Evidence map›Paper›PMID 27405810›Full record

SynthesisJournal of the American Heart Association2016

Effects of Quercetin on Blood Pressure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Maria-Corina Serban, Amirhossein Sahebkar, Alberto Zanchetti, Dimitri P Mikhailidis, George Howard, Diana Antal, Florina Andrica, Ali Ahmed, Wilbert S Aronow, Paul Muntner and 6 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 6 pooled it
10.8field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 6 syntheses or guidelines pooled it, 299 citations in OpenAlex.

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53 more citing papers are in PubMed but not listed here.

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

16 authors at 10 institutions in 7 countries.

Maria-Corina SerbanUniversity of Alabama at Birmingham, AL University of Medicine and Pharmacy, Timisoara, Romania.
Amirhossein SahebkarBiotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Alberto ZanchettiIstituto Auxologico Italiano and Centro Interuniversitario di Fisiologia Clinica e Ipertensione, Università di Milano, Italy.
Dimitri P MikhailidisDepartment of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London (UCL), London, UK.
George HowardUniversity of Alabama at Birmingham, AL.
Diana AntalUniversity of Medicine and Pharmacy, Timisoara, Romania.
Florina AndricaUniversity of Medicine and Pharmacy, Timisoara, Romania.
Ali AhmedWashington DC Veterans Affairs Medical Center, Washington, DC.
Wilbert S AronowNew York Medical College, Valhalla, NY.
Paul MuntnerUniversity of Alabama at Birmingham, AL.
Gregory Y H LipUniversity of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, UK.
Ian GrahamErasmus MC-University Medical Center Rotterdam, the Netherlands.
Nathan WongUniversity of California, Irvine, CA.
Jacek RyszMedical University of Lodz, Poland.
Maciej BanachMedical University of Lodz, Poland maciejbanach@aol.co.uk.
Lipid and Blood Pressure Meta‐analysis Collaboration (LBPMC) Group
University of Alabama at Birmingham · USMedical University of Lodz · PLErasmus MC · NLIRCCS Istituto Auxologico Italiano · ITMashhad University of Medical Sciences · IRNew York Medical College · USUniversitatea Din Petrosani · ROUniversity College London · GBUniversity of Birmingham · GBUniversity of California, Irvine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuercetin, the most abundant dietary flavonol, has antioxidant effects in cardiovascular disease, but the evidence regarding its effects on blood pressure (BP) has not been conclusive. We assessed the impact of quercetin on BP through a systematic review and meta-analysis of available randomized controlled trials. METHODS AND

resultsWe searched PUBMED, Cochrane Library, Scopus, and EMBASE up to January 31, 2015 to identify placebo-controlled randomized controlled trials investigating the effect of quercetin on BP. Meta-analysis was performed using either a fixed-effects or random-effect model according to I(2) statistic. Effect size was expressed as weighted mean difference (WMD) and 95% CI. Overall, the impact of quercetin on BP was reported in 7 trials comprising 9 treatment arms (587 patients). The results of the meta-analysis showed significant reductions both in systolic BP (WMD: -3.04 mm Hg, 95% CI: -5.75, -0.33, P=0.028) and diastolic BP (WMD: -2.63 mm Hg, 95% CI: -3.26, -2.01, P<0.001) following supplementation with quercetin. When the studies were categorized according to the quercetin dose, there was a significant systolic BP and diastolic BP-reducing effect in randomized controlled trials with doses ≥500 mg/day (WMD: -4.45 mm Hg, 95% CI: -7.70, -1.21, P=0.007 and -2.98 mm Hg, 95% CI: -3.64, -2.31, P<0.001, respectively), and lack of a significant effect for doses <500 mg/day (WMD: -1.59 mm Hg, 95% CI: -4.44, 1.25, P=0.273 and -0.24 mm Hg, 95% CI: -2.00, 1.52, P=0.788, respectively), but indirect comparison tests failed to significant differences between doses.

conclusionsThe results of the meta-analysis showed a statistically significant effect of quercetin supplementation in the reduction of BP, possibly limited to, or greater with dosages of >500 mg/day. Further studies are necessary to investigate the clinical relevance of these results and the possibility of quercetin application as an add-on to antihypertensive therapy.

Indexed as

AntioxidantsBlood PressureHumansQuercetinRandomized Controlled Trials as TopicAntioxidantsQuercetinblood pressureflavonoidshigh blood pressurehypertensionlipidsmeta‐analysisnutritionquercetin

Identifiers

PMID27405810
PMCPMC5015358
OpenAlexW2467895334

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.