Effects of dietary supplementation with epigallocatechin-3-gallate on weight loss, energy homeostasis, cardiometabolic risk factors and liver function in obese women: randomised, double-blind, placebo-controlled clinical trial

British Journal of Nutrition
Q1
Dec 2013
Citations:140
Influential Citations:6
Interventional (Human) Studies
90
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Methods
Randomised, double-blind, parallel-group trial in obese premenopausal Caucasian Spanish women aged 19–49 years with BMI 30.0–39.9 kg/m^2; non-diabetic; energy-restricted diet; groups matched for BMI and age.
Intervention
300 mg EGCG/day, divided into three doses taken with breakfast, lunch and dinner, for 12 weeks.
Results
EGCG 300 mg/day during a 12-week energy-restricted diet did not augment weight loss or adiposity reductions, nor improve energy metabolism, insulin resistance, lipid profile, CRP, or liver function, compared with placebo. Liver enzymes remained normal; no adverse effects observed. Conclusion: 300 mg/day EGCG did not improve diet-induced weight loss or cardiometabolic risk factor changes in obese, premenopausal Caucasian women; considered safe.
Limitations
Limitations include: results limited to non-diabetic, premenopausal, Caucasian Spanish women; generalizability to men or other ethnic groups is uncertain. EGCG tested without caffeine; effects may differ with caffeine co-ingestion. Not designed to determine mechanism of action (thermogenesis). Some outcome measures had incomplete data (e.g., 2-keto[1-13C]isocaproate oxidation in 37 participants; energy metabolism data in 78). Study duration and sample size may limit detection of small effects; replication in larger, more diverse populations is needed.

Abstract

The aim of the present study was to examine the effects of green tea epigallocatechin-3-gallate (EGCG) on changes in body composition, energy and substrate metabolism, cardiometabolic risk factors and liver function enzymes after an energy-restricted...