The Combined Effects of Exercise, Diet, and a Multi-Ingredient Dietary Supplement on Body Composition and Adipokine Changes in Overweight Adults

J Am Coll Nutr. 2018 Feb;37(2):111-120. doi: 10.1080/07315724.2017.1368039. Epub 2017 Nov 7.

Abstract

Background: Very few weight and fat loss supplements undergo finished-product research to examine efficacy. The purpose of this study was to determine the effects of an 8-week diet and exercise program on body composition, hip and waist girth, and adipokines and evaluate whether a dietary supplement containing raspberry ketone, capsaicin, caffeine, garlic, and Citrus aurantium enhanced outcomes.

Methods: Overweight men and women completed this randomized, placebo-controlled, double-blind study. Participants consumed 4 capsules/d of supplement (EXP; n = 18) or placebo (PLA; n = 18). Participants underwent 8 weeks of daily supplementation, calorie restriction (500 kcal < RMR [resting metabolic rate] × 1.2), and supervised progressive exercise training 3 times a week. Body composition, girth, and adipokines were assessed at baseline and postintervention (T1 and T2).

Results: Significant decreases in weight (-2.6 ± 0.57 kg, p < 0.001), fat mass (-1.8 ± 0.20 kg; p < 0.001), and percentage body fat (-3.7% ± 0.29%, p < 0.001) and a significant increase in lean body mass (LBM; 1.5 ± 0.26 kg; p < 0.001) were seen from T1 to T2 in both groups. For men, only those in the EXP group increased LBM from T1 to T2 (1.3 ± 0.38 kg; p < 0.05). Hip girth was also reduced, with the women in the EXP group (-10.7 ± 2.15 cm, p < 0.001) having a greater reduction. There was a time by group interaction, with significant decreases in leptin (p < 0.001) and significant increases in adiponectin (p < 0.05) in the EXP group.

Conclusions: Significant improvements in adipokines and leptin support the utility of exercise, diet, and fat loss for impacting inflammatory biomarkers. The improvement in adiponectin with EXP may suggest a unique health mechanism.

Keywords: Dietary supplement; adipokine; body composition; capsaicin; fat loss; raspberry ketone.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipokines / blood*
  • Adult
  • Body Composition*
  • Caffeine / administration & dosage
  • Caloric Restriction
  • Capsaicin / administration & dosage
  • Citrus
  • Diet*
  • Dietary Supplements* / analysis
  • Double-Blind Method
  • Exercise*
  • Female
  • Garlic
  • Hip / anatomy & histology
  • Humans
  • Ketones / administration & dosage
  • Leptin / blood
  • Male
  • Middle Aged
  • Overweight / therapy*
  • Placebos
  • Rubus / chemistry
  • Sex Factors
  • Waist Circumference
  • Weight Loss

Substances

  • Adipokines
  • Ketones
  • Leptin
  • Placebos
  • Caffeine
  • Capsaicin