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Most Acai studies are mechanism or observational rather than RCTs that measure a clinical effect — keep findings provisional.
Most evidence is from medium-quality randomised trials published 2008–2020 with a typical study size of 30 participants.
Based on 4 studies · 3 RCTs · 100 total participants
Confidence
Moderate
By outcome
Glucose & metabolicSmall short-term trials show modest HDL and antioxidant-enzyme shifts; no effect on glucose or lipid metabolism in metabolic-syndrome patients · 4-12 weeks (biomarker level only)
Too few graded studies1 study
Older research base
Newest study from 2020
200820142020
1RCTn=37 · small study2018
Only two of many inflammation/oxidative-stress biomarkers improved over 12 weeks, with no change in glucose or lipid metabolism — the authors call this 'a weak indication' requiring higher doses before any conclusions.
Kim H, Simbo SY, Fang C, McAlister L, Roque A, Banerjee N, Talcott ST, Zhao H, Kreider RB, Mertens-Talcott SU · Food Funct (2018)
Randomized, double-blind, placebo-controlled pilot in 37 metabolic-syndrome patients over 12 weeks
Plasma IFN-γ and urinary 8-isoprostane decreased significantly vs placebo
NO significant change in any lipid- or glucose-metabolism biomarker