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蔓越莓补充剂对非酒精性脂肪性肝病患者肝酶和心血管代谢危险因素的影响:一项随机临床试验。

Effect of cranberry supplementation on liver enzymes and cardiometabolic risk factors in patients with NAFLD: a randomized clinical trial.

机构信息

Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Student research committee, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

BMC Complement Med Ther. 2021 Nov 19;21(1):283. doi: 10.1186/s12906-021-03436-6.

Abstract

BACKGROUND

We aimed to evaluate the effect of cranberry supplementation on serum liver enzymes, hepatic steatosis, and cardiometabolic risk factors in patients with non-alcoholic fatty liver (NAFLD).

METHODS

In the present parallel-designed randomized controlled clinical trial, 110 patients with NAFLD were enrolled. The patients were randomized to receive 144 mg cranberry capsule or placebo for 6 months. The primary efficacy of the treatment was lipid profile, glycemic measurements, and liver enzyme levels.

RESULTS

The data were reported for 46 in the supplementation group and 48 in the placebo group. The patient's mean (SD) age was 43.16 (11.08) years. No significant differences between groups were observed regarding the post-intervention level of liver enzyme. The mean after-intervention levels of total cholesterol (p < 0.001) and triglyceride (p = 0.01) were significantly lower in the intervention group compared with the placebo group. At the end of the study, the mean insulin and HOMA-IR levels were significantly lower in the cranberry group compared with the placebo group. Significantly more patients in the cranberry group experienced a decrease in steatosis level compared with the control group.

CONCLUSION

The results of the present study showed that cranberry supplementation had a positive effect on some lipid profiles, insulin resistance, and hepatic steatosis in patients with NAFLD.

TRIAL REGISTRATION

IRCT20200725048200N1 ; first registration date: 11.8.2020.

摘要

背景

本研究旨在评估蔓越莓补充剂对非酒精性脂肪肝(NAFLD)患者血清肝酶、肝脂肪变性和心血管代谢危险因素的影响。

方法

在这项平行设计的随机对照临床试验中,纳入了 110 名 NAFLD 患者。患者被随机分为服用 144mg 蔓越莓胶囊或安慰剂 6 个月。治疗的主要疗效是血脂谱、血糖测量和肝酶水平。

结果

共有 46 名补充组和 48 名安慰剂组的数据报告。患者的平均(SD)年龄为 43.16(11.08)岁。两组间肝酶的干预后水平无显著差异。与安慰剂组相比,干预组总胆固醇(p<0.001)和甘油三酯(p=0.01)的平均干预后水平显著降低。在研究结束时,与安慰剂组相比,蔓越莓组的平均胰岛素和 HOMA-IR 水平显著降低。与对照组相比,蔓越莓组有更多的患者脂肪肝水平降低。

结论

本研究结果表明,蔓越莓补充剂对 NAFLD 患者的一些血脂谱、胰岛素抵抗和肝脂肪变性有积极影响。

试验注册

IRCT20200725048200N1;首次注册日期:2020 年 8 月 11 日。

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