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藏红花提取物(affron®)对围绝经期女性绝经症状的影响:一项随机、双盲、安慰剂对照研究。

The Effects of a Saffron Extract (affron®) on Menopausal Symptoms in Women during Perimenopause: A Randomised, Double-Blind, Placebo-Controlled Study.

作者信息

Lopresti Adrian L, Smith Stephen J

机构信息

Clinical Research Australia, Perth, Australia.

College of Science, Health, Engineering and Education, Murdoch University, Perth, Australia.

出版信息

J Menopausal Med. 2021 Aug;27(2):66-78. doi: 10.6118/jmm.21002.

DOI:10.6118/jmm.21002
PMID:34463070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8408316/
Abstract

OBJECTIVES

There is preliminary evidence suggesting saffron may effectively treat menopausal symptoms. The aim of this study was to examine the tolerability and efficacy of a standardised saffron extract (affron®) on menopausal complaints in perimenopausal women.

METHODS

In this 12-week, parallel-group, double-blind, randomised controlled trial, 86 perimenopausal women experiencing menopausal complaints received either a placebo or 14 mg of a saffron extract (affron®), twice daily. Outcome measures included the Greene Climacteric Scale (GCS), Positive and Negative Affect Schedule (PANAS), and Short Form-36 Health Survey (SF-36).

RESULTS

Based on data collected from 82 participants, saffron was associated with greater improvements in mood and psychological symptoms compared to the placebo. Results from the GCS revealed a significantly greater reduction in the GCS psychological score ( = 0.032), characterised by a 33% reduction in anxiety and a 32% reduction in depression scores from baseline to week 12. There was also a significantly greater reduction in the PANAS negative affect score ( = 0.043) compared to the placebo. However, compared to the placebo, saffron was not associated with greater improvements in vasomotor symptoms, somatic symptoms, or other quality of life measures. Saffron intake was well tolerated with no reported major adverse events.

CONCLUSIONS

The saffron extract, affron®, administered for 12 weeks at a dose of 14 mg twice daily was associated with greater improvements in psychological symptoms. Further studies in perimenopausal women presenting with varying severity of menopausal symptoms, using different doses of saffron will be useful to examine in future clinical trials.

摘要

目的

有初步证据表明藏红花可能有效治疗更年期症状。本研究的目的是检验标准化藏红花提取物(affron®)对围绝经期妇女更年期不适的耐受性和疗效。

方法

在这项为期12周的平行组、双盲、随机对照试验中,86名有更年期不适的围绝经期妇女每天两次接受安慰剂或14毫克藏红花提取物(affron®)。结果测量包括格林更年期量表(GCS)、正负情绪量表(PANAS)和简短健康调查36项量表(SF - 36)。

结果

基于从82名参与者收集的数据,与安慰剂相比,藏红花与情绪和心理症状的更大改善相关。GCS结果显示GCS心理评分显著降低(P = 0.032),其特征是从基线到第12周焦虑降低33%,抑郁评分降低32%。与安慰剂相比,PANAS负性情绪评分也显著降低(P = 0.043)。然而,与安慰剂相比,藏红花在血管舒缩症状、躯体症状或其他生活质量指标方面没有带来更大改善。藏红花的摄入耐受性良好,未报告重大不良事件。

结论

每天两次服用14毫克剂量的藏红花提取物affron®,持续12周,与心理症状的更大改善相关。未来在患有不同严重程度更年期症状的围绝经期妇女中使用不同剂量藏红花进行进一步研究,将有助于未来的临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d8c/8408316/fde7ce2120e4/jmm-27-66-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d8c/8408316/8c1b27948653/jmm-27-66-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d8c/8408316/d9598fcc0248/jmm-27-66-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d8c/8408316/fde7ce2120e4/jmm-27-66-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d8c/8408316/8c1b27948653/jmm-27-66-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d8c/8408316/d9598fcc0248/jmm-27-66-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d8c/8408316/fde7ce2120e4/jmm-27-66-g003.jpg

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