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白藜芦醇补充剂对肝酶的影响:随机对照试验的系统评价和荟萃分析。

Effects of resveratrol supplementation on liver enzymes: A systematic review and meta-analysis of randomised controlled trials.

机构信息

Student Research Committee, Department of Clinical Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Orthopedics, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Clin Pract. 2021 Mar;75(3):e13692. doi: 10.1111/ijcp.13692. Epub 2020 Sep 24.

Abstract

BACKGROUND

The available evidence regarding the possible effects of resveratrol on liver function is inconsistent. Therefore, the present meta-analysis was performed to investigate the overall effects of resveratrol supplementation on liver enzymes in adults.

METHODS

A systematic and comprehensive search of the online medical databases including PubMed, Scupos, Web of Science and Cochran Library was performed up to February 2020. All RCTs using resveratrol supplements in adults were included in this systematic review and meta-analysis. The overall effect was presented as weighted mean difference (WMD) and 95% confidence interval (CI) in a random-effects meta-analysis model.

RESULTS

Finally, 15 randomised trials including 714 participants were selected for the present meta-analysis. Pooled analysis did not show any significant changes in alanine aminotransferase (ALT) (WMD: 0 IU/L, 95% CI: -3.17 to 3.17, P = .99; I = 74.2%), aspartate aminotransferase (AST) (WMD: -2.40 IU/L, 95% CI: -5.45 to 0.65, P = .11; I = 82.9%), gamma-glutamyl transferase (GGT) (WMD: -1.26 IU/L, 95% CI: -4.64 to 2.13, P = .64; I = 23.7%), alkaline phosphatase (ALP) (WMD: 3.80 IU/L, 95% CI: -4.65 to 12.25, P = .37; I = 29.9%) and bilirubin (WMD: 0.13 IU/L, 95% CI: -0.43 to 0.17, P = .39; I = 8.9%) after supplementation with resveratrol.

CONCLUSION

Overall, in our study, resveratrol does not affect liver enzyme levels significantly, but subgroup analysis indicates that these results may be influenced by resveratrol dose, duration of the study and population status, so future high-quality studies are necessary to get definitive results.

摘要

背景

关于白藜芦醇对肝功能可能产生的影响,现有证据并不一致。因此,本研究进行了荟萃分析,旨在调查白藜芦醇补充剂对成年人肝酶的总体影响。

方法

系统全面地检索了在线医学数据库,包括 PubMed、Scopus、Web of Science 和 Cochrane Library,检索截至 2020 年 2 月。本系统评价和荟萃分析纳入了所有使用白藜芦醇补充剂的成年人的 RCT。总体效应以随机效应荟萃分析模型中的加权均数差(WMD)和 95%置信区间(CI)表示。

结果

最终,纳入了 15 项随机试验,共 714 名参与者。汇总分析显示,丙氨酸氨基转移酶(ALT)(WMD:0 IU/L,95%CI:-3.17 至 3.17,P =.99;I = 74.2%)、天冬氨酸氨基转移酶(AST)(WMD:-2.40 IU/L,95%CI:-5.45 至 0.65,P =.11;I = 82.9%)、γ-谷氨酰转移酶(GGT)(WMD:-1.26 IU/L,95%CI:-4.64 至 2.13,P =.64;I = 23.7%)、碱性磷酸酶(ALP)(WMD:3.80 IU/L,95%CI:-4.65 至 12.25,P =.37;I = 29.9%)和胆红素(WMD:0.13 IU/L,95%CI:-0.43 至 0.17,P =.39;I = 8.9%)在补充白藜芦醇后均无显著变化。

结论

总体而言,在我们的研究中,白藜芦醇对肝酶水平没有显著影响,但亚组分析表明,这些结果可能受白藜芦醇剂量、研究持续时间和人群状态的影响,因此需要进行高质量的未来研究以获得明确的结果。

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