Ontology highlight
ABSTRACT: Background
Nicotinamide has been reported to protect against liver steatosis and metabolic imbalances in nonalcoholic fatty liver disease (NAFLD) in animal models.Objectives
The objective was to investigate the efficacy and safety of nicotinamide supplementation in diabetic NAFLD patients.Design
This is a prospective randomized controlled open label study.Methods
Seventy diabetic NAFLD patients were randomly assigned either to the nicotinamide group (n = 35) who received nicotinamide 1000 mg once daily for 12 weeks in addition to their antidiabetic therapy or the control group (n = 35) who received their antidiabetic therapy only. The primary outcome was improvement in steatosis score, while secondary outcomes included assessment of liver stiffness, liver enzymes, lipid profile, insulin resistance, serum malondialdehyde, serum adiponectin, and patients' quality of life (QOL).Results
Only 61 patients completed the study; 31 in the nicotinamide group and 30 in the control group. Comparisons between groups and within groups revealed nonsignificant changes in steatosis and fibrosis scores. However, significant reduction was observed in liver enzymes with a median decrease in alanine transaminase of 26.6% versus 0.74% in nicotinamide and control groups, respectively. After 12 weeks of treatment, the nicotinamide group showed significantly lower levels of low-density lipoprotein cholesterol (p value = 0.004), total cholesterol (p value = 0.006), and insulin resistance marker (p value = 0.005) compared with control. Serum triglycerides, malondialdehyde, and adiponectin levels were all comparable between the two groups. Regarding QOL, a significant improvement was detected in the total scores and the activity and fatigue domains scores.Conclusion
Nicotinamide at a dose of 1000 mg daily was tolerable, improved metabolic abnormalities and QOL of diabetic NAFLD patients with no effect on liver fibrosis or steatosis.Trial registration
The study was registered at clinicaltrials.gov and given the ID number: 'NCT03850886'. https://clinicaltrials.gov/ct2/show/NCT03850886.
SUBMITTER: El-Kady RR
PROVIDER: S-EPMC8874180 | biostudies-literature | 2022
REPOSITORIES: biostudies-literature
Therapeutic advances in chronic disease 20220223
<h4>Background</h4>Nicotinamide has been reported to protect against liver steatosis and metabolic imbalances in nonalcoholic fatty liver disease (NAFLD) in animal models.<h4>Objectives</h4>The objective was to investigate the efficacy and safety of nicotinamide supplementation in diabetic NAFLD patients.<h4>Design</h4>This is a prospective randomized controlled open label study.<h4>Methods</h4>Seventy diabetic NAFLD patients were randomly assigned either to the nicotinamide group (<i>n</i> = 35 ...[more]