Background
- Chitosan comes from chitin, which is part of the outer shell-like structure of insects, spiders, and crustaceans.
- Chitosan is sold in the United States and other countries as a form of dietary fiber that reduces fat absorption. However, scientific evidence suggests only a small effect of chitosan on fat absorption.
- Chitosan may be effective for lowering levels of blood cholesterol or lipids. Whether the use of chitosan is equal to or better than other treatments for high cholesterol is not yet known. Study results suggest that chitosan may help improve cholesterol levels when combined with a low-calorie diet.
- Some evidence indicates that chitosan may be useful for patients undergoing hemodialysis for kidney failure and in the management of dental plaque. More evidence is needed to confirm these results.
References
Natural Standard developed the above evidence-based information based on a thorough systematic review of the available scientific articles. For comprehensive information about alternative and complementary therapies on the professional level, go to . Selected references are listed below.
- Aiedeh K, Gianasi E, Orienti I, Zecchi V. Chitosan microcapsules as controlled release systems for insulin. J Microencapsul. 1997;14(5):567-576.
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View Abstract - Bokura H, Kobayashi S. Chitosan decreases total cholesterol in women: a randomized, double-blind, placebo-controlled trial. Eur J Clin Nutr. 2003;57(5):721-725.
View Abstract - Ernst E, Pitter MH. Chitosan as a treatment for body weight reduction? A meta-analysis. Perfusion 1998;11(11):461-465.
- Gades MD, Stern JS. Chitosan supplementation does not affect fat absorption in healthy males fed a high-fat diet, a pilot study. Int J Obes Relat Metab Disord. 2002;26(1):119-122.
View Abstract - Girola M, De Bernardi M, Contos S, et al. Dose effect in lipid-lowering activity of a new dietary integrator (chitosan, Garcinia cambogia extract, and chrome). Acta Toxicol Ther 1996;17:25-40.
- Guerciolini R, Radu-Radulescu L, Boldrin M, et al. Comparative evaluation of fecal fat excretion induced by orlistat and chitosan. Obes Res. 2001;9(6):364-367.
View Abstract - Illum L, Jabbal-Gill I, Hinchcliffe M, et al. Chitosan as a novel nasal delivery system for vaccines. Adv Drug Deliv Rev 9-23-2001;51(1-3):81-96.
View Abstract - Jing SB, Li L, Ji D, et al. Effect of chitosan on renal function in patients with chronic renal failure. J Pharm Pharmacol 1997;49(7):721-723.
View Abstract - Koide SS. Chitin-chitosan: properties, benefits and risks. Nutrition Research 1998;8(6):1091-1101.
- Mhurchu CN, Poppitt SD, McGill AT, et al. The effect of the dietary supplement, Chitosan, on body weight: a randomised controlled trial in 250 overweight and obese adults. Int J Obes Relat Metab Disord. 2004;28(9):1149-1156.
View Abstract - Sawayanagi Y, Nambu N, Nagai T. Use of chitosan for sustained-release preparations of water-soluble drugs. Chem Pharm Bull (Tokyo) 1982;30(11):4213-4215.
View Abstract - Thanou M, Verhoef JC, Junginger HE. Oral drug absorption enhancement by chitosan and its derivatives. Adv Drug Deliv Rev. 11-5-2001;52(2):117-126.
View Abstract - Uchegbu IF, Schatzlein AG, Tetley L, et al. Polymeric chitosan-based vesicles for drug delivery. J Pharm Pharmacol 1998;50(5):453-458.
View Abstract - Veneroni G, Veneroni F, Contos S, et al. Effect of new chitosan dietary integrator and hypocaloric diet on hyperlipidemia and overweight in obese patients. Acta Toxicol Ther 1996;17:53-70.