Benefits
Appetite and fullness ratings before a meal
In 23 volunteers, a drink with 0.8% strong-gelling alginate lowered hunger ratings over 5 hours by 20 to 30% versus the same drink without it. In 20 normal-weight adults, a 15 g alginate preload raised fullness and lowered hunger. In 48 overweight adults, alginate capsules for 10 days had no effect on satiation, appetite or gut hormones.
Energy intake at later meals
In 68 adults, a strong-gelling alginate drink before meals for 7 days lowered daily energy intake by about 135 kcal (7%). In 29 overweight women, an alginate-pectin drink lowered intake at dinner, but daily intake fell only in women with low dietary restraint. Alginate added to chocolate milk or to a breakfast bar did not change intake at the next meal or over the day.
Body weight during a reduced-calorie diet
In a 12-week trial in 96 obese adults on a reduced-calorie diet, alginate drinks before meals did not improve weight or fat loss over placebo in the main intention-to-treat analysis. Only among the 80 who finished did the alginate group lose more (6.8 kg versus 5.0 kg). A 2-week pilot in 24 obese adults found no extra weight loss.
Post-meal blood sugar and insulin
In 7 men with type 2 diabetes, 5 g sodium alginate added to a meal slowed stomach emptying and gave smaller rises in glucose and insulin. In 24 healthy young men, chocolate milk with 2.5% alginate lowered peak glucose by 13% and peak insulin by 46%. Over 12 weeks of daily drinks, glucose and insulin did not differ from placebo.
Blood cholesterol and triglyceride levels
In a 28-day double-blind trial in 84 adults with high cholesterol, sodium alginate lowered total cholesterol, triglycerides and LDL more than control, with larger drops in people who started higher; the English abstract does not give the dose. In the 12-week weight trial in obese adults, blood lipids did not differ from placebo.
Mechanism of action
Gels in the stomach
Alginate can form a gel with calcium, which is why some products add a calcium part, so a drink that is thin in the glass can set in the stomach. On MRI, an alginate feed appeared to gel inside the stomach of healthy men. The drink studies that found lower hunger or intake used strong-gelling, high-guluronate alginates, and one group of authors noted that the alginate source and product matrix strongly affect results.
Stomach emptying and gut hormones
In people with type 2 diabetes, 5 g alginate with a meal slowed stomach emptying, which tracked the smaller glucose rise. A 15 g preload slowed the uptake of a gastric emptying marker. In a tube-feed study, alginate blunted GLP-1 and GIP responses and lowered PYY, so it does not appear to work by raising these hormones. Capsules for 10 days changed neither emptying nor gut hormones.
Holds fat and bile acids in the gut
In 6 people with an ileostomy, about 95% of a 7.5 g dose of sodium alginate passed through the stomach and small intestine undigested. It raised fat excretion by 140% and lowered bile acid excretion by 12%, which the authors linked to fatty acids being trapped in the gel. Starch and nitrogen excretion did not change.
Clinical trials
Parallel, double-blind, placebo-controlled randomized trial: an energy-restricted diet (300 kcal/day deficit) plus an alginate-based preload (15 g fiber) or placebo preload, taken as a drink three times a day before main meals. (Georg Jensen et al. 2012, Am J Clin Nutr)
96 obese adults; 80 completed the 12 weeks.
In the intention-to-treat analysis, loss of body weight and body fat did not differ between groups. Among completers, weight loss was 6.78 kg with alginate versus 5.04 kg with placebo (P = 0.03), mainly from a lower body fat percentage. Glucose, insulin, C-reactive protein, ghrelin, HOMA-IR and blood lipids did not differ, and blood pressure fell more on placebo.
Randomized, placebo-controlled, allocation-concealed study of sodium alginate capsules from Laminaria digitata, three daily 30 minutes before the main meal for a week, then six before each test on days 8 to 10. (Odunsi et al. 2010, Obesity (Silver Spring))
48 overweight or obese adults without binge eating disorder.
No effect of alginate on gastric emptying, fasting or post-meal gastric volume, satiation, calorie or macronutrient intake at a free-choice meal, or the gut hormones ghrelin, CCK, GLP-1 and PYY. Results did not differ between overweight and obese participants. The authors questioned short-term alginate use for weight loss.
Randomized, controlled, two-way crossover in free-living adults comparing 7 days of a strong-gelling, high-guluronate sodium alginate drink taken before meals with a control. (Paxman et al. 2008, Appetite)
68 free-living men and women with a body mass index of 18.5 to 32.8.
Mean daily energy intake was 134.8 kcal (7%) lower with alginate, with lower carbohydrate, sugar, fat, saturated fat and protein intakes. The effect did not differ by sex, body mass index class or preload timing.
Balanced-order crossover comparing a protein and calcium meal-replacement drink with 0%, 0.6% or 0.8% high-guluronate alginate; the first author's listed affiliation is Unilever Research and Development. (Peters et al. 2011, Obesity (Silver Spring))
23 volunteers.
With 0.8% alginate, the area under the curve for hunger over 5 hours was 20 to 30% lower than control (P < 0.001) on all six rating scales, and most effects were also significant at 0.6%. Simulated gastric gel strength rose with dose. The abstract reports hunger ratings only, not food intake.
Randomized crossover of 325 mL chocolate milk with 0, 1.25% or 2.5% sodium alginate, or a 2.5% alginate solution, given 2 hours before an ad libitum pizza meal. (El Khoury et al. 2014, Eur J Clin Nutr)
24 healthy men, mean age about 23 and mean BMI about 22.5.
Compared with plain chocolate milk, the 2.5% alginate milk lowered peak glucose at 30 minutes by 13% and peak insulin by 46%, and pre-meal appetite fell in a dose-dependent way. Total caloric intake at the pizza meal did not differ among treatments.
Randomized crossover of two test meals with similar carbohydrate, fat and protein, with or without 5.0 g sodium alginate, with gastric emptying measured by a radioactive marker. (Torsdottir et al. 1991, J Nutr)
7 men with well-controlled type 2 diabetes.
Alginate slowed gastric emptying and gave significantly smaller post-meal rises in blood glucose, insulin and C-peptide. The glucose response correlated with the delay in emptying (rs = 0.92). A single-meal test in 7 people; the abstract gives no glucose values.