Antidiabetic Effects of Curcuma longa, Zingiber officinale, and Elettaria cardamomum : Scoping Review of the Family Zingiberaceae in Patients with Diabetes Mellitus
DOI:
https://doi.org/10.30595/hmj.v7i2.24364Keywords:
antidiabetic herbs, Clinical trials, Diabetes mellitus, ZingiberaceaeAbstract
Diabetes is a major problem affecting 387 million adults with a global prevalence of (8.3%) and is expected to increase to (10.1%) by 2035. The government recommends the use of herbal medicine as an effort to prevent and control diabetes mellitus. Potential herbal medicines that have antidiabetic effects are the family Zingiberaceae. Several in vitro studies on species of the Zingiberaceae showed antidiabetic activity by inhibiting the activity of the enzymes α-Amylase and α-Glucosidase. However, one problem related to the use of antidiabetic herbs from the Zingiberaceae is the lack of scientific studies showing the effects of the plants used. This scoping review aims to map clinical research evidence of the antidiabetic effects of Zingiberaceae in patients with diabetes mellitus. Using a scoping review methodology, article searches through computerized databases, namely: PubMed, Google Scholar, and Scopus, and search manually used English and Indonesian keywords. The initial search found 1239 articles, then filtered according to the inclusion and exclusion criteria such articles use the RCTs method that mentions the antidiabetic effect of Zingeberaceae family in English or Indonesian in the last 5 years (2017-2021). The results of the study showed 31 articles that met the requirements. 3 types of Zingiberaceae plants had antidiabetic effects, namely Curcuma longa (turmeric) with curcumin/nano-curcumin compounds, Elettaria cardamomum (cardamom), and Zingiber officinale (ginger) which can reduce HbA1c, fasting blood glucose, and insulin resistance in patients with diabetes mellitus with minimal side effects.
References
1. PERKENI. Pedoman pengelolaan dan pencegahan diabetes melitus Tipe 2 dewasa di Indonesia. PB PERKENI; 2019.
2. IDF. Eighth edition 2017. IDF Diabetes Atlas, 8th edition. International Diabetes Federation; 2017. 1–150 p.
3. IDAI. Konsesus nasional pengelolaan diabetes melitus tipe 1 [Internet]. 2015. 6–36 p. Available from: http://www.idai.or.id/wp-content/uploads/2016/06/Konsensus Endokrin DM tipe 1 (2015).pdf
4. Skalli S, Hassikou R, Arahou M. An ethnobotanical survey of medicinal plants used for diabetes treatment in Rabat, Morocco. Heliyon. 2019;(September 2018): e01421.
5. Rachkeeree A, Kantadoung K, Suksathan R, Puangpradab R, Page PA, Sommano SR. Nutritional compositions and phytochemical properties of the edible flowers from selected zingiberaceae found in Thailand. 2018;5(February):1–10.
6. Rachkeeree A, Kantadoung K, Suksathan R, Puangpradab R, Page PA, Sommano SR. Nutritional Compositions and Phytochemical Properties of the Edible Flowers from Selected Zingiberaceae Found in Thailand. 2018;5(February):1–10.
7. Lianah. Biodiversitas Zingiberaceae: Mijen Kota Semarang. 2020.
8. Arumugam G, Manjula P, Paari N. A review: Anti diabetic medicinal plants used for diabetes mellitus. Journal of Acute Disease. 2013;2(3):196–200.
9. McGuinness LA, Higgins JPT. Risk-of-bias VISualization (robvis): An R package and Shiny web app for visualizing risk-of-bias assessments. Res Synth Methods [Internet]. n/a(n/a). Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/jrsm.1411
10. Aghasi M, Koohdani F, Qorbani M, Nasli-esfahani E, Ghazi-zahedi S, Khoshamal H. Beneficial effects of green cardamom on serum SIRT1, glycemic indices and triglyceride levels in patients with type 2 diabetes mellitus: a randomized double-blind placebo controlled clinical trial. 2019;(March).
11. Kitada M, Koya D. SIRT1 in type 2 diabetes: mechanisms and therapeutic potential. Diabetes Metab J. 2013;37(5):315–25.
12. Rivera-Mancía S, Lozada-García MC, Pedraza-Chaverri J. Experimental evidence for curcumin and its analogs for management of diabetes mellitus and its associated complications. Eur J Pharmacol. 2015 Jun 5; 756:30–7.
13. Hodaei H, Adibian M, Nikpayam O, Hedayati M, Sohrab G. The effect of curcumin supplementation on anthropometric indices, insulin resistance and oxidative stress in patients with type 2 diabetes: A randomized, double-blind clinical trial. Diabetol Metab Syndr [Internet]. 2019;11(1):1–8. Available from: https://doi.org/10.1186/s13098-019-0437-7
14. Na LX, Li Y, Pan HZ, Zhou XL, Sun DJ, Meng M, et al. Curcuminoids exert glucose-lowering effect in type 2 diabetes by decreasing serum free fatty acids: a double-blind, placebo-controlled trial. Mol Nutr Food Res [Internet]. 2013 Sep [cited 2024 Dec 10];57(9):1569–77. Available from: https://pubmed.ncbi.nlm.nih.gov/22930403/
15. El Gayar MH, Aboromia MMM, Ibrahim NA, Abdel Hafiz MH. Effects of ginger powder supplementation on glycemic status and lipid profile in newly diagnosed obese patients with type 2 diabetes mellitus. Obes Med. 2019 Jun 1; 14:100094.
16. Rani MP, Padmakumari KP, Sankarikutty B, Cherian OL, Nisha VM, Raghu KG. Inhibitory potential of ginger extracts against enzymes linked to type 2 diabetes, inflammation and induced oxidative stress. Int J Food Sci Nutr. 2011;62(2):106–110.
17. Arzati MM, Honarvar NM, Saedisomeolia A, Anvari S, Effatpanah M, Arzati RM, et al. The effects of ginger on fasting blood sugar, hemoglobin A1c, and lipid profiles in patients with type 2 diabetes. Int J Endocrinol Metab. 2017;15(4):0–6.
18. Panahi Y, Khalili N, Sahebi E, Namazi S, Simental-Mendía LE, Majeed M, et al. Effects of curcuminoids plus piperine on glycemic, hepatic and inflammatory biomarkers in patients with type 2 diabetes mellitus: a randomized double-blind placebo-controlled trial. Drug Res. 2018;68(7):403–9.
19. Asadi S, Gholami MS, Siassi F, Qorbani M, Khamoshian K, Sotoudeh G. Nano curcumin supplementation reduced the severity of diabetic sensorimotor polyneuropathy in patients with type 2 diabetes mellitus: A randomized double-blind placebo- controlled clinical trial. Complement Ther Med [Internet]. 2019;43(August):253–60. Available from: https://doi.org/10.1016/j.ctim.2019.02.014
20. Shafabakhsh R, Asemi Z, Reiner Ž, Soleimani A, Aghadavod E, Bahmani F. The effects of nano-curcumin on metabolic status in patients with diabetes on hemodialysis, a randomized, double blind, placebo-controlled trial. Iran J Kidney Dis. 2020;14(4):290–9.
21. Mokhtari M, Razzaghi R, Momen-Heravi M. The effects of curcumin intake on wound healing and metabolic status in patients with diabetic foot ulcer: A randomized, double-blind, placebo-controlled trial. Phytotherapy Research. 2021;35(4):2099–107.
22. Darmian MA, Hoseini R, Amiri E, Golshani S. How combined and separate aerobic training and turmeric supplementation alter lipid profile and glycemic status? A clinical trial in middle-aged females with type 2 diabetes and hyperlipidemia. Int Cardiovasc Res J. 2021;15(3):111–8.
23. Sousa DF De, Flávio M, Araújo M De, De VD, Maria M, Damasceno C, et al. Cost-effectiveness of passion fruit albedo versus turmeric in the glycemic and lipaemic control of people with type 2 diabetes: randomized clinical trial. J Am Coll Nutr [Internet]. 2021;40(8):679–88. Available from: https://doi.org/10.1080/07315724.2020.1823909
24. Joana N, Figueiredo F De, Saraiva VV, De SDF, Maria C, Maria Q, et al. Effectiveness of the piperine-supplemented Curcuma longa L. in metabolic control of patients with type 2 diabetes: a randomised double-blind placebo-controlled clinical trial. Int J Food Sci Nutr [Internet]. 2021;0(0):1–10. Available from: https://doi.org/10.1080/09637486.2021.1885015
25. Panahi Y, Khalili N, Sahebi E, Namazi S, Atkin SL, Majeed M, et al. Antioxidant effects of curcuminoids in patients with type 2 diabetes mellitus: a randomized controlled trial. Inflammopharmacology. 2017;25(1):25–31.
26. Shehzad A, Ha T, Subhan F, Lee YS. New mechanisms and the anti-inflammatory role of curcumin in obesity and obesity-related metabolic diseases. Eur J Nutr [Internet]. 2011 Apr [cited 2024 Dec 10];50(3):151–61. Available from: https://pubmed.ncbi.nlm.nih.gov/21442412/
27. Panahi Y, Khalili N, Sahebi E, Namazi S, Atkin SL, Majeed M, et al. Curcuminoids plus piperine modulate adipokines in type 2 diabetes mellitus. Curr Clin Pharmacol. 2017;12(4):253–258.
28. Shafabakhsh R, Mobini M, Raygan F, Aghadavod E, Ostadmohammadi V, Amirani E, et al. Curcumin administration and the effects on psychological status and markers of inflammation and oxidative damage in patients with type 2 diabetes and coronary heart disease. Clin Nutr ESPEN. 2020 Dec 1; 40:77–82.
29. Panahi Y, Khalili N, Sahebi E, Namazi S, Atkin SL, Majeed M, et al. Curcuminoids modify lipid profile in type 2 diabetes mellitus: a randomized controlled trial. Complement Ther Med. 2017 Aug 1; 33:1–5.
30. Adibian M, Hodaei H, Nikpayam O, Sohrab G, Hekmatdoost A, Hedayati M. The effects of curcumin supplementation on high-sensitivity C-reactive protein, serum adiponectin, and lipid profile in patients with type 2 diabetes: A randomized, double-blind, placebo-controlled trial. Phytother Res. 2019;33(5):1374–1383.
31. Adab Z, Eghtesadi S, Vafa MR, Heydari I, Shojaii A, Haqqani H, et al. Effect of turmeric on glycemic status, lipid profile, hs-CRP, and total antioxidant capacity in hyperlipidemic type 2 diabetes mellitus patients. Phytotherapy Research. 2019;33(4):1173–81.
32. Srinivasan A, Selvarajan S, Kamalanathan S, Kadhiravan T, Lakshmi NCP, Adithan S. Effect of Curcuma longa on vascular function in native Tamilians with type 2 diabetes mellitus: A randomized, double-blind, parallel arm, placebo-controlled trial. Phytother Res. 2019;33(7):1898–1911.
33. Vanaie A, Shahidi S, Iraj B, Siadat ZD, Kabirzade M, Shakiba F, et al. Curcumin as a major active component of turmeric attenuates proteinuria in patients with overt diabetic nephropathy. Journal of Research in Medical Sciences. 2019;24(1).
34. Asadi S, Gholami MS, Siassi F, Qorbani M, Sotoudeh G. Beneficial effects of nano-curcumin supplement on depression and anxiety in diabetic patients with peripheral neuropathy: A randomized, double-blind, placebo-controlled clinical trial. Phytotherapy Research. 2020;34(4):896–903.
35. Funamoto M, Shimizu K, Sunagawa Y, Katanasaka Y, Miyazaki Y, Kakeya H, et al. Effects of Highly Absorbable Curcumin in Patients with Impaired Glucose Tolerance and Non-Insulin-Dependent Diabetes Mellitus. J Diabetes Res. 2019;2019.
36. Gholinezhad H, Bazyar H, Rashidi H, Salehi P, Haghighi-zadeh MH, Zare Javid A. Using ginger supplement in adjunct with non-surgical periodontal therapy improves metabolic and periodontal parameters in patients with type 2 diabetes mellitus and chronic periodontitis: A double-blind, placebo-controlled trial. J Herb Med. 2020 Apr 1; 20:100315.
37. Hajimoosayi F, Sadatmahalleh SJ, Kazemnejad A, Pirjani R. Effect of ginger on the blood glucose level of women with gestational diabetes mellitus (GDM) with impaired glucose tolerance test (GTT): a randomized double- blind placebo-controlled trial. 2020; 5:1–7.
38. Carvalho GCN, Lira-Neto JCG, de Araújo MFM, de Freitas RWJF. Effectiveness of ginger in reducing metabolic levels in people with diabetes: a randomized clinical trial *. 2020;
39. Foroutan M, Yarmohamadi M, Ghorbani R, Movahhed H. The effect of ginger on blood sugar and urine protein in patients with type 2 diabetes mellitus; a clinical trial. 2021;10(x).
40. Talaei B, Mozaffari-khosravi H, Bahreini S. The effect of ginger on blood lipid and lipoproteins in patients with type 2 diabetes: a double-blind randomized clinical controlled trial. 2017;2(1):87–95.
41. Mozaffari-Khosravi H, Talaei B, Jalali BA, Najarzadeh A, Mozayan MR. The effect of ginger powder supplementation on insulin resistance and glycemic indices in patients with type 2 diabetes: A randomized, double-blind, placebo-controlled trial. Complement Ther Med. 2014 Feb 1;22(1):9–16.
42. Carvalho GCN, Neto JCGL, Nunes LCC, Alencar AMPG, Marques RLL, Damasceno MM. Effectiveness of ginger in the treatment of type 2 diabetes mellitus: A pilot study of the randomized clinical trial type *. 2021; 21:1–14.
43. Honarvar MN, Zarezadeh M, Khorshidi M, Makhdoomi Arzati M, Yekaninejad MS, Abdollahi M, et al. The effect of an oral ginger supplementation on NF-κB concentration in peripheral blood mononuclear cells and anthropomorphic data of patients with type 2 diabetes: A randomized double-blind, placebo-controlled clinical trial. Complement Ther Med. 2019 Feb 1; 42:7–11.
44. Zarezadeh M, Saedisomeolia A, Khorshidi M, Kord Varkane H, Makhdoomi Arzati M, Abdollahi M, et al. Asymmetric dimethylarginine and soluble inter-cellular adhesion molecule-1 serum levels alteration following ginger supplementation in patients with type 2 diabetes: A randomized double-blind, placebo-controlled clinical trial. J Complement Integr Med. 2018;16(2).
45. Javid AZ, Bazyar H, Gholinezhad H, Rahimlou M, Rashidi H, Salehi P, et al. The effects of ginger supplementation on inflammatory, antioxidant, and periodontal parameters in type 2 diabetes mellitus patients with chronic periodontitis under non-surgical periodontal therapy. A double-blind, placebo-controlled trial. 2019;1751–61.
46. Badooei F, Imani E, Hosseini-Teshnizi S, Banar M, Memarzade MR. Comparison of the effect of ginger and aloe vera mouthwashes on xerostomia in patients with type 2 diabetes: A clinical trial, triple-blind. Med Oral Patol Oral Cir Bucal. 2021;26(4): e408–13.
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