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补充雌马酚和白藜芦醇对绝经后女性健康相关生活质量的影响:一项随机、安慰剂对照研究。

Influence of equol and resveratrol supplementation on health-related quality of life in menopausal women: A randomized, placebo-controlled study.

作者信息

Davinelli Sergio, Scapagnini Giovanni, Marzatico Fulvio, Nobile Vincenzo, Ferrara Nicola, Corbi Graziamaria

机构信息

Department of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.

Department of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.

出版信息

Maturitas. 2017 Feb;96:77-83. doi: 10.1016/j.maturitas.2016.11.016. Epub 2016 Nov 27.

Abstract

OBJECTIVE

This study was designed to evaluate the effects of equol and resveratrol supplementation on health-related quality of life (HRQoL) in otherwise healthy menopausal women with hot flashes, anxiety and depressive symptoms.

METHODS

Sixty recently menopausal women aged 50-55 years were randomized in a 12-week, placebo-controlled trial to receive 200mg of fermented soy containing 10mg of equol and 25mg of resveratrol (1 tablet/day). The primary outcome was the change in score on the Menopause Rating Scale (MRS), used to evaluate the severity of age-/menopause-related complaints. Additional outcome measures included the subject-reported score on the Hamilton Rating Scale for Depression (HAM-D) and Nottingham Health Profile (NHP), which was used specifically to assess sleep quality.

RESULTS

The symptoms assessed by the MRS improved during treatment in the active group. Comparison between placebo and treatment groups revealed statistically significant improvement in particular for dryness of vagina (-85.7%) (p<0.001), heart discomfort (-78.8%; p<0.001) and sexual problems (-73.3%; p<0.001). On the HAM-D significant improvements at week 12 were seen in work and activities (-94.1%) (p<0.001). Subjects treated with equol and resveratrol also had significant differences in the sleep domain of the NHP (p<0.001).

CONCLUSION

These findings provide evidence that 12 weeks of dietary supplementation with equol and resveratrol may improve menopause-related quality of life in healthy women.

摘要

目的

本研究旨在评估补充雌马酚和白藜芦醇对潮热、焦虑和抑郁症状的健康绝经女性健康相关生活质量(HRQoL)的影响。

方法

60名年龄在50 - 55岁的近期绝经女性被随机分配到一项为期12周的安慰剂对照试验中,接受含有10mg雌马酚和25mg白藜芦醇的200mg发酵大豆(1片/天)。主要结局是用于评估年龄/绝经相关症状严重程度的绝经评定量表(MRS)得分的变化。其他结局指标包括受试者报告的汉密尔顿抑郁评定量表(HAM-D)得分和诺丁汉健康量表(NHP),后者专门用于评估睡眠质量。

结果

活性组治疗期间,MRS评估的症状有所改善。安慰剂组和治疗组之间的比较显示,特别是在阴道干燥(-85.7%)(p<0.001)、心脏不适(-78.8%;p<0.001)和性问题(-73.3%;p<0.001)方面有统计学显著改善。在HAM-D上,第12周时工作和活动方面有显著改善(-94.1%)(p<0.001)。接受雌马酚和白藜芦醇治疗的受试者在NHP的睡眠领域也有显著差异(p<0.00)。

结论

这些发现提供了证据,表明12周的雌马酚和白藜芦醇膳食补充剂可能改善健康女性的绝经相关生活质量。

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