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A dose-response and meta-analysis of phytosterols consumption on liver enzymes: Evidence from randomized clinical trials

Somayeh Tajik (Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran)
Kevan Jacobson (Department of Pediatrics, BC Children’s Hospital, University of British Columbia, Vancouver, Canada)
Sam Talaei (School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Hamed Kord-Varkaneh (Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Zeinab Noormohammadi (Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran)
Ammar Salehi-Sahlabadi (Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Mehran Pezeshki (Pharmacy department Iran Drug and Poisons Information Center (DPIC), Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran)
Jamal Rahmani (Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Azita Hekmatdoost (Student Research Committee, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran)

Nutrition & Food Science

ISSN: 0034-6659

Article publication date: 24 September 2019

Issue publication date: 22 April 2020

79

Abstract

Purpose

The results of human studies evaluating the efficacy of plant Phytosterols on liver function were inconsistent. Therefore, the purpose of this paper is to eliminate these controversies about the Phytosterols consumption on liver serum biochemistry in adult subjects.

Design/methodology/approach

The literatures systematically searched throughout PubMed and Scopus databases up to June 2018; it was conducted by using related keywords. Estimates of effect sizes were expressed based on weighted mean difference (WMD) and 95% CI from the random-effects model (erSimonian and Laird method). Heterogeneity across studies was assessed by using I2 index. Eighteen studies reported the effects of Phytosterols (PS) supplementation on liver serum biochemistry.

Findings

The current meta-analysis did not show a significant effect on ALT (MD: 0.165 U/L, 95% CI: −1.25, 1.58, p = 0.820), AST (MD: −0.375 IU/Liter, 95% CI: −1.362, 0.612, p = 0.457), ALP (MD: 0.804 cm, 95% CI: −1.757, 3.366, p = 0.538), GGT (MD: 0.431 U/L, 95% CI: −1.803, 2.665, p = 0.706) and LDH (MD: 0.619 U/L, 95% CI: −4.040, 5.277, p = 0.795) following PS consumption.

Originality/value

The authors found that no protective or toxic effects occur after the consumption of Phytosterols on liver enzymes including ALT, AST, ALP, LDH and GGT.

Keywords

Acknowledgements

The authors sincerely thank Shahid Beheshti University of Medical Sciences for all moral and material supports. This study was supported by grants from the Student Research Committee, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran (Grant’s ID: 1397/69264).

Conflict of interest: There was no competing financial interest in relation to current study.

Authors’ contributions to manuscript: HK_V and ST designed and conducted the research; JR and SMM screened and extracted articles information; HK_V and SMM performed statistical analysis; ASS and KJ wrote the paper; HK_V and AK had primary responsibility for final content. All authors read and approved the final manuscript.

Citation

Tajik, S., Jacobson, K., Talaei, S., Kord-Varkaneh, H., Noormohammadi, Z., Salehi-Sahlabadi, A., Pezeshki, M., Rahmani, J. and Hekmatdoost, A. (2020), "A dose-response and meta-analysis of phytosterols consumption on liver enzymes: Evidence from randomized clinical trials", Nutrition & Food Science, Vol. 50 No. 3, pp. 579-600. https://doi.org/10.1108/NFS-06-2019-0182

Publisher

:

Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited

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