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August 16, 2026Nutrition & MetabolismOpen Access

Astaxanthin supplementation and cardiometabolic risk factors in overweight and obese adults: a GRADE-assessed systematic review and meta-analysis

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Authors

APAijie PeiJXJun XuXNXia Ni

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Overview

Systematic review finds astaxanthin improves lipid profiles and reduces inflammation in overweight adults, suggesting adjunctive cardiometabolic benefits.

Key Points

  • To assess the efficacy of astaxanthin supplementation on cardiometabolic risk factors, oxidative stress, and inflammatory markers in overweight and obese adults.
  • Searched PubMed, Scopus, Embase, Cochrane, and Web of Science through May 2026 for randomized trials.
  • Meta-analyzed standardized mean differences (SMDs) and weighted mean differences (WMDs) using random-effects models across 16 trials with 694 participants (346 intervention, 348 control).
  • Evaluated risk of bias using RoB 2.0 and assessed evidence certainty with the GRADE framework.
  • Astaxanthin significantly reduced malondialdehyde (SMD: -1.75), CRP (SMD: -0.35), IL-6 (SMD: -0.69), triglycerides (WMD: -2.90 mg/dL), total cholesterol (WMD: -2.73 mg/dL), and LDL-C (WMD: -1.09 mg/dL).
  • Supplementation significantly increased superoxide dismutase (SMD: 1.37), total antioxidant capacity (SMD: 2.31), and HDL-C (WMD: 1.04 mg/dL), with greater lipid improvements at higher doses (≥12 mg/day) and longer durations (≥12 weeks).
  • No significant alterations were detected for body weight, BMI, TNF-α, or blood pressure, and certainty of evidence across several outcomes was rated low to very low.

Cite This Study

Pei et al. (2026) studied this question.

synapsesocial.com/papers/6a817a91f2fb91fc834ae810https://doi.org/10.1186/s12986-026-01188-z
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Also Consider

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  1. 1Astaxanthin Influence on Health Outcomes of Adults at Risk of Metabolic Syndrome: A Systematic Review and Meta-Analysis2022 · 22 citations
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  4. 4The effect of astaxanthin supplementation on inflammatory markers, lipid profile, and anthropometric indices in patients with heart failure: a randomized controlled trial2026
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