Benefits
Healthy blood lipids
One 6 week randomized, placebo-controlled trial by the manufacturer gave 1.6 g three times a day to 68 women aged 20 to 55 with metabolic syndrome. The paper reports a significant rise in HDL cholesterol in the 42 women over 45, with only tendencies in the whole group. The European Food Safety Authority reviewed it and found no effect on LDL, an HDL rise that was not statistically significant, and no cause and effect relationship.
Fat binding in the gut
Cactus fiber can bind dietary fat. Litramine IQP G-002AS, a different product made from Opuntia cladode fiber enriched with Acacia fiber, raised stool fat to 15.8 percent of intake against 4.6 percent on placebo in 20 adults, and added 2.4 kg of weight loss over placebo in 125 dieting adults. For NeOpuntia, Nexira cites a lab digestion model and an unpublished 7 day pilot trial, and no trial has reported a body weight result.
Gel-forming fiber (fullness not measured)
Gel-forming fibers add bulk to a meal, but no trial of NeOpuntia has measured appetite, fullness or food intake. This is a mechanism idea, not a result.
Mechanism of action
Lipophilic fat binding
Cactus fiber can bind dietary fat so that less is absorbed and more leaves in the stool. Stool fat was measured directly in 20 healthy adults given Litramine IQP G-002AS, a cactus fiber enriched with Acacia fiber, where it rose to 15.8 percent of intake against 4.6 percent on placebo. For NeOpuntia, Nexira cites a laboratory digestion model, which EFSA considered of questionable relevance to human digestion, and an unpublished 7 day pilot trial reporting 27% more fat excretion.
Soluble fiber effects
The soluble fiber component slows digestion. Effects on satiety and on post-meal glucose or insulin have not been measured for this product.
Clinical trials
Randomized, double-blind, placebo-controlled 6 week trial in a single centre: 68 women randomized (35 NeOpuntia, 33 placebo), 59 completing, 1.6 g three times a day. The authors were staff of Bio Serae, which then sold the ingredient and is now part of Nexira, and the company submitted this trial to EFSA in support of a health claim. (Linarès et al. 2007, Advances in Therapy; assessed in EFSA Journal 2008;6(8):788)
68 women aged 20 to 55 with metabolic syndrome and a BMI of 25 to 40; 59 completed. No men were studied.
The published paper reports a significant rise in HDL cholesterol in the 42 women over 45 years old and only tendencies in the group as a whole. Reviewing the full dataset in 2008, the European Food Safety Authority found no effect on LDL cholesterol, found the HDL rise slight and not statistically significant, noted that the randomisation method was not reported and that diet and physical activity were not controlled after randomisation, and concluded that a cause and effect relationship could not be established. Body weight was not reported and fat absorption was not measured in people.