The Effects of Vitamin D Supplementation on Anthropometric and Biochemical Indices in Patients With Non-alcoholic Fatty Liver Disease: A Systematic Review and Meta-analysis

• Published in: Frontiers in pharmacology Vol. 12; p. 732496
• Main Authors: Rezaei, Shahla, Tabrizi, Reza, Nowrouzi-Sohrabi, Peyman, Jalali, Mohammad, Shabani-Borujeni, Mojtaba, Modaresi, Shayan, Gholamalizadeh, Maryam, Doaei, Saeid
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 03-11-2021
• Subjects: anthropometry; biochemical indices; liver enzyme; NAFLD; Pharmacology; vitamin D; biochemical indices; NAFLD; liver enzyme; anthropometry; vitamin D
• ISSN: 1663-9812; 1663-9812
• DOI: 10.3389/fphar.2021.732496

Vitamin D was reported to be associated with non-alcoholic fatty liver disease (NAFLD). This systematic review and meta-analysis aimed to investigate the effects of the vitamin D supplementation on anthropometric and biochemical indices in patient with NAFLD.
PubMed, Web of science, Scopus, and Embase databases were explored to identify all randomized controlled trial (RCT) investigating the effects of vitamin D supplementation on anthropometric and biochemical indices in patients with NAFLD. A random-effects model was used to pool weighted mean difference (WMD) and corresponding 95% confidence intervals (CIs). The statistical heterogeneity among the studies was assessed using I2 statistic (high ≥ 50%, low < 50%) and Cochran's Q-test.
Sixteen RCTs were included in this meta-analysis. The results identified that high-density lipoprotein-cholesterol (HDL-C) level significantly increased following vitamin D supplementation (
= 0.008). Vitamin D reduced body weight (
= 0.007), body mass index (
= 0.002), waist circumstance (WC) (
= 0.02), serum alanine transaminase (ALT) (
= 0.01), fasting blood sugar (FBS) (
= 0.01), homeostatic model assessment for insulin resistance (HOMA-IR) (
= 0.004), and calcium (
= 0.01). No significant changes were found on body fat, triglyceride (TG), total cholesterol, low-density lipoprotein-cholesterol (LDL-C), aspartate transaminase, alkaline phosphatase, gamma-glutamyl transferase, and adiponectin following vitamin D supplementation.
Vitamin D had significant effects on anthropometric and biochemical indices including HDL-C, body weight, BMI, WC, serum ALT, serum FBS, HOMA-IR, and calcium. Vitamin D supplementation can be considered as an effective strategy in management of patients with NAFLD.
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