Evidence map›Paper›PMID 25331487›Full record

ArticleAnnals of gastroenterology2014

The hepatoprotective and hypolipidemic effects of Spirulina (

Elias E Mazokopakis, Maria G Papadomanolaki, Andreas A Fousteris, Dimitrios A Kotsiris, Ioannis M Lampadakis, Emmanuel S Ganotakis

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Annals of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02837666 nacompletednot on this mapstarted 2017, after this paper: background citation

Independent and Synergistic Effect of Spirulina Maxima With Exercise on General Fitness, Lipid Profile and Antioxidant Capacity in Overweight and Obese Subjects

TypeinterventionalSponsorUniversidad Autonoma de Ciudad JuarezRan2017 to 2017Enrolled52ConditionsCardiovascular DiseasesArmsSupplementation with Spirulina maxima, Washout, Supplementation with placebo, Isoenergetic diet, Exercise program
NCT02993627 nacompletednot on this mapstarted 2016, after this paper: background citation

Effects of Spirulina Supplementation on Anthropometric Measurements, Lipid Profile, Appetite, Liver Enzymes, Inflammatory and Glycemic Markers on Overweight or Obese Adults

TypeinterventionalSponsorShahid Beheshti University of Medical SciencesRan2016 to 2017Enrolled52ConditionsObesityArmsSpirulina, diet therapy
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effect ofNutrients · 2021
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Antioxidant Efficacy of aMarine drugs · 2022
    Trial
  8. Molecules (Basel, Switzerland) · 2026
    Review
  9. Safety evaluation of blue galdieria extract as a food additive.EFSA journal. European Food Safety Authority · 2026
    Article
  10. Article
  11. Impact ofScientifica · 2025
    Review
  12. Review
  13. Article
  14. Spirulina (Nutrients · 2024
    Article
  15. Article
  16. Beneficial Effects ofNutrients · 2024
    Review
  17. Commentary: Effect of high-doseFrontiers in immunology · 2024
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Elias E MazokopakisDepartment of Internal Medicine, Naval Hospital of Crete, Chania (Elias E. Mazokopakis, Dimitrios A. Kotsiris, Ioannis M. Lampadakis), Crete, Greece ; Department of Internal Medicine, University Hospital of Heraklion (Elias E. Mazokopakis, Emmanuel S. Ganotakis), Crete, Greece.
Maria G PapadomanolakiDepartment of Sciences, Technical University of Crete, Chania (Maria G. Papadomanolaki), Crete, Greece.
Andreas A FousterisDepartment of Radiology, Naval Hospital of Crete, Chania (Andreas A. Fousteris), Crete, Greece.
Dimitrios A KotsirisDepartment of Internal Medicine, Naval Hospital of Crete, Chania (Elias E. Mazokopakis, Dimitrios A. Kotsiris, Ioannis M. Lampadakis), Crete, Greece.
Ioannis M LampadakisDepartment of Internal Medicine, Naval Hospital of Crete, Chania (Elias E. Mazokopakis, Dimitrios A. Kotsiris, Ioannis M. Lampadakis), Crete, Greece.
Emmanuel S GanotakisDepartment of Internal Medicine, University Hospital of Heraklion (Elias E. Mazokopakis, Emmanuel S. Ganotakis), Crete, Greece.
Mediterranean Agronomic Institute of Chania · GRTechnical University of Crete · GRUniversity Hospital of Heraklion · GRUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA pilot study was conducted to determine the effects of Spirulina (

methodsFifteen adult Cretan outpatients (13 men), median age 48 (range: 29-62) years, with NAFLD were orally supplemented with 6 g of Spirulina (Greek production) per day for six months. Anthropometric characteristics (height, weight, waist circumference), systolic and diastolic blood pressure, complete blood count, biochemical assessments, homeostasis model assessment of insulin resistance (HOMA-IR) index, health-related quality of life and abdominal sonographic findings were recorded and measured, before and after Spirulina supplementation.

resultsAt the end of the 6-month intervention period, the mean levels of aspartate aminotransferase, alanine aminotransferase, gamma-glutamyltransferase, triglycerides, low-density lipoprotein-cholesterol, total cholesterol, and the ratio of total cholesterol to high-density lipoprotein cholesterol were significantly decreased: 38.5%, 37.5%, 26.7%, 24.8%, 9.6%, 9.1%, and 13.5% respectively, whereas the mean levels of high-density lipoprotein-cholesterol and hemoglobin were significantly increased: 4.2% and 4.1% respectively. Spirulina supplementation resulted also in a significant reduction in weight and HOMA-IR index (8.1% and 19.6% respectively) and a significant improvement in health-related quality of life scale. No changes in sonographic findings were observed.

conclusionSpirulina supplementation at a high dosage of 6 g daily in NAFLD patients has strong and multiple beneficial metabolic effects and improves their health-related quality of life.

Indexed as

ArthrospiralipidsliverNAFLDspirulinasteatosis

Identifiers

PMID25331487
PMCPMC4188938
OpenAlexW2115947907

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.