Research Article Details

Article ID: A21660
PMID: 25141113
Source: Clinics (Sao Paulo)
Title: The association of vitamin D deficiency with non-alcoholic fatty liver disease.
Abstract: OBJECTIVE: Vitamin D deficiency has been related to diabetes, hypertension, hyperlipidemia and peripheral vascular disease. In this study, we aimed to investigate the role of vitamin D status in non-alcoholic fatty liver disease. METHODS: We included 211 consecutive subjects to examine the presence of non-alcoholic fatty liver disease. Of these subjects, 57 did not have non-alcoholic fatty liver disease and 154 had non-alcoholic fatty liver disease. RESULTS: The non-alcoholic fatty liver disease group had significantly higher fasting blood glucose (p&#8202;=&#8202;0.005), uric acid (p&#8202;=&#8202;0.001), aspartate aminotransferase (p<0.001), alanine aminotransferase (p<0.001), &#947;-glutamyltransferase (p<0.0001), alkaline phosphatase (p&#8202;=&#8202;0.028), HbA1c (p<0.001), ferritin (p<0.001), insulin (p&#8202;=&#8202;0.016), C-peptide (p&#8202;=&#8202;0.001), HOMA-IR (p&#8202;=&#8202;0.003), total cholesterol (p&#8202;=&#8202;0.001), triglyceride (p&#8202;=&#8202;0.001) and white blood cell (p&#8202;=&#8202;0.04) levels. In contrast, the non-alcoholic fatty liver disease group had significantly lower 25(OH)D levels (12.3&#177;8.9 ng/dl, p<0.001) compared with those of the control group (20&#177;13.6 ng/dl). CONCLUSIONS: In this study, we found lower serum 25(OH)D levels in patients with non-alcoholic fatty liver disease than in subjects without non-alcoholic fatty liver disease. To establish causality between vitamin D and non-alcoholic fatty liver disease, further interventional studies with a long-term follow-up are needed.
DOI: 10.6061/clinics/2014(08)07