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Peer-reviewedCC BYBMC complementary medicine and therapies

Effects of ginger intervention on anthropometric and body composition indices in patients with type 2 diabetes: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.

8 affiliations
  1. 1Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  2. 2Nutrition and Metabolic Diseases Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  3. 3Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
  4. 4Student Research and technology Committee, Faculty of Health and Nutrition, , Bushehr University of Medical Sciences, Bushehr, Iran.
  5. 5Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
  6. 6Department of Cellular and Molecular Nutrition, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  7. 7Nutrition and Metabolic Diseases Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. [email protected].
  8. 8Department of Nutrition, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz-Iran-Golestan Highway, Ahvaz, 6135715794, Iran. [email protected].

Abstract

Background and aims

Evidence on the effects of ginger supplementation on anthropometric and body composition indices in adults with type 2 diabetes mellitus (T2DM) is inconsistent, and the certainty of this evidence has not been fully evaluated. This study aimed to systematically review and meta-analyze randomized controlled trials assessing these effects.Methods

PubMed, Scopus, and Web of Science were searched until October 5, 2025. We used random-effects meta-analysis to find average differences with 95% CIs. Study quality and evidence certainty were checked with Cochrane RoB-2 tool and GRADE approach. Subgroup, meta-regression, sensitivity, and publication bias analyses were also done.Results

This meta-analysis included 692 participants from 12 RCTs. Ginger supplementation significantly reduced body mass index (BMI) (- 0.24 kg/m²; 95% CI: -0.48, - 0.00; p = 0.043) and body fat percentage (BF%) (- 1.44%; 95% CI: -2.49, - 0.38; p = 0.007), while no significant effects were observed on body weight (BW), waist circumference (WC), hip circumference (HC), or waist-to-hip ratio (WHR). Bias assessment showed 9 studies with some concerns, 1 low, and 2 high risk. Evidence quality was moderate for 4 outcomes (BMI, WHR, HC, BF%), low for WC, and high for BW.Conclusion

Ginger reduced BMI and BF%, with no significant change in BW, WHR, HC, or WC.Trial registration

This study was prospectively registered in PROSPERO (CRD420251162956).

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BibTeX
@article{keshavarz2026effects,
  title = {{Effects of ginger intervention on anthropometric and body composition indices in patients with type 2 diabetes: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.}},
  author = {Ali Keshavarz and Aylee Sobhanifar and Parna Alizadeh and S Faezeh Hashemi Moghaddam and Monirsadat Mirhoseini and Fatemeh Borazjani},
  journal = {BMC complementary medicine and therapies},
  year = {2026},
  month = aug,
  doi = {10.1186/s12906-026-05492-2},
  url = {https://europepmc.org/article/MED/42968062},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Effects of ginger intervention on anthropometric and body composition indices in patients with type 2 diabetes: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
AU  - Ali Keshavarz
AU  - Aylee Sobhanifar
AU  - Parna Alizadeh
AU  - S Faezeh Hashemi Moghaddam
AU  - Monirsadat Mirhoseini
AU  - Fatemeh Borazjani
PY  - 2026
DA  - 2026/08/05
JO  - BMC complementary medicine and therapies
DO  - 10.1186/s12906-026-05492-2
UR  - https://europepmc.org/article/MED/42968062
AB  - Background and aims  Evidence on the effects of ginger supplementation on anthropometric and body composition indices in adults with type 2 diabetes mellitus (T2DM) is inconsistent, and the certainty of this evidence has not been fully evaluated. This study aimed to systematically review and meta-analyze randomized controlled trials assessing these effects.Methods  PubMed, Scopus, and Web of Science were searched until October 5, 2025. We used random-effects meta-analysis to find average differences with 95% CIs. Study quality and evidence certainty were checked with Cochrane RoB-2 tool and GRADE approach. Subgroup, meta-regression, sensitivity, and publication bias analyses were also done.Results  This meta-analysis included 692 participants from 12 RCTs. Ginger supplementation significantly reduced body mass index (BMI) (- 0.24 kg/m²; 95% CI: -0.48, - 0.00; p = 0.043) and body fat percentage (BF%) (- 1.44%; 95% CI: -2.49, - 0.38; p = 0.007), while no significant effects were observed on body weight (BW), waist circumference (WC), hip circumference (HC), or waist-to-hip ratio (WHR). Bias assessment showed 9 studies with some concerns, 1 low, and 2 high risk. Evidence quality was moderate for 4 outcomes (BMI, WHR, HC, BF%), low for WC, and high for BW.Conclusion  Ginger reduced BMI and BF%, with no significant change in BW, WHR, HC, or WC.Trial registration  This study was prospectively registered in PROSPERO (CRD420251162956).
SN  - 2662-7671
ER  -