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Dietary Bioactive Components 285
The Eects 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 eect 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 eect 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 eect 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
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