Effect of green tea on antioxidant status in adults: A Systematic Review
and Meta-analysis of Randomized Clinical Trials
Abstract
Abstract Aim: Oxidative stress represents a cornerstone of a wide range
of chronic diseases. Studies have identified an inconsistent effect of
green tea on regulating oxidative stress. We aimed to examine the
evidence from randomized clinical trials (RCTs) to assess the effects of
green tea on oxidative stress markers including malondialdehyde (MDA),
and total antioxidant capacity (TAC) in adults. Methods: A systematic
search of English language publications in PubMed, Scopus and Embase was
performed up to September 1, 2020. Data were pooled using the
random-effects method and were expressed as weighted mean difference
(WMD) and 95% confidence intervals (CI). Results: Fourteen RCTs met
inclusion criteria. There was a significant relationship between green
tea and TAC. Our results indicated that green tea had significant
effects on TAC (weighted mean difference [WMD]: 0.18; 95 % CI,
0.07, 0.29, P =0.001) and significant heterogeneity between studies (I2
= 98.6%, p <0.001) which was largely related to sex and BMI.
Subgroup analysis in TAC identified a significant relationship except in
low dose and obese individuals. No relationship between MDA and green
tea was observed overall and in all subgroups. Conclusions: We found
that the intervention with green tea significantly increased the TAC,
while, it had no significant effect on MDA. Key Words: green tea,
oxidative stress, total antioxidant capacity, malondialdehyde.