Benefits
Energy expenditure and thermogenesis
In the 70-person AfperFIT trial, energy expenditure measured by indirect calorimetry rose by an average of about 209 kcal a day over 12 weeks, against almost no change on placebo (p<0.01). It was measured only at the start and end, and the authors did not measure fat burning (substrate oxidation). Smaller studies of other extracts linked the rise to active brown fat.
Visceral fat and body weight
In the AfperFIT trial, visceral fat area on CT fell by about 17 square centimeters while it rose on placebo (p<0.001), and average weight loss was 4.1 kg against 0.8 kg (median 1.6 against 0.4 kg). Total fat mass and body-fat percentage did not differ from placebo, and lean mass fell. This is one trial with maker-employed authors, not yet repeated.
Mechanism of action
Brown adipose tissue activation
6-Paradol and related compounds activate the TRPV1 heat-sensing channel in lab studies, and studies in people with active brown fat link grains of paradise to brown fat heat production. One rat study found the extract lowered sympathetic nerve activity to brown fat, so the exact pathway is unsettled. The AfperFIT trial did not measure brown fat.
Browning of white fat in mice
The maker's earlier mouse study, described in the AfperFIT trial report, found the extract induced beige (heat-producing) fat cells in obese mice fed a high-fat diet. This is animal work and has not been shown in people.
Clinical trials
Randomized, double-blind, placebo-controlled trial of AfperFIT, a grains of paradise extract standardized to not less than 2 percent 6-paradol (5 mg per 250 mg capsule), 250 mg twice daily for 12 weeks, with energy expenditure by indirect calorimetry, body composition by DXA and fat distribution by CT; registered as CTRI/2019/03/017956. Two of the four authors, including the corresponding author, are employed by Vidya Herbs, which makes AfperFIT; the paper has no funding statement (Sudeep et al. 2022, Drug Des Devel Ther).
70 overweight men and women, BMI 25 to 30, aged 20 to 50; 10 were lost to follow-up and their data carried forward.
Compared with placebo, energy expenditure rose (about 209 kcal a day against almost no change, p<0.01) and visceral-fat area fell (p<0.001). Mean body weight fell 4.07 kg against 0.81 kg (p=0.009), but the medians were 1.6 against 0.4 kg because a few people lost a lot (up to 21.1 kg). DXA fat mass and body-fat percentage did not differ from placebo, and lean mass fell with the extract (p=0.002). No serious adverse events were recorded. Not independently repeated.