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The Effects of Vinegar/Acetic Acid Intake on Appetite Measures and Energy Consumption: A Systematic Literature Review

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Abstract

Objectives Research suggests the active ingredient in vinegar, acetic acid, may reduce appetite, thereby reducing energy consumption. This systematic review aimed to assess the effect of vinegar or acetic acid on appetite and subsequent food intake in humans in the published literature. Methods All human subject studies, regardless of age or health status. A search using MedLine (Ovid), PubMed, CINAHL Plus, Web of Science, and Cochrane Library between January to April 2021 resulted in 12 papers. One of the publications by Darzi et al. combined the findings of two independent studies and was therefore treated as two separate studies in this review (study 1” and “Darzi study 2). Outcomes included appetite, measured using an appetite rating scale or visual analog scale, satiation, measured as food intake of intervention meal, and satiety, measured as the amount of food intake following vinegar or acetic acid consumption. Results Seven short-term studies were crossover randomized controlled trials (RCT) investigating the effect of a single vinegar exposure with satiety or appetite as the primary outcome. Six long-term studies were parallel-group RCTs with repeated vinegar exposure, ranging from 4 to 12 weeks. These studies compared energy intake before and after the vinegar/acetic acid intervention. The short-term interventions indicated that vinegar containing at least 24.6 mmol acetic acid when consumed alongside a meal containing solid foods, acutely suppressed appetite up to 120 minutes postprandially, and ad libitum food intake three- and 24-hours after vinegar consumption. However, results from the long-term studies found no effect on appetite suppression. Conclusions Overall, four of the six short-term studies reported that vinegar suppressed appetite, while none of the long-term studies were able to reproduce these results. Further research is needed to determine whether oral vinegar consumption may result in long-term appetite reduction, decrease energy intake, and potentially aid in weight loss. Funding Sources Not applicable.
Dietary Bioactive Components 285
The Eects of Vinegar/Acetic Acid Intake on Appetite Measures
and Energy Consumption: A Systematic Literature Review
Faten Hasan, Kristen Hamilton, Siddhartha Angadi, and Sibylle
Kranz
University of Virginia
Objectives: Research suggests the active ingredient in vinegar, acetic
acid, may reduce appetite, thereby reducing energy consumption. This
systematic review aimed to assess the eect of vinegar or acetic acid
on appetite and subsequent food intake in humans in the published
literature.
Methods: All human subject studies, regardless of age or health
status. A search using MedLine (Ovid), PubMed, CINAHL Plus, Web of
Science, and Cochrane Library between January to April 2021 resulted
in 12 papers. One of the publications by Darzi et al. combined the
ndings of two independent studies and was therefore treated as two
separate studies in this review (study 1”and“Darzistudy 2). Outcomes
included appetite, measured using an appetite rating scale or visual
analog scale, satiation, measured as food intake of intervention meal,
and satiety, measured as the amount of food intake following vinegar or
acetic acid consumption.
Results: Seven short-term studies were crossover randomized
controlled trials (RCT) investigating the eect of a single vinegar
exposure with satiety or appetite as the primary outcome. Six long-
term studies were parallel-group RCTs with repeated vinegar exposure,
ranging from 4 to 12 weeks. These studies compared energy intake
before and after the vinegar/acetic acid intervention. The short-
term interventions indicated that vinegar containing at least 24.6
mmol acetic acid when consumed alongside a meal containing solid
foods, ac utely suppressed appetite up to 120 mi nutes postprandi ally, and
ad libitum food intake three- and 24-hours after vinegar consumption.
However, results from the long-term studies found no eect on appetite
suppression.
Conclusions: Overall, four of the six short-term studies reported
that vinegar suppressed appetite, while none of the long-term studies
were able to reproduce these results. Further research is needed to
determine whether oral vinegar consumption may result in long-term
appetite reduction, decrease energy intake, and potentially aid in weight
loss.
Funding Sources: Not applicable.
CURRENT DEVELOPMENTS IN NUTRITION
Downloaded from https://academic.oup.com/cdn/article/6/Supplement_1/285/6607125 by guest on 30 October 2022
... Some have reported that 15 mL of vinegar (0.75 g acetate) inhibits weight gain in humans by suppressing appetite [4]. Four of the six short-term studies reported that vinegar consumption suppressed appetite, whereas Nutrients 2024, 16, 2977 2 of 11 none of the long-term studies were able to reproduce these results [5]. Some have reported that daily vinegar intake in amounts of~10-30 mL (~2-6 tablespoons) appears to improve the glycemic response to carbohydrate-rich meals; however, few studies have investigated the chronic effects of vinegar intake [6]. ...
... Some have reported that 15 mL of vinegar (0.75 g acetate) inhibits weight gain in humans by suppressing appetite [4]. Four of the six short-term studies reported that vinegar consumption suppressed appetite, whereas none of the long-term studies were able to reproduce these results [5]. Some have reported that daily vinegar intake in amounts of ~10-30 mL (~2-6 tablespoons) appears to improve the glycemic response to carbohydrate-rich meals; however, few studies have investigated the chronic effects of vinegar intake [6]. ...
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A conventional questionnaire-based assessment of acetic acid intake is based on the intake of seasonings such as mayonnaise, which could thereby lead to an underestimation. We here determine the relationships of acetic acid intake with nutrient intake estimated using a food recording app (Asken) based on meal recipes. A total of 141 individuals (48 men and 93 women) used the app for at least 7 days per month. The mean daily intake of acetic acid was 0.16 ± 0.19 g and the mean frequency of acetic acid intake was 2.77 ± 1.66 days per week. A multivariate regression analysis adjusted for age, sex, BMI, and energy intake revealed that the amount of acetic acid consumed was significantly and positively associated with the intake of protein (11.9 (5.1, 18.6), p < 0.001), cholesterol (80.7 (4.5, 156.9), p = 0.04), and all vitamins except vitamin K. The frequency of acetic acid intake was significantly and positively associated with protein (1.04 (0.20, 1.87), p = 0.015), vitamin B1 (0.3 (0.02,0.5), p = 0.031), niacin (0.5 (0.04,1.0), p = 0.032), and vitamin B12 (0.4 (0.1,0.7), p = 0.002) intake, suggesting that individuals who frequently consume acetic acid tend to consume more protein and some vitamins. Thus, the amount and frequency of acetic acid may reflect protein and vitamin intake.
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