This review describes composition, general physiological and health effects, as well as the currently available knowledge concerning the action of Opuntia ficus-indica (L.) Miller (prickly pear, nopal cactus) on fat metabolism and its applicability for treatment of obesity. The available data demonstrates a number of positive physiological and therapeutic features of nopal cactus. There is experimental evidence for its principal applicability for inhibition of fat generation and oxidation and, therefore, of obesity in animals and humans. On the other hand, the available data are contradictory – they indicate either inhibitory, stimulatory or no nopal influence on adipose tissue. There is no direct evidence concerning active constituents and mechanisms of action of Opuntia extract. Only few clinical studies were performed to examine anti-obesity potential of this extract, whilst they demonstrated no or only weak positive effect. Therefore, nopal cactus extract can be beneficious for health and metabolism, but its applicability as an anti-obesity nutraceutical drug requires further basic and clinical studies. It is not to be excluded that an increase of the extract dose and its thermal processing could be helpful for an increase of its bioavailability and clinical efficiency. • Opuntia ficus-indica (L.) Miller (prickly pear, nopal cactus) extract can be beneficious for health and metabolism. • It can be principally applicable for inhibition of fat generation and oxidation and, therefore, of obesity in animals and humans. • Its applicability as an anti-obesity nutraceutical drug requires further basic and clinical studies.
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