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马齿苋对非酒精性脂肪性肝病患者肝功能检查、代谢谱、氧化应激和炎症生物标志物的影响:一项随机双盲临床试验

Effects of (purslane) on liver function tests, metabolic profile, oxidative stress and inflammatory biomarkers in patients with non-alcoholic fatty liver disease: a randomized, double-blind clinical trial.

作者信息

Milkarizi Narges, Barghchi Hanieh, Belyani Saba, Bahari Hossein, Rajabzade Farnood, Ostad Andisheh Norouzian, Goshayeshi Ladan, Nematy Mohsen, Askari Vahid Reza

机构信息

Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Front Nutr. 2024 Jul 29;11:1371137. doi: 10.3389/fnut.2024.1371137. eCollection 2024.

Abstract

BACKGROUND

Non-alcoholic fatty liver disease (NAFLD) is a prevalent chronic liver disease. exhibits anti-oxidant, anti-inflammatory, and hepatoprotective effects. This clinical trial aimed to investigate the potential benefits of in improving NAFLD.

METHODS

This double-blind, randomized clinical trial enrolled 70 patients with NAFLD assigned to either the intervention group ( = 35) or placebo group ( = 35) using stratified block randomization. The intervention group received 700 mg supplement for eight weeks, while the control group received placebo capsules. In addition, all participants received a calorie-restricted diet. Liver steatosis and fibrosis were assessed using elastography along with liver function and metabolic tests, blood pressure measurements, body composition analysis and dietary records pre-and post-intervention.

RESULTS

The average age of the participants was 44.01 ± 8.6 years, of which 34 (48.6%) were women. The group receiving showed significant weight changes, body mass index, fat mass index, and waist circumference compared to the placebo ( < 0.001). In addition, blood sugar, lipid profile, liver enzymes aspartate and alanine transaminase, gamma-glutamyl transferase, and systolic blood pressure were significantly improved in the intervention group compared to those in the placebo ( < 0.05). During the study, inflammatory and oxidative stress indicators, improved significantly ( < 0.05). Based on the elastography results, the hepatorenal ultrasound index and liver stiffness decreased significantly in the group compared to the placebo ( < 0.001).

CONCLUSION

The present clinical trial showed that receiving supplement for eight weeks can improve the condition of liver steatosis and fibrosis in patients with NAFLD.

摘要

背景

非酒精性脂肪性肝病(NAFLD)是一种常见的慢性肝病。具有抗氧化、抗炎和肝脏保护作用。本临床试验旨在研究其在改善NAFLD方面的潜在益处。

方法

本双盲、随机临床试验纳入了70例NAFLD患者,采用分层区组随机化方法将其分为干预组(n = 35)或安慰剂组(n = 35)。干预组接受700毫克补充剂,为期8周,而对照组接受安慰剂胶囊。此外,所有参与者都接受了热量限制饮食。在干预前后,使用弹性成像技术以及肝功能和代谢测试、血压测量、身体成分分析和饮食记录来评估肝脏脂肪变性和纤维化情况。

结果

参与者的平均年龄为44.01±8.6岁,其中34名(48.6%)为女性。与安慰剂组相比,接受[未提及具体物质]的组在体重变化、体重指数、脂肪量指数和腰围方面有显著变化(P < 0.001)。此外,与安慰剂组相比,干预组的血糖、血脂谱、肝脏酶天冬氨酸和丙氨酸转氨酶、γ-谷氨酰转移酶以及收缩压均有显著改善(P < 0.05)。在研究期间,炎症和氧化应激指标也有显著改善(P < 0.05)。根据弹性成像结果,与安慰剂组相比,[未提及具体物质]组的肝肾超声指数和肝脏硬度显著降低(P < 0.001)。

结论

本临床试验表明,接受[未提及具体物质]补充剂8周可改善NAFLD患者的肝脏脂肪变性和纤维化状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542d/11317426/2fe139f6eca4/fnut-11-1371137-g001.jpg

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