Anti-obesity effects of Yerba Mate (Ilex Paraguariensis): a randomized, double-blind, placebo-controlled clinical trial

Sun-Young Kim, Mi-Ra Oh, Min-Gul Kim, Han-Jeoung Chae, Soo-Wan Chae, Sun-Young Kim, Mi-Ra Oh, Min-Gul Kim, Han-Jeoung Chae, Soo-Wan Chae

Abstract

Background: Obesity is a major health problem. A food field research that has recently aroused considerable interest is the potential of natural products to counteract obesity. Yerba Mate may be helpful in reducing body weight and fat. The aim of this study was to investigate the efficacy and safety of Yerba Mate supplementation in Korean subjects with obesity.

Methods: A randomized, double-blind, placebo-controlled trial was conducted. Subjects with obesity (body mass index (BMI) ≥ 25 but < 35 kg/m(2) and waist-hip ratio (WHR) ≥ 0.90 for men and ≥ 0.85 for women) were given oral supplements of Yerba Mate capsules (n = 15) or placebos (n = 15) for 12 weeks. Subjects take three capsules per each meal, total three times in a day (3 g/day). Measured outcomes were efficacy (abdominal fat distribution, anthropometric parameters and blood lipid profiles) and safety (adverse events, laboratory test results and vital signs).

Results: During 12 weeks of Yerba Mate supplementation, decreases in body fat mass (P = 0.036) and percent body fat (P = 0.030) compared to the placebo group were statistically significant. WHR was significantly decreased (P = 0.004) in the Yerba Mate group compared to the placebo group. No clinically significant changes in any safety parameters were observed.

Conclusions: Yerba Mate supplementation decreased body fat mass, percent body fat and WHR. Yerba Mate was a potent anti-obesity reagent that did not produce significant adverse effects. These results suggested that Yerba Mate supplementation may be effective for treating obese individuals.

Trial registration: ClinicalTrials.gov: (NCT01778257).

Figures

Fig. 1
Fig. 1
CONSORT diagram showing participant flow through the 12 weeks intervention. ITT, intention-to-treat population
Fig. 2
Fig. 2
Effects on body fat composition. a Change in BMI during the study period. b Change in body fat mass during the study period. The Yerba Mate group was different when compared to placebo group (P = 0.036). c Change in percent body fat during the study period. The Yerba Mate group was different compared to placebo group (P = 0.030). Values are presented mean ± S.D for 15 subjects. Analyzed by repeated measures ANOVA and the P value represents the comparison to the placebo group (P < 0.05)

References

    1. WHO/IASO/IOTF . The asia-pacific perspective: redefining obesity and its treatment. Melbourne, Australia: Health Communications Australia; 2000.
    1. Tan K. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157–63. doi: 10.1016/S0140-6736(03)15268-3.
    1. World Health Organization. Obesity and overweight. Fact sheet No 311. 2015.
    1. Halford JC, Boyland EJ, Lawton CL, Blundell JE, Harrold JA. Serotonergic anti-obesity agents: past experience and future prospects. Drugs. 2011;71(17):2247–55. doi: 10.2165/11596680-000000000-00000.
    1. Coulter DM. The New Zealand intensive medicines monitoring programme in pro-active safety surveillance. Pharmacoepidemiol Drug Saf. 2000;9(4):273–80. doi: 10.1002/1099-1557(200007/08)9:4<273::AID-PDS512>;2-T.
    1. Harrison-Woolrych M, Clark DW, Hill GR, Rees MI, Skinner JR. QT interval prolongation associated with sibutramine treatment. Br J Clin Pharmacol. 2006;61(4):464–9. doi: 10.1111/j.1365-2125.2006.02574.x.
    1. Snow V, Barry P, Fitterman N, Qaseem A, Weiss K. Pharmacologic and surgical management of obesity in primary care: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2005;142(7):525–31. doi: 10.7326/0003-4819-142-7-200504050-00011.
    1. Cooke D, Bloom S. The obesity pipeline: current strategies in the development of anti-obesity drugs. Nat Rev Drug Discov. 2006;5(11):919–31. doi: 10.1038/nrd2136.
    1. Heck CI, de Mejia EG. Yerba Mate Tea (Ilex paraguariensis): a comprehensive review on chemistry, health implications, and technological considerations. J Food Sci. 2007;72(9):R138–51. doi: 10.1111/j.1750-3841.2007.00535.x.
    1. Arcari DP, Bartchewsky W, Dos Santos TW, Oliveira KA, Funck A, Pedrazzoli J, et al. Antiobesity effects of yerba mate extract (Ilex paraguariensis) in high-fat diet-induced obese mice. Obesity (Silver Spring) 2009;17(12):2127–33. doi: 10.1038/oby.2009.158.
    1. de Sotillo DV R, Hadley M. Chlorogenic acid modifies plasma and liver concentrations of: cholesterol, triacylglycerol, and minerals in (fa/fa) Zucker rats. J Nutr Biochem. 2002;13(12):717–26. doi: 10.1016/S0955-2863(02)00231-0.
    1. Cho AS, Jeon SM, Kim MJ, Yeo J, Seo KI, Choi MS, et al. Chlorogenic acid exhibits anti-obesity property and improves lipid metabolism in high-fat diet-induced-obese mice. Food Chem Toxicol. 2010;48(3):937–43. doi: 10.1016/j.fct.2010.01.003.
    1. Arcari DP, Santos JC, Gambero A, Ribeiro ML. The in vitro and in vivo effects of yerba mate (Ilex paraguariensis) extract on adipogenesis. Food Chem. 2013;141(2):809–15. doi: 10.1016/j.foodchem.2013.04.062.
    1. Ramirez-Mares MV, Chandra S, de Mejia EG. In vitro chemopreventive activity of Camellia sinensis, Ilex paraguariensis and Ardisia compressa tea extracts and selected polyphenols. Mutat Res. 2004;554(1):53–65. doi: 10.1016/j.mrfmmm.2004.03.002.
    1. Filip R, Sebastian T, Ferraro G, Anesini C. Effect of Ilex extracts and isolated compounds on peroxidase secretion of rat submandibulary glands. Food Chem Toxicol. 2007;45(4):649–55. doi: 10.1016/j.fct.2006.10.014.
    1. Gorzalczany S, Filip R, Alonso MR, Miño J, Ferraro GE, Acevedo C. Choleretic effect and intestinal propulsion of ‘mate’(Ilex paraguariensis) and its substitutes or adulterants. J Ethnopharmacol. 2001;75(2):291–4. doi: 10.1016/S0378-8741(01)00179-9.
    1. Muccillo Baisch AL, Johnston KB, Paganini Stein FL. Endothelium-dependent vasorelaxing activity of aqueous extracts of Ilex paraguariensis on mesenteric arterial bed of rats. J Ethnopharmacol. 1998;60(2):133–9. doi: 10.1016/S0378-8741(97)00140-2.
    1. Lunceford N, Gugliucci A. Ilex paraguariensis extracts inhibit AGE formation more efficiently than green tea. Fitoterapia. 2005;76(5):419–27. doi: 10.1016/j.fitote.2005.03.021.
    1. Gugliucci A, Menini T. The botanical extracts of Achyrocline satureoides and Ilex paraguariensis prevent methylglyoxal-induced inhibition of plasminogen and antithrombin III. Life Sci. 2002;72(3):279–92. doi: 10.1016/S0024-3205(02)02242-7.
    1. Lima Nda S, de Oliveira E, da Silva AP, Maia Lde A, de Moura EG, Lisboa PC. Effects of Ilex paraguariensis (yerba mate) treatment on leptin resistance and inflammatory parameters in obese rats primed by early weaning. Life Sci. 2014;115(1–2):29–35. doi: 10.1016/j.lfs.2014.09.003.
    1. Pang J, Choi Y, Park T. Ilex paraguariensis extract ameliorates obesity induced by high-fat diet: potential role of AMPK in the visceral adipose tissue. Arch Biochem Biophys. 2008;476(2):178–85. doi: 10.1016/j.abb.2008.02.019.
    1. Mosimann AL, Wilhelm-Filho D, da Silva EL. Aqueous extract of Ilex paraguariensis attenuates the progression of atherosclerosis in cholesterol-fed rabbits. Biofactors. 2006;26(1):59–70. doi: 10.1002/biof.5520260106.
    1. Kang YR, Lee HY, Kim JH, Moon DI, Seo MY, Park SH, et al. Anti-obesity and anti-diabetic effects of Yerba Mate (Ilex paraguariensis) in C57BL/6 J mice fed a high-fat diet. Lab Anim Res. 2012;28(1):23–9. doi: 10.5625/lar.2012.28.1.23.
    1. Chakraborty H, Gu H. A mixed model approach for intent-to-treat analysis in longitudinal clinical trials with missing values. RTI Press. 2009.
    1. Opala T, Rzymski P, Pischel I, Wilczak M, Wozniak J. Efficacy of 12 weeks supplementation of a botanical extract-based weight loss formula on body weight, body composition and blood chemistry in healthy, overweight subjects-a randomised double-blind placebo-controlled clinical trial. Eur J Med Res. 2006;11(8):343–50.
    1. Kim HJ, Ko J, Storni C, Song HJ, Cho YG. Effect of green mate in overweight volunteers: a randomized placebo-controlled human study. J Funct Foods. 2012;4(1):287–93. doi: 10.1016/j.jff.2011.12.005.
    1. Gosmann G, Barlette AG, Dhamer T, Arcari DP, Santos JC, de Camargo ER, et al. Phenolic compounds from mate (Ilex paraguariensis) inhibit adipogenesis in 3T3-L1 preadipocytes. Plant Foods Hum Nutr. 2012;67(2):156–61. doi: 10.1007/s11130-012-0289-x.
    1. Outlaw J, Wilborn C, Smith A, Urbina S, Hayward S, Foster C, et al. Effects of ingestion of a commercially available thermogenic dietary supplement on resting energy expenditure, mood state and cardiovascular measures. J Int Soc Sports Nutr. 2013;10(1):25. doi: 10.1186/1550-2783-10-25.
    1. Martinet A, Hostettmann K, Schutz Y. Thermogenic effects of commercially available plant preparations aimed at treating human obesity. Phytomedicine. 1999;6(4):231–8. doi: 10.1016/S0944-7113(99)80014-2.
    1. Paganini Stein FL, Schmidt B, Furlong EB, Souza-Soares LA, Soares MC, Vaz MR, et al. Vascular responses to extractable fractions of Ilex paraguariensis in rats fed standard and high-cholesterol diets. Biol Res Nurs. 2005;7(2):146–56. doi: 10.1177/1099800405280521.
    1. Gugliucci A. Antioxidant effects of Ilex paraguariensis: induction of decreased oxidability of human LDL in vivo. Biochem Biophys Res Commun. 1996;224(2):338–44. doi: 10.1006/bbrc.1996.1030.
    1. Gugliucci A, Stahl AJ. Low density lipoprotein oxidation is inhibited by extracts of Ilex paraguariensis. Biochem Mol Biol Int. 1995;35(1):47–56.
    1. de Morais EC, Stefanuto A, Klein GA, Boaventura BC, de Andrade F, Wazlawik E, et al. Consumption of yerba mate (Ilex paraguariensis) improves serum lipid parameters in healthy dyslipidemic subjects and provides an additional LDL-cholesterol reduction in individuals on statin therapy. J Agric Food Chem. 2009;57(18):8316–24. doi: 10.1021/jf901660g.
    1. Bracesco N, Sanchez AG, Contreras V, Menini T, Gugliucci A. Recent advances on Ilex paraguariensis research: minireview. J Ethnopharmacol. 2011;136(3):378–84. doi: 10.1016/j.jep.2010.06.032.
    1. Chiolero A, Faeh D, Paccaud F, Cornuz J. Consequences of smoking for body weight, body fat distribution, and insulin resistance. Am J Clin Nutr. 2008;87(4):801–9.
    1. (EMEA) EMA. Guideline on clinical investigation of medicinal products used in weight control. Committee for medicinal products for human use (CHMP) 2006 [www document] Available at: URL

Source: PubMed

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