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September 8, 2026NutrientsOpen Access

Effects of Nutritional Supplements on Inflammatory Biomarkers in Overweight and Obese Adults: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials

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Authors

ZCZhiyue ChenALAiling LiuSBShuran Bian

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Overview

Network meta-analysis reveals that specific supplements reduce systemic inflammation markers in overweight and obese adults, suggesting targeted nutraceutical options.

Key Points

  • To assess and rank the comparative effects of 14 nutritional supplementation strategies on circulating inflammatory biomarkers in adults with overweight or obesity.
  • Systematically searched PubMed, Embase, EBSCO, Web of Science, and the Cochrane Library for randomized controlled trials published between January 2000 and January 2026.
  • Conducted a frequentist random-effects network meta-analysis of 60 randomized controlled trials, reporting mean differences (MDs) with 95% confidence intervals (CIs) and ranking interventions using SUCRA alongside the CINeMA framework.
  • IL-6 levels were significantly reduced by green tea extract (MD = −2.57, 95% CI [−3.99, −1.15]) and curcumin (MD = −1.75, 95% CI [−2.74, −0.76]), while TNF-α was lowered by synbiotics (MD = −12.25, 95% CI [−16.7, −7.8]), probiotics with omega-3 (MD = −6.19, 95% CI [−9.12, −3.26]), and curcumin (MD = −2.59, 95% CI [−3.83, −1.35]).
  • CRP concentrations fell significantly with probiotics combined with omega-3 (MD = −1.74, 95% CI [−3.03, −0.46]), synbiotics (MD = −1.19, 95% CI [−1.85, −0.53]), zinc (MD = −1.18, 95% CI [−2.24, −0.11]), and curcumin (MD = −1.11, 95% CI [−2.14, −0.07]), while synbiotics markedly increased adiponectin (MD = 15.37, 95% CI [12.13, 18.61]).
  • No supplement achieved a statistically significant reduction in leptin levels, with exploratory meta-regression indicating that participant age, sex ratio, and concurrent exercise contributed to outcome heterogeneity.

Cite This Study

Chen et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd83b58e84d0ff5b4791chttps://doi.org/10.3390/nu18172936
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Also Consider

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  4. 4Nutraceuticals for the management of weight and inflammation-related complications in obesity: a pediatric perspective. Systematic review and network meta-analysis2026
  5. 5IMPACT OF PLANT BASED DIETS ON INFLAMMATORY MARKERS IN ADULTS A SYSTEMATIC REVIEW2025