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Synergistic Effects of Microencapsulated Polyphenols and Concurrent Training on Metabolic Health and Fitness in Overweight/Obese Adults with Prediabetes

Sukatta U, Rugthaworn P, Klinsukhon K, Tumnark P, Songcharern N, Teethaisong Y, Kanpetta Y, Phoemsapthawee J

Nutrients, 2025

Abstract

Background/Objectives: Prediabetes markedly increases the risk of progression to type 2 diabetes. While exercise and dietary polyphenols independently enhance metabolic health, their combined and synergistic effects remain unclear. This randomized, single-blind, placebo-controlled trial investigated the synergistic effects of concurrent training and a microencapsulated persimmon-karonda polyphenol formulation on glycemic control and inflammatory outcomes in adults with prediabetes and who are overweight/obese. Methods: Forty-three participants completed the intervention and were assigned to placebo, concurrent training (CBT), supplementation (EATME), or the combined intervention (CBT + EATME) for 8 weeks. Primary outcomes included fasting blood glucose (FBG), glycated hemoglobin (HbA1c), homeostatic model assessment for insulin resistance (HOMA-IR), high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), adiponectin, physical fitness, and quality of life (QoL). Results: All intervention groups (CBT, EATME, and CBT + EATME) showed improvements in glycemic indices, with the greatest reductions in FBG (p p p p p p r = 0.627, p V̇O2max), with the combined intervention producing greater gains in upper- and lower-body strength (p V̇O2max (p p Conclusions: These findings highlight that combining concurrent training with microencapsulated polyphenol supplementation produced the most consistent improvements across metabolic,…

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Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

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