Karedath Jithin, Javed Hiba, Ahsan Talpur Fatima, Lal Bihari, Kumari Anmol, Kivan Husam, Anirudh Chunchu Venkata, Hirani Shamsha
Internal Medicine, The James Cook University Hospital, Middlesbrough, GBR.
Medical School, Dow International Medical College, Karachi, PAK.
Cureus. 2022 Dec 21;14(12):e32764. doi: 10.7759/cureus.32764. eCollection 2022 Dec.
The aim of the current meta-analysis was to assess the effects of vitamin E on clinical outcomes in individuals with non-alcoholic fatty liver disease (NAFLD). The current meta-analysis was planned, reported, and conducted per the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Two authors systematically searched for all papers using PubMed, Cochrane Central Register, and Embase from inception to October 15, 2022. Outcomes assessed in the current meta-analysis included changes in alanine transaminase (ALT) and aspartate transaminase (AST) from baseline in IU/L. Other outcomes included a change in BMI (kg/cm2), a change in total cholesterol level from baseline (mg/l), and a fibrosis score. Total articles were included in the current meta-analysis, enrolling 569 patients (274 patients in the vitamin E group and 295 in the placebo group). The study found that reduction in ALT levels, AST levels, and BMI was significantly greater in patients in the vitamin E group compared to the placebo group. However, no significant differences were reported in terms of change in fibrosis score and total cholesterol.
当前这项荟萃分析的目的是评估维生素E对非酒精性脂肪性肝病(NAFLD)患者临床结局的影响。当前的荟萃分析是按照系统评价和荟萃分析的首选报告项目(PRISMA)声明的指南进行规划、报告和实施的。两位作者使用PubMed、Cochrane中央对照试验注册库和Embase系统检索了从创刊至2022年10月15日的所有论文。当前荟萃分析评估的结局包括谷丙转氨酶(ALT)和谷草转氨酶(AST)较基线水平的变化(单位:IU/L)。其他结局包括体重指数(BMI,单位:kg/cm²)的变化、总胆固醇水平较基线的变化(单位:mg/l)以及纤维化评分。共有多篇文章纳入了当前的荟萃分析,共纳入569例患者(维生素E组274例患者,安慰剂组295例患者)。研究发现,与安慰剂组相比,维生素E组患者的ALT水平、AST水平和BMI的降低幅度显著更大。然而,在纤维化评分和总胆固醇变化方面未报告有显著差异。