Thus, the reverse causation may partly explain the findings of the present study. Mechanistic insights from computational modeling and the implication for rational design of anti-HIV-1 entry inhibitors? Green tea as a safe alternative approach for nonalcoholic fatty liver treatment: a systematic review and meta-analysis of clinical trials. The questionnaire asked whether subjects had performed any activities from the following categories during the preceding week: walking, moderate activity (household activity or child care), and vigorous activity (running, swimming, or other sporting activities). The educational level was assessed by asking the question what is the highest degree you earned? with two possible response categories: Fasting blood sugar level was measured via the glucose oxidase method, triglyceride level was measured via enzymatic methods, and high-density lipoprotein cholesterol level was measured via the chemical precipitation method using reagents obtained from Roche Diagnostics on an automatic biochemistry analyser (Roche Cobas 8000 modular analyser; Roche, Mannheim, Germany). The study protocol was approved by the Ethics Committee of Isfahan University of Medical Sciences and was registered in the Iranian Registry of Clinical Trials website (IRCT2013092611763N12). Another strength of the present study is that although a previous study indicated that tea extract supplementation might yield beneficial effects in patients with NAFLD [11], there is limited evidence for the relationship between daily tea consumption and the prevalence of NAFLD in the general population. 2011;12:4550. [38] Body weight and adiposity were blunted by catechin administration in the obese mouse model C57BL/6J. [32,33] In the past, BMI was the more important independent predictor agent of accumulated fat in the liver. The mean daily intake of nutrients was calculated using an ad hoc computer program developed to analyse the questionnaire. However, no significant association was found between tea consumption and NAFLD after adjustment for socio-demographic, behavioural, anthropometric, dietary, and clinical confounding factors. https://doi.org/10.1186/s12937-019-0502-y, DOI: https://doi.org/10.1186/s12937-019-0502-y. HbA1c separation and quantification were conducted by a high-performance liquid chromatography analyzer (HLC-723G8; Tosoh, Tokyo, Japan). Ullmann U, Haller J, Bakker GC, Brink EJ, Weber P. Epigallocatechin gallate (EGCG) (TEAVIGO) does not impair nonhaem-iron absorption in man. Foroughi M, Maghsoudi Z, Ghiasvand R, Iraj B, Askari G. Effect of Vitamin D Supplementation on C-reactive Protein in Patients with Nonalcoholic Fatty Liver. Table1 shows the age- and sex-adjusted characteristics according to NAFLD status. Finally, liver biopsy, the gold standard for the diagnosis of liver disease, was not performed in the present study, due to the apparently healthy study population. This study was supported by grants from the National Natural Science Foundation of China (No. In the assessment of characteristics of participants according to NAFLD status, continuous variables have been presented as the least square mean (with 95% confidence interval, [CI]) and examined using analysis of variance. Free fatty acids are absorbed by the liver through the intestinal tract after a meal and are oxidized by mitochondria and peroxisomes. The results indicated a decrease in weight, after and before the intervention, in both groups. Phytother Res. Privacy Spearmans rank correlation coefficient for energy intake between two food frequency questionnaires administered three months apart was 0.68. World J Hepatol. Nat Rev Nephrol. The https:// ensures that you are connecting to the To the best of our knowledge, no study has explored the associations between daily tea consumption and the prevalence of NAFLD. According to these results, it can be claimed that GTE 500 mg prescribed can be considered as an absolute treatment to improve serum levels of liver enzymes in NAFLD patients. Guidelines for the diagnosis and management of nonalcoholic fatty liver disease: update 2010. Prevalence of non-alcoholic fatty liver disease and its association with cardiovascular disease in patients with type 1 diabetes. ALP levels showed significant reductions in both groups after 12 weeks period (P < 0.001). Liu X, Xu W, Cai H, Gao YT, Li H, Ji BT, et al. Non-alcoholic fatty liver disease - a global public health perspective. Int J Mol Med. Tea consumption was assessed via a self-administered food frequency questionnaire. J Hepatol. Furthermore, a detailed lifestyle questionnaire had been administered to about 7080% of randomly selected subjects from this population since May 2013. In addition to the development of a fatty liver, NAFLD patients may also exhibit inflammation, necrosis and fibrosis of the liver, which are known as nonalcoholic steatohepatitis (NASH). At baseline and at the end of the intervention weight, serum ALT, AST, and alkaline phosphatase (ALP) were measured in fasting state, and dietary data were collected at baseline and end of the study. [41] Restricting iron absorption through catechins may therefore be effective treatment for NAFLD. Stangl V, Lorenz M, Stangl K. The role of tea and tea flavonoids in cardiovascular health. It contains high levels of flavonoids, which have antioxidant properties. Adriano LS, Sampaio HA, Arruda SP, Portela CL, de Melo MLP, Carioca AA, et al. Google Scholar. The above capsule was taken 30 min after lunch. Furthermore, we also adjusted scores of major dietary patterns in the study population in case the associations between daily tea consumption and the prevalence of NAFLD may be affected by intake of dietary confounding factors (i.e. At the beginning of the study, the groups were similar based upon weight (87.22 11.75 kg and 90.51 14.88 kg in intervention and placebo group, respectively) and liver enzymes. Blood samples for the analysis of fasting blood glucose and lipid levels were collected in siliconised vacuum plastic tubes. The natural history of nonalcoholic steatohepatitis: A follow-up study of forty-two patients for up to 21 years. The chemistry of tea flavonoids. Moreover, a previous study conducted among Chinese women showed that tea consumption is associated with the serum concentration of total organochlorine pesticides (r=0.14, P<0.05) [29]. Standardization of methods for the determination of enzyme activities in biological fluids. NAFLD was identified for the first time in people without alcohol usage experience in 1980. Targher G, Bertolini L, Padovani R, Rodella S, Zoppini G, Pichiri I, et al. Fan JG, Jia JD, You Ming LI, Wang BY, Lun Gen LU, Shi JP, et al. Received 2014 Nov 20; Accepted 2015 Jul 25. Fasting blood samples were obtained via venipuncture of the cubital vein and immediately mixed with EDTA. Bruno RS, Dugan CE, Smyth JA, DiNatale DA, Koo SI. Balentine DA, Wiseman SA, Bouwens LC. [17] The subjects were randomly allocated into two groups Green tea extract and placebo groups. 8600 Rockville Pike Most recently, a meta-analysis that included four randomized controlled trials suggested that there are potential benefits of green tea supplementation on the risk factors of NAFLD [11]. Hepatology. Logistic regression analysis was used to estimate the associations between tea consumption and the prevalence of NAFLD. Effect of increased tea consumption on oxidative DNA damage among smokers: A randomized controlled study. Lee MS, Kim CT, Kim Y. Springer Nature. EGCG, the main catechin in green tea is believed to reduce liver oxidation stress. The placebo tablets supplied by School of Pharmacy, Isfahan University of Medical Sciences, Iran were similar to green tea tablets in color and size. The sample size was computed 35 per group by considering = 0.05 and a power of 90%. Consumption of green tea, oolong tea, and black tea were positively associated with the prevalence of newly diagnosed NAFLD before adjustments. Lifestyle management, including sustained weight loss, healthy diet, and increased physical activity (PA), is still an important approach to treating NAFLD [6, 7]. California Privacy Statement, 2008;331:65562. Phytother Res. Ueda M, Nishiumi S, Nagayasu H, Fukuda I, Yoshida K, Ashida H. Epigallocatechin gallate promotes GLUT4 translocation in skeletal muscle. Previous studies have focused on the effect of tea extract on NAFLD. Google Scholar. Khan N, Mukhtar H. Multitargeted therapy of cancer by green tea polyphenols. All the studies pooled in that meta-analysis explored the effect of tea consumption on the risk factors of NAFLD by using green tea extract supplementation as treatment [11]. Epigallocatechin gallate, a green tea polyphenol, mediates NO-dependent vasodilation using signaling pathways in vascular endothelium requiring reactive oxygen species and Fyn. Yang Xia and Xuena Wang contributed equally to this work. 2016;115:218995. Correspondence to The present study investigated the effects of consumption of green tea in NAFLD patients. Kuroda Y, Hara Y. Antimutagenic and anticarcinogenic activity of tea polyphenols. Lee SA, Dai Q, Zheng W, Gao YT, Blair A, Tessari JD, et al. Spearmans rank correlation coefficient for energy intake as assessed via the WDRs and FFQ was 0.49. [29,30] In the present study, the effects of GTE prescription on liver function test were evaluated. Non-alcoholic fatty liver disease (NAFLD) is rapidly becoming the most common chronic liver disease and potentially affects 25% of the global adult population [1]. Factors were named descriptively according to the food items that showed high loading (absolute value >0.3) with respect to each dietary pattern as follows: sweet foods pattern, vegetable pattern and animal foods pattern (Additionalfile1: Table S1). Chang Y, Jung HS, Yun KE, Cho J, Cho YK, Ryu S. Cohort study of non-alcoholic fatty liver disease, NAFLD fibrosis score, and the risk of incident diabetes in a Korean population. Anstee QM, McPherson S, Day CP. Hamza A, Zhan CG. 2009;54:1517. Also Lifestyles, modifications, particularly weight reduction may more improve the condition of this disease. volume18, Articlenumber:71 (2019) 2007;33:15763. GTE samples were extracted from dried leaves of green tea according to the present standard procedures with a certificate of analysis given. Weight and height were assessed using an automatic height and weight measurement instrument (Omron HNH-219; Omron, Kyoto, Japan) with a standard protocol. B., Y. G., S. S., X. W., M. Z., Q. J. and K. S., conducted research; Y. X. analyzed data; Y. X. and Q. W. wrote the paper. K. N. and Y, Z. had primary responsibility for final content. Kim JA. Maeda-Yamamoto M, Inagaki N, Kitaura J, Chikumoto T, Kawahara H, Kawakami Y, et al. [37] It has been shown that catechins promote lipid metabolism in the liver. [39] Reports on NASH patients showed that elevated iron stores, iron absorption in the liver[40] and serum ALT levels were decreased by bloodletting treatment. Gastroenterology. Johansson G, Westerterp KR. Management of non-alcoholic fatty liver disease in 2015. BMI was calculated as weight (kg) divided by height squared (m2), and body fat percentage was estimated with Omron body fat monitor (HBF-306) at baseline and at the end of the study. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Ann Nutr Metab. Article However, it is reasonable to exclude participants with cardiovascular disease and cancer when estimating the associations between tea consumption and NAFLD. Green tea as inhibitor of the intestinal absorption of lipids: potential mechanism for its lipid-lowering effect. A random number between 0.0 and 0.99 was generated by the computer for each subject. sharing sensitive information, make sure youre on a federal Yang CQ, Shu L, Wang S, Wang JJ, Zhou Y, Xuan YJ, et al. Med Sci Sports Exerc. 2019;70:53144. Murase T, Haramizu S, Shimotoyodome A, Tokimitsu I, Hase T. Green tea extract improves running endurance in mice by stimulating lipid utilization during exercise. The mean SD of biochemical factors before and after intervention are shown in Table 4. The mean weight change in the green tea group was significantly greater than the placebo group (P = 0.001). and transmitted securely. 2rd ed. The new PMC design is here! A previous meta-analysis of four clinical trials suggested that green tea extract supplementation yield benefits on NAFLD related risk factors [11]. Cite this article. Na HK, Surh YJ. Tea (Camellia sinensis Theaceae) was discovered in China in 3000BC or earlier [8]. IFCC method for aspartate aminotransferase (L-aspartate: 2-oxoglutarate aminotransferase, EC 2.6.1.1). The mechanisms underlying how green tea protects against NAFLD are mostly related to catechins present in tea. 2011;343:d3897. This number was increased to 40 per group to accommodate the anticipated dropout rate. 2008;8:828. Mitochondrial energy metabolism impairment and liver dysfunction following chronic exposure to dichlorvos. Kim JA, Formoso G, Li Y, Potenza MA, Marasciulo FL, Montagnani M, et al. Xia, Y., Wang, X., Zhang, S. et al. In Jablonski et al., 2013 study which was done on 53 NAFLD patients, the average weight of patients was more than control group, so that patients had high BMI and 10% weight addition to their idea weight. Jablonski KL, Jovanovich A, Holmen J, Targher G, McFann K, Kendrick J, et al. The site is secure. A combination of grape extract, green tea extract and L-carnitine improves high-fat diet-induced obesity, hyperlipidemia and non-alcoholic fatty liver disease in mice. In this present, green tea group showed significant reductions in ALT and AST levels after 12 weeks period (P < 0.001). PMC legacy view Changes in biochemical parameters over the study period were estimated by after intervention minus baseline amount was done using paired t-test. [18,19] Alkaline phosphatase (ALP) was determined by Deutschen Gesellschaft fr Klinische Chemie. All P-values were two-tailed and differences with P<0.05 were considered statistically significant. There was no association between tea consumption and NAFLD after adjustment of confounding factors. 2008;47:74654. The associations between tea consumption and the prevalence of newly diagnosed NAFLD are shown in Table2.
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