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- Title
The effects of zinc supplementation on the metabolic factors in patients with non-alcoholic fatty liver disease: a randomized, double-blinded, placebo-controlled clinical trial.
- Authors
Rezaei, Seyed Mohammad Amin; Mohammadi, Farzaneh; Eftekhari, Mohammad Hassan; Ejtehadi, Fardad; Ghaem, Haleh; Mohammadipoor, Nazanin
- Abstract
Background: Non-alcoholic fatty liver disease (NAFLD) is associated with metabolic factors including obesity, dyslipidemia, insulin resistance, oxidative stress, and elevated inflammatory factors. Zinc (Zn) supplementation has been investigated as a potential adjunctive therapy in managing NAFLD outcomes. Methods: In this randomized, double-blinded, controlled clinical trial, 50 overweight or obese participants with NAFLD were randomized into 2 groups of 25 and received either 30 mg of daily Zn or a placebo for 8 weeks. Both groups were invited to follow a balanced energy-restricted diet and physical activity recommendations. Results: Based on the between-group comparison, Zn supplementation caused a significant increase in the Zn level (P < 0.001) and a significant decrease in weight (P = 0.004), body mass index (BMI) (P = 0.002), waist circumference (P = 0.010), aspartate transaminase (AST) (P = 0.033), total cholesterol (TC) (P = 0.045), and low-density lipoprotein cholesterol (LDL-C) (P = 0.014), but it had no significant effect on alanine transaminase (ALT), fasting blood sugar (FBS), insulin, homeostasis model assessment of insulin resistance (HOMA-IR), high-density lipoprotein (HDL), triglyceride (TG), high-sensitivity C-reactive protein (hs-CRP), malondialdehyde (MDA), and total antioxidant capacity (TAC) (P > 0.05). Conclusion: The results of the present study indicated that 8-week supplementation of 30 mg daily Zn may increase the Zn serum level and decline anthropometric parameters, AST, TC, and LDL-C in NAFLD patients, so further research is suggested in the future. Trial registration: The trial was retrospectively registered at IRCT.ir as IRCT20191015045113N1 (December/8/2019).
- Subjects
NON-alcoholic fatty liver disease; ZINC supplements; LDL cholesterol; OXIDANT status; CLINICAL trials; ALANINE aminotransferase; PHYSICAL activity; EGG quality
- Publication
BMC Nutrition, 2023, Vol 9, Issue 1, p1
- ISSN
2055-0928
- Publication type
Article
- DOI
10.1186/s40795-023-00776-z