Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology, Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Eur J Clin Nutr. 2019 Mar;73(3):441-449. doi: 10.1038/s41430-018-0382-9. Epub 2019 Jan 4.
Nonalcoholic fatty liver disease (NAFLD) is a major global health problem. The most common cause of death in these patients is due to cardiovascular disorders. The aim of this study was to examine the effects of curcumin supplementation on cardiovascular risk factors in patients with NAFLD.
In this randomized, placebo-controlled, clinical trial, fifty two patients with NAFLD were randomly assigned to receive life style recommendations plus either 1500 mg curcumin or placebo for 12 weeks. Anthropometric indices, blood lipid profile, insulin resistance, as well as hepatic steatosis and fibrosis scores were measured at the beginning and the end of the study, and compared between and within groups.
Hepatic fibrosis, serum cholesterol, glucose and alanin aminotransferase (ALT) reduced significantly only in curcumin group (p < 0.05). Anthropometric indices, blood lipid profile, insulin resistance, and hepatic steatosis decreased significantly in both groups (p < 0.05), without any significant difference between two groups.
Our results showed that daily intake of 1500 mg curcumin plus weight loss is not superior to weight loss alone in amelioration of cardiovascular risk factors in patients with NAFLD. Further studies with different dosages of curcumin are needed to be able to conclude about the effects of this dietary supplement on cardiovascular risk factors and NAFLD characteristics.
非酒精性脂肪性肝病(NAFLD)是一个全球性的健康问题。这些患者最常见的死亡原因是心血管疾病。本研究的目的是研究姜黄素补充剂对 NAFLD 患者心血管危险因素的影响。
在这项随机、安慰剂对照、临床试验中,52 名 NAFLD 患者被随机分为两组,分别接受生活方式建议加 1500mg 姜黄素或安慰剂治疗 12 周。在研究开始和结束时测量了人体测量指数、血脂谱、胰岛素抵抗以及肝脂肪变性和纤维化评分,并在组间和组内进行了比较。
只有姜黄素组的肝纤维化、血清胆固醇、葡萄糖和丙氨酸氨基转移酶(ALT)显著降低(p<0.05)。两组的人体测量指数、血脂谱、胰岛素抵抗和肝脂肪变性均显著降低(p<0.05),两组之间无显著差异。
我们的结果表明,每日摄入 1500mg 姜黄素加减肥并不优于单独减肥,可改善 NAFLD 患者的心血管危险因素。需要进一步研究不同剂量的姜黄素,以确定这种膳食补充剂对心血管危险因素和 NAFLD 特征的影响。