Single-blind, placebo controlled randomised clinical study of chitosan for body weight reduction.

Background: Chitosan is a dietary fibre which acts by reducing fat absorption and thus used as a means for controlling weight. Weight loss clinical trial outcomes, however, have contradictory results regarding its efficacy. The primary objective of the present study was to evaluate the efficacy and...

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Publicado en:Nutrition Journal pp. 3 - 4
Autores principales: Trivedi, V. R., Satia, M. C., Deschamps, A., Maquet, V., Shah, R. B., Zinzuwadia, P. H., Trivedi, J. V.
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: BioMed Central 1/8/2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/8/2016
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      pub: BioMed Central
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        10.1186/s12937-016-0122-8
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        atl: Single-blind, placebo controlled randomised clinical study of chitosan for body weight reduction.
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          Trivedi, V. R.
          Satia, M. C.
          Deschamps, A.
          Maquet, V.
          Shah, R. B.
          Zinzuwadia, P. H.
          Trivedi, J. V.
        affil: Ethicare Clinical Trial Services, Titanium City Centre, 100 Feet Road, Ahmedabad, 380015 Ahmedabad, India
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        subj:
          Polysaccharides Administration and Dosage
          Weight Loss
          Pyridines Administration and Dosage
          Female
          Glycated Hemoglobin Metabolism
          Food Habits
          Human
          Energy Intake
          Male
          Dietary Supplements
          Single-Blind Studies
          Pyridines Pharmacodynamics
          Life Style
          Quality of Life
          Adult
          Middle Age
          Body Composition
          Obesity Drug Therapy
          Dose-Response Relationship, Drug
          Adolescence
          Young Adult
          Aged
          Body Mass Index
          Polysaccharides Pharmacodynamics
          Biological Assay
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Short Form-36 Health Survey (SF-36)
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Adolescent: 13-18 years
          Aged: 65+ years
          Female
          Male
      ab: Background: Chitosan is a dietary fibre which acts by reducing fat absorption and thus used as a means for controlling weight. Weight loss clinical trial outcomes, however, have contradictory results regarding its efficacy. The primary objective of the present study was to evaluate the efficacy and safety of a chitosan from fungal origin in treatment of excess weight in the absence of dietary restrictions.Methods: A phase IV, randomised, multicentre, single-blind, placebo-controlled, clinical study was conducted by administering chitosan capsules (500 mg, five/day) and indistinguishable placebo capsules as daily supplements to 96 overweight and obese subjects for 90 days. The study participants were divided in 2:1 ratio to receive either chitosan (n = 64) or placebo (n = 32). Efficacy was assessed by measuring body weight, body composition parameters, anthropometric measurements, HbA1C level and lipid profile at day 45 and day 90. Also, short form-36 quality of life (QoL) questionnaire was assessed to evaluate improvement in life-style and dietary habits were recorded for calorie intake. Safety was assessed by evaluating safety parameters and monitoring adverse events.Results: The mean changes in body weight were -1.78 ± 1.37 kg and -3.10 ± 1.95 kg at day 45 and day 90 respectively in chitosan group which were significantly different (p < 0.0001) as compared to placebo. BMI was decreased by10.91 fold compared to placebo after 90 day administration. In concert with this, there was also reduction in body composition and anthropometric parameters together with improvement in QoL score. Chitosan was also able to reduce HbA1C levels (below 6 %) in subjects who had initial higher values. The mean caloric intake shows that there was no change in dietary habits of subjects in both groups. Lipid levels were unaffected and all adverse events were mild in nature and unrelated to study treatment.Conclusion: Chitosan from fungal origin was able to reduce the mean body weight up to 3 kg during the 90 day study period. Together with this, there was also improvement in body composition, anthropometric parameters and HbA1C, reflecting overall benefits for the overweight individuals. Additionally, there was also improvement in QoL score. It was safe and well tolerated by all subjects.Trial Registration: CTRI/2014/08/004901.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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