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Effect of inulin-type fructans on blood lipid profile and glucose level: a systematic review and meta-analysis of randomized controlled trials

European Journal of Clinical Nutrition volume 71, pages 9–20 (2017)Cite this article

Subjects

Abstract

Background/Objectives:

This systematic review and meta-analysis was performed to assess the effects of inulin-type fructans (ITF) on human blood lipids and glucose homeostasis associated with metabolic abnormalities, including dyslipidemia, overweight or obesity, and type-2 diabetes mellitus (T2DM).

Subjects/Methods:

The MEDLINE, EMBASE and Cochrane Library databases were systematically searched for randomized controlled trials (RCTs) before January 2016. Human trials that investigated the effects of ITF supplementation on the lipid profile, fasting glucose and insulin were included using Review Manager 5.3.

Results:

Twenty RCTs with 607 adult participants were included in this systematic review and meta-analysis. In the overall analysis, the supplementation of ITF reduced only the low density lipoprotein-cholesterol (LDL-c) (mean difference (MD): –0.15; 95% confidence interval (CI): –0.29, –0.02; P=0.03) without affecting the other endpoints. Within the T2DM subgroup analysis, ITF supplementation was positively associated with a decreased fasting insulin concentration (MD: –4.01; 95% CI: –5.92, –2.09; P<0.0001) and increased high density lipoprotein-cholesterol (HDL-c) (MD: 0.07; 95% CI: 0, 0.14; P=0.05). Moreover, a reduced fasting glucose tendency was identified only in the T2DM subgroup (MD: –0.42; 95% CI: –0.90, 0.06; P=0.09). There was a potential publication bias, and few trials were available for the T2DM subgroup analysis.

Conclusions:

In summary, the use of ITF may have benefits for LDL-c reduction across all study populations, whereas HDL-c improvement and glucose control were demonstrated only in the T2DM subgroup. Thus, additional, well-powered, long-term, randomized clinical trials are required for a definitive conclusion. Overall, ITF supplementation may provide a novel direction for improving the lipid profile and glucose metabolism.

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Acknowledgements

This review was supported by the National Natural Science Foundation of China (NSFC313220143).

Author contributions

Feitong Liu and Hongwei Zhou designed the research; Feitong Liu, Prabhakar M and Jianqing Ju conducted the research; Feitong Liu and Haoyu Long conducted the quality assessment of the studies; Feitong Liu analysed the data and drafted the manuscript; and Feitong Liu and Prabhakar M finalized the manuscript. Feitong Liu had primary responsibility for the final content. All authors have read and approved the final manuscript.

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  1. Department of Environmental Health, State Key Laboratory of Organ Failure Research, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, China

    F Liu, M Prabhakar, H Long & H-W Zhou

  2. Shandong University of Traditional Chinese Medicine, Jinan, China

    J Ju

  3. Division of Laboratory Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, China

    H-W Zhou

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Liu, F., Prabhakar, M., Ju, J. et al. Effect of inulin-type fructans on blood lipid profile and glucose level: a systematic review and meta-analysis of randomized controlled trials. Eur J Clin Nutr 71, 9–20 (2017). https://doi.org/10.1038/ejcn.2016.156

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