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. 2019 Dec 19;21(1):41. doi: 10.3390/ijms21010041

Table 3.

Effects of microalgae in clinical studies.

Reference Numbers Participants Microalgae and Doses Experimental Design Effects
[17] 52 sedentary young men (26 ± 5 years) with BMI ≥ 25 kg/m2
27 subjects with overweight and 25 subjects with obesity
Arthrospira (Spirulina) maxima
4.5 g/day
Two intervention groups:
Sm: S. maxima supplementation
C: Control (Placebo)

Duration: 6 weeks + 2 weeks of wash-out + 6 weeks (crossover for the supplementation interventions)
Intra-group (pretreatment vs. post) comparisons (Sm):
↓TC and TG: only in subjects with dyslipidemia.
LDL-c: no changes
↑ HDL-c: only in in subjects with dyslipidemia.
Inter-group comparisons (Sm vs. C):
↓TC: only in in subjects with obesity.
TG: no changes
↓ LDL-c: in in subjects with overweight, obesity or dyslipidemia.
HDL-c: no changes
↓ BMI: in subjects with obesity or dyslipidemia.
[18] 50 patients (25 women and 25 men, 25–60 years old)
with obesity (BMI ≥ 30 kg/m2) and well-controlled hypertension
Arthrospira platensis
Four-daily dosage of 500 mg each
Two intervention groups:
Placebo
Spirulina

Duration: 12 weeks
Effects vs. placebo:
↓ BMI and waist circumference
↓ Serum TC, LDL-c, glucose, and insulin
↑ Total antioxidant state
[19] 56 individuals with obesity (20–50 years old) with BMI ≥ 30 kg/m2 Arthrospira platensis
Twice-daily dosage of 500 mg each
Two intervention groups:
Intervention group: supplementation of S. platensis in a dosage of 500 mg twice a day over 12 weeks

Control group: two pills of placebo daily over 12 weeks.
↓ BMI (↓ BW)
↓ TC
TG: no changes
LDL-c: no changes
HDL-c: no changes
VEGF: no changes
↓ Appetite
[20] 52 subjects with overweight or obesity with BMI between 25 and 40 kg/m2 Spirulina platensis
Four-daily dosage of 500 mg/day
Two intervention groups
Intervention SP group: supplementation of SP extract (four tablets per day) for 12 weeks with a restricted calorie diet
Placebo group:
placebo extract (four tablets per day) for
12 weeks with a restricted calorie diet
↓ Body weight
↓ Waist circumference
↑ Body fat reduction
↓ Plasma TG, LDL-c
↓ LDL-c/HDL-c ratio

Special note: Doted lines incorporated for separation between different studies. BMI: body mass index; BW: body weight; C: control (Placebo); HDL-c: high density lipoprotein -cholesterol; LDL-c: low density lipoprotein-cholesterol; Sm: Spirulina without exercise; TC: total cholesterol; TG: triglycerides; VEGF: vascular endothelial growth factor. ↑ significant increase, ↓: significant decrease.