Garcinia cambogia (hydroxycitric acid) and weight loss

What 3 graded rows on garcinia cambogia (hydroxycitric acid) agree on for weight loss, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Garcinia cambogia (hydroxycitric acid) page, with its PubMed record.

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Garcinia cambogia (hydroxycitric acid) and weight loss

3 rows · 1,371 people

Mostly an improvement: 2 of 3 rows, and most of the people. 1 found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade C× 2
  • No effect× 1
Rows
3
Trials
18
People
1,371
Pooled reviews may count some twice

Where they differ

From the rows
Trial sizeStudy designWho was studiedWhen published

The best-graded row, grade C, is a meta-analysis of 706 people (2011) and found an improvement. 1 row is graded No effect, our grade for adequately powered trials that found no effect.

The 2 rows that found an improvement were larger: a median of 618 people, against 135 people for the row that found no difference.

The 2 rows that found an improvement are pooled reviews of several trials; the row that found no difference is a single study.

Only the row that found no difference names women and men in its population.

The 2 rows that found an improvement are newer (2011 to 2020) than the row that found no difference (1998).

The rows

2 improved · 1 no difference
  1. Grade CShort-term weight loss · Improved

    Meta-analysis, 9 studies · n 706 · 2011 · Adults in randomized trials (12 included, 9 pooled)

    1,000-2,800 mg/day HCA · 2-12 weeks

    Pooled weight loss was 0.88 kg more than placebo (95% CI -1.75 to -0.00); the authors called the effect small and of uncertain clinical relevance. Gastrointestinal adverse events were twice as common with HCA in one trial.

    Row on the Garcinia cambogia (hydroxycitric acid) page · PubMed 21197150 (opens PubMed)

  2. Grade CBody weight, BMI and waist size · Improved

    Meta-analysis, 8 studies · n 530 · 2020 · Adults in placebo-controlled trials (8 RCTs)

    Doses varied across trials (dose-response analysed) · Short-term trials

    Weight fell 1.34 kg, BMI 0.99 kg/m2 and waist 4.16 cm more than placebo; body-fat percentage fell 0.42 points. The dose-response link was nonlinear.

    Row on the Garcinia cambogia (hydroxycitric acid) page · PubMed 32951714 (opens PubMed)

  3. No effectWeight and fat-mass loss on a low-energy diet · No difference

    RCT · n 135 · 1998 · Overweight men and women, mean BMI about 32 (US)

    1,500 mg/day hydroxycitric acid · 12 weeks

    Both groups lost weight; 3.2 kg with garcinia vs 4.1 kg with placebo (P = .14). Fat-mass loss did not differ.

    Row on the Garcinia cambogia (hydroxycitric acid) page · PubMed 9820262 (opens PubMed)

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