Stojanovska L, Law C, Lai B, Chung T, Nelson K, Day S, Apostolopoulos V, Haines C
* Centre for Chronic Disease Prevention and Management, College of Health and Biomedicine, Victoria University , Victoria , Australia.
Climacteric. 2015 Feb;18(1):69-78. doi: 10.3109/13697137.2014.929649. Epub 2014 Aug 7.
Lepidium meyenii (Maca) has been used for centuries for its fertility-enhancing and aphrodisiac properties. In an Australian study, Maca improved anxiety and depressive scores. The effects of Maca on hormones, lipids, glucose, serum cytokines, blood pressure, menopausal symptoms and general well-being in Chinese postmenopausal women were evaluated.
A randomized, double-blind, placebo-controlled, cross-over study was conducted in 29 postmenopausal Hong Kong Chinese women. They received 3.3 g/day of Maca or placebo for 6 weeks each, in either order, over 12 weeks. At baseline, week 6 and week 12, estradiol, follicle stimulating hormone (FSH), sex hormone binding globulin (SHBG), thyroid stimulating hormone (TSH), full lipid profiles, glucose and serum cytokines were measured. The Greene Climacteric, SF-36 Version 2, Women's Health Questionnaire and Utian Quality of Life Scales were used to assess the severity of menopausal symptoms and health-related quality of life.
There were no differences in estradiol, FSH, TSH, SHBG, glucose, lipid profiles and serum cytokines amongst those who received Maca as compared to the placebo group; however, significant decreases in diastolic blood pressure and depression were apparent after Maca treatment.
Maca did not exert hormonal or immune biological action in the small cohort of patients studied; however, it appeared to reduce symptoms of depression and improve diastolic blood pressure in Chinese postmenopausal women. Although results are comparable to previous similar published studies in postmenopausal women, there might be a cultural difference among the Chinese postmenopausal women in terms of symptom reporting.
玛咖(Lepidium meyenii)几个世纪以来一直因其增强生育能力和壮阳特性而被使用。在一项澳大利亚的研究中,玛咖改善了焦虑和抑郁评分。本研究评估了玛咖对中国绝经后女性的激素、血脂、血糖、血清细胞因子、血压、更年期症状及总体健康状况的影响。
对29名香港绝经后中国女性进行了一项随机、双盲、安慰剂对照的交叉研究。她们在12周内,先后接受为期6周的每日3.3克玛咖或安慰剂治疗,顺序不限。在基线、第6周和第12周时,测量雌二醇、促卵泡激素(FSH)、性激素结合球蛋白(SHBG)、促甲状腺激素(TSH)、全套血脂谱、血糖和血清细胞因子。使用格林更年期量表、SF-36第2版、女性健康问卷和乌田生活质量量表来评估更年期症状的严重程度和与健康相关的生活质量。
与安慰剂组相比,接受玛咖治疗的患者在雌二醇、FSH、TSH、SHBG、血糖、血脂谱和血清细胞因子方面没有差异;然而,玛咖治疗后舒张压和抑郁症状明显降低。
在所研究的小样本患者中,玛咖未发挥激素或免疫生物学作用;然而,它似乎能减轻中国绝经后女性的抑郁症状并改善舒张压。尽管结果与之前发表的绝经后女性类似研究相当,但中国绝经后女性在症状报告方面可能存在文化差异。