Evidence map›Paper›PMID 39593091›Full record

Trial reportBMC medicine2024

Carrageenan and insulin resistance in humans: a randomised double-blind cross-over trial.

Robert Wagner, Janine Buettner, Martin Heni, Louise Fritsche, Stephanie Kullmann, Moritz Wagmüller, Andreas Peter, Hubert Preissl, Jürgen Machann, Reiner Jumpertz von Schwartzenberg and 9 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02629705 (Investigation of the Effect of Carrageenan as Food Additive on Insulin Resistance in Humans), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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.

NCT02629705 nacompletednot on this map

Investigation of the Effect of Carrageenan as Food Additive on Insulin Resistance in Humans

TypeinterventionalSponsorUniversity Hospital TuebingenRan2015 to 2018Enrolled20ConditionsDiabetes Mellitus, Type 2, Insulin ResistanceArmsCarrageenan, Placebo
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
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  10. Food as Medicine for Hypertension: Microbiota as Mediators.Hypertension (Dallas, Tex. : 1979) · 2025
    Review
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  12. Review
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

19 authors.

Robert WagnerDepartment of Internal Medicine IV, Division of Endocrinology, Diabetology and Nephrology, University Hospital of Tübingen, Tübingen, Germany. robert.wagner@uni-duesseldorf.de.
Janine BuettnerDepartment of Hepatology and Gastroenterology, Charité Universitätsmedizin, Berlin, Germany.
Martin HeniDepartment of Internal Medicine IV, Division of Endocrinology, Diabetology and Nephrology, University Hospital of Tübingen, Tübingen, Germany.
Louise FritscheInstitute for Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Centre Munich at the University of Tübingen, Tübingen, Germany.
Stephanie KullmannInstitute for Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Centre Munich at the University of Tübingen, Tübingen, Germany.
Moritz WagmüllerDepartment of Internal Medicine IV, Division of Endocrinology, Diabetology and Nephrology, University Hospital of Tübingen, Tübingen, Germany.
Andreas PeterInstitute for Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Centre Munich at the University of Tübingen, Tübingen, Germany.
Hubert PreisslInstitute for Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Centre Munich at the University of Tübingen, Tübingen, Germany.ORCID 0000-0002-8859-4661
Jürgen MachannInstitute for Diabetes Research and Metabolic Diseases (IDM) of the Helmholtz Centre Munich at the University of Tübingen, Tübingen, Germany.
Reiner Jumpertz von SchwartzenbergDepartment of Internal Medicine IV, Division of Endocrinology, Diabetology and Nephrology, University Hospital of Tübingen, Tübingen, Germany.
Andreas L BirkenfeldDepartment of Internal Medicine IV, Division of Endocrinology, Diabetology and Nephrology, University Hospital of Tübingen, Tübingen, Germany.
Ulrich-Frank PapeDepartment of Hepatology and Gastroenterology, Charité Universitätsmedizin, Berlin, Germany.
Gerrit van HallDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Peter PlomgaardDepartment of Clinical Biochemistry, Rigshospitalet, Copenhagen, Denmark.
Hans-Ulrich HäringDepartment of Internal Medicine IV, Division of Endocrinology, Diabetology and Nephrology, University Hospital of Tübingen, Tübingen, Germany.
Andreas FritscheDepartment of Internal Medicine IV, Division of Endocrinology, Diabetology and Nephrology, University Hospital of Tübingen, Tübingen, Germany.
Kelsey N ThompsonDepartment of Biostatistics, Microbiome Analysis Core, Harvard T.H. Chan School of Public Health, Boston, USA.
Reinhild KleinDepartment of Internal Medicine II, Division of Haematology, Oncology, Immunology and Rheumatology, University Hospital of Tübingen, Tübingen, Germany.
Norbert StefanDepartment of Internal Medicine IV, Division of Endocrinology, Diabetology and Nephrology, University Hospital of Tübingen, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe potential impact of specific food additives, common in Western diets, on the risk of developing type 2 diabetes is not well understood. This study focuses on carrageenan, a widely used food additive known to induce insulin resistance and gut inflammation in animal models, and its effects on human health.

methodsIn a randomised, double-blind, placebo-controlled, cross-over trial conducted at a university hospital metabolic study centre, 20 males (age 27.4 ± 4.3 years, BMI 24.5 ± 2.5 kg/m

resultsOverall insulin sensitivity did not show significant differences between the treatments. However, interactions between BMI and treatment were observed (OGTT-based insulin sensitivity index: p=0.04, fasting insulin resistance: p=0.01, hepatic insulin sensitivity index: p=0.04). In overweight participants, carrageenan exposure resulted in lower whole body and hepatic insulin sensitivity, a trend towards increased brain inflammation, and elevated C-reactive protein (CRP) and IL-6 levels compared to placebo. Additionally, carrageenan was associated with increased intestinal permeability. In vitro natural killer (NK-)cell activation and increased pro-inflammatory cytokine release were found after carrageenan exposure in the participant's peripheral blood mononuclear cells.

conclusionsThese findings suggest that carrageenan, a common food additive, may contribute to insulin resistance and subclinical inflammation in overweight individuals through pro-inflammatory mechanisms in the gut. Further investigation into the long-term health impacts of carrageenan and other food additives is warranted.

trial registrationNCT02629705.

Indexed as

CarrageenanInsulin ResistanceAdultCross-Over StudiesCytokinesDouble-Blind MethodGastrointestinal MicrobiomeGlucose Tolerance TestHumansMaleYoung AdultCarrageenanCytokinesCarrageenanEmulsifiersGut microbiomeInsulin sensitivityIntestinal permeabilityType 2 diabetes

Identifiers

PMID39593091
PMCPMC11590543

What OpenQuestion holds

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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.