Nonalcoholic Fatty Liver Disease Clinical Trial
Abstract
Background: Insulin resistance has an important role in the development of nonalcoholic
fatty liver disease (NAFLD) and is involved in both pathological processes: hepatic
steatosis and atherosclerosis. Therefore, treatment of NAFLD with insulin sensitizers is
likely to have a favorable effect towards hepatic steatosis and cardiovascular outcomes.
Objectives: The present study investigated the effect of metformin on arterial properties,
metabolic parameters and liver function in patients with NAFLD. Methods In randomized,
placebo controlled study, 63 patients with NAFLD were assigned to one of two groups: Group 1
received daily metformin; Group 2 received placebo. Pulse wave velocity (PWV) and
augmentation index (AI) were performed using SphygmoCor (version 7.1, AtCor Medical, Sydney,
Australia) at baseline and at the end of 4-month treatment period.. Metabolic measures and
serum adiponectin levels were determined.
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