PMID- 30477827 OWN - NLM STAT- MEDLINE DCOM- 20190304 LR - 20190304 IS - 1873-6963 (Electronic) IS - 0965-2299 (Linking) VI - 41 DP - 2018 Dec TI - The effects of Zataria multiflora Boiss. (Shirazi thyme) on nonalcoholic fatty liver disease and insulin resistance: A randomized double-blind placebo-controlled clinical trial. PG - 118-123 LID - S0965-2299(18)30712-X [pii] LID - 10.1016/j.ctim.2018.09.010 [doi] AB - OBJECTIVE: The aim of the study is to evaluate the effects of Zataria multiflora Boiss. (Shirazi thyme) (ZM) supplementation on nonalcoholic fatty liver disease (NAFLD) and related insulin resistance (IR). DESIGN: In this randomized double-blind placebo-controlled clinical trial, 85 patients with NAFLD were administered either 700 mg ZM powder or placebo twice daily for 12 weeks. All patients were advised to follow the recommendations for diet modification. RESULTS: ZM supplementation resulted in a significant reduction in serum insulin level (-2.72 +/- 0.80 vs -0.67 +/- 0.90, P(=)0.030), insulin resistance (-0.80 +/- 0.22 vs 0.06 +/- 0.22, P(=)0.023), systolic (-3.44 +/- 1.05 vs 1.03 +/- 0.98, P(=) 0.002) and diastolic (-2.33 +/- 0.77 vs 0.26 +/- 0.63, P(=) 0.009) blood pressure in patients with NAFLD in comparison with the placebo group. There was no significant difference between two groups regarding serum levels of alanine aminotransferase (ALT), high sensitive C-reactive protein (hs-CRP), Tumor necrosis factor-alpha (TNF-alpha), grade of fatty liver in ultrasonography, lipid profiles, and other outcomes. CONCLUSION: ZM supplementation with daily dose of 1400 mg for 12 weeks improved insulin resistance in patients with NAFLD. Further studies with longer duration and larger sample size are recommended. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Zamani, Nasrindokht AU - Zamani N AD - Research Center for Persian Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Shams, Mesbah AU - Shams M AD - Endocrine and Metabolism Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: shams@sums.ac.ir. FAU - Nimrouzi, Majid AU - Nimrouzi M AD - Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: mnimruzi@yahoo.com. FAU - Zarshenas, Mohammad Mehdi AU - Zarshenas MM AD - Medicinal Plants Processing Research Center, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran; Department of Phytopharmaceuticals (Traditional Pharmacy), School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Abolhasani Foroughi, Amin AU - Abolhasani Foroughi A AD - Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Fallahzadeh Abarghooei, Ebrahim AU - Fallahzadeh Abarghooei E AD - Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Fattahi, Mohammad Reza AU - Fattahi MR AD - Gasteroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20180917 PL - Scotland TA - Complement Ther Med JT - Complementary therapies in medicine JID - 9308777 RN - 0 (Insulin) RN - 0 (Lipids) RN - 0 (Plant Extracts) RN - 9007-41-4 (C-Reactive Protein) RN - EC 2.6.1.2 (Alanine Transaminase) SB - IM CIN - Complement Ther Med. 2019 Feb;42:270. PMID: 30670253 MH - Adult MH - Alanine Transaminase/blood MH - Blood Pressure/drug effects MH - C-Reactive Protein/metabolism MH - Dietary Supplements MH - Double-Blind Method MH - Female MH - Humans MH - Insulin/*blood MH - *Insulin Resistance MH - Lipids/blood MH - Liver/*drug effects/pathology MH - Male MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease/blood/*drug therapy MH - *Phytotherapy MH - Plant Extracts/*pharmacology MH - *Thymus Plant OTO - NOTNLM OT - Dietary supplements OT - Herbal medicine OT - Insulin resistance OT - Nonalcoholic fatty liver disease OT - Thymus plant OT - Traditional medicine OT - Zataria multiflora EDAT- 2018/11/28 06:00 MHDA- 2019/03/05 06:00 CRDT- 2018/11/28 06:00 PHST- 2018/07/20 00:00 [received] PHST- 2018/09/13 00:00 [revised] PHST- 2018/09/14 00:00 [accepted] PHST- 2018/11/28 06:00 [entrez] PHST- 2018/11/28 06:00 [pubmed] PHST- 2019/03/05 06:00 [medline] AID - S0965-2299(18)30712-X [pii] AID - 10.1016/j.ctim.2018.09.010 [doi] PST - ppublish SO - Complement Ther Med. 2018 Dec;41:118-123. doi: 10.1016/j.ctim.2018.09.010. Epub 2018 Sep 17.