Randomized controlled trial2020

Whole-grain consumption and its effects on hepatic steatosis and liver enzymes in patients with non-alcoholic fatty liver disease: a randomised controlled clinical trial

Dorosti M, Jafary Heidarloo A, Bakhshimoghaddam F, Alizadeh M

The British journal of nutrition · 61 citations

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
University or hospital
Urmia University
University or hospital
Urmia University of Medical Sciences

Based on 2 listed funder(s).

Publication

Published
2019-11-05 · Br J Nutr · vol. 123 · issue 3 · pp. 328–336
Publisher
Cambridge University Press
Cited
73 citations · more than 93% of similar papers · 3.4× the field average
Impact
Top 10% most cited in its field
References
37 works
Access
Free to read
Research areas
Liver Disease Diagnosis and Treatment · Diet, Metabolism, and Disease · Food composition and properties
Keywords
Medicine, Fatty liver, Steatosis, Internal medicine, Gastroenterology, Triglyceride, Blood pressure, Anthropometry, Disease, Cholesterol
MeSH
liver, humans, gamma-glutamyltransferase, alanine transaminase, aspartate aminotransferases, treatment outcome, eating, adult, middle aged, female, male, non-alcoholic fatty liver disease, edible grain, whole grains

4 authors

From IR

  • Masoumeh DorostiUrmia University; Urmia University of Medical Sciences
  • Ali Jafary HeidarlooImam Khomeini Hospital; Urmia University; Urmia University of Medical Sciences
  • Farnush BakhshimoghaddamUrmia University; Urmia University of Medical Sciences
  • Mohammad Alizadeh · correspondingUrmia University; Urmia University of Medical Sciences

Abstract

Non-alcoholic fatty liver disease (NAFLD) is a considerable challenge to public health across the globe. Whole grain is highly recommended as an inseparable part of a healthy diet and has been proposed as an effective way to manage NAFLD. The objective in the present study was to evaluate the effects of whole-grain consumption on hepatic steatosis and liver enzymes as primary outcomes in patients with NAFLD. Over the 12 weeks of this open-label, randomised controlled clinical trial, 112 patients (mean age 43 (sd 8·7) years; BMI 32·2 (sd 4·3) kg/m2) were randomly assigned to two groups to receive dietary advice, either to obtain at least half of their cereal servings each day from whole-grain foods or from usual cereals. By the end of the study, the grades of NAFLD showed a significant decrease in the intervention group (P < 0·001). In addition, a significant reduction in serum concentration of alanine aminotransferase (P < 0·001), aspartate aminotransferase (P < 0·001), γ-glutamyltransferase (P = 0·009), systolic blood pressure (P = 0·004) and diastolic blood pressure (P = 0·008) was observed in the intervention group compared with the control group. After adjusting, however, no significant differences were found between the two groups in terms of lipid profile, glycaemic status and anthropometric measurements. Overall, our study demonstrated that consumption of whole grains for 12 weeks had beneficial effects on hepatic steatosis and liver enzymes concentrations in patients with NAFLD.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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