The effect of melatonin on treatment of patients with non-alcoholic fatty liver disease: a randomized double blind clinical trial
Abstract
Objectives Many factors implicated in the pathogenesis of non-alcoholic fatty liver disease (NAFLD) are including oxidative stress, insulin resistance and abnormal production of adipokines. The aim of this clinical trial was to evaluate the effect of melatonin supplement on some important biochemical markers and signs related to NAFLD.Design A randomized double-blind, placebo-controlled, clinical trial.Setting Twenty-four participants in the melatonin group and 21 participants in the placebo group completed the study.Intervention Participants received 6 mg melatonin or placebo daily, 1 h before bedtime. The intervention period was 12 weeks.Main outcome measures Anthropometric measurements, systolic and diastolic blood pressure, liver enzymes, high sensitive C‑reactive protein (hs-CRP), fatty liver grade, also leptin and adiponectin serum levels, were measured at the baseline and the end of intervention.Results A significant improvement was observed in weight (p = 0.043), waist circumference (p = 0.027), abdominal circumference (p = 0.043), systolic (p = 0.039), and diastolic (p = 0.015) blood pressure, leptin serum levels (p = 0.032), hs-CRP (p = 0.024), alanine aminotransferase (p = 0.011), aspartate aminotransferase (p = 0.034), also the grade of fatty liver (p = 0.020) in melatonin treated group compared with the placebo.Conclusions Administration of 6 mg/day melatonin had improvement effect on many factors related to NAFLD such as liver enzymes, hs-CRP, anthropometric measurements, blood pressure, leptin serum levels and the grade of fatty liver.
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Clinical evidence reveals melatonin supplements did not have striking effects on weight and the results of various doses and times on weight are inconsistent.
“However, the clinical evidence reveals melatonin supplements did not have striking effects on weight and the results of various doses and times on weight are inconsistent. 39-42”
From Melatonin supplementation improves glycemic hemostasis, lipid profile, and adipokine concentrations of obese women: A double-blind randomized clinical trial (2024) · cites this paper as [39]
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- Authors
- Bahrami, M., Cheraghpour, M., Jafarirad, S., Alavinejad, P., Asadi, F., Hekmatdoost, A., Mohammadi, M., & Yari, Z.
- Affiliations
- Ahvaz Jundishapur University of Medical Sciences (IR)
- National Nutrition and Food Technology Research Institute (IR)
- Corresponding author
- Jafarirad, Sima
- Venue
- Complementary Therapies in Medicine
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 52
- Pages
- 102452
- ISSN
- 0965-2299 (ISSN-L)
- OpenAlex
- W3028100062
- Cited by
- 60
- References
- 44
- Citations by year
- 2026: 7 · 2025: 18 · 2024: 4 · 2023: 13 · 2022: 8 · 2021: 9 · 2020: 1
- FWCI
- 5.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Complementary Therapies in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ahvaz Jundishapur University of Medical Sciences
- Topics
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Keywords
- melatonin, non-alcoholic fatty liver disease, leptin, adiponectin, C-reactive protein, liver enzymes, alanine aminotransferase, aspartate aminotransferase, blood pressure, anthropometry, oxidative stress, insulin resistance, adipokines
- MeSH terms
- Adult, Antioxidants, Blood Pressure, Body Weights and Measures, Double-Blind Method, Female, Humans, Male, Melatonin, Middle Aged, Biomarkers, Non-alcoholic Fatty Liver Disease
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