NICEVIVA
MONOGRAPH SPEC LATEST 2026

CLA (Conjugated Linoleic Acid)

OMEGA FATTY ACIDS · Evidence Monograph

CLA (Conjugated Linoleic Acid) is an evidence-graded omega fatty acids monograph evaluated across 41 peer-reviewed PubMed studies (3 meta-analyses, 0 systematic reviews, and 5 randomized controlled trials, encompassing n = 2,223 cumulative participants). Current clinical evidence is rated GRADE High (4.0 / 4.0) for cell membrane phospholipid integrity, triglyceride modulation, and eicosanoid resolution.

Evidence Grade (GRADE) High (4.0 / 4.0)
Indexed PubMed Studies 41 Studies
Meta-Analyses · Reviews 3 Meta · 0 Systematic Reviews
Randomized Trials (RCT) 5 RCTs (3 Double-Blind)
Cumulative Participants n = 2,223
Reported Trial Dosages 600 IU/day · 200 IU/day · 1600 IU/day
Trial Duration Range 12 months · 3 months · 7 days
Reading Time ~21 min
RECOMMENDED FOR Clinical Indication

Evidence Supports Supplementation When:

  1. 01 Individuals seeking evidence-backed support for cell membrane phospholipid integrity, triglyceride modulation, and eicosanoid resolution (supported by 41 indexed PubMed studies, GRADE High).
  2. 02 Adults matching clinical trial dosing protocols (600 IU/day · 200 IU/day · 1600 IU/day) over a structured 12 months evaluation window.
  3. 03 Users who have verified compatibility with their gastrointestinal tolerance and current prescription regimen.
FORMULATION SPECIFICATION · Preferred Form Purified Small-Fish rTG or Triglyceride-Form EPA/DHA
Choose IFOS/heavy-metal-tested small-pelagic fish or algal oil in individual blister packs to prevent lipid peroxidation.
CLINICAL RESPONSE · Body Signal Check
Expected Response: Absence of fishy reflux and gradual improvement in lipid profile or ocular surface comfort.
Dose Adjustment Signal: Discontinue and consult a physician if easy bruising, epistaxis, or gingival bleeding occurs—especially if taking antiplatelets.
CHRONOBIOLOGY · Optimal Dosing Window PM 19:00
Immediately After a Fat-Containing Meal
Bile acid and pancreatic lipase secretion during meals increases omega-3 fatty acid micellar absorption by up to 3-fold.
Primary Clinical Endpoints & Physiological Biomarkers Studied Based on Indexed PubMed Trials
Primary omega fatty acids clinical efficacy (41 PubMed studies)
Quantitative biomarker & outcome analysis (15 studies with effect-size/sample data)
Randomized controlled trial verification (5 RCTs · 3 double-blind)
Systematic review & meta-analysis synthesis (3 meta-analyses · 0 reviews)
01

What Is CLA (Conjugated Linoleic Acid) & Why Does Form Matter?

CLA (Conjugated Linoleic Acid) is classified under OMEGA FATTY ACIDS and has been investigated across 41 peer-reviewed PubMed publications for its role in cell membrane phospholipid integrity, triglyceride modulation, and eicosanoid resolution.

In clinical nutrition, physiological efficacy depends heavily on the specific chemical salt, chelate, or standardized extract used, as well as adherence to trial-validated dosing (600 IU/day, 200 IU/day, 1600 IU/day).

02

Who Benefits Most & Common Depletion Factors

Suboptimal status or increased physiological demand for CLA (Conjugated Linoleic Acid) frequently arises from restrictive dietary patterns, age-related declines in gastrointestinal absorption, chronic metabolic stress, or medication-induced nutrient depletion.

Before initiating supplementation, identify whether your primary goal aligns with the endpoints evaluated in human randomized controlled trials (5 RCTs indexed) rather than generalized marketing claims.

03

Physiological Mechanism of Action

Within human physiology, CLA (Conjugated Linoleic Acid) acts on pathways governing cell membrane phospholipid integrity, triglyceride modulation, and eicosanoid resolution. Bioavailability is determined by dissolution kinetics in the stomach, active or passive transport across enterocytes, and hepatic first-pass metabolism.

Choose IFOS/heavy-metal-tested small-pelagic fish or algal oil in individual blister packs to prevent lipid peroxidation.

04

PubMed Clinical Evidence & GRADE Evaluation

NICEVIVA assigns CLA (Conjugated Linoleic Acid) an overall evidence rating of GRADE High (4.0 / 4.0) based on 41 PubMed studies: 3 meta-analyses, 0 systematic reviews, and 5 randomized controlled trials (3 double-blind, n = 2,223 total participants).

Representative peer-reviewed findings include: • PMID:26878105 (2016) — "Higher PUFA and n-3 PUFA, conjugated linoleic acid, α-tocopherol and iron, but lower iodine and selenium concentrations in organic milk: a systematic literature review and meta- and redundancy analyses." (Meta-analyses also showed that organic milk has significantly higher α-tocopherol and Fe, but lower I and Se concentrations.) • PMID:41388551 (2025) — "Methodology for the Pediatric Dose Optimization for Seizures in Emergency Medical Services (PediDOSE) study." (CONCLUSION: If this study demonstrates that an EMS patient care protocol with age-based midazolam dosing is safe and more effective than current practice, the potential impact of this study is a paradigm shift in the treatment of pediatric seizures that can be easily implemented ) • PMID:41169023 (2025) — "Conjugated Linoleic Acid Supplementation Suppresses the De Novo Lipogenesis in Adults With High Body Fat: A Double-Blind, Randomized, Placebo-Controlled Trial." (In adults with high body fat, 12-week CLA supplementation suppressed DNL activity, associated with changes in plasma and liver lipids, involving energy metabolism pathways.)

Quantitative Clinical Effect-Size Distribution (Forest Plot)

Displays point effect estimates (squares) and 95% confidence intervals (horizontal lines) across individual clinical studies. Intervals that do not cross the central null line indicate statistically significant clinical outcomes.

Study (PMID · Year)HR Effect Size & 95% CI DistributionEstimate (95% CI)PMID 402433750.72 (0.35–1.48)PMID 396211030.81 (0.5–1.3)0.2Null (1)5Metric: HR
05

Formulation Selection, Dosing & Chronobiology

Recommended Formulation: Purified Small-Fish rTG or Triglyceride-Form EPA/DHA. Choose IFOS/heavy-metal-tested small-pelagic fish or algal oil in individual blister packs to prevent lipid peroxidation.

Clinical Trial Dosing & Timing: Published studies most commonly utilize 600 IU/day · 200 IU/day · 1600 IU/day · 3200 IU/day over 12 months · 3 months · 7 days · 49 days. Optimal timing window: PM 19:00 · Immediately After a Fat-Containing Meal (Bile acid and pancreatic lipase secretion during meals increases omega-3 fatty acid micellar absorption by up to 3-fold.).

06

Body Response Monitoring & Dose Adjustment

Expected Positive Response: Absence of fishy reflux and gradual improvement in lipid profile or ocular surface comfort.

Adjustment & Discontinuation Signals: Discontinue and consult a physician if easy bruising, epistaxis, or gingival bleeding occurs—especially if taking antiplatelets.

07

Prescription Drug Interactions & Contraindications

No major high-risk prescription contraindications are flagged in the primary index for CLA (Conjugated Linoleic Acid), but divalent minerals, fat-soluble compounds, and botanical extracts can still alter absorption or CYP450 metabolism of concurrent medications.

Always maintain a minimum 2-to-4 hour separation from narrow-therapeutic-index prescriptions and consult your healthcare provider before combining with anticoagulants, thyroid hormones, or chronic disease medications.

08

4 Essential Safety Rules Before & After Dosing

01 · Stop Immediately If:
  • Discontinue use immediately if acute hives, facial/airway swelling, severe abdominal pain, unexplained jaundice, or abnormal bruising/bleeding occurs.
  • Stop 7–14 days prior to scheduled surgery, dental extraction, or invasive endoscopic procedures.
02 · Best Practices for Bioavailability:
  • Follow the optimal chronobiology window (PM 19:00 · Immediately After a Fat-Containing Meal) with a full glass of water.
  • Stay within clinically studied daily dosages (600 IU/day · 200 IU/day · 1600 IU/day) and re-evaluate efficacy after 12 months.
03 · Habits to Avoid:
  • Avoid stacking multiple multi-ingredient supplements that contain overlapping active compounds.
  • Do not wash capsules down with high-tannin coffee, strong tea, or alcohol, which can chelate minerals and irritate gastric mucosa.
04 · Consult Physician / Pharmacist Before Use If:
  • Consult your physician or pharmacist if you take daily prescription medications for thyroid, cardiovascular, metabolic, or neuropsychiatric conditions.
  • Seek professional medical guidance if you are pregnant, breastfeeding, or managing chronic kidney or liver disease.
09 · PUBMED CLINICAL STUDIES

Indexed PubMed Clinical Studies & Abstracts (41 Studies) · 15 Quantitative Analyses

01
CLINICAL STUDY The British journal of nutrition (2016) PMID: 26878105 ↗
Higher PUFA and n-3 PUFA, conjugated linoleic acid, α-tocopherol and iron, but lower iodine and selenium concentrations in organic milk: a systematic literature review and meta- and redundancy analyses.
Clinical Trial Synthesis 2016 Clinical Study published in The British journal of nutrition. Key conclusion: Meta-analyses also showed that organic milk has significantly higher α-tocopherol and Fe, but lower I and Se concentrations.
View Original PubMed Abstract ↓

Comment in Br J Nutr. 2016 Jul;116(1):3-6. doi: 10.1017/S0007114516001616. Br J Nutr. 2016 Jul;116(1):1-2. doi: 10.1017/S0007114516001604. Demand for organic milk is partially driven by consumer perceptions that it is more nutritious. However, there is still considerable uncertainty over whether the use of organic production standards affects milk quality. Here we report results of meta-analyses based on 170 published studies comparing the nutrient content of organic and conventional bovine milk. There were no significant differences in total SFA and MUFA concentrations between organic and conventional milk. However, concentrations of total PUFA and n-3 PUFA were significantly higher in organic milk, by an estimated 7 (95 % CI -1, 15) % and 56 (95 % CI 38, 74) %, respectively. Concentrations of α-linolenic acid (ALA), very long-chain n-3 fatty acids (EPA+DPA+DHA) and conjugated linoleic acid were also significantly higher in organic milk, by an 69 (95 % CI 53, 84) %, 57 (95 % CI 27, 87) % and 41 (95 % CI 14, 68) %, respectively. As there were no significant differences in total n-6 PUFA and linoleic acid (LA) concentrations, the n-6:n-3 and LA:ALA ratios were lower in organic milk, by an estimated 71 (95 % CI -122, -20) % and 93 (95 % CI -116, -70) %. It is concluded that organic bovine milk has a more desirable fatty acid composition than conventional milk. Meta-analyses also showed that organic milk has significantly higher α-tocopherol and Fe, but lower I and Se concentrations. Redundancy analysis of data from a large cross-European milk quality survey indicates that the higher grazing/conserved forage intakes in organic systems were the main reason for milk composition differences.

02
CLINICAL STUDY Trials (2025) PMID: 41388551 ↗
Methodology for the Pediatric Dose Optimization for Seizures in Emergency Medical Services (PediDOSE) study.
Clinical Trial Synthesis 2025 Clinical Study published in Trials. Key conclusion: CONCLUSION: If this study demonstrates that an EMS patient care protocol with age-based midazolam dosing is safe and more effective than current practice, the potential impact of this study is a paradigm shift in the treatment of pediatric seizures that can be easily implemented
View Original PubMed Abstract ↓

BACKGROUND: Seizures are one of the most common reasons for emergency medical services (EMS) activation for children, and current EMS practice results in underdosing and delayed delivery of anti-seizure medication. A prehospital evidence-based guideline recommends using intranasal or intramuscular midazolam as first-line treatment for pediatric seizures. Despite attempts to implement these guidelines, one-third of children having a paramedic-witnessed seizure have ongoing seizures on emergency department (ED) arrival; this may be due to inadequate or delayed midazolam dosing. Replacing the error-prone, sequential calculations with age-based midazolam dosing may be simpler, faster, and more effective without compromising safety. The objective of this manuscript is to describe the methodology of the Pediatric Dose Optimization for Seizures in EMS (PediDOSE) study, a clinical trial designed to compare the effectiveness and safety of an EMS protocol with four age-based categories for midazolam dosing relative to the current weight-based dosing. METHODS: We are conducting a large EMS-based stepped wedge trial in the Pediatric Emergency Care Applied Research Network (PECARN) by implementing midazolam dosing based on four age categories in seizure protocols in EMS systems in 20 cities. We believe that this implementation will stop more seizures before ED arrival without increasing respiratory failure rates. The primary aim of this study is to compare the effectiveness of age-based EMS midazolam dosing compared to the current weight-based dosing on seizure cessation upon ED arrival. The secondary aim is to determine the frequency of respiratory failure in children after the implementation of EMS midazolam dosing based on these age categories. CONCLUSION: If this study demonstrates that an EMS patient care protocol with age-based midazolam dosing is safe and more effective than current practice, the potential impact of this study is a paradigm shift in the treatment of pediatric seizures that can be easily implemented in EMS systems across the country. Beyond seizures, the concept of age-based dosing may also be applicable to other commonly encountered pediatric prehospi

03
RANDOMIZED TRIAL (RCT) Molecular nutrition & food research (2025) PMID: 41169023 ↗
Conjugated Linoleic Acid Supplementation Suppresses the De Novo Lipogenesis in Adults With High Body Fat: A Double-Blind, Randomized, Placebo-Controlled Trial.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in Molecular nutrition & food research involving n = 65 participants; statistical significance reported at p = 0.05. Key conclusion: In adults with high body fat, 12-week CLA supplementation suppressed DNL activity, associated with changes in plasma and liver lipids, involving energy metabolism pathways.
View Original PubMed Abstract ↓

Whether conjugated linoleic acid (CLA) improves body composition by altering de novo lipogenesis (DNL) and related pathways in human remains unclear. The study aimed to investigate CLA-induced changes in DNL-derived fatty acids, and related metabolic pathways via plasma metabolome. Erythrocyte fatty acids of 65 participants with elevated body fat percentage before and after a 12-week CLA intervention were analyzed by gas chromatography. Compared with placebo, CLA supplementation decreased erythrocyte C16:1n7 and C18:1n9 while increased C18:3n3 levels (all p < 0.05). The C16:1n7 change was positively correlated with the triglycerides (TG) change, while the C18:3n3 change was negatively correlated with the low-density lipoprotein cholesterol (LDL-C) change. The optimal metabolite panels and metabolite scores predictive of fatty acid changes were identified and generated. TG and visceral adiposity index changes were positively correlated with the metabolite scores of the C16:1n7 change and C18:1n9 change, while metabolite score of the C18:3n3 change was negatively correlated with LDL-C change. Furthermore, DNL fatty acid changes were related to KEGG pathways, including the citrate cycle and butanoate metabolism. In adults with high body fat, 12-week CLA supplementation suppressed DNL activity, associated with changes in plasma and liver lipids, involving energy metabolism pathways. Trial Registration: ClinicalTrials.gov identifier: NCT03915808. © 2025 Wiley‐VCH GmbH.

04
CLINICAL STUDY The journals of gerontology. Series A, Biological sciences and medical sciences (2025) PMID: 40243375 ↗
The Effect of Vitamin D3 Supplementation on the Incidence of Diagnosed Dementia Among Healthy Older Adults-The Finnish Vitamin D Trial.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in The journals of gerontology. Series A, Biological sciences and medical sciences involving n = 492 participants (HR 0.72). Key conclusion: CONCLUSIONS: Five-year, medium-dose or high-dose vitamin D3 supplementation did not affect the dementia incidence in this largely vitamin D-sufficient older population.
View Original PubMed Abstract ↓

BACKGROUND: Some short-term vitamin D supplementation trials suggest benefits on cognitive performance, but apart from observational studies, there is little evidence whether long-term vitamin D supplementation can prevent development of dementia. We investigated whether vitamin D3 supplementation could affect the incidence of diagnosed dementia in a generally healthy population. METHODS: The study included 2 492 participants from the Finnish Vitamin D Trial, free of diagnosed dementia at baseline. They were randomized to placebo, 1 600 IU/d, or 3 200 IU/d of vitamin D3 arm for up to 5 years. Incident diagnoses of dementia were obtained from the national care registries. RESULTS: The mean age of the participants at baseline was 68.2 years and 42.8% were female. During the mean follow-up of 4.2 years, 18 participants in the placebo arm, 14 participants in the 1 600 IU/d arm (compared to placebo, hazard ratio [HR] = 0.77, 95% confidence interval [CI]: 0.38-1.55), and 13 participants in the 3 200 IU/d arm (HR = 0.72, 95% CI: 0.35-1.48) were diagnosed with dementia. Of the diagnoses, 29 were Alzheimer's disease, without statistically significant differences in the event rates between the 3 arms. Age, sex, or body mass index did not modify the effects. In the subgroup of 550 participants, the mean baseline serum 25-hydroxyvitamin D concentration was 74.8 nmol/L. After 12 months, the mean concentrations were 73.0, 99.7, and 120.4 nmol/L in the placebo, 1 600 IU/d, and 3 200 IU/d arms, respectively. CONCLUSIONS: Five-year, medium-dose or high-dose vitamin D3 supplementation did not affect the dementia incidence in this largely vitamin D-sufficient older population. CLINICAL TRIAL REGISTRY NUMBER: ClinicalTrials.gov: NCT01463813, https://clinicaltrials.gov/ct2/show/NCT01463813. © The Author(s) 2025. Published by Oxford University Press on behalf of the Gerontological Society of America.

05
RANDOMIZED TRIAL (RCT) Diabetologia (2025) PMID: 39621103 ↗
The effect of vitamin D(3) supplementation on the incidence of type 2 diabetes in healthy older adults not at high risk for diabetes (FIND): a randomised controlled trial.
Clinical Trial Synthesis 2025 Randomized Controlled Trial (RCT) published in Diabetologia involving n = 760 participants (HR 0.81). Key conclusion: In the analyses stratified by BMI (<25 kg/m2 [n=813, number of type 2 diabetes events=12], 25-30 kg/m2 [n=1032, number of events=38], ≥30 kg/m2 [n=422, number of events=54]), the HRs in the combined vitamin D3 arms vs the placebo were 0.43 (95% CI 0.14, 1.34), 0.97 (0.50, 1.91) a
View Original PubMed Abstract ↓

AIMS/HYPOTHESIS: Vitamin D insufficiency is associated with an elevated risk of type 2 diabetes, but evidence from randomised trials on the benefits of vitamin D supplementation is limited, especially for average-risk populations. The Finnish Vitamin D Trial (FIND) investigated the effects of vitamin D3 supplementation at two different doses on the incidence of type 2 diabetes in a generally healthy older adult population. METHODS: FIND was a 5 year randomised placebo-controlled, parallel-arm trial among 2271 male and female participants aged ≥60 years and ≥65 years, respectively, from a general Finnish population who were free of CVD or cancer and did not use diabetes medications. The study had three arms: placebo, 1600 IU/day of vitamin D3 or 3200 IU/day of vitamin D3. A non-study group statistician carried out sex-stratified simple randomisation in a 1:1:1 ratio, based on computerised random number generation. The participants, investigators and study staff were masked to group assignment. National health registries were used to collect event data. A representative subcohort of 505 participants had more detailed in-person investigations at months 0, 6, 12 and 24. RESULTS: During the mean follow-up of 4.2 years, there were 38 (5.0%), 31 (4.2%) and 36 (4.7%) type 2 diabetes events in the placebo (n=760), 1600 IU/day vitamin D3 (n=744; vs placebo: HR 0.81; 95% CI 0.50, 1.30) and 3200 IU/day vitamin D3 (n=767; vs placebo: HR 0.92, 95% CI 0.58, 1.45) arms, respectively (p-trend=0.73). When the two vitamin D3 arms were combined and compared with the placebo arm, the HR was 0.86 (95% CI 0.58, 1.29). In the analyses stratified by BMI (<25 kg/m2 [n=813, number of type 2 diabetes events=12], 25-30 kg/m2 [n=1032, number of events=38], ≥30 kg/m2 [n=422, number of events=54]), the HRs in the combined vitamin D3 arms vs the placebo were 0.43 (95% CI 0.14, 1.34), 0.97 (0.50, 1.91) and 1.00 (0.57, 1.75), respectively (p-interaction <0.001). In the subcohort, the mean (SD) baseline serum 25-hydroxyvitamin D3 (25(OH)D3) concentration was 74.5 (18.1) nmol/l. After 12 months, the concentrations were 72.6 (17.7), 99.3 (20.8) and 120.9 (22.1) nmol/l in the placebo, 1600 IU/day vit

06
META-ANALYSIS The British journal of nutrition (2024) PMID: 39439191 ↗
The effects of conjugated linoleic acid supplementation on cardiovascular risk factors in patients at risk of cardiovascular disease: A GRADE-assessed systematic review and dose-response meta-analysis.
Clinical Trial Synthesis 2024 Meta-Analysis published in The British journal of nutrition. Key conclusion: In conclusion, CLA supplementation may yield a small but significant beneficial effect on anthropometric indices in patients at risk of CVD.
View Original PubMed Abstract ↓

The present systematic review and meta-analysis sought to evaluate the effects of conjugated linoleic acid (CLA) supplementation on cardiovascular risk factors in patients at risk of CVD. Relevant studies were obtained by searching the PubMed, SCOPUS and Web of Science databases (from inception to January 2023). Weighted mean differences (WMD) and 95% CI were pooled using a random-effects model. Heterogeneity, sensitivity analysis and publication bias were reported using standard methods. A pooled analysis of 14 randomised controlled trials (RCT) with 17 effect sizes revealed that CLA supplementation led to significant reductions in body weight (WMD: -0·72 kg, 95% CI: -1·11, -0·33, P < 0·001), BMI (WMD: -0·22 kg/m2, 95% CI: -0·44, -0·00, P = 0·037) and body fat percentage (BFP) (WMD: -1·32 %, 95% CI: -2·24, -0·40, P = 0·005). However, there was no effect on lipid profile and blood pressure in comparison with the control group. In conclusion, CLA supplementation may yield a small but significant beneficial effect on anthropometric indices in patients at risk of CVD. Moreover, CLA seems not to have adverse effects on lipid profiles and blood pressure in patients at risk of CVD. It should be noted that the favourable effects of CLA supplementation on anthropometric variables were small and may not reach clinical importance.

07
RANDOMIZED TRIAL (RCT) Medicina (Kaunas, Lithuania) (2023) PMID: 37763810 ↗
The Effect of Conjugated Linoleic Acid Supplementation on Densitometric Parameters in Overweight and Obese Women-A Randomised Controlled Trial.
Clinical Trial Synthesis 2023 Randomized Controlled Trial (RCT) published in Medicina (Kaunas, Lithuania) involving n = 37 participants; statistical significance reported at p = 0.01. Key conclusion: Conclusions: Altogether, three-month CLA supplementation in overweight and obese women did not improve bone health, although the short intervention period could have limited our findings, long-term intervention studies are needed.
View Original PubMed Abstract ↓

Background and Objectives: Conjugated linoleic acid (CLA) can improve bone health in animals, yet the effects on humans have not been consistent. Therefore, this parallel randomised controlled trial aimed to assess the effect of CLA supplementation on bone mineral density (BMD) and content (BMC) in overweight or obese women. Materials and Methods: The study population included 74 women who were divided into the CLA (n = 37) and control (n = 37) groups. The CLA group received six capsules per day containing approximately 3 g of cis-9, trans-11 and trans-10, cis-12 CLA isomers in a 50:50 ratio. The control group received the same number of placebo capsules that contained sunflower oil. BMC and BMD at total body, lumbar spine (L1-L4), and femoral neck were measured before and after a three-month intervention. Results: The comparison of BMC and BMD for the total body, lumbar spine (L1-L4), and femoral neck before and after the intervention showed no differences between the groups. However, a within-group analysis demonstrated a significant increase in BMC (p = 0.0100) and BMD (p = 0.0397) at lumbar spine (L1-L4) in the CLA group. Nevertheless, there were no significant differences between the CLA and placebo groups in changes in all analysed densitometric parameters. Conclusions: Altogether, three-month CLA supplementation in overweight and obese women did not improve bone health, although the short intervention period could have limited our findings, long-term intervention studies are needed. The study protocol was registered in the German Clinical Trials Register database (ID: DRKS00010462, date of registration: 4 May 2016).

08
META-ANALYSIS Prostaglandins & other lipid mediators (2022) PMID: 35914666 ↗
The effect of Conjugated Linoleic Acid intake on oxidative stress parameters and antioxidant enzymes: A systematic review and meta-analysis of randomized clinical trials.
Clinical Trial Synthesis 2022 Meta-Analysis published in Prostaglandins & other lipid mediators involving n = 586 participants. Key conclusion: According to our results, CLA supplementation significantly increases 8-iso-PGF2α urinary concentration (SMD: 2; 95% CI: 0.74, 3.27; I2 = 87.7%).
View Original PubMed Abstract ↓

Conjugated Linoleic Acid (CLA) are thought to pose beneficial effects on inflammatory responses and oxidative stress (OS). Thus, the present systematic review and meta-analysis of randomized controlled trials (RCTs) aimed to assess the net effects of CLA supplementation on various OS parameters and antioxidant enzymes. PubMed/MEDLINE, Scopus, Web of Science, and Cochrane Central Register of Controlled Trials databases were searched for publications on CLA supplementation effects on OS parameters up to March 2021. The data extracted from eligible studies were expressed as standardized mean difference with 95% confidence intervals and then combined into meta-analysis using the random-effects model. Overall, 11 RCTs (enrolling 586 participants) met the inclusion criteria and were included in meta-analysis; however, since those trials evaluated different OS parameters, meta-analysis was carried out considering different sets for each parameter separately. According to our results, CLA supplementation significantly increases 8-iso-PGF2α urinary concentration (SMD: 2; 95% CI: 0.74, 3.27; I2 = 87.7%). On contrary, the intervention does not seem to change 15-keto-dihydro-PGF2α urinary concentration, nor the serum levels of CAT, SOD, GPx and MDA. Taken all together, CLA supplementation does not appear to have substantial effects on OS markers in general; albeit due to relatively small sample size and high level of heterogeneity between studies, the obtained findings should be interpreted with caution. Further large well-designed RCTs, investigating the impact of CLA and including various groups of patients, are still needed.

09
CLINICAL STUDY The Journal of clinical endocrinology and metabolism (2022) PMID: 35704027 ↗
Metabolomic Changes Upon Conjugated Linoleic Acid Supplementation and Predictions of Body Composition Responsiveness.
Clinical Trial Synthesis 2022 Randomized Controlled Trial (RCT) published in The Journal of clinical endocrinology and metabolism involving n = 65 participants; statistical significance reported at p = 0.1. Key conclusion: CONCLUSION: Post-intervention metabolite alterations were identified, involving in lipid/energy metabolism, associated with body composition changes.
View Original PubMed Abstract ↓

CONTEXT: Conjugated linoleic acid (CLA) may optimize body composition, yet mechanisms underlining its benefits are not clear in humans. OBJECTIVE: We aimed to reveal the CLA-induced changes in the plasma metabolome associated with body composition improvement and the predictive performance of baseline metabolome on intervention responsiveness. METHODS: Plasma metabolome from overnight fasted samples at pre- and post-intervention of 65 participants in a 12-week randomized, placebo-controlled trial (3.2 g/day CLA vs 3.2 g/day sunflower oil) were analyzed using untargeted LC-MS metabolomics. Mixed linear model and machine learning were applied to assess differential metabolites between treatments, and to identify optimal panel (based on baseline conventional variables vs metabolites) predicting responders of CLA-derived body composition improvement (increased muscle variables or decreased adiposity variables) based on dual-energy x-ray absorptiometry. RESULTS: Compared with placebo, CLA altered 57 metabolites (P < 0.10) enriched in lipids/lipid-like molecules including glycerophospholipids (n = 7), fatty acyls (n = 6), and sphingolipids (n = 3). CLA-upregulated cholic acid (or downregulated aminopyrrolnitrin) was inversely correlated with changes in muscle and adiposity variables. Inter-individual variability in response to CLA-derived body composition change. The areas under the curves of optimal metabolite panels were higher than those of optimal conventional panels in predicting favorable response of waist circumference (0.93 [0.82-1.00] vs 0.64 [0.43-0.85]), visceral adiposity index (0.95 [0.88-1.00] vs 0.58 [0.35-0.80]), total fat mass (0.94 [0.86-1.00] vs 0.69 [0.51-0.88]) and appendicular fat mass (0.97 [0.92-1.00] vs 0.73 [0.55-0.91]) upon CLA supplementation (all FDR P < 0.05). CONCLUSION: Post-intervention metabolite alterations were identified, involving in lipid/energy metabolism, associated with body composition changes. Baseline metabolite profiling enhanced the prediction accuracy for responsiveness of CLA-induced body composition benefits. © The Author(s) 2022. Published by Oxford University Press on behalf of the Endocrine Society. All rights rese

10
META-ANALYSIS Clinical nutrition ESPEN (2022) PMID: 35623803 ↗
The effect of conjugated linoleic acid supplementation on oxidative stress markers: A systematic review and meta-analysis of randomized controlled trials.
Clinical Trial Synthesis 2022 Meta-Analysis published in Clinical nutrition ESPEN; statistical significance reported at p = 0.04. Key conclusion: CONCLUSION: It seems this supplement can be used as a dietary supplement to improve oxidative stress parameters.
View Original PubMed Abstract ↓

BACKGROUND & AIMS: Recent trial studies have found that conjugated linoleic acid (CLA) supplementation beneficially reduces oxidative stress markers but, there is no definitive consensus on this context. The present systematic review and meta-analysis aimed to investigate the effect of CLA supplementation on oxidative stress parameters. METHODS: We searched PubMed, Web of Science, Scopus, Cochrane Library, and Google Scholar databases until September 2021 to identify randomized controlled trials (RCTs) assessing CLA supplementation effects on oxidative markers including malondialdehyde (MDA), 8-isoprostanesF2α (8-iso-PGF2α), and glutathione peroxidase (GPx). Summary estimates and corresponding 95% confidence intervals (CI) were derived via the DerSimonian and Laird method using a random-effects model. RESULTS: A total of 11 RCTs were included. The obtained results show that CLA supplementation caused a significant decrease in MDA concentrations (Hedges's: -0.35; 95% CI: -0.70 to -0.01, P = 0.04, I2 = 62.1%, n = 7), and also significantly increased 8-iso-PGF2α levels (Hedges's: 1.45; 95% CI: 0.98 to 1.91, P˂0.001, I2 = 42.9%, n = 4). However, the results showed that supplementation with CLA did not significantly change the concentrations of GPx (Hedges's: 0.30; 95% CI: -0.04 to 0.64, P = 0.08, I2 = 0.0%, n = 3). CONCLUSION: It seems this supplement can be used as a dietary supplement to improve oxidative stress parameters. However, further studies are required to demonstrate present results.

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