Horm Metab Res 2021; 53(09): 616-624
DOI: 10.1055/a-1544-8181
Endocrine Care

Effects of Melatonin Supplementation on Insulin Levels and Insulin Resistance: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Yan Li
1   Department of Endocrinology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China
,
Zhenbin Xu
2   Department of Orthopaedics, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China
› Author Affiliations

Abstract

Insulin resistance (IR) is a pivotal process in various metabolic diseases. The well-known treatment is lifestyle modification and medication therapy, which may result in poor compliance and side effects. Melatonin has been suggested to have a role in glucose metabolism, yet the results across studies have been inconsistent. Therefore, we performed a systematic review to evaluate the effects of melatonin supplementation on insulin levels and IR. We searched PubMed, Embase, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov, and identified randomized controlled trials (RCTs) published prior to August 2020. Articles were reviewed, selected and extracted by two reviewers independently. In total, 8 RCTs of 376 participants were included. Data were pooled using a random-effects model, with mean differences (MDs) and 95% confidence intervals (CIs). Our results showed that melatonin administration significantly reduced insulin levels and homeostasis model assessment of insulin resistance (HOMA-IR), and increased the quantitative insulin sensitivity check index (QUICKI). We conclude that melatonin ameliorated hyperinsulinemia, insulin resistance, and insulin sensitivity, and the results are an update of a previous meta-analysis. Although more investigations are required, we clearly provide evidence for the use of melatonin as an adjuvant treatment for metabolic disorders involving IR.

Supplementary Material



Publication History

Received: 24 December 2020

Accepted after revision: 01 July 2021

Article published online:
08 September 2021

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
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