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The Effects of Fenugreek Seed Consumption on Blood Pressure: A Systematic Review and Meta-analysis of Randomized
Mohammad Reza Amini1, Nastaran Payandeh2, Fatemeh Sheikhhossein3
1Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Fenugreek seed supplementation may lower systolic blood pressure (SBP), but not diastolic blood pressure (DBP). Optimal results were seen with higher doses (≥15g/day) and shorter durations (≤12 weeks) in a meta-analysis of randomized controlled trials.
Area of Science:
- Nutritional Science
- Cardiovascular Health
- Evidence-Based Medicine
Background:
- Cardiovascular diseases (CVDs) are a significant global health concern.
- Hypertension (HTN), a common CVD, necessitates effective management strategies.
- Fenugreek (Trigonella foenum-graecum) has emerged as a potential natural intervention for HTN.
Approach:
- A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted.
- Searched major databases (MEDLINE, Cochrane, EMBASE, Web of Science) up to June 2022.
- Analyzed data from six RCTs involving 373 participants to assess fenugreek's impact on SBP and DBP.
Key Points:
- Fenugreek seed supplementation significantly reduced systolic blood pressure (SBP) (WMD: 3.46 mmHg, P=0.018).
- No significant effect was observed on diastolic blood pressure (DBP) (WMD: 3.19 mmHg, P=0.488).
- Subgroup analyses indicated significant SBP and DBP reduction with fenugreek dosages ≥ 15 g/day and durations ≤ 12 weeks.
Conclusions:
- Fenugreek seed supplementation may contribute to reducing SBP, particularly at higher doses and shorter durations.
- The effect on DBP requires further investigation.
- Clinical relevance of fenugreek for blood pressure management warrants additional research.
Introduction:
Cardiovascular diseases (CVDs) are growing health issues worldwide. Hypertension (HTN) is one of the most common among CVDs in all populations. Fenugreek has recently been the center of multiple investigations.
Aim:
In this systematic review and meta-analysis, we aimed at gathering and summing up the existing literature regarding the impact of fenugreek seed on systolic blood pressure (SBP) and diastolic blood pressure (DBP).
Methods:
All major databases (MEDLINE, Cochrane library, EMBASE, and Web of Science) were searched from inception up to 28 June 2022. Relevant randomized controlled trials (RCTs) meeting the inclusion criteria were included and the required data was extracted. The pooled effects were reported as weighted mean differences (WMDs). I-squared test was used to detect between-study heterogeneities. Subgroup analyses were conducted to find sources of heterogeneities. P-values < 0.05 were considered as statistically significant.
Results:
Six RCTs including a total of 373 participants were included in the final meta-analysis. Fenugreek seed supplementation significantly reduced SBP (WMD: 3.46 mmHg, 95% CI - 6.33, - 0.59, P=0.018), but not DBP (WMD: 3.19 mmHg; 95% CI, - 5.82 to 12.21, P=0.488). Subgroup analyses showed that fenugreek seed administered in dosages ≥ 15 g/day and durations ≤ 12 weeks significantly reduced SBP and DBP.
Conclusion:
Supplementation with fenugreek seed, especially in dosages ≥ 15 g/day and durations ≤ 12 weeks, might play a role in reducing SBP, but not DBP. However, further investigations are warranted to ensure the clinical relevance of these findings.
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