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山茱萸提取物对绝经后妇女骨生物标志物和炎症的影响:一项随机临床试验。

The effect of Cornus mas extract consumption on bone biomarkers and inflammation in postmenopausal women: A randomized clinical trial.

机构信息

Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Phytother Res. 2021 Aug;35(8):4425-4432. doi: 10.1002/ptr.7143. Epub 2021 May 10.

Abstract

The drastic decrease in estrogen levels in menopausal women can elevate bone resorption and osteoporosis. Cornus mas extract (C. mas extract) is a potential candidate for treating menopausal-related bone complications because of its phytoestrogen and anti-inflammatory contents. It was an interventional double-blind placebo-controlled randomized study. Eighty-four women aged 45-60 years old were randomly allocated to either the extract group receiving 3 capsules of 300 mg C. mas extract or the placebo group receiving 3 capsules of 300 mg of starch powder per day for 8 weeks. Then, venous blood was used to measure bone-specific alkaline phosphatase (BAP), osteocalcin (OC), C-terminal telopeptide (TC) as well as serum levels of PTH and hsCRP. Our results indicated the decrease in alkaline phosphatase, PTH, and as an inflammation biomarker, hsCRP, between two groups at the end of the study. No statistically significant difference was observed in telopeptide C, osteocalcin, and calcium between the placebo and extract groups after 8 weeks of intervention. In conclusion, the results indicate that the C. mas extract supplement of 900 mg/day may decrease levels of BAP, PTH, and hsCRP. However, this intervention had no beneficial effect on OC and TC in healthy postmenopausal women.

摘要

绝经后女性体内雌激素水平的急剧下降会导致骨质吸收增加和骨质疏松症。山茱萸提取物(C. mas 提取物)是治疗与绝经相关的骨骼并发症的潜在候选药物,因为它含有植物雌激素和抗炎成分。这是一项干预性、双盲、安慰剂对照、随机研究。将 84 名年龄在 45-60 岁的女性随机分为提取物组(每天服用 3 粒 300mg 的山茱萸提取物)和安慰剂组(每天服用 3 粒 300mg 的淀粉粉末),持续 8 周。然后,抽取静脉血测量骨特异性碱性磷酸酶(BAP)、骨钙素(OC)、C 端肽(TC)以及血清甲状旁腺素(PTH)和高敏 C 反应蛋白(hsCRP)水平。我们的研究结果表明,在研究结束时,两组的碱性磷酸酶、PTH 和作为炎症生物标志物的 hsCRP 均有所下降。在干预 8 周后,与安慰剂组相比,C 端肽、骨钙素和钙在提取物组中无显著差异。总之,结果表明,每天补充 900mg 的山茱萸提取物可能会降低 BAP、PTH 和 hsCRP 的水平。然而,这种干预对健康绝经后妇女的 OC 和 TC 没有有益影响。

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