Ambati Suresh, Miller Colette N, Bass Erica F, Hohos Natalie M, Hartzell Diane L, Kelso Emily W, Trunnell Emily R, Yang Jeong-Yeh, Della-Fera Mary Anne, Baile Clifton A, Rayalam Srujana
1 Department of Animal and Dairy Sciences, University of Georgia , Athens, Georgia , USA.
2 Department of Foods and Nutrition, University of Georgia , Athens, Georgia , USA.
J Med Food. 2018 Oct;21(10):1044-1052. doi: 10.1089/jmf.2017.0113. Epub 2018 May 24.
Menopause induces a loss of bone as a result of estrogen deficiency. Despite pharmaceutical options for the treatment of osteopenia and osteoporosis, many aging women use dietary supplements with estrogenic activity to prevent bone loss and other menopausal-related symptoms. Such supplements are yet to be tested for efficacy against a Food and Drug Administration (FDA) approved medication for menopausal bone loss such as zoledronic acid (ZA). The postmenopausal rat model was used to investigate the efficacy of various synergistic phytochemical blends mixed into the diet for 16 weeks. Retired-breeder, Fischer 344 rats were randomly assigned to sham or ovariectomy surgery and 4 treatment groups: ZA; genistein supplementation; and a low dose and high dose blend of genistein, resveratrol, and quercetin. Ovariectomy resulted in a loss of both trabecular and cortical bone which was prevented with ZA. The phytochemical blends tested were unable to reverse these losses. Despite the lack of effectiveness in preventing bone loss, a significant dose-response trend was observed in the phytochemical-rich diets in bone adipocyte number compared to ovariectomized control rats. Data from this study indicate that estrogenic phytochemicals are not as efficacious as ZA in preventing menopausal-related bone loss but may have beneficial effects on bone marrow adiposity in rats.
更年期会因雌激素缺乏导致骨质流失。尽管有治疗骨质减少和骨质疏松的药物选择,但许多老年女性使用具有雌激素活性的膳食补充剂来预防骨质流失和其他与更年期相关的症状。此类补充剂尚未针对美国食品药品监督管理局(FDA)批准的用于治疗更年期骨质流失的药物(如唑来膦酸(ZA))进行疗效测试。采用绝经后大鼠模型,研究了混入饮食中的各种协同植物化学混合物连续16周的疗效。将退役繁殖用Fischer 344大鼠随机分为假手术组或卵巢切除手术组以及4个治疗组:ZA组;补充染料木黄酮组;染料木黄酮、白藜芦醇和槲皮素的低剂量和高剂量混合物组。卵巢切除导致小梁骨和皮质骨均流失,而ZA可预防这种情况。所测试的植物化学混合物无法逆转这些流失。尽管在预防骨质流失方面缺乏有效性,但与卵巢切除的对照大鼠相比,在富含植物化学物质的饮食中,观察到骨脂肪细胞数量存在显著的剂量反应趋势。这项研究的数据表明,具有雌激素活性的植物化学物质在预防与更年期相关的骨质流失方面不如ZA有效,但可能对大鼠骨髓脂肪有有益影响。