Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-27T15:51:55.392Z Has data issue: false hasContentIssue false

The effects of capsaicin intake on weight loss among overweight and obese subjects: a systematic review and meta-analysis of randomised controlled trials

Published online by Cambridge University Press:  20 March 2023

Wensen Zhang
Affiliation:
Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, 100 Kexue Road, High-Tech Development Zone of States, Zhengzhou 450001, People’s Republic of China
Qiang Zhang
Affiliation:
School of Nursing and Health, Zhengzhou University, 101 Kexue Road, High-Tech Development Zone of States, Zhengzhou 450001, People’s Republic of China
Lianke Wang
Affiliation:
Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, 100 Kexue Road, High-Tech Development Zone of States, Zhengzhou 450001, People’s Republic of China
Qianyu Zhou
Affiliation:
Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, 100 Kexue Road, High-Tech Development Zone of States, Zhengzhou 450001, People’s Republic of China
Panpan Wang
Affiliation:
School of Nursing and Health, Zhengzhou University, 101 Kexue Road, High-Tech Development Zone of States, Zhengzhou 450001, People’s Republic of China
Ying Qing
Affiliation:
School of Nursing and Health, Zhengzhou University, 101 Kexue Road, High-Tech Development Zone of States, Zhengzhou 450001, People’s Republic of China
Changqing Sun*
Affiliation:
Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, 100 Kexue Road, High-Tech Development Zone of States, Zhengzhou 450001, People’s Republic of China School of Nursing and Health, Zhengzhou University, 101 Kexue Road, High-Tech Development Zone of States, Zhengzhou 450001, People’s Republic of China
*
*Corresponding author: Chang-Qing Sun, email zzugwsy@163.com

Abstract

Animal studies have shown that capsaicin plays a positive role in weight management. However, the results in human research are controversial. Therefore, the present systematic review and meta-analysis aimed to evaluate the effect of capsaicin on weight loss in adults. We searched PubMed, Embase, China Biomedical Literature Database (CBM), Cochrane library and clinical registration centre, identifying all randomised controlled trials (RCT) published in English and Chinese to 3 May 2022. A random-effect model was used to calculate the weighted mean difference (WMD) and 95 % CI. Heterogeneity between studies was assessed by the Cochran Q statistic and I-squared tests (I2). Statistical analyses were performed using STATA version 15.1. P-values < 0·05 were considered as statistically significant. From 2377 retrieved studies, fifteen studies were finally included in the meta-analyses. Fifteen RCT with 762 individuals were included in our meta-analysis. Compared with the control group, the supplementation of capsaicin resulted in significant reduction on BMI (WMD: −0·25 kg/m2, 95 % CI = –0·35, –0·15 kg/m2, P < 0·05), body weight (BW) (WMD: −0·51 kg, 95 % CI = –0·86, –0·15 kg, P < 0·05) and waist circumference (WC) (WMD: −1·12 cm, 95 % CI = –2·00, –0·24 cm, P < 0·05). We found no detrimental effect of capsaicin on waist-to-hip ratio (WMD: −0·05, 95 % CI = –0·17, 0·06, P > 0·05). The current meta-analysis suggests that capsaicin supplementation may have rather modest effects in reducing BMI, BW and WC for overweight or obese individuals.

Type
Systematic Review and Meta-Analysis
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

World Health Organization (2021) Obesity and Overweight. http://www.who.int/mediacentre/factsheets/fs311/en/ (accessed February 2023).Google Scholar
Zheng, J, Zheng, S, Feng, Q, et al. (2017) Dietary capsaicin and its anti-obesity potency: from mechanism to clinical implications. Biosci Rep 37, BSR20170286.10.1042/BSR20170286CrossRefGoogle ScholarPubMed
Villareal, DT, Chode, S, Parimi, N, et al. (2011) Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med 364, 12181229.10.1056/NEJMoa1008234CrossRefGoogle ScholarPubMed
Aza-González, C, Núñez-Palenius, HG & Ochoa-Alejo, N (2011) Molecular biology of capsaicinoid biosynthesis in chili pepper (Capsicum spp.). Plant Cell Rep 30, 695706.10.1007/s00299-010-0968-8CrossRefGoogle ScholarPubMed
Suzuki, T & Iwai, K (1984) Chapter 4 Constituents of red pepper species: chemistry, biochemistry, pharmacology, and food science of the pungent principle of capsicum species. In The Alkaloids: Chemistry and Pharmacology 23, pp. 227299 [Brossi, A, editor]. New York: Academic Press.10.1016/S0099-9598(08)60072-3CrossRefGoogle Scholar
Kang, JH, Goto, T, Han, IS, et al. (2010) Dietary capsaicin reduces obesity-induced insulin resistance and hepatic steatosis in obese mice fed a high-fat diet. Obesity 18, 780787.10.1038/oby.2009.301CrossRefGoogle ScholarPubMed
Kim, HJ, You, MK, Wang, Z, et al. (2020) Red pepper water extract suppresses high-fat diet-induced obesity in C57BL/6 mice. Food Sci Biotechnol 29, 275281.10.1007/s10068-019-00710-9CrossRefGoogle ScholarPubMed
Al-Jumayi, HAO, Elhendy, HA & Darwish, AMG (2020) Biological effects of red chili pepper (Capsicum annuum) consumption on high fat diet female albino rats. Pak J Biol Sci: PJBS 23, 150158.10.3923/pjbs.2020.150.158CrossRefGoogle ScholarPubMed
Sung, J, Yang, J, Kim, Y, et al. (2016) Effect of defatted pepper (Capsicum annuum L.) seed extracts on high-fat diet-induced obesity in C57BL/6J mice. Food Sci Biotechnol 25, 14571461.10.1007/s10068-016-0226-0CrossRefGoogle ScholarPubMed
Ahuja, KD, Robertson, IK, Geraghty, DP, et al. (2007) The effect of 4-week chilli supplementation on metabolic and arterial function in humans. Eur J Clin Nutr 61, 326333.10.1038/sj.ejcn.1602517CrossRefGoogle ScholarPubMed
Smeets, AJ & Westerterp-Plantenga, MS (2009) The acute effects of a lunch containing capsaicin on energy and substrate utilisation, hormones, and satiety. Eur J Nutr 48, 229234.10.1007/s00394-009-0006-1CrossRefGoogle ScholarPubMed
Rigamonti, AE, Casnici, C, Marelli, O, et al. (2018) Acute administration of capsaicin increases resting energy expenditure in young obese subjects without affecting energy intake, appetite, and circulating levels of orexigenic/anorexigenic peptides. Nutr Res 52, 7179.10.1016/j.nutres.2018.02.002CrossRefGoogle ScholarPubMed
Shi, Z, Riley, M, Taylor, AW, et al. (2017) Chilli consumption and the incidence of overweight and obesity in a Chinese adult population. Int J Obes 41, 10741079.10.1038/ijo.2017.88CrossRefGoogle Scholar
Tremblay, A, Arguin, H & Panahi, S (2016) Capsaicinoids: a spicy solution to the management of obesity? Int J Obes 40, 11981204.10.1038/ijo.2015.253CrossRefGoogle Scholar
Janssens, PL, Hursel, R & Westerterp-Plantenga, MS (2014) Capsaicin increases sensation of fullness in energy balance, and decreases desire to eat after dinner in negative energy balance. Appetite 77, 4449.10.1016/j.appet.2014.02.018CrossRefGoogle ScholarPubMed
Sun, D, Lv, J, Chen, W, et al. (2014) Spicy food consumption is associated with adiposity measures among half a million Chinese people: the China Kadoorie Biobank study. BMC Public Health 14, 1293.10.1186/1471-2458-14-1293CrossRefGoogle ScholarPubMed
Xu, Q, Yan, S, Wang, C, et al. (2019) Spicy food intake increases the risk of overweight and obesity. Wei sheng yan jiu = J Hygiene Res 48, 374379.Google ScholarPubMed
Yang, K, Li, Y, Xue, Y, et al. (2019) Association of the frequency of spicy food intake and the risk of abdominal obesity in rural Chinese adults: a cross-sectional study. BMJ Open 9, e028736.10.1136/bmjopen-2018-028736CrossRefGoogle ScholarPubMed
Yang, K, Li, Y, Mao, Z, et al. (2018) Relationship between spicy flavor, spicy food intake frequency, and general obesity in a rural adult Chinese population: the RuralDiab study. Nutr Metab Cardiovasc Dis: NMCD 28, 252261.10.1016/j.numecd.2017.10.021CrossRefGoogle Scholar
Moher, D, Liberati, A, Tetzlaff, J, et al. (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151, 264269.w64.10.7326/0003-4819-151-4-200908180-00135CrossRefGoogle ScholarPubMed
Methley, AM, Campbell, S, Chew-Graham, C, et al. (2014) PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Service Res 14, 579.10.1186/s12913-014-0579-0CrossRefGoogle Scholar
Higgins, JP, Thomas, J, Chandler, J, et al. (2022) Cochrane Handbook for Systematic Reviews of Interventions, Version 6.3. https://training.cochrane.org/handbook (accessed August 2022).Google Scholar
Higgins, JP, Altman, DG, Gøtzsche, PC, Jüni, P, Moher, D, Oxman, AD, et al. (2011) The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ (Clinical Res Ed) 343, d5928.10.1136/bmj.d5928CrossRefGoogle Scholar
Cooper, H, Hedges, LV & Valentine, JC (2019) The Handbook of Research Synthesis and Meta-Analysis. New York: Russell Sage Foundation.10.7758/9781610448864CrossRefGoogle Scholar
Cumpston, M, Li, T, Page, MJ, et al. (2019) Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. The Cochrane Database of Systematic Reviews 10, Ed000142.10.1002/14651858.ED000142CrossRefGoogle Scholar
Joseph, MA, John Ph, DF, Thomas, MJV, et al. (2021) Influence of a novel food-grade formulation of red chili extract (Capsicum annum) on Overweight subjects: randomized, double-blinded, placebo-controlled study. J Diet Suppl 18, 387405.10.1080/19390211.2020.1780363CrossRefGoogle Scholar
Fuse, S, Endo, T, Tanaka, R, et al. (2020) Effects of capsinoid intake on brown adipose tissue vascular density and resting energy expenditure in healthy, middle-aged adults: a randomized, double-blind, placebo-controlled study. Nutrients 12, 2676.10.3390/nu12092676CrossRefGoogle ScholarPubMed
Belza, A, Frandsen, E & Kondrup, J (2007) Body fat loss achieved by stimulation of thermogenesis by a combination of bioactive food ingredients: a placebo-controlled, double-blind 8-week intervention in obese subjects. Int J Obes 31, 121130.10.1038/sj.ijo.0803351CrossRefGoogle ScholarPubMed
Inoue, N, Matsunaga, Y, Satoh, H, et al. (2007) Enhanced energy expenditure and fat oxidation in humans with high BMI scores by the ingestion of novel and non-pungent capsaicin analogues (capsinoids). Biosci Biotechnol Biochem 71, 380389.10.1271/bbb.60341CrossRefGoogle ScholarPubMed
Lee, Y, Cha, Y-S, Park, Y, et al. (2017) PPARγ2 C1431T Polymorphism interacts with the antiobesogenic effects of Kochujang, a Korean fermented, soybean-based red pepper paste, in overweight/obese subjects: a 12-week, double-blind randomized clinical trial. J Med Food 20, 610617.10.1089/jmf.2016.3911CrossRefGoogle Scholar
Taghizadeh, M, Farzin, N, Taheri, S, et al. (2017) The effect of dietary supplements containing green tea, capsaicin and ginger extracts on weight loss and metabolic profiles in overweight women: a randomized double-blind placebo-controlled clinical trial. Ann Nutr Metab 70, 277285.10.1159/000471889CrossRefGoogle ScholarPubMed
Cha, YS, Kim, SR, Yang, JA, et al. (2013) Kochujang, fermented soybean-based red pepper paste, decreases visceral fat and improves blood lipid profiles in overweight adults. Nutr Metab 10, 24.10.1186/1743-7075-10-24CrossRefGoogle ScholarPubMed
Wang, J, Lang, H, Yu, L, et al. (2016) Effect of dietary capsaicin consumption on body composition in overweight and obese adults. J Third Mil Med Univ 38, 17011704.Google Scholar
Rondanelli, M, Opizzi, A, Perna, S, et al. (2013) Improvement in insulin resistance and favourable changes in plasma inflammatory adipokines after weight loss associated with two months’ consumption of a combination of bioactive food ingredients in overweight subjects. Endocrine 44, 391401.10.1007/s12020-012-9863-0CrossRefGoogle ScholarPubMed
Hoeger, WW, Harris, C, Long, EM, et al. (1998) Four-week supplementation with a natural dietary compound produces favorable changes in body composition. Adv Ther 15, 305314.Google ScholarPubMed
Lee, TA, Li, Z, Zerlin, A, et al. (2010) Effects of dihydrocapsiate on adaptive and diet-induced thermogenesis with a high protein very low calorie diet: a randomized control trial. Nutr Metab 7, 78.10.1186/1743-7075-7-78CrossRefGoogle ScholarPubMed
Snitker, S, Fujishima, Y, Shen, H, et al. (2009) Effects of novel capsinoid treatment on fatness and energy metabolism in humans: possible pharmacogenetic implications. Am J Clin Nutr 89, 4550.10.3945/ajcn.2008.26561CrossRefGoogle ScholarPubMed
Vogel, RM, Joy, JM, Falcone, PH, et al. (2015) Consuming a multi-ingredient thermogenic supplement for 28 d is apparently safe in healthy adults. Food Nutr Res 59, 27999.10.3402/fnr.v59.27999CrossRefGoogle Scholar
Whiting, S, Derbyshire, E & Tiwari, BK (2012) Capsaicinoids and capsinoids. A potential role for weight management? A systematic review of the evidence. Appetite 59, 341348.10.1016/j.appet.2012.05.015CrossRefGoogle ScholarPubMed
Zsiborás, C, Mátics, R, Hegyi, P, et al. (2018) Capsaicin and capsiate could be appropriate agents for treatment of obesity: a meta-analysis of human studies. Crit Rev Food Sci Nutr 58, 14191427.10.1080/10408398.2016.1262324CrossRefGoogle ScholarPubMed
Saito, M & Yoneshiro, T (2013) Capsinoids and related food ingredients activating brown fat thermogenesis and reducing body fat in humans. Curr Opin Lipidol 24, 7177.10.1097/MOL.0b013e32835a4f40CrossRefGoogle ScholarPubMed
Lejeune, MP, Kovacs, EM & Westerterp-Plantenga, MS (2003) Effect of capsaicin on substrate oxidation and weight maintenance after modest body-weight loss in human subjects. Br J Nutr 90, 651659.10.1079/BJN2003938CrossRefGoogle ScholarPubMed
Westerterp-Plantenga, MS, Smeets, A & Lejeune, MP (2005) Sensory and gastrointestinal satiety effects of capsaicin on food intake. Int J Obes 29, 682688.10.1038/sj.ijo.0802862CrossRefGoogle ScholarPubMed
Imaizumi, K, Sato, S, Kumazawa, M, et al. (2011) Capsaicinoids-induced changes of plasma glucose, free fatty acid and glycerol concentrations in rats. J Toxicol Sci 36, 109116.10.2131/jts.36.109CrossRefGoogle ScholarPubMed
Tominaga, M & Tominaga, T (2005) Structure and function of TRPV1. Pflugers Arch: Eur J Physiol 451, 143150.10.1007/s00424-005-1457-8CrossRefGoogle ScholarPubMed
Kawabata, F, Inoue, N, Masamoto, Y, et al. (2009) Non-pungent capsaicin analogs (capsinoids) increase metabolic rate and enhance thermogenesis via gastrointestinal TRPV1 in mice. Biosci Biotechnol Biochem 73, 26902697.10.1271/bbb.90555CrossRefGoogle ScholarPubMed
Hursel, R & Westerterp-Plantenga, MS (2010) Thermogenic ingredients and body weight regulation. Int J Obes 34, 659669.10.1038/ijo.2009.299CrossRefGoogle Scholar
Yoshioka, M, Lim, K, Kikuzato, S, et al. (1995) Effects of red-pepper diet on the energy metabolism in men. J Nutr Sc Vitaminol 41, 647656.10.3177/jnsv.41.647CrossRefGoogle ScholarPubMed
Luo, XJ, Peng, J & Li, YJ (2011) Recent advances in the study on capsaicinoids and capsinoids. Eur J Pharmacol 650, 17.10.1016/j.ejphar.2010.09.074CrossRefGoogle Scholar
Zhang, LL, Yan Liu, D, Ma, LQ, et al. (2007) Activation of transient receptor potential vanilloid type-1 channel prevents adipogenesis and obesity. Circ Res 100, 10631070.10.1161/01.RES.0000262653.84850.8bCrossRefGoogle ScholarPubMed
Bray, GA (1993) Use and abuse of appetite-suppressant drugs in the treatment of obesity. Ann Intern Med 119, 707713.10.7326/0003-4819-119-7_Part_2-199310011-00016CrossRefGoogle ScholarPubMed
Guzmán, I & Bosland, PW (2017) Sensory properties of chile pepper heat – and its importance to food quality and cultural preference. Appetite 117, 186190.10.1016/j.appet.2017.06.026CrossRefGoogle ScholarPubMed
Laurson, KR, Eisenmann, JC & Welk, GJ (2011) Body Mass Index standards based on agreement with health-related body fat. Am J Prev Med 41, S100S105.10.1016/j.amepre.2011.07.004CrossRefGoogle ScholarPubMed
Gustafson, B (2010) Adipose tissue, inflammation and atherosclerosis. J Atherosclerosis Thromb 17, 332341.10.5551/jat.3939CrossRefGoogle ScholarPubMed
de Moura, ESVEL, Cholewa, JM, Jäger, R, et al. (2021) Chronic capsiate supplementation increases fat-free mass and upper body strength but not the inflammatory response to resistance exercise in young untrained men: a randomized, placebo-controlled and double-blind study. J Int Soc Sports Nutr 18, 50.10.1186/s12970-021-00446-0CrossRefGoogle Scholar