Effect of hesperidin on blood pressure and lipid profile: A systematic review and meta‐analysis of randomized controlled trials

The cardioprotective activity of hesperidin has been well demonstrated in several clinical studies. Also, there is a meta‐analysis published on this topic in 2019. However, considering the recently published clinical studies, there is a scope for performing a systematic review and meta‐analysis of h...

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Veröffentlicht in:Phytotherapy research 2024-05, Vol.38 (5), p.2560-2571
Hauptverfasser: Shylaja, Hanumanthappa, Viswanatha, Gollapalle Lakshminarayanashastry, Sunil, Venkategowda, Hussain, Shalam M., Farhana, Syeda Ayesha
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container_issue 5
container_start_page 2560
container_title Phytotherapy research
container_volume 38
creator Shylaja, Hanumanthappa
Viswanatha, Gollapalle Lakshminarayanashastry
Sunil, Venkategowda
Hussain, Shalam M.
Farhana, Syeda Ayesha
description The cardioprotective activity of hesperidin has been well demonstrated in several clinical studies. Also, there is a meta‐analysis published on this topic in 2019. However, considering the recently published clinical studies, there is a scope for performing a systematic review and meta‐analysis of hesperidin to determine its beneficial effect in alleviating alterations in cardiovascular parameters. In this study, the literature search was performed using online databases such as PubMed and Google Scholar till April 2023 involving randomized controlled studies conducted on hesperidin against various cardiovascular disorders including metabolic disorders in healthy/diseased individuals compared to the placebo/control. Based on the inclusion and exclusion criteria, nine clinical studies involving 2414 subjects were included. The meta‐analysis revealed that hesperidin has significantly reduced the low‐density lipoprotein (LDL) (IV: −0.55 (−0.94 to −0.16) at 95% CI, p = 0.005, I2 = 70%), total cholesterol (TC) (IV: −61 (−0.82 to −0.41) at 95% CI, p 
doi_str_mv 10.1002/ptr.8174
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Also, there is a meta‐analysis published on this topic in 2019. However, considering the recently published clinical studies, there is a scope for performing a systematic review and meta‐analysis of hesperidin to determine its beneficial effect in alleviating alterations in cardiovascular parameters. In this study, the literature search was performed using online databases such as PubMed and Google Scholar till April 2023 involving randomized controlled studies conducted on hesperidin against various cardiovascular disorders including metabolic disorders in healthy/diseased individuals compared to the placebo/control. Based on the inclusion and exclusion criteria, nine clinical studies involving 2414 subjects were included. The meta‐analysis revealed that hesperidin has significantly reduced the low‐density lipoprotein (LDL) (IV: −0.55 (−0.94 to −0.16) at 95% CI, p = 0.005, I2 = 70%), total cholesterol (TC) (IV: −61 (−0.82 to −0.41) at 95% CI, p &lt; 0.00001, I2 = 69%), and triglycerides (TG) (IV: −0.21 (−0.40 to −0.02) at 95% CI, p = 0.03, I2 = 12%). However, there were no statistically significant changes in the systolic blood pressure (IV: −0.29 (−2.21 to 1.63) at 95% CI, p = 0.77, I2 = 60%), diastolic blood pressure (IV: 0.79 (−0.74 to 2.31) at 95% CI, p = 0.31, I2 = 49%), and high‐density lipoprotein (IV: 0.04 (−0.25 to 0.34) at 95% CI, p = 0.78, I2 = 56%) in the hesperidin treatment compared to the placebo/control. In conclusion, the outcomes of this meta‐analysis suggest that hesperidin administration could benefit patients with CVD by reducing LDL, TC, and TG. 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The meta‐analysis revealed that hesperidin has significantly reduced the low‐density lipoprotein (LDL) (IV: −0.55 (−0.94 to −0.16) at 95% CI, p = 0.005, I2 = 70%), total cholesterol (TC) (IV: −61 (−0.82 to −0.41) at 95% CI, p &lt; 0.00001, I2 = 69%), and triglycerides (TG) (IV: −0.21 (−0.40 to −0.02) at 95% CI, p = 0.03, I2 = 12%). However, there were no statistically significant changes in the systolic blood pressure (IV: −0.29 (−2.21 to 1.63) at 95% CI, p = 0.77, I2 = 60%), diastolic blood pressure (IV: 0.79 (−0.74 to 2.31) at 95% CI, p = 0.31, I2 = 49%), and high‐density lipoprotein (IV: 0.04 (−0.25 to 0.34) at 95% CI, p = 0.78, I2 = 56%) in the hesperidin treatment compared to the placebo/control. In conclusion, the outcomes of this meta‐analysis suggest that hesperidin administration could benefit patients with CVD by reducing LDL, TC, and TG. 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Also, there is a meta‐analysis published on this topic in 2019. However, considering the recently published clinical studies, there is a scope for performing a systematic review and meta‐analysis of hesperidin to determine its beneficial effect in alleviating alterations in cardiovascular parameters. In this study, the literature search was performed using online databases such as PubMed and Google Scholar till April 2023 involving randomized controlled studies conducted on hesperidin against various cardiovascular disorders including metabolic disorders in healthy/diseased individuals compared to the placebo/control. Based on the inclusion and exclusion criteria, nine clinical studies involving 2414 subjects were included. The meta‐analysis revealed that hesperidin has significantly reduced the low‐density lipoprotein (LDL) (IV: −0.55 (−0.94 to −0.16) at 95% CI, p = 0.005, I2 = 70%), total cholesterol (TC) (IV: −61 (−0.82 to −0.41) at 95% CI, p &lt; 0.00001, I2 = 69%), and triglycerides (TG) (IV: −0.21 (−0.40 to −0.02) at 95% CI, p = 0.03, I2 = 12%). However, there were no statistically significant changes in the systolic blood pressure (IV: −0.29 (−2.21 to 1.63) at 95% CI, p = 0.77, I2 = 60%), diastolic blood pressure (IV: 0.79 (−0.74 to 2.31) at 95% CI, p = 0.31, I2 = 49%), and high‐density lipoprotein (IV: 0.04 (−0.25 to 0.34) at 95% CI, p = 0.78, I2 = 56%) in the hesperidin treatment compared to the placebo/control. In conclusion, the outcomes of this meta‐analysis suggest that hesperidin administration could benefit patients with CVD by reducing LDL, TC, and TG. Further high‐quality studies are needed to firmly establish the clinical efficacy of hesperidin for its benefits in treating cardiovascular conditions.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>38462779</pmid><doi>10.1002/ptr.8174</doi><tpages>12</tpages><orcidid>https://orcid.org/0009-0009-9368-2672</orcidid><orcidid>https://orcid.org/0000-0002-9944-4888</orcidid></addata></record>
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subjects Blood pressure
Blood Pressure - drug effects
cardioprotective effect
cardiovascular disease
Cardiovascular Diseases - prevention & control
Cholesterol
clinical studies
Clinical trials
Density
diastolic blood pressure
Hesperidin
Hesperidin - pharmacology
high density lipoprotein
Humans
lipid composition
lipid profile
Lipids
Lipids - blood
Low density lipoprotein
Meta-analysis
Metabolic disorders
myocardial infarction
phytotherapy
Placebos
Randomized Controlled Trials as Topic
Statistical analysis
Systematic review
systolic blood pressure
Triglycerides
Triglycerides - blood
title Effect of hesperidin on blood pressure and lipid profile: A systematic review and meta‐analysis of randomized controlled trials
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