meta_analysis
    2025
    High Quality

    The Effects of Apple Cider Vinegar on Cardiometabolic Risk Factors: A Systematic Review and Meta-analysis of Clinical Trials

    Tehrani SD, Keshani M, Rouhani MH, Moallem SA, Bagherniya M, Sahebkar A

    Published in Current Medicinal Chemistry

    Methodology

    Systematic review and meta-analysis of 25 clinical trials (33 arms) in 1,320 adults assessing apple cider vinegar and cardiometabolic risk factors.

    Key Findings

    ACV significantly improved fasting blood glucose (-21.20 mg/dL), HbA1c (-0.91) and total cholesterol (-6.72 mg/dL), with no significant effect on BMI, HOMA-IR, insulin, triglycerides, LDL-C or HDL-C. Benefits were concentrated in people with diabetes.

    Conclusions

    Apple cider vinegar consumption has a favourable effect on selected glycemic and lipid markers, mainly in diabetic populations.

    Limitations

    Very high statistical heterogeneity (I2 up to 98.9%), many small trials of varied quality, and null results for most lipid and insulin outcomes.

    Supplements Studied

    No significant results were observed for BMI, HOMA-IR, serum insulin, TG, LDL-C, and HDL-C.

    Outcomes Measured

    No significant results were observed for BMI, HOMA-IR, serum insulin, TG, LDL-C, and HDL-C.

    Related Health Concerns

    Study Details

    Year:2025
    Sample Size:1,320
    Quality Score:7/10

    Disclosures

    Funding

    Isfahan University of Medical Sciences

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