首页|Associations between the use of red yeast rice preparations and adverse health outcomes:An umbrella review of meta-analyses of randomized controlled trials
Associations between the use of red yeast rice preparations and adverse health outcomes:An umbrella review of meta-analyses of randomized controlled trials
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Background:Red yeast rice(RYR),a natural lipid-lowering agent,is widely used in clinical practice.However,the existing meta-analyses concerning the safety of RYR preparations have yielded inconsistent results,and the credibility of the evidence has not been quantified.Objective:This study was designed to evaluate the existing evidence and offer a comprehensive under-standing of the associations between the use of RYR preparations and various adverse health outcomes.Search strategy:Seven literature databases were searched from inception to May 5,2023,using medical subject headings and free-text terms(e.g.,"red yeast rice,""Xuezhikang,"and"Zhibitai").Inclusion criteria:Meta-analyses that investigated and quantitatively estimated associations between the use of RYR preparations and adverse health outcomes were included in this study.Data extraction and analysis:Two researchers independently extracted data using a standardized data col-lection table;any disagreements were resolved by consulting a third researcher.Based on the participant,intervention,comparator and outcome(PICO)framework in each eligible meta-analysis,a series of unique associations between the use of RYR preparations and adverse health outcomes were determined.The associations'effect estimates were re-evaluated using random-effect models.Results:Fifteen meta-analyses,comprising 186(164 unique)randomized controlled trials,were identi-fied.Based on A MeaSurement Tool to Assess Systematic Reviews version 2,3(20％)and 12(80％)of these meta-analyses had low and critically low confidence,respectively.A total of 61 unique associations between the use of RYR preparations and adverse health outcomes were extracted from eligible meta-analyses.Based on the random-effect models,10(16.4％)associations indicated a significant protective effect of RYR preparations against adverse health outcomes,while 5(8.2％)indicated an increased risk of adverse health outcomes related to uric acid,alanine transaminase and aspartate transaminase levels.The other 46(75.4％)associations showed no significant difference between the use of RYR preparations and control treatments.Regarding the credibility of the evidence,21(34.4％),34(55.7％)and 6(9.8％)associations showed moderate,low and very low credibility,respectively.Conclusion:The evidence examined in this study suggests that RYR preparations are safe;however,the credibility of the evidence was not high.Further high-quality evidence is required.
Red yeast riceSafetyAdverse health outcomesUmbrella reviewMeta-analysisSystematic review
School of Medicine,Huaqiao University,Quanzhou 362021,Fujian Province,China
College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong Province,China
Second Clinical Medical College,Nanjing Medical University,Nanjing 211166,Jiangsu Province,China
福建省自然科学基金Natural Science Foundation of XiamenScience and Technology Planning Project of QuanzhouScientific Research Funds of Huaqiao UniversityHuaqiao University Young and Middleaged Teachers Science and Technology Innovation Funding ProgramHuaqiao University Research and Development Project
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