Table 3.
Subgroup analysis to assess the effect of green tea supplementation on inflammatory markers and antioxidant status
| Variable | Number of effect sizes | WMD (95% CI) | p-Valuea | I2 (%)b | p for heterogeneityc |
p for between subgroup heterogeneityd |
|---|---|---|---|---|---|---|
| CRP | ||||||
| Overall | 22 | 0.01 (−0.14, 0.15) | 0.914 | 94.0 | < 0.001 | – |
| BMI (kg/m2) | < 0.001 | |||||
| <30 | 14 | −0.12 (−0.37, 0.12) | 0.332 | 94.1 | < 0.001 | |
| ≥30 | 7 | 0.19 (−0.04, 0.43) | 0.108 | 92.8 | < 0.001 | |
| Dosage (mg/day) | 0.036 | |||||
| <500 | 8 | 0.30 (−0.02, 0.64) | 0.069 | 92.9 | < 0.001 | |
| ≥500 | 14 | −0.12 (−0.31, 0.06) | 0.199 | 94.7 | < 0.001 | |
| Duration (weeks) | 0.010 | |||||
| ≤8 | 15 | 0.08 (−0.09, 0.27) | 0.353 | 90.4 | < 0.001 | |
| >8 | 7 | −0.11 (−0.46, 0.23) | 0.523 | 96.9 | < 0.001 | |
| Health status | < 0.001 | |||||
| Healthy | 4 | −0.13 (−0.68, 0.40) | 0.622 | 88.4 | < 0.001 | |
| Unhealthy | 18 | 0.05 (−0.10, 0.21) | 0.496 | 94.3 | < 0.001 | |
| Type of intervention | 0.151 | |||||
| Green tea extract | 17 | −0.13 (−0.28, 0.02) | 0.090 | 94.2 | < 0.001 | |
| Brewed green tea | 5 | 1.00 (−0.12, 2.13) | 0.081 | 94.1 | < 0.001 | |
| Location of study | < 0.001 | |||||
| Asia | 12 | −0.17 (−0.42, 0.06) | 0.154 | 94.9 | < 0.001 | |
| Non-Asia | 10 | −0.005 (−0.02, 0.01) | 0.688 | 91.5 | < 0.001 | |
| Gender | < 0.001 | |||||
| Both | 16 | 0.12 (−0.12, 0.37) | 0.323 | 94.3 | < 0.001 | |
| Male | 2 | −0.36 (−1.05, 0.31) | 0.291 | 90.4 | 0.001 | |
| Female | 4 | 0.07 (−0.11, 0.27) | 0.442 | 89.6 | < 0.001 | |
| IL-6 | ||||||
| Overall | 12 | −0.34 (−0.94, 0.26) | 0.271 | 84.2 | < 0.001 | – |
| BMI (kg/m2) | 0.001 | |||||
| <30 | 7 | 0.09 (−0.44, 0.64) | 0.731 | 76.8 | < 0.001 | |
| ≥30 | 5 | −0.97 (−3.53, 1.40) | 0.421 | 87.5 | < 0.001 | |
| Dosage (mg/day) | 0.037 | |||||
| <500 | 3 | −0.41 (−0.79, −0.03) | 0.032 | 0.0 | 0.734 | |
| ≥500 | 9 | −0.28 (−1.13, 0.56) | 0.513 | 87.6 | < 0.001 | |
| Duration (weeks) | < 0.001 | |||||
| ≤8 | 10 | −0.55 (−1.11, 0.007) | 0.053 | 80.9 | < 0.001 | |
| >8 | 1 | −1.90 (−3.86, 0.06) | 0.058 | – | – | |
| Health status | < 0.001 | |||||
| Healthy | 4 | 0.70 (−0.63, 2.04) | 0.299 | 84.7 | < 0.001 | |
| Unhealthy | 8 | −1.05 (−2.03, −0.07) | 0.036 | 80.1 | < 0.001 | |
| Type of intervention | 0.755 | |||||
| Green tea extract | 10 | −0.38 (−1.03, 0.25) | 0.238 | 87.0 | < 0.001 | |
| Brewed green tea | 2 | 0.22 (−1.22, 1.67) | 0.765 | 0.0 | 0.683 | |
| Location of study | 0.001 | |||||
| Asia | 7 | −0.06 (−0.58, 0.45) | 0.801 | 79.9 | < 0.001 | |
| Non-Asia | 5 | −0.37 (−2.93, 2.16) | 0.770 | 86.3 | < 0.001 | |
| Gender | < 0.001 | |||||
| Both | 7 | −0.36 (−1.25, 0.52) | 0.423 | 41.2 | 0.116 | |
| Male | 3 | 0.63 (−0.43, 1.70) | 0.243 | 90.0 | < 0.001 | |
| Female | 2 | −2.21 (−5.63, 1.20) | 0.204 | 94.5 | < 0.001 | |
| TNF-α | ||||||
| Overall | 9 | −0.07 (−0.42, 0.28) | 0.696 | 90.3 | < 0.001 | – |
| BMI (kg/m2) | < 0.001 | |||||
| <30 | 6 | 0.28 (−0.15, 0.72) | 0.199 | 84.4 | < 0.001 | |
| ≥30 | 3 | −0.60 (−0.91, −0.29) | < 0.001 | 67.9 | < 0.001 | |
| Dosage (mg/day) | < 0.001 | |||||
| <500 | 2 | −0.44 (−1.13, 0.25) | 0.212 | 55.5 | 0.134 | |
| ≥500 | 7 | 0.02 (−0.41, 0.28) | 0.909 | 89.5 | < 0.001 | |
| Duration (weeks) | < 0.001 | |||||
| ≤8 | 7 | −0.16 (−0.42, 0.08) | 0.199 | 74.6 | 0.001 | |
| >8 | 1 | −0.67 (−0.89, −0.44) | < 0.001 | – | – | |
| Health status | 0.019 | |||||
| Healthy | 4 | 0.60 (−0.31, 1.52) | 0.196 | 90.6 | < 0.001 | |
| Unhealthy | 5 | −0.39 (−0.80, 0.01) | 0.057 | 91.2 | < 0.001 | |
| Type of intervention | 0.999 | |||||
| Green tea extract | 8 | −0.05 (−0.43, 0.32) | 0.772 | 91.6 | < 0.001 | |
| Brewed green tea | 1 | −0.14 (−0.69, 0.41) | 0.618 | – | – | |
| Location of study | < 0.001 | |||||
| Asia | 5 | 0.28 (−0.32, 0.89) | 0.358 | 89.8 | < 0.001 | |
| Non-Asia | 4 | −0.43 (−0.66, −0.20) | < 0.001 | 50.3 | 0.110 | |
| Gender | < 0.001 | |||||
| Both | 4 | −0.33 (−0.72, 0.04) | 0.087 | 53.6 | 0.091 | |
| Male | 3 | 0.63 (−1.41, 2.67) | 0.544 | 94.9 | < 0.001 | |
| Female | 2 | −0.16 (−0.61, 0.28) | 0.477 | 93.7 | < 0.001 | |
| TAC | ||||||
| Overall | 15 | 0.09 (0.05, 0.13) | < 0.001 | 84.9 | < 0.001 | – |
| BMI (kg/m2) | < 0.001 | |||||
| <30 | 7 | 0.09 (0.06, 0.11) | < 0.001 | 58.1 | 0.026 | |
| ≥30 | 5 | 0.16 (0.12, 0.19) | < 0.001 | 0.0 | 0.592 | |
| Dosage (mg/day) | < 0.001 | |||||
| <500 | 7 | 0.08 (−0.003, 0.17) | 0.058 | 91.9 | < 0.001 | |
| ≥500 | 8 | 0.09 (0.07, 0.11) | < 0.001 | 0.0 | 0.581 | |
| Duration (weeks) | 0.238 | |||||
| ≤8 | 8 | 0.08 (0.06, 0.11) | < 0.001 | 52.4 | 0.040 | |
| >8 | 7 | 0.06 (−0.03, 0.17) | 0.209 | 92.2 | < 0.001 | |
| Health status | 0.648 | |||||
| Healthy | 3 | 0.07 (0.03, 0.11) | < 0.001 | 77.5 | 0.012 | |
| Unhealthy | 12 | 0.08 (0.02, 0.15) | 0.008 | 86.8 | < 0.001 | |
| Type of intervention | < 0.001 | |||||
| Green tea extract | 10 | 0.07 (0.006, 0.14) | 0.033 | 87.9 | < 0.001 | |
| Brewed green tea | 5 | 0.09 (0.08, 0.11) | < 0.001 | 0.0 | 0.601 | |
| Location of study | 0.860 | |||||
| Asia | 9 | 0.10 (0.06, 0.14) | < 0.001 | 55.9 | 0.020 | |
| Non-Asia | 6 | 0.06 (−0.02, 0.14) | 0.146 | 93.3 | < 0.001 | |
| Gender | 0.009 | |||||
| Both | 11 | 0.08 (0.03, 0.14) | 0.003 | 87.5 | < 0.001 | |
| Male | 3 | 0.07 (−0.01, 0.16) | 0.085 | 38.5 | 0.197 | |
| Female | 1 | 0.14 (0.08, 0.19) | < 0.001 | – | – | |
| MDA | ||||||
| Overall | 14 | −0.40 (−0.63,−0.18) | < 0.001 | 99.2 | < 0.001 | – |
| BMI (kg/m2) | < 0.001 | |||||
| <30 | 9 | −0.43 (−0.71, −0.15) | 0.002 | 99.5 | < 0.001 | |
| ≥30 | 2 | −0.60 (−1.58, 0.37) | 0.227 | 92.0 | < 0.001 | |
| Dosage (mg/day) | < 0.001 | |||||
| <500 | 5 | −0.03 (−0.07, 0.01) | 0.130 | 61.5 | < 0.001 | |
| ≥500 | 9 | −0.52 (−0.95, −0.10) | 0.015 | 98.8 | 0.034 | |
| Duration (weeks) | 0.113 | |||||
| ≤8 | 10 | −0.42 (−0.82, −0.03) | 0.033 | 99.5 | < 0.001 | |
| >8 | 4 | −0.32 (−0.76, 0.10) | 0.135 | 90.3 | < 0.001 | |
| Health status | < 0.001 | |||||
| Healthy | 7 | −0.43 (−0.83, −0.04) | 0.013 | 99.6 | < 0.001 | |
| Unhealthy | 7 | −0.37 (−0.67, −0.07) | 0.030 | 84.2 | < 0.001 | |
| Type of intervention | < 0.001 | |||||
| Green tea extract | 10 | −0.43 (−0.69, −0.16) | 0.001 | 99.4 | < 0.001 | |
| Brewed green tea | 4 | −0.32 (−1.10, 0.44) | 0.410 | 95.5 | < 0.001 | |
| Location of study | < 0.001 | |||||
| Asia | 9 | −0.58 (−1.05, −0.11) | 0.015 | 99.5 | < 0.001 | |
| Non-Asia | 5 | −0.02 (−0.17, 0.13) | 0.794 | 84.3 | < 0.001 | |
| Gender | < 0.001 | |||||
| Both | 9 | −0.31 (−0.53, −0.10) | 0.004 | 92.6 | < 0.001 | |
| Male | 3 | −0.13 (−0.38, 0.11) | 0.297 | 60.8 | 0.078 | |
| Female | 2 | −1.001 (−1.17, −0.82) | < 0.001 | 92.6 | < 0.001 | |
| GPX | ||||||
| Overall | 10 | 3.90 (1.85, 5.95) | < 0.001 | 93.1 | < 0.001 | – |
| BMI (kg/m2) | < 0.001 | |||||
| <30 | 3 | 9.53 (0.21, 18.86) | 0.045 | 94.3 | < 0.001 | |
| ≥30 | 4 | 4.29 (−0.01, 8.60) | 0.051 | 92.0 | < 0.001 | |
| Dosage (mg/day) | 0.584 | |||||
| <500 | 4 | 3.16 (−1.62, 7.94) | 0.195 | 93.6 | < 0.001 | |
| ≥500 | 6 | 4.58 (1.49, 7.67) | 0.004 | 94.0 | < 0.001 | |
| Duration (weeks) | < 0.001 | |||||
| ≤8 | 6 | 6.95 (3.12, 10.78) | < 0.001 | 89.2 | < 0.001 | |
| >8 | 4 | 0.53 (−1.17, 2.23) | 0.540 | 87.9 | < 0.001 | |
| Health status | < 0.001 | |||||
| Healthy | 5 | 7.12 (2.00, 12.24) | 0.006 | 90.4 | < 0.001 | |
| Unhealthy | 5 | 1.71 (−0.36, 3.79) | 0.106 | 92.4 | < 0.001 | |
| Type of intervention | < 0.001 | |||||
| Green tea extract | 7 | 3.55 (1.04, 6.07) | 0.006 | 93.0 | < 0.001 | |
| Brewed green tea | 3 | 4.48 (1.43, 7.52) | 0.004 | 84.7 | 0.001 | |
| Location of study | < 0.001 | |||||
| Asia | 4 | 7.75 (0.41, 15.11) | 0.039 | 94.8 | < 0.001 | |
| Non-Asia | 6 | 2.21 (0.27, 4.15) | 0.025 | 91.5 | < 0.001 | |
| Gender | < 0.001 | |||||
| Both | 8 | 2.21 (0.41, 4.02) | 0.016 | 91.4 | < 0.001 | |
| Male | – | – | – | – | – | |
| Female | 2 | 13.72 (10.36, 17.40) | < 0.001 | 0.0 | 0.809 | |
| SOD | ||||||
| Overall | 6 | 17.21 (3.24, 31.19) | 0.016 | 92.1 | < 0.001 | – |
| BMI (kg/m2) | 0.500 | |||||
| <30 | 2 | 23.14 (−23.86, 70.15) | 0.335 | 96.4 | < 0.001 | |
| ≥30 | 2 | 98.54 (−96.67, 293.75) | 0.322 | 97.0 | < 0.001 | |
| Dosage (mg/day) | 0.015 | |||||
| <500 | 2 | 0.001 (−0.37, 0.38) | 0.997 | 0.0 | 0.693 | |
| ≥500 | 4 | 47.06 (0.34, 93.78) | 0.048 | 94.8 | < 0.001 | |
| Duration (weeks) | < 0.001 | |||||
| ≤8 | 1 | 48.00 (30.26, 65.73) | < 0.001 | – | – | |
| >8 | 5 | 6.56 (−5.95, 19.09) | 0.304 | 88.6 | < 0.001 | |
| Health status | 0.499 | |||||
| Healthy | 3 | 68.17 (10.11, 126.24) | 0.021 | 96.8 | < 0.001 | |
| Unhealthy | 3 | 1.71 (−3.16, 6.59) | 0.490 | 0.0 | 0.673 | |
| Type of intervention | 0.499 | |||||
| Green tea extract | 3 | 1.71 (−3.16, 6.59) | 0.490 | 0.0 | 0.673 | |
| Brewed green tea | 3 | 68.17 (10.11, 126.24) | 0.021 | 96.8 | < 0.001 | |
| Location of study | < 0.001 | |||||
| Asia | 3 | 8.83 (−5.19, 22.87) | 0.217 | 94.2 | < 0.001 | |
| Non-Asia | 3 | 16.84 (−24.45, 58.13) | 0.424 | 78.8 | 0.009 | |
| Gender | – | |||||
| Both | 6 | 17.21 (3.24, 31.19) | 0.016 | 92.1 | < 0.001 | |
| Male | – | – | – | – | – | |
| Female | – | – | – | – | – | |
Abbreviation: WMD: Weighted Mean Difference, CI: Confidence Interval, CRP: C-reactive protein, IL-6: Interleukin-6, TNF-a: Tumour Necrosis Factor Alpha, TAC: Total Antioxidant Capacity, MDA: Malondialdehyde, GPX: Glutathione Peroxidase, SOD: Superoxide Dismutase, BMI; Body Mass Index.
aRefers to the mean (95% CI).
bInconsistency, percentage of variation across studies due to heterogeneity.
cObtained from the Q-test.
dObtained from the fixed-effects model.