Panacea Index Logo

Command Palette

Search for a command to run...

Effect of dietary interventions on markers of type 2 inflammation in asthma: A systematic review.

Respiratory medicine
January 1, 2024
Edith Visser et al. (9 authors)
Systematic ReviewJournal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to review the effect of dietary antioxidants on markers of T2 inflammation in adults with asthma.

Results Summary

The study found little evidence for an effect of antioxidants on T2 inflammation in asthma, with heterogeneity in study protocols and methodological shortcomings limiting definitive conclusions.

Population

Adults and adolescents with asthma.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
phytotherapy
decrease
T2 inflammation
adults and adolescents with asthma
-
showed possible improvements
#1
omega-3 poly-unsaturated fatty acids (PUFA)
decrease
T2 inflammation
adults and adolescents with asthma
-
showed possible improvements
#2
antioxidants
no change
T2 inflammation
adults and adolescents with asthma
-
little evidence for an effect
#3
prebiotics & probiotics
no change
T2 inflammation
adults and adolescents with asthma
-
little evidence for an effect
#4
Mediterranean-style diets
no change
T2 inflammation
adults and adolescents with asthma
-
little evidence for an effect
#5
dietary interventions
no change
T2 inflammation
adults with asthma
-
does not support a specific dietary intervention to improve
#6
Abstract

INTRODUCTION: Type 2 (T2) inflammation is a key mechanism in the pathophysiology of asthma. Diet may have immunomodulatory effects, and a role for diet in T2 inflammation has been suggested in the literature. Indeed, diet and food allergies play a role in children with atopic asthma, but less is known about diet in relation to adult asthma, which is often non-atopic. OBJECTIVE: To review the effect of dietary interventions on markers of T2 inflammation in adults with asthma. METHODS: The databases PubMed, Embase, Cochrane Library, and CINAHL were searched for eligible studies until December 2022. We included studies of all types of foods, nutrients, diets or supplements, either as an exposure or as an intervention, in adults and adolescents with asthma. Outcomes of interest included the T2 biomarkers FeNO, eosinophils, IL-4, IL-5, IL-13, eosinophil cationic protein and eosinophil peroxidase. The methodological quality of eligible studies was systematically evaluated, and the results were summarised according to dietary clusters. RESULTS: The systematic search identified studies on the dietary clusters antioxidants (n = 14), fatty acids, (n = 14), Mediterranean-style diets (n = 5), phytotherapy (n = 7), prebiotics & probiotics (n = 8), vitamin D (n = 7), and other dietary factors (n = 5). Studies within the phytotherapy and omega-3 poly-unsaturated fatty acids (PUFA) clusters showed possible improvements in T2 inflammation. Furthermore, we found little evidence for an effect of antioxidants, prebiotics & probiotics, and Mediterranean-style diets on T2 inflammation. However, heterogeneity in study protocols, methodological shortcomings and limited power of almost all studies make it difficult to fully determine the impact of different dietary approaches on T2 inflammation in asthma. CONCLUSIONS: Overall, the current evidence does not support a specific dietary intervention to improve T2 inflammation in asthma. Interventions involving phytotherapy and omega-3 PUFA currently have the best evidence and warrant further evaluation in well-designed and adequately powered studies, while taking into account T2-high phenotypes of asthma.

Medical Subject Headings (MeSH)
AdultChildAdolescentHumansDietary SupplementsAntioxidantsDietAsthmaFatty Acids, Omega-3Inflammation
Study Links
Quality Scores
SafetyNot Assessed
Efficacy30/10
Quality65/10
Citation Metrics
Total Citations4
Citations/Year4.0
Research Impact Scores
APT Score0.50
Weight Score2.50
Normalized Score0.45
Related Supplements