Evidence map›Paper›PMID 41652544›Full record

SynthesisBMC cardiovascular disorders2026

The beneficial effects of Chlorella vulgaris supplementation on health-related indices in patients with non-alcoholic fatty liver disease: a GRADE-assessed systematic review and meta-analysis.

Ali Jafari, Helia Mardani, Bahare Parsi Nezhad, Azita Hekmatdoost

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Molecules (Basel, Switzerland) · 2026
    Review
  3. DoesFood science & nutrition · 2026
    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

4 authors.

Ali Jafari *Student Research Committee, Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ajafari.nut@gmail.com.ORCID http://orcid.org/0000-0001-7343-027X
Helia Mardani *Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran.
Bahare Parsi NezhadStudent Research Committee, Department of Nutrition, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.
Azita HekmatdoostDepartment of Clinical Nutrition & Dietetics, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran. a_hekmat2000@yahoo.com.ORCID http://orcid.org/0000-0002-1944-0052

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis aimed to assess the impact of Chlorella vulgaris (C. vulgaris) consumption on cardiovascular disease risk factors in patients with non-alcoholic fatty liver disease (NAFLD). Relevant research was identified through electronic searches of databases up to September 19, 2025. Study quality was assessed using the Cochrane risk-of-bias tool (ROB 2). Seven trials, all conducted in Iran, with interventions ranging from 8 to 12 weeks and involving 375 participants, were included. C. vulgaris supplementation demonstrated significant reductions in weight (Weighted Mean Difference [WMD]= -1.62, 95% Confidence Interval [CI]: -2.24, -1.00), fasting blood sugar (FBS) (WMD= -6.25, 95% CI: -9.02, -3.47), high-sensitivity C-reactive protein (hs-CRP) (WMD= -1.02, 95% CI: -1.84, -0.19), low-density lipoprotein cholesterol (LDL-C) (WMD= -6.45, 95% CI: -12.25, -0.64), total cholesterol (TC) (WMD= -7.18, 95% CI: -10.84, -3.52), alkaline phosphatase (ALP) (WMD= -14.84, 95% CI: -27.81, -1.87), and aspartate aminotransferase (AST) (WMD= -4.99, 95% CI: -7.26, -2.71). This meta-analysis demonstrates that C. vulgaris supplementation significantly improves liver function, glycemic control, and lipid profiles in patients with NAFLD. However, all included studies were conducted in Iran, limiting the generalizability of these findings, and the certainty of evidence was rated as very low due to risk of bias, indicating that the results should be interpreted with caution.

Indexed as

Chlorella vulgarisDietary SupplementsNon-alcoholic Fatty Liver DiseasePlant ExtractsAdultAgedBiomarkersBlood GlucoseFemaleHumansLipidsMaleMiddle AgedProtective FactorsRisk AssessmentTreatment OutcomeBiomarkersBlood GlucoseLipidsPlant ExtractsChlorella vulgarisGlycemic indicesLipid profileLiver functionNon-alcoholic fatty liver disease, metabolic dysfunction-associated steatotic liver disease, MASLD, anthropometric indices

Identifiers

PMID41652544
PMCPMC12977676

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.