Effect of Anthocyanins Supplementation on Serum IGFBP-4 Fragments and Glycemic Control in Patients with Fasting Hyperglycemia: A Randomized Controlled Trial
Liping Yang1,2, Zhaomin Liu2, Wenhua Ling2
1Center for Chronic Disease Control, Nanshan, Shenzhen, People's Republic of China.
Background:
Insulin-like growth factor binding protein-4 (IGFBP-4) fragments have been shown to be associated with cardiometabolic diseases. Anthocyanins as a subgroup of natural polyphenols could have benefits on treating cardiometabolic diseases. The aim of this study was to examine the effects of purified anthocyanins on serum IGFBP-4 fragments and glycemic control in patients with fasting hyperglycemia.
Methods:
A set of 121 participants with elevated fasting glucose (≥5.6 mmol/L), who were originally randomly assigned to anthocyanins (320 mg/day) or placebo groups, were included in this study. Serum IGFBP-4 fragments, fasting and postload glucose, insulin, and C-peptide after a three-hour oral glucose tolerance test (OGTT) were measured at baseline and at the end of 12 weeks.
Results:
Compared with placebo, anthocyanins increased serum IGFBP-4 fragments (net change 8.33 ng/mL, 95% CI [1.2, 15.47], p=0.023) and decreased fasting glucose (-0.4 mmol/L [-0.71, -0.1], p=0.01), 2-hour C-peptide (-1.02 ng/mL [-1.99, -0.04], p=0.041) and the 3-hour area under the curve (AUC) of C-peptide (-2.19 [-4.11, -0.27], p=0.026). No other significant difference in parameters for glycemic control and insulin resistance was observed.
Conclusion:
Anthocyanins supplementation for 12 weeks improved serum IGFBP-4 fragments and decreased fasting glucose and postload C-peptide in patients with fasting hyperglycemia. Further studies are needed to confirm our findings and clarify the potential mechanism.
Trial Registration:
ClinicalTrials.gov, NCT02689765. Registered on 6 February 2016, https://clinicaltrials.gov/ct2/show/NCT02689765.
Insights
Anthocyanin supplementation improved insulin-like growth factor binding protein-4 (IGFBP-4) fragments and fasting glucose in individuals with hyperglycemia. This study suggests anthocyanins may benefit cardiometabolic health.
Area of Science:
- Endocrinology
- Nutritional Science
- Metabolic Health
Background:
- Insulin-like growth factor binding protein-4 (IGFBP-4) fragments are linked to cardiometabolic diseases.
- Anthocyanins, natural polyphenols, show potential in managing cardiometabolic conditions.
Purpose of the Study:
- To investigate the impact of purified anthocyanins on serum IGFBP-4 fragments.
- To assess the effects of anthocyanins on glycemic control in patients with fasting hyperglycemia.
Main Methods:
- A 12-week randomized controlled trial involving 121 participants with elevated fasting glucose.
- Participants received either 320 mg/day of anthocyanins or a placebo.
- Measurements included serum IGFBP-4 fragments, glucose, insulin, and C-peptide via oral glucose tolerance test (OGTT).
Main Results:
- Anthocyanins significantly increased serum IGFBP-4 fragments compared to placebo (net change 8.33 ng/mL, p=0.023).
- Anthocyanin supplementation reduced fasting glucose (p=0.01) and postload C-peptide levels (2-hour: p=0.041; 3-hour AUC: p=0.026).
- No significant differences were observed in other glycemic control or insulin resistance parameters.
Conclusions:
- A 12-week anthocyanin supplementation improved serum IGFBP-4 fragments and glycemic control markers in patients with fasting hyperglycemia.
- Findings suggest a potential role for anthocyanins in managing cardiometabolic health.
- Further research is warranted to confirm these results and elucidate the underlying mechanisms.
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