Amini Mohammad Reza, Sheikhhossein Fatemeh, Talebyan Alireza, Bazshahi Elham, Djafari Farhang, Hekmatdoost Azita
Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition & Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran 198396-3113, Iran.
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran 14155-6117, Iran.
Clin Nutr Res. 2022 Jul 25;11(3):228-239. doi: 10.7762/cnr.2022.11.3.228. eCollection 2022 Jul.
Studies examining the effect of artichoke on liver enzymes have reported inconsistent results. This systematic review and meta-analysis aimed to assess the effects of artichoke administration on the liver enzymes. PubMed, Embase, the Cochrane Library, and Scopus databases were searched for articles published up to January 2022. Standardized mean difference (Hedges' g) were analyzed using a random-effects model. Heterogeneity, publication bias, and sensitivity analysis were assessed for the liver enzymes. Pooled analysis of seven randomized controlled trials (RCTs) suggested that the artichoke administration has an effect on both alanine aminotransferase (ALT) (Hedges' g, -1.08; 95% confidence interval [CI], -1.76 to -0.40; p = 0.002), and aspartate aminotransferase (AST) (Hedges' g, -1.02; 95% CI, -1.76 to -0.28; p = 0.007). Greater effects on ALT were detected in trials that lasted ≤8 weeks. Also, greater effects on AST were detected in trials using > 500 mg artichoke. Overall, this meta-analysis demonstrated artichoke supplementation decreased ALT and AST.
关于研究洋蓟对肝酶影响的报告结果并不一致。本系统评价和荟萃分析旨在评估服用洋蓟对肝酶的影响。检索了PubMed、Embase、Cochrane图书馆和Scopus数据库中截至2022年1月发表的文章。使用随机效应模型分析标准化均数差(Hedges' g)。对肝酶进行异质性、发表偏倚和敏感性分析。对七项随机对照试验(RCT)的汇总分析表明,服用洋蓟对丙氨酸氨基转移酶(ALT)(Hedges' g,-1.08;95%置信区间[CI],-1.76至-0.40;p = 0.002)和天冬氨酸氨基转移酶(AST)(Hedges' g,-1.02;95% CI,-1.76至-0.28;p = 0.007)均有影响。在持续时间≤8周的试验中,检测到对ALT的影响更大。此外,在使用>500 mg洋蓟的试验中,检测到对AST的影响更大。总体而言,这项荟萃分析表明补充洋蓟可降低ALT和AST。