Obesity

Effects of carnitine supplementation on glycemic markers in women with overweight and obesity: A systematic review and meta-analysis of randomized controlled trials

Diabetes Res Clin PractPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Carnitine supplementation yields modest but clinically meaningful improvements in fasting glucose, insulin levels, and insulin resistance among overweight and obese women, particularly with higher dosages and longer interventions.

Study context

Population
Women with overweight or obesity; Randomized controlled trials (RCTs) searched through October 20258 studies · 9 randomized controlled trial (RCT) arms
Comparison
Carnitine supplementation vs placebo
Outcome
Glycemic markers (fasting blood sugar (FBS), fasting insulin, HOMA-IR, QUICKI)
Methodological detailsrandom-effects models, predefined subgroup analyses
  • Random-effects models
  • Predefined subgroup analyses

Pooled result

As reported in the abstract

Glycemic markers
Each group vs placeboWMD (FBS), mg/dL (95 % CI)
Carnitine
−2.93(−5.20 to −0.65)
Each group vs placeboWMD (fasting insulin), μU/mL (95 % CI)
Carnitine
−3.54(−7.00 to −0.07)
Each group vs placeboWMD (HOMA-IR) (95 % CI)
Carnitine
−0.69(−1.26 to −0.13)

Further pooled results

Subgroups by dose and duration

Stronger effects at higher doses (≥2000 mg/day) and longer durations (≥12 weeks)

Sensitivity analyses and publication bias

Findings robust; no evidence of publication bias

Original publication

Effects of carnitine supplementation on glycemic markers in women with overweight and obesity: A systematic review and meta-analysis of randomized controlled trials. Diabetes Res Clin Pract. Published 31 October 2025. doi:10.1016/j.diabres.2025.112981

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