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Green Tea and Metabolic Syndrome

Metabolic syndrome, formerly known as “Syndrome X,” is a combination of medical disorders that increases a person’s risk of developing coronary heart disease, atherosclerosis, stroke and type 2 diabetes. The syndrome’s own risk factors include abdominal obesity, insulin resistance, elevated blood glucose, high triglycerides, high total cholesterol, low HDL cholesterol, high blood pressure, inflammation, and excessive clotting factors in the blood. When doctors observe some or all of these symptoms in the same person, warning bells should go off because heart disease and diabetes are on the horizon, if not already present.

The root causes of metabolic syndrome are overweight/obesity, lack of physical activity and genetic factors. Considering our increasingly sedentary lifestyles and alarming rise in obesity rates, it's no surprise that metabolic syndrome is becoming more common in the United States, and currently affects some 50 million Americans.

The good news is that a number of studies have found that green tea catechins can reduce many of the risk factors for metabolic syndrome. For example, the catechins have been shown to reduce body fat,1 lower blood sugar,2 decrease triglycerides,3 lower cholesterol,4 lower blood pressure,5 and lessen the activity of clotting factors in the blood.6 So shouldn’t green tea, by all rights, also help ward off metabolic syndrome, which is the sum of these parts?

According to animal studies, green tea seems to do just that. In mice fed a high-fat diet for 16 weeks supplemented with EGCg, there was a reduction in weight gain, percent body fat and abdominal fat, and a decrease in insulin resistance, cholesterol and liver triglycerides.7 However, in human trials the results have been less-than-stellar. In a group of people with diabetes or borderline diabetes, 2 months of daily supplementation with 500mg green tea polyphenols lowered body weight, blood pressure, blood glucose and insulin levels, among other markers of metabolic syndrome, but these results did not differ significantly from the control group.8 In a study of overweight or obese males taking 400 mg of EGCg twice daily for 8 weeks, no significant changes in metabolic risk factors were seen except a reduction in blood pressure.9 However, it could be that the doses were too small or the treatment didn’t last long enough.

We need more well-controlled, long-term human studies of green tea's effects on metabolic syndrome before any clear-cut conclusions can be made. In the meantime, since green tea does seem to have beneficial effects on the individual symptoms of metabolic syndrome, it makes sense to continue drinking it, and often!

1Nagao T, Komine Y, Soga S, et al. Ingestion of a tea rich in catechins leads to a reduction in body fat and malondialdehyde-modified LDL in men. American Journal of Clinical Nutrition 2005;81(1):122-9.
2
Polychronopoulos E, Zeimbekis A, Kastorini CM, et al. Effects of black and green tea consumption on blood glucose levels in non-obese elderly men and women from Mediterranean Islands (MEDIS epidemiological study). Eur J Nutr 2008;47(1):10-6.
3
Unno T, Tago M, Suzuki Y, et al. Effect of tea catechins on postprandial plasma lipid responses in human subjects. British Journal of Nutrition 2005;93(4):543-47.
4
Tokunaga S, White IR, Frost C, et al. Green tea consumption and serum lipids and lipoproteins in a population of healthy workers in Japan. Annals of Epidemiology 2002;12(3):157-65.
5
Yang YC, Lu FH, Wu JS, et al. The protective effect of habitual tea consumption on hypertension. Archives of Internal Medicine 2004;164(14):1534-40.
6
Kang WS, Lim IH, Yuk DY, et al. Antithrombotic activities of green tea catechins and (-)- epigallocatechin gallate. Thromb Res 1999;96(3):229-37.
7
Bose M, Lambert JD, Ju J, et al. The major green tea polyphenol, (-)-epigallocatechin-3-gallate, inhibits obesity, metabolic syndrome and fatty liver disease in high-fat-fed mice. J Nutr 2008;138(9):1677-83.
8
Fukino Y, Shimbo M, Aoki N, et al. Randomized controlled trial for an effect of green tea consumption on insulin resistance and inflammation markers. J Nutr Sci Vitaminol (Tokyo) 2005;51(5):335-42.
9
Brown AL, Lane J, Coverly JH, et al. Effects of dietary supplementation with the green tea polyphenol epigallocatechin-3-gallate on insulin resistance and associated metabolic risk factors: randomized controlled trial. Br J Nutr 2009;101(6):886-94.


Nadine Taylor, M.S., R.D. presents GreenTeaLibrary.com, the most comprehensive collection of scientific information describing the health benefits of green tea. 


 

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