Ginger supplementation for the treatment of non-alcoholic fatty liver disease: a meta-analysis of randomized controlled trials.
- 2023-04-11
- African health sciences 23(1)
- Qun Zhou
- Ying Peng
- Fangyuan Chen
- Jianbo Dai
- PubMed: 37545930
- DOI: 10.4314/ahs.v23i1.65
Study Design
- Type
- Meta-Analysis
- Sample size
- n = 177
- Population
- 177 patients with non-alcoholic fatty liver disease from four RCTs
- Methods
- Search of PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through November 2021; included randomized controlled trials comparing ginger supplementation versus placebo; meta-analysis using random-effect model
- Funding
- Unclear
Introduction
The efficacy of ginger supplementation remains controversial for non-alcoholic fatty liver disease. We conduct this meta-analysis to explore the influence of ginger supplementation versus placebo on the treatment of non-alcoholic fatty liver disease.Methods
We have searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through November 2021 and included randomized controlled trials (RCTs) assessing the efficacy of ginger supplementation versus placebo for non-alcoholic fatty liver disease. This meta-analysis was performed using the random-effect model.Results
Four RCTs involving 177 patients were included in the meta-analysis. Overall, compared with non-alcoholic fatty liver disease, ginger supplementation was associated with significantly reduced alanine aminotransferase (ALT, standard mean difference (SMD)=-0.43; 95% confidence interval [CI]=-0.85 to -0.02; P=0.04), homeostatic Model Assessment of Insulin Resistance (HOMA-IR, SMD=-1.14; 95% CI=-2.05 to -0.22; P=0.02), but revealed no obvious impact on aspartate-aminotransferase (AST, SMD=-0.66; 95% CI=-0.81 to 2.12; P=0.38), total cholesterol (SMD=-0.33; 95% CI=-0.67 to 0.02; P=0.06), low density lipoprotein (LDL, SMD=-0.30; 95% CI=-0.64 to 0.04; P=0.08) or body mass index (BMI, SMD=0; 95% CI=-0.41 to 0.40; P=0.99).Conclusions
Ginger supplementation benefits to treat non-alcoholic fatty liver disease.Research Insights
homeostatic Model Assessment of Insulin Resistance (HOMA-IR, SMD=-1.14; 95% CI=-2.05 to -0.22; P=0.02)
- Effect
- Beneficial
- Effect size
- Large
- Dose
- not stated
ginger supplementation was associated with significantly reduced alanine aminotransferase (ALT, standard mean difference (SMD)=-0.43; 95% confidence interval [CI]=-0.85 to -0.02; P=0.04)
- Effect
- Beneficial
- Effect size
- Moderate
- Dose
- not stated
revealed no obvious impact on aspartate-aminotransferase (AST, SMD=-0.66; 95% CI=-0.81 to 2.12; P=0.38)
- Effect
- Neutral
- Effect size
- Small
- Dose
- not stated
total cholesterol (SMD=-0.33; 95% CI=-0.67 to 0.02; P=0.06)
- Effect
- Neutral
- Effect size
- Small
- Dose
- not stated
body mass index (BMI, SMD=0; 95% CI=-0.41 to 0.40; P=0.99)
- Effect
- Neutral
- Effect size
- Small
- Dose
- not stated
low density lipoprotein (LDL, SMD=-0.30; 95% CI=-0.64 to 0.04; P=0.08)
- Effect
- Neutral
- Effect size
- Small
- Dose
- not stated