Evidence map›Paper›PMID 41310257›Full record

SynthesisInternational journal of obesity (2005)2026

The effect of berberine on obesity indices: a systematic review and meta-analysis.

Iman Elahi Vahed, Erfan Shahir-Roudi, Sina Nojumi, Samieh Golmohammadi, Mehdi Moradi Shahrebabak, Niloofar Sharafi Tafreshi Moghadam, Amir Sajad Bagheryan, Maryam Moftakhar, Fateme Shamsipour, Mahla Jafari and 2 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of obesity (2005), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. 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

12 authors.

Iman Elahi Vahed *School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Erfan Shahir-Roudi *Student Research Committee, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
Sina Nojumi *School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Samieh GolmohammadiSchool of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mehdi Moradi ShahrebabakSchool of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Niloofar Sharafi Tafreshi MoghadamSchool of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amir Sajad BagheryanSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maryam MoftakharSchool of Medicine, Jundishapur University of Medical Sciences, Ahwaz, Iran.
Fateme ShamsipourStudent Research Committee, School of Health, Guilan University of Medical Sciences, Rasht, Iran, Rasht, Iran.ORCID 0009-0003-5580-1796
Mahla JafariSchool of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Hossein SoltaninejadDepartment of Stem Cells Technology and Tissue Regeneration, Faculty of Interdisciplinary Science and Technologies, Tarbiat Modares University, Tehran, Iran. hossein.soltani@modares.ac.ir.
Mohammad RahmanianGastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran. mmdrahmanian@gmail.com.ORCID 0000-0002-0024-1934

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimObesity is an already identified risk factor for various noncommunicable diseases. Berberine is an alkaloid that has manifested a significant effect in the treatment of obesity and its complications. The aim of this systematic review and meta analysis is to evaluate the effect of berberine on obesity indices.

methodsWe conducted a comprehensive search of Scopus, PubMed, Web of Science, and Google Scholar for randomized controlled trials (RCTs) investigating berberine's impact on obesity indices in adults. Eligible studies included human trials with quantitative outcomes for weight, BMI, WC, or WHR. Animal studies, reviews, and non-RCTs were excluded. Two reviewers independently screened studies, extracted data, and assessed risk of bias using the Cochrane RoB 2 tool. A random-effects meta-analysis was performed to calculate mean differences (MDs) and 95% confidence intervals (CIs). Heterogeneity was evaluated using I² statistics.

resultsA total of 23 articles were included. Berberine significantly reduced body weight (MD of -0.88 kg, 95% CI: -1.36 to -0.39, p = 0.0003), BMI (MD of -0.48 kg/m², 95% CI: -0.89 to -0.07, p < 0.0216), and WC (MD of -1.32 kg/m², 95% CI: -2.24 to -0.41, p < 0.0046). However, berberine did not significantly reduce WHR compared to control groups (MD of -0.01, 95% CI: -0.03 to 0.01). Meta-regression revealed no association between berberine use and age.

conclusionBerberine use significantly reduces body weight, BMI, and WC but does not significantly reduce WHR. Future trials should focus on improving reporting standards for biochemical characterization (such as purity, potency and gram amounts) and address common biases such as lack of blinding and randomization to enhance the reliability of the evidence.

Indexed as

BerberineObesityWeight LossAdultBody Mass IndexHumansRandomized Controlled Trials as TopicBerberine

Identifiers

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Registered trials

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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.