Hansen AF, Asvold BO, Romundstud PR, Midthjell K, Syversen T, et al. Trace elements status in patients with type 2 diabetes in Norway: the HUNT3 survey. J Trace Elem Med Biol. 2017;41:91–8.
Harani H, Otmane A, Makrelouf M, Ouadahi N, Abdi A, Berrah A, et al. Preliminary evaluation of the antioxidant trace elements in an Algerian patient with type 2 diabetes: special role of manganese and chromium. Ann Boil Clin (Paris). 2012;70(6):669–77.
Basaki M, Saeb M, Nazifi S, Shamsaei HA. Zinc, copper, iron, and chromium concentrations in young patients with type 2 diabetes mellitus. Biol Trace Elem Res. 2012;148(2):161–4.
Adam AM, Sharshar T, Mohamed MA, Ibrahim OB, Refat MS. Study of chemical bonding, physical and biological effect of metformin drug as an organized medicine for diabetes patients with chromium (III) and vanadium (IV) ions. Spectrochim Acta A Mol Biomol Spectrosc. 2015;149:323–32.
Gröber U, Kister K, Schmidt J: Micronutrients in diabetology: complementary medicine. Med Monatsschr Pharm 2004 Aug. Lang: German.
Vincent JB. Elucidating a biological role for chromium at a molecular level. Acc Chem Res. 2000;33(7):503–10.
Abraham AS, Brooks BA, Eylath U. The effects of chromium supplementation on serum glucose and lipids in patients with and without non-insulin-dependent diabetes. Metab Clin Exp. 1992;41(7):768–71.
Bahijiri SM, Mira SA, Mufti AM, Ajabnoor MA. The effects of inorganic chromium and brewer's yeast supplementation on glucose tolerance, serum lipids and drug dosage in individuals with type 2 diabetes. Saudi Med J. 2000;21(9):831–7.
Lee NA, Reasner CA. Beneficial effect of chromium supplementation on serum triglyceride levels in NIDDM. Diabetes Care. 1994;17(12):1449–52.
Anderson RA, Cheng N, Bryden NA, Polansky MM, Cheng N, Chi J, et al. Elevated intakes of supplemental chromium improve glucose and insulin variables in individuals with type 2 diabetes. Diabetes. 1997;46(11):1786–91.
Ghosh D, Bhattacharya B, Mukherjee B, Manna B, Sinha M, Chowdhury J, et al. Role of chromium supplementation in Indians with type 2 diabetes mellitus. J Nutr Biochem. 2002;13(11):690–7.
Chen SH, Sun YP, Chen XS. Effect of jiangtangkang on blood glucose, sensitivity of insulin and blood viscosity in non-insulin dependent diabetes mellitus. Zhongguo Zhong Xi Yi Jie He Za Zhi. 1997;17(11):666–8.
Uusitupa MI, Kumpulainen JT, Voutilainen E, Hersio K, Sarlund H, Pyörälä KP, et al. Effect of inorganic chromium supplementation on glucose tolerance, insulin response, and serum lipids in noninsulin-dependent diabetics. Am J Clin Nutr. 1983;38(3):404–10.
Rabinowitz MB, Gonick HC, Levin SR, Davidson MB. Effects of chromium and yeast supplements on carbohydrate and lipid metabolism in diabetic men. Diabetes Care. 1983;6(4):319–27.
Uusitupa MI, Mykkänen L, Siitonen O, Laakso M, Sarlund H, Kolehmainen P, et al. Chromium supplementation in impaired glucose tolerance of elderly: effects on blood glucose, plasma insulin, C-peptide and lipid levels. Br J Nutr. 1992;68(1):209–16.
Offenbacher EG, Pi-Sunyer FX. Beneficial effect of chromium-rich yeast on glucose tolerance and blood lipids in elderly subjects. Diabetes. 1980;29(11):919–25.
Evans GW. The effect of chromium picolinate on insulin controlled parameters in humans. Int J Biosoc Med Res. 1989;11(2):163–80.
Roeback JR, Hla KM, Chambless LE, Fletcher RH. Effects of chromium supplementation on serum high-density lipoprotein cholesterol levels in men taking beta-blockers: a randomized, controlled trial. Ann Intern Med. 1991;115(12):917–24.
Riales R, Albrink MJ. Effect of chromium chloride supplementation on glucose tolerance and serum lipids including high-density lipoprotein of adult men. Am J Clin Nutr. 1981;34(12):2670–8.
Press RI, Geller J, Evans GW. The effect of chromium picolinate on serum cholesterol and apolipoprotein fractions in human subjects. West J Med. 1990;152(1):41.
Preuss HG, Wallerstedt D, Talpur N, Tutuncuoglu SO, Echard B, Myers A, et al. Effects of niacin-bound chromium and grape seed proanthocyanidin extract on the lipid profile of hypercholesterolemic subjects: a pilot study. J Med. 2000;31(5-6):227–46.
Volpe SL, Huang HW, Larpadisorn K, Lesser II. Effect of chromium supplementation and exercise on body composition, resting metabolic rate and selected biochemical parameters in moderately obese women following an exercise program. J Am Coll Nutr. 2001;20(4):293–306.
Amato P, Morales AJ, Yen SS. Effects of chromium picolinate supplementation on insulin sensitivity, serum lipids, and body composition in healthy, nonobese, older men and women. J Gerontol Ser A Biol Med Sci. 2000;55(5):M260–3.
Cefalu WT, Bell-Farrow AD, Stegner J, Wang ZQ, King T, Morgan T, et al. Effect of chromium picolinate on insulin sensitivity in vivo. J Trace Elem Exp Med. 1999;12(2):71–83.
Acknowledgment
This research/review did not receive any special grant from funding agencies in the public, commercial or not-for-sale sector. The authors of this paper thank members of Sciences faculty of the University of Zabol, especially Dr. Nima Sanadgol, and alumni including Fahimeh Javadi H., Rezvan Bagheri and Roghayyeh Amiz.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that there is no conflict of interest regarding the publication of this article.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Khodavirdipour, A., Haddadi, F. & Keshavarzi, S. Chromium Supplementation; Negotiation with Diabetes Mellitus, Hyperlipidemia and Depression. J Diabetes Metab Disord 19, 585–595 (2020). https://doi.org/10.1007/s40200-020-00501-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40200-020-00501-8