Health research center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Metabolic syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Biofactors. 2019 May;45(3):335-342. doi: 10.1002/biof.1496. Epub 2019 Feb 13.
Limited studies have examined the effects of vitamin D on liver enzymes in patients with liver disease but none has explored its effects in the healthy subjects. The aim of present study was to evaluate the effects of a high dose vitamin D supplementation on measures of liver function. A total of 988 adolescent girls were recruited; all were assessed for liver function tests (LFTs) including alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), gamma-glutamyl transferase (ϒGT), alkaline phosphatase (ALP), total bilirubin, direct bilirubin, albumin, and total protein before and after supplementation with 50,000 IU cholecalciferol perls. Significant reductions were observed for AST, ALT, direct bilirubin, total bilirubin, LDH, and ϒGT at the end of supplementation, only in the group with abnormal reference value. Serum levels of total protein and albumin were higher at the end of follow up in the group with abnormal value. No significant change was obtained for LFTs in the group with normal value. Our findings suggest that vitamin D supplementation may improve markers of liver function in adolescents with abnormal LFTs. More randomized controlled trial with longer follow-up time will be required. © 2019 BioFactors, 45(3):335-342, 2019.
目前的研究旨在评估大剂量维生素 D 补充对肝功能指标的影响。共招募了 988 名青春期少女;所有参与者均接受了肝功能检查(LFTs),包括丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、乳酸脱氢酶(LDH)、γ-谷氨酰转移酶(γGT)、碱性磷酸酶(ALP)、总胆红素、直接胆红素、白蛋白和总蛋白的检测,然后在补充 50000IU 胆钙化醇 perls 后再次进行这些检查。仅在异常参考值组中,补充结束时观察到 AST、ALT、直接胆红素、总胆红素、LDH 和 γGT 显著降低。在异常值组中,随访结束时总蛋白和白蛋白的血清水平更高。在正常值组中,LFTs 未发生显著变化。我们的研究结果表明,维生素 D 补充可能改善肝功能异常青少年的肝功能指标。需要更多的随机对照试验和更长的随访时间。