Evidence mapPaperPMID 41437050Full record

SynthesisBMC complementary medicine and therapies2025

Effects of carotenoid supplementation on liver enzymes in adults: a GRADE-assessed systematic review and dose-response meta-analysis of randomized controlled trials.

Sareh-Sadat Heydari, Mohammad Vesal Bideshki, Marzieh Akbarzadeh, Ehsan Behzadi, Mehrdad Behzadi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sareh-Sadat HeydariStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0009-0005-5287-3051
Mohammad Vesal BideshkiBio Environmental Health Hazards Research Center, Jiroft University of Medical Sciences, Jiroft, Iran.ORCID http://orcid.org/0000-0002-5098-6547
Marzieh AkbarzadehNutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0000-0001-7646-2162
Ehsan BehzadiDepartment of Food Science and Technology, Sarvestan Branch, Islamic Azad University, Sarvestan, Iran.
Mehrdad BehzadiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Mehrdad.behzadi.39@gmail.com.ORCID http://orcid.org/0000-0002-2029-5008

Funding

Shiraz University of Medical Sciences 32683
6 · The paper itself

Abstract

BACKGROUND AND

aimsCarotenoids are known for their beneficial effects in improving chronic diseases through their antioxidant properties. However, there has been no meta-analysis on the effects of carotenoids on liver enzymes and the evidence is inconsistent. So, this study aimed to evaluate the effects of carotenoid supplementation on liver enzyme levels in adults.

methodsThrough November 2024, the PubMed, Scopus and Web of Science electronic databases were searched for eligible trials evaluating the carotenoid supplementation effects on the Alanine aminotransferase (ALT), Aspartate aminotransferase (AST), Alkaline phosphatase (ALP) and Gamma-glutamyl transferase (GGT). The 95% confidence intervals (CIs) and weighted mean differences (WMDs) were calculated using the random effects model. As part of standard methods, dose-response, meta-regressions, sensitivity, and publication bias analyses were performed. Evidence certainty was assessed using GRADE (Grading of Recommendations for Assessment, Development, and Evaluation).

resultsOf the 15 studies (20 arms; n = 757), 7 included healthy participants, while 8 involved non-healthy individuals, including 4 studies on prediabetes or diabetes. Pooled estimates indicated non-significant effects of carotenoid supplementation on all enzymes including ALT (WMD: -2.25 IU/L, 95%CI: -4.84,0.34, P = 0.089), AST (WMD: -0.46 IU/L, 95%CI: -1.25,0.34, P = 0.259), ALP (WMD: -0.34 IU/L, 95%CI: -6.89,6.21, P = 0.918) and GGT (WMD: -0.43 IU/L, 95%CI: -3.06,2.21, P = 0.751) levels non-significantly. Significant reductions in ALT levels occurred in < 12 weeks (P = 0.028), BMI ≥ 25 (P = 0.045), and among non-healthy participants (P = 0.015). AST levels were significantly reduced in non-healthy participants (P = 0.003) with ages > 50 (P = 0.003) as well as GGT levels (P = 0.011) in non-healthy participants.

conclusionCarotenoid supplementation might be beneficial in reducing liver enzymes, especially in non-healthy participants and in those with a BMI ≥ 25 kg/m PROSPERO REGISTERATION CODE: CRD42024612956.

Indexed as

CarotenoidsDietary SupplementsLiverAdultAlanine TransaminaseAlkaline PhosphataseAspartate AminotransferasesDose-Response Relationship, Druggamma-GlutamyltransferaseHumansRandomized Controlled Trials as TopicAlanine TransaminaseAlkaline PhosphataseAspartate AminotransferasesCarotenoidsgamma-GlutamyltransferaseAlanine aminotransferaseAspartate aminotransferaseAstaxanthinLycopeneMeta-analysis

Identifiers

PMID41437050
PMCPMC12836767

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.