Reviews Find No Evidence Weight-Loss Supplements Work
MONDAY, May 10, 2021 (HealthDay News) -- You're getting no real benefit from taking weight-loss supplements like garcinia cambogia, green tea extract, glucomannan, conjugated linoleic acid or chitosan, two new reviews show.
Most of the clinical trials studied didn't show these supplements producing any weight loss among users, the researchers said. In the rare cases where people did lose weight, they didn't drop enough pounds to have a positive impact on their health.
"The results of our systematic review highlight that taking herbal medicines or dietary supplements is not an effective weight-loss strategy," said lead researcher Erica Bessell, a doctoral student with the University of Sydney in Australia. "We would recommend that people trying to lose weight should save their money and seek out evidence-based care instead."
This first comprehensive review of weight-loss supplements in 16 years combined the results of 121 clinical trials involving nearly 10,000 adults, according to the researchers' presentation on Saturday before a virtual annual meeting of the European Congress of Obesity. The results have also been published in the International Journal of Obesity and the Diabetes, Obesity & Metabolism journal.
Weight-loss supplements are a $41 billion global industry, the researchers said in background notes. Hundreds of different weight-loss supplements are sold in the United States, and estimates suggest that about 15% of Americans trying to drop some pounds have tried one.
"People pay a lot of money on it, and they may put themselves at health risk as well because there's limited regulation of dietary supplements in the United States," said Dr. Scott Kahan, director of the National Center for Weight and Wellness, in Washington, D.C. "The fact that they are unlikely to get any benefit at all makes the practice of using them, spending a lot of money for them and potentially putting yourself at risk something that needs to be better appreciated by the public, I think."
Of all the supplements studied, only white kidney bean (Phaseolus vulgaris) resulted in statistically significant weight loss compared to placebo, the researchers found. However, people only lost about 3.5 pounds, not enough to make a difference for their health.
Supplements with no scientifically proven benefit included:
- Tropical fruit extracts like garcinia cambogia, mangosteen and African mango.
- Green tea extract.
- Plant-based substances like yerba mate, veld grape, licorice root and East Indian Globe Thistle.
- Chitosan, a complex sugar formed from the hard shells of shellfish.
- Glucomannan, a soluble fiber derived from the roots of the elephant yam.
- Fructans, which are carbohydrates found in fruits and vegetables.
- Conjugated linoleic acid (CLA), a natural substance produced in the gut by digestion of fats.
"Though most supplements were safe for use in the short-term," Bessell said, "very few were found to produce clinically meaningful weight loss. Those that were found to result in weight loss had only been investigated in one or two trials. Many trials were assessed to have a high risk of bias, and the design and conduct of the trials was often inadequately reported. Thus, there is currently no evidence to recommend any of these supplements for weight loss."
The largest proven risk from these supplements is to your pocketbook, the researchers added. But not in all cases.
In 2004, the U.S. Food and Drug Administration banned the sale of ephedra, a weight-loss supplement derived from an evergreen shrub used in Chinese and Indian medicine, due to serious safety risks that included heart attack, seizures, stroke and sudden death, according to the National Center for Complementary and Integrative Health.
Another supplement that poses safety problems are fructooligosaccharides, which at high doses have been found to cause severe gastrointestinal symptoms, Bessell noted.
However, dietary supplements are not regulated by the FDA, Bessell and Kahan noted. The agency only steps in when consumers complain.
"Any product can be marketed, and the FDA can only remove products from the market if there is evidence that the product is unsafe or if the product label is misleading in terms of listed ingredients or claims of benefit," Bessell said.
Experts say some safety concerns regarding supplements arise from the fact that what's on the label might not be what's in the capsule you swallow.
According to Kahan, "Because of deregulation of the supplement field, we don't even know that what's on the package is actually in the supplement. That's where harm can occur with any of them."
There's also the potential that a supplement might react to one of the prescriptions you're taking, Bessell added.
"The possibility of drug interactions may be present with some supplements, so health professionals and consumers should be aware of this," Bessell said.
"At the most basic level," Kahan said, "consumers need to be aware this is a situation of caveat emptor. People often believe inappropriately that if it's being marketed that it's safe, that the FDA has approved it or signed off on it, and that's not the case in terms of dietary supplements."
Andrea Wong, Ph.D. is senior vice president of scientific and regulatory affairs at the Council for Responsible Nutrition, which represents the supplements industry. Commenting on the new study, she said consumers should make decisions on supplements on a case-by-case basis.
"There are safe, beneficial weight management dietary supplements on the market, along with supplements that help to fill nutrient gaps for consumers who do not get all the nutrients they need from food alone, especially when they are limiting calories or engaging in strenuous exercise," Wong said. "Individuals should look for evidence supporting the specific weight management product they are considering, rather than rely on review articles that group together numerous disparate products and make sweeping conclusions about the effectiveness of an entire category."
At the same time, Wong said, "CRN reminds consumers to be wary of products that make claims that seem too good to be true and to always talk to a healthcare practitioner for advice on responsible supplement use."
The U.S. Food and Drug Administration has more about dietary supplements.
SOURCES: Erica Bessell, dietitian and doctoral student, University of Sydney, Australia; Scott Kahan, MD, MPH, director, National Center for Weight and Wellness, Washington, D.C.; Andrea Wong, Ph.D., senior vice president of scientific and regulatory affairs, Council for Responsible Nutrition; European Congress on Obesity, virtual presentation, May 7, 2021