Li Dongdong, Fu Ningtao, Wu Hui
Department of Otolaryngology, Karamay Central Hospital of Xinjiang, Karamay, China.
Department of Nutrition, Xiangya Hospital, Central South University, Changsha, China.
Clin Exp Hepatol. 2023 Dec;9(4):396-404. doi: 10.5114/ceh.2023.133194. Epub 2023 Nov 28.
The current updated meta-analysis aimed to explore the effects of vitamin D supplementation on various parameters in patients with non-alcoholic fatty liver disease (NAFLD), using the latest trials available.
PubMed, Embase, and the Cochrane Library were screened for the collection of randomized controlled trials (RCTs) that compared the efficacy of additional vitamin D vs. the placebo group on NAFLD patients in the last 5 years. Trials included were focused on the assessment of anthropometric and biochemical indices.
Our results revealed that additional vitamin D greatly increased serum 25-hydroxyvitamin D (25(OH)D), and decreased the low-density lipoprotein-cholesterol (LDL-C) levels. However, no significant differences were found in terms of triglyceride (TG), total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), c-glutamyltransferase, fasting blood glucose (FBG), homeostasis model assessment of insulin resistance (HOMA-IR) and Ca levels between the supplementation of vitamin D and placebo.
The present study demonstrated the advantageous impact of supplementary vitamin D on the levels of 25(OH)D and LDL-C in NAFLD patients. However, the results failed to provide evidence for the superiority of additional vitamin D in relation to the concentrations of serum ALP, AST, TC, Ca, γ-glutamyl transferase (GGT), TC, FBG, IR and HDL-C.
本次更新的荟萃分析旨在利用现有最新试验,探讨补充维生素D对非酒精性脂肪性肝病(NAFLD)患者各项参数的影响。
对PubMed、Embase和Cochrane图书馆进行筛选,以收集过去5年中比较补充维生素D与安慰剂组对NAFLD患者疗效的随机对照试验(RCT)。纳入的试验重点评估人体测量和生化指标。
我们的结果显示,补充维生素D可显著提高血清25-羟维生素D(25(OH)D)水平,并降低低密度脂蛋白胆固醇(LDL-C)水平。然而,在补充维生素D组和安慰剂组之间,甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、碱性磷酸酶(ALP)、γ-谷氨酰转移酶、空腹血糖(FBG)、胰岛素抵抗稳态模型评估(HOMA-IR)和钙水平方面均未发现显著差异。
本研究证明了补充维生素D对NAFLD患者25(OH)D和LDL-C水平有有利影响。然而,结果未能提供证据表明补充维生素D在血清ALP、AST、TC、钙、γ-谷氨酰转移酶(GGT)、TC、FBG、胰岛素抵抗(IR)和HDL-C浓度方面具有优越性。