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Abstract

Background

Prediabetes and type 2 Diabetes Mellitus (T2DM) are characterized by increased blood sugar concentration and insulin resistance. Although there are only a few reports of potential benefits of flaxseed’s consumption on different metabolic parameters, there is no evidence of its effect among people with these conditions.

Objectives

The present systematic review and meta-analysis aimed to assess the effect of flaxseed supplementation on glycemic control variables and insulin resistance in prediabetes and T2DM.

Methods

A literature search was conducted through PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science, to identify Randomized Control Trials (RCTs) that evaluated the effect of milled or ground flaxseed supplementation on fasting blood glucose, HbA1c, insulin concentrations, or HOMA-IR. The data were analyzed using Comprehensive Meta-Analysis (CMA) software version 3.3 in a fixed-effect model.

Results

Seven studies were included in the systematic review and the meta-analysis, the results showed a significant reduction on fasting blood sugar (SMD: −0.392, 95% CI: −0.596, −0.187, p = <0.001, I2 = 64.81%) insulin concentrations, (SMD: −0.287, 95% CI: −0.534, −0.041, p = 0.022, I2 = 32.53%), HbA1c (SMD: −0.442, 95% CI: −0.770, −0.114, p = 0.008, I2 = 11.058%), and HOMA-IR (SMD: −0.284, 95% CI: −0.530, −0.038, p = 0.024, I2 = 0.00%) after flaxseed supplementation.

Conclusions

Flaxseed supplementation seems to improve glycemic control variables and insulin resistance in prediabetes and T2DM; however, more RCTs are needed to have more decisive evidence about doses, method of supplementation, and the possible effect of synergy with the dietetic treatment.

Details

Title
Effect of flaxseed ( Linum usitatissimum ) supplementation on glycemic control and insulin resistance in prediabetes and type 2 diabetes: A systematic review and meta-analysis of randomized controlled trials
Author
Villarreal-Renteria, Andrea Isabel 1 ; Herrera-Echauri, Dulce Daniela 2 ; Rodriguez-Rocha Norma Patricia Rodríguez-Rocha 3 ; Zuniga Laura Yareni Zuñiga 4 ; Munoz-Valle José Francisco Muñoz-Valle 1 ; Garcia-Arellano Samuel García-Arellano 5 ; Bernal-Orozco, María Fernanda 6 ; Macedo-Ojeda, Gabriela 7 

 Institute of Research in Biomedical Sciences (IICB), University Center for Health Sciences (CUCS), University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco, Mexico; Translational Nutritional Sciences, University Center for Health Sciences (CUCS), University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco México Guadalajara, Mexico 
 Department of Public Health, University Center for Health Sciences (CUCS) University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco, Mexico 
 Translational Nutritional Sciences, University Center for Health Sciences (CUCS), University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco México Guadalajara, Mexico; Department of Public Health, University Center for Health Sciences (CUCS) University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco, Mexico 
 Department of Health and Disease, University Center of Tonala (CUT), University of Guadalajara, 555 Nuevo Periferico, ZC 45425 Tonala, Jalisco, Mexico 
 Institute of Research in Biomedical Sciences (IICB), University Center for Health Sciences (CUCS), University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco, Mexico 
 Translational Nutritional Sciences, University Center for Health Sciences (CUCS), University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco México Guadalajara, Mexico 
 Institute of Research in Biomedical Sciences (IICB), University Center for Health Sciences (CUCS), University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco, Mexico; Translational Nutritional Sciences, University Center for Health Sciences (CUCS), University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco México Guadalajara, Mexico; Department of Public Health, University Center for Health Sciences (CUCS) University of Guadalajara, 950 Sierra Mojada, ZC 44340 Guadalajara, Jalisco, Mexico 
Publication year
2022
Publication date
Nov 2022
Publisher
Elsevier Limited
ISSN
09652299
e-ISSN
18736963
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2705713267
Copyright
©2022. The Authors