<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942024000100026</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad del quitosano en el tratamiento de la obesidad y de algunas de sus comorbilidades]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Rodríguez]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Endocrinología.  ]]></institution>
<addr-line><![CDATA[La Habana, ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2024</year>
</pub-date>
<volume>28</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942024000100026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942024000100026&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942024000100026&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  ante la búsqueda de productos que permitan o contribuyan a la pérdida de peso corporal, con un mínimo de reacciones adversas, se ha diseñado el uso de varios preparados de diversos orígenes, uno de ellos el quitosano.  Objetivo:  describir la utilidad del quitosano en el tratamiento de la obesidad y de algunas de sus comorbilidades.  Métodos:  se realizó una revisión bibliográfica descriptiva. Se utilizó como motor de búsqueda a Google y Google Académico. Se empleo información de diferentes bases de datos. Las palabras clave utilizadas fueron: quitosano; chitosán; chitosano; obesidad; fármacos anti-obesidad (en inglés y español). Se evaluaron artículos, que en general tenían menos de 10 años de publicados, en los idiomas referidos y que por el título trataban el tema de estudio. Se referenciaron 43 artículos.  Resultados:  el quitosano es un biopolímero natural de glucosamina, es biodegradable, biocompatible, no tóxico y se le atribuyen efectos biológicos hipolipemiantes, antiinflamatorios, antidiabéticos, antioxidantes y como suplemento nutricional para perder peso, entre otras aplicaciones. No obstante, la revisión de la literatura no apoya este último planteamiento, aunque si se reconoce su utilidad como coadyuvante en el tratamiento de la obesidad y de las comorbilidades cardiometabólicas que la suelen acompañar.  Conclusiones:  el quitosano es un producto natural que no es de utilidad para obtener la tan anhelada pérdida de peso en pacientes con obesidad. Aunque, si es útil como coadyuvante en su tratamiento, pues contribuye al no aumento del peso corporal y mejora algunas de las anomalías cardiometabólicas acompañantes de esta enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ ABSTRACT  Introduction:  in the search for products that allow or contribute to the loss of body weight with a minimum of adverse reactions, the use of various preparations of different origins has been considered, one of them being chitosan.  Objective:  to describe the usefulness of chitosan in the treatment of obesity and some of its comorbidities.  Methods:  a descriptive bibliographic review was carried out. Google and Google Scholar were used as search engines. Information from different databases was used. The keywords used were: chitosan; chitosan; chitosan; obesity; anti-obesity drugs (in English and Spanish). Articles were evaluated, which in general were less than 10 years old, in the referred languages and which by title dealt with the topic of study. 43 articles were referenced.  Results:  chitosan is a natural biopolymer of glucosamine, it is biodegradable, biocompatible, non-toxic, and has hypolipidemic, anti-inflammatory, antidiabetic, antioxidant biological effects, and as a nutritional supplement for weight loss, among other applications. However, the review of the literature does not support this latter approach, although its usefulness as an adjuvant in the treatment of obesity and the cardiometabolic comorbidities that usually accompany it is recognized.  Conclusions:  chitosan is a natural product that is not useful to obtain the long-awaited weight loss in obese patients. Although, it is useful as an adjuvant in its treatment, since it contributes to not increasing body weight and improves some of the cardiometabolic abnormalities associated with this disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[QUITOSANO]]></kwd>
<kwd lng="es"><![CDATA[OBESIDAD]]></kwd>
<kwd lng="es"><![CDATA[FÁRMACOS ANTI-OBESIDAD]]></kwd>
<kwd lng="en"><![CDATA[CHITOSAN]]></kwd>
<kwd lng="en"><![CDATA[OBESITY]]></kwd>
<kwd lng="en"><![CDATA[ANTI-OBESITY DRUGS]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Ena]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Lorido]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Ripoll]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Carrasco]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La obesidad es una enfermedad crónica. Posicionamiento del grupo de trabajo de Diabetes, Obesidad y Nutrición de la Sociedad Española de Medicina Interna (SEMI) por un abordaje centrado en la persona con obesidad.]]></article-title>
<source><![CDATA[Revista Clínica Española]]></source>
<year>2021</year>
<volume>221</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>509-16.</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pablo]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Leija]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento farmacológico de la obesidad.]]></article-title>
<source><![CDATA[Humanidades, tecnología y ciencia, del Instituto Politécnico Nacional]]></source>
<year>2020</year>
<volume>22</volume>
<page-range>1-13</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Di Marco]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Posadas]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Valentí]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Barrionuevo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bichara]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Incarbone]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<source><![CDATA[Guía de Práctica Clínica Nacional sobre Diagnóstico y Tratamiento de la Obesidad en adultos para todos los niveles de atención]]></source>
<year>2017</year>
<publisher-loc><![CDATA[(Argentina) ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud, Presidencia de la Nación]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rubio]]></surname>
<given-names><![CDATA[MA.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuevas aproximaciones farmacológicas al tratamiento de la obesidad.]]></article-title>
<source><![CDATA[Nutr Clin Med]]></source>
<year>2022</year>
<volume>XVI</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>179-94.</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<source><![CDATA[Agencia española de medicamentos y productos sanitarios. Ficha técnica Saxenda 6 mg/ml solución inyectable en pluma precargada]]></source>
<year>2019</year>
<publisher-name><![CDATA[CIMA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<source><![CDATA[Semaglutida]]></source>
<year>2021</year>
<publisher-loc><![CDATA[España ]]></publisher-loc>
<publisher-name><![CDATA[VADEMECUM]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La semaglutida en el tratamiento de las personas con diabesidad.]]></article-title>
<source><![CDATA[Revista Cubana de Medicina]]></source>
<year>2023</year>
<volume>62</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Clément]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[van den Akker]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Argente]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bahm]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chung]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
<name>
<surname><![CDATA[Connors]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efficacy and safety of setmelanotide, an MC4R agonist, in individuals with severe obesity due to LEPR or POMC deficiency: single-arm, open-label, multicentre, phase 3 trials.]]></article-title>
<source><![CDATA[Lancet Diabetes Endocrinol]]></source>
<year>2020</year>
<volume>8</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>960-70.</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Navarro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jáuregui]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento farmacológico de la obesidad.]]></article-title>
<source><![CDATA[JONNPR]]></source>
<year>2020</year>
<volume>5</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1464-69.</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<source><![CDATA[Qsymia - phentermine and topiramate capsule, extended reléase. National Library of Medicine (NIH)]]></source>
<year>2022</year>
<publisher-name><![CDATA[DAILYMED]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aymara]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nathaly]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<source><![CDATA[Estudio de la hepatotoxicidad inducida por la ingesta de productos adelgazantes]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Quito ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Orlandis]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spirulina platensis en el tratamiento de la obesidad y de algunas de sus consecuencias.]]></article-title>
<source><![CDATA[Rev Cubana Med Gen Integr]]></source>
<year>2021</year>
<volume>37</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spirulina as a natural product with potentials for its use in patients with diabetes mellitus.]]></article-title>
<source><![CDATA[Rev Cubana Endocrinol]]></source>
<year>2021</year>
<numero>32</numero>
<issue>32</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Iglesias]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of Moringa oleifera on Human Health.]]></article-title>
<source><![CDATA[Rev Cubana Med Gen Integr]]></source>
<year>2022</year>
<volume>38</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Iglesias]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Moringa oleifera: un producto natural con posibilidades para ser usado en pacientes con diabetes mellitus.]]></article-title>
<source><![CDATA[Rev Cubana Endocrinol]]></source>
<year>2021</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B16">
<label>16.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sutthasuphaa]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lungkaphin]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Las funciones potenciales del oligosacárido de quitosano en la prevención de la lesión renal en condiciones de obesidad y diabetes.]]></article-title>
<source><![CDATA[Food &amp; Function]]></source>
<year>2020</year>
<volume>11</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>7371-88.</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Navarro]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<source><![CDATA[Chitosán: qué es y para qué sirve]]></source>
<year>2022</year>
<publisher-name><![CDATA[Mifarma]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huq]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Dhayagude]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[He]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Ni]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sources, production and commercial applications of fungal chitosan: A review.]]></article-title>
<source><![CDATA[Journal of Bioresources and Bioproducts]]></source>
<year>2022</year>
<volume>7</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>85-98.</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kou]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
<name>
<surname><![CDATA[Peters]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Mucalo]]></surname>
<given-names><![CDATA[MR.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chitosan: A review of sources and preparation methods.]]></article-title>
<source><![CDATA[International Journal of Biological Macromolecules]]></source>
<year>2021</year>
<volume>169</volume>
<page-range>85-94</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Azmana]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mahmood]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hilles]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Rahman]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Arifin]]></surname>
<given-names><![CDATA[MAB]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review on chitosan and chitosan-based bionanocomposites: Promising material for combatting global issues and its applications.]]></article-title>
<source><![CDATA[International Journal of Biological Macromolecules]]></source>
<year>2021</year>
<volume>185</volume>
<page-range>832-48.</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aranaz]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Alcántara]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Civera]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Arias]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Elorza]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Heras Caballero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chitosan: An overview of its properties and applications.]]></article-title>
<source><![CDATA[Polymers]]></source>
<year>2021</year>
<volume>13</volume>
<numero>19</numero>
<issue>19</issue>
<page-range>3256</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baker]]></surname>
<given-names><![CDATA[WL]]></given-names>
</name>
<name>
<surname><![CDATA[Tercius]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Anglade]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[White]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Coleman]]></surname>
<given-names><![CDATA[CI.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A meta-analysis evaluating the impact of chitosan on serum lipids in hypercholesterolemic patients.]]></article-title>
<source><![CDATA[Ann. Nutr. Metab]]></source>
<year>2009</year>
<volume>55</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>368-74.</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tzeng]]></surname>
<given-names><![CDATA[HP]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Chiang]]></surname>
<given-names><![CDATA[MT.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Antidiabetic Properties of Chitosan and Its Derivatives.]]></article-title>
<source><![CDATA[Mar Drugs]]></source>
<year>2022</year>
<volume>20</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>784</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kou]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
<name>
<surname><![CDATA[Peters]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Mucalo]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chitosan: A review of molecular structure, bioactivities and interactions with the human body and micro-organisms.]]></article-title>
<source><![CDATA[Carbohydrate Polymers]]></source>
<year>2022</year>
<volume>282</volume>
<page-range>119132</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hamedi]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Moradi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hudson]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Tonelli]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
<name>
<surname><![CDATA[King]]></surname>
<given-names><![CDATA[MW.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chitosan based bioadhesives for biomedical applications: A review.]]></article-title>
<source><![CDATA[Carbohydrate Polymers]]></source>
<year>2022</year>
<volume>282:</volume>
<page-range>119100</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jafernik]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[&#321;adniak]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Blicharska]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Czarnek]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Ekiert]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Wi&#261;cek]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chitosan-Based Nanoparticles as Effective Drug Delivery Systems-A review.]]></article-title>
<source><![CDATA[Molecules]]></source>
<year>2023</year>
<volume>28</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1963</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Issahaku]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Tetteh]]></surname>
<given-names><![CDATA[IK]]></given-names>
</name>
<name>
<surname><![CDATA[Tetteh]]></surname>
<given-names><![CDATA[AY.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chitosan and chitosan derivatives: Recent advancements in production and applications in environmental remediation.]]></article-title>
<source><![CDATA[Environmental Advances]]></source>
<year>2023</year>
<volume>11</volume>
<page-range>100351</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pal]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Pal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nakashima]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Yadav]]></surname>
<given-names><![CDATA[BK.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Applications of chitosan in environmental remediation: A review.]]></article-title>
<source><![CDATA[Chemosphere]]></source>
<year>2021</year>
<volume>266</volume>
<page-range>128934</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29.</label><nlm-citation citation-type="book">
<source><![CDATA[Market analysis report. Chitosan Market Size, Share &amp; Trends Analysis Report By Application (Pharmaceutical, Water Treatment, Cosmetics, Biomedical, Food &amp; Beverage), By Region, And Segment Forecasts, 2023 - 2030]]></source>
<year>2023</year>
<publisher-name><![CDATA[Grand View Research]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huq]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Dhayagude]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[He]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Ni]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sources, production and commercial applications of fungal chitosan: A review.]]></article-title>
<source><![CDATA[Journal of Bioresources and Bioproducts]]></source>
<year>2022</year>
<volume>7</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>85-98</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bauer]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Villegas]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Zucchetti]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aplicaciones del quitosano en la agricultura, la industria y la salud: Applications of chitosan in agriculture, industry and health.]]></article-title>
<source><![CDATA[South Florida Journal of Environmental and Animal Science]]></source>
<year>2022</year>
<volume>2</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>37-45.</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shahrajabian]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Chaski]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Polyzos]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Tzortzakis]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Petropoulos]]></surname>
<given-names><![CDATA[SA.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sustainable agriculture systems in vegetable production using chitin and chitosan as plant biostimulants.]]></article-title>
<source><![CDATA[Biomolecules]]></source>
<year>2021</year>
<volume>11</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>819</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zhuang]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chitosan-based materials: Preparation, modification and application.]]></article-title>
<source><![CDATA[Journal of Cleaner Production]]></source>
<year>2022</year>
<volume>355</volume>
<page-range>131825</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blázquez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<source><![CDATA[Tratamiento de la obesidad en adultos: Liraglutida]]></source>
<year>2019</year>
<publisher-name><![CDATA[Facultad de Farmacia de la Universidad complutense de Madrid]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pittler]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Abbot]]></surname>
<given-names><![CDATA[NC]]></given-names>
</name>
<name>
<surname><![CDATA[Harkness]]></surname>
<given-names><![CDATA[EF]]></given-names>
</name>
<name>
<surname><![CDATA[Ernst]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Randomized, double-blind trial of chitosan for body weight reduction.]]></article-title>
<source><![CDATA[European Journal of Clinical Nutrition]]></source>
<year>1999</year>
<volume>53</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>379-81</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mhurchu]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
<name>
<surname><![CDATA[Dunshea&#8208;Mooij]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bennett]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Rodgers]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of chitosan on weight loss in overweight and obese individuals: a systematic review of randomized controlled trials.]]></article-title>
<source><![CDATA[Obesity reviews]]></source>
<year>2005</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>35-42</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jull]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Mhurchu]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
<name>
<surname><![CDATA[Bennett]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Dunshea&#8208;Mooij]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Rodgers]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chitosan for overweight or obesity.]]></article-title>
<source><![CDATA[Cochrane database of systematic reviews]]></source>
<year>2008</year>
<volume>3</volume>
<page-range>CD003892</page-range></nlm-citation>
</ref>
<ref id="B38">
<label>38</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mhurchu]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
<name>
<surname><![CDATA[Poppitt]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[McGill]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Leahy]]></surname>
<given-names><![CDATA[FE]]></given-names>
</name>
<name>
<surname><![CDATA[Bennet]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of the dietary supplement, Chitosan, on body weight: a randomised controlled trial in 250 overweight and obese adults.]]></article-title>
<source><![CDATA[International Journal of Obesity]]></source>
<year>2004</year>
<volume>28</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1149-1156.</page-range></nlm-citation>
</ref>
<ref id="B39">
<label>39</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fatahi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sayyari]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Salehi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Safa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sohouli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Shidfar]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effects of chitosan supplementation on anthropometric indicators of obesity, lipid and glycemic profiles, and appetite-regulated hormones in adolescents with overweight or obesity: A randomized, double-blind clinical trial.]]></article-title>
<source><![CDATA[BMC pediatrics]]></source>
<year>2022</year>
<volume>22</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>527</page-range></nlm-citation>
</ref>
<ref id="B40">
<label>40</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rizzo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Giglio]]></surname>
<given-names><![CDATA[RV]]></given-names>
</name>
<name>
<surname><![CDATA[Nikolic]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Patti]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Campanella]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cocchi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of chitosan on plasma lipids and lipoproteins: A 4-month prospective pilot study.]]></article-title>
<source><![CDATA[Angiology]]></source>
<year>2014</year>
<volume>65</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>538-542.</page-range></nlm-citation>
</ref>
<ref id="B41">
<label>41</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moraru]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mincea]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Frandes]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Timar]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Ostafe]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A meta-analysis on randomised controlled clinical trials evaluating the effect of the dietary supplement chitosan on weight loss, lipid parameters and blood pressure.]]></article-title>
<source><![CDATA[Medicina]]></source>
<year>2018</year>
<volume>54</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>109</page-range></nlm-citation>
</ref>
<ref id="B42">
<label>42</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Garmendia Lorena]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El síndrome metabólico, ¿artificio o realidad? An.]]></article-title>
<source><![CDATA[Fac. med]]></source>
<year>2020</year>
<volume>81</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>92-98.</page-range></nlm-citation>
</ref>
<ref id="B43">
<label>43.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fragozo]]></surname>
<given-names><![CDATA[MC.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome metabólico: revisión de la literatura.]]></article-title>
<source><![CDATA[Medicina &amp; Laboratorio]]></source>
<year>2022</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>47-62.</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
