Resumen de Investigación
Analyzed using Evidence Intelligence™

Citrus Bioflavonoids Improve Metformin Efficacy in Prediabetes

Última actualización 3 de julio de 2026

Key finding

The nutraceutical group demonstrated a 5% reduction in 2-h OGTT glucose.

Citrus bioflavonoid-based nutraceutical added to metformin in prediabetic individuals.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

Guarda este estudio en tu Evidence Tracker para encontrarlo facilmente cuando lo necesites.

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

Citrus bioflavonoid-based nutraceutical added to metformin in prediabetic individuals.

Clinical relevance

This study evaluated Citrus bioflavonoid-based nutraceutical added to metformin in prediabetic individuals.

Keep in mind

Limitations were not clearly described in the extracted text.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Thais C, Maria RO, Valeria S, et al. Efficacy of Citrus Bioflavonoids as an Adjunct to Metformin Therapy in Prediabetic Individuals. Frontiers in Nutrition. 2025;12:1639901. doi:10.3389/fnut.2025.1639901

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Citrus flavonoid supplementation with metformin and BMI, Body fat mass, Body weight, and 5 more.

Primary intervention

Citrus flavonoid supplementation with metformin

Primary outcomes

  • BMI
  • Body fat mass
  • Body weight

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

4

Related topics

8

Evidence pairs

281

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Metformin Therapies and Body Mass Index

Evidencia relacionada

Relación de evidencia

Metformin Therapies and Body Weight

Seguir evidencia

Relación de evidencia

Metformin Therapies and Blood Pressure

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Citrus flavonoid supplementation with metformin → BMI

Citrus flavonoid supplementation with metformin → BMI

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Body fat mass

Citrus flavonoid supplementation with metformin → Body fat mass

Citrus flavonoid supplementation with metformin → Body fat mass

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Body weight

Citrus flavonoid supplementation with metformin → Body weight

Citrus flavonoid supplementation with metformin → Body weight

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

GLP-1

Citrus flavonoid supplementation with metformin → GLP-1

Citrus flavonoid supplementation with metformin → GLP-1

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Plasma antioxidant capacity (FRAP)

Citrus flavonoid supplementation with metformin → Plasma antioxidant capacity (FRAP)

Citrus flavonoid supplementation with metformin → Plasma antioxidant capacity (FRAP)

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Postprandial blood glucose

Citrus flavonoid supplementation with metformin → Postprandial blood glucose

Citrus flavonoid supplementation with metformin → Postprandial blood glucose

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Systolic blood pressure

Citrus flavonoid supplementation with metformin → Systolic blood pressure

Citrus flavonoid supplementation with metformin → Systolic blood pressure

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Tumor Necrosis Factor-alpha (TNF-α)

Citrus flavonoid supplementation with metformin → Tumor Necrosis Factor-alpha (TNF-α)

Citrus flavonoid supplementation with metformin → Tumor Necrosis Factor-alpha (TNF-α)

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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12 tracked topics

Saved Studies

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Your Evidence Workspace

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12 tracked topics

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48 studies

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Metformin Therapies and Body Mass Index, Metformin Therapies and Body Composition.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Metformin Therapies affect body mass index?

Strong Evidence

Metformin Therapies appears to improve Body Mass Index.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
4 supporting studiesUpdated: Jul 2026

Does Metformin Therapies affect body weight?

Strong Evidence

Metformin Therapies appears to improve Body Weight.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 3 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Jul 2026

Does Metformin Therapies improve blood pressure?

Moderate Evidence

Metformin Therapies appears to improve Blood Pressure.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Metformin Therapies improve body composition?

Moderate Evidence

Metformin Therapies appears to improve Body Composition.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body fat mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026
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