Evidence map›Paper›PMID 41315853›Full record

SynthesisScientific reports2025

Natural antioxidant substances improve oxidative stress and alleviate ulcerative colitis: a meta-analysis of randomized controlled trials.

Shuo Yuan, Lingling Cai, Man Su

Abstract readMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

3 authors.

Shuo YuanDepartment of General Surgery, Beilun Branch of the First Affiliated Hospital of Zhejiang University, Ningbo, China.
Lingling CaiDepartment of Outpatient Office, Ningbo Mingzhou Hospital, Ningbo, China.
Man SuDepartment of Medical Oncology, Beilun Branch of the First Affiliated Hospital of Zhejiang University, Ningbo, China. mansuper045@163.com.

Funding

the Clinical Medical Research Special Project of Zhejiang Medical Association 2024ZYC-A343
6 · The paper itself

Abstract

Oxidative stress is a key driver of mucosal damage in ulcerative colitis (UC). Antioxidant supplementation may restore redox balance, but its clinical efficacy remains controversial. To evaluate the effects of natural antioxidant substances supplementation on oxidation/antioxidant biomarkers and clinical outcomes in UC patients. The databases included PubMed, Embase, Web of Science, and Cochrane Library (up to July 2025) were searched, and RCTs comparing oral antioxidants with placebo in UC were included. The primary outcomes were changes in oxidative stress markers (MDA, SOD, TAC, GPX). The secondary outcomes included the short IBD questionnaire (SIBDQ) score and the simple clinical colitis activity index (SCCAI) score. 9 articles involving 624 patients were included in this study. Compared to placebo group, antioxidant substances supplementation could significantly reduce the level of MDA (P = 0.001, SMD=-1.09, 95% CI -1.75 to -0.43), increased the levels of SOD, TAC, GPX in patients with UC (P = 0.02, SMD = 0.57, 95% CI 0.10 to 1.04; P = 0.0004, SMD = 0.74, 95% CI   0.33 to 1.16; P = 0.004, SMD = 0.69, 95% CI  0.22 to 1.16). In addition, antioxidant substances supplementation remarkably decreased the SCCAI score of UC patients (P = 0.04, SMD=-0.62, 95% CI -1.21 to -0.04), thus improving the disease activity. However, there is no significant difference in the change of IBDQ score (P = 0.13, SMD = 0.55, 95% CI -0.17 to 1.28). Natural antioxidant substances supplementation effectively enhanced antioxidant capacity and ameliorated oxidation status, improved the disease activity of UC patients, but had no significant impact on their quality of life. This study will provide a basis for the selection of adjuvant therapy drugs for UC.

Indexed as

AntioxidantsColitis, UlcerativeOxidative StressBiomarkersDietary SupplementsHumansRandomized Controlled Trials as TopicAntioxidantsBiomarkersAntioxidantsOxidationOxidative stressRemissionUlcerative colitis

Identifiers

PMID41315853
PMCPMC12753649

What OpenQuestion holds

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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.