Kim Hye In, Chon Seung Joo, Seon Ki Eun, Seo Seok Kyo, Choi Yun-Rak
Department of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Department of Obstetrics and Gynecology, Gil Hospital, Graduate School of Medicine, Gachon University of Medicine and Science, Inchon, South Korea.
Front Pharmacol. 2021 Nov 8;12:745568. doi: 10.3389/fphar.2021.745568. eCollection 2021.
Although many menopausal Asian women use herbal remedies for joint pain, there are no studies evaluating the efficacy of Korean red ginseng on osteoarthritis symptoms in postmenopausal women. The purpose of this study is to analyze antioxidant enzyme activity, oxidative stress markers, and pain scores before and after red ginseng consumption, to assess its effect in postmenopausal women.
This prospective, double-blind, randomized controlled trial enrolled 52 postmenopausal women who presented with hand edema and/or pain and were diagnosed as degenerative arthritis of the hand. Patients were randomly assigned to the red ginseng (RG) group (supplemented with 3 g/d of RG for 12 weeks) or the placebo group. Changes in pain and Disability of the Arm, Shoulder, and Hand (DASH) scores, antioxidant enzyme, oxidative stress markers, serum estradiol levels, and endometrial thickness were analyzed.
The pain score and DASH score were significantly improved in the RG group (both < 0.05). The improvement of pain score at rest, during work or sport, and DASH score was significant compared to that of the placebo group. The superoxide dismutase level increased ( < 0.05) and the malondialdehyde level decreased ( < 0.05) significantly in the RG group, while none of the antioxidative factors showed a significant change in the placebo group. Serum estradiol levels and endometrial thickness were not affected by RG supplementation.
RG may be an effective dietary supplement for postmenopausal women with degenerative osteoarthritis of the hand. It may relieve pain and improve antioxidative activity without the risk of endometrial thickening.
尽管许多亚洲更年期女性使用草药治疗关节疼痛,但尚无研究评估韩国红参对绝经后女性骨关节炎症状的疗效。本研究旨在分析食用红参前后的抗氧化酶活性、氧化应激标志物和疼痛评分,以评估其对绝经后女性的影响。
这项前瞻性、双盲、随机对照试验招募了52名出现手部水肿和/或疼痛且被诊断为手部退行性关节炎的绝经后女性。患者被随机分配到红参(RG)组(每天补充3克RG,持续12周)或安慰剂组。分析疼痛和手臂、肩部和手部功能障碍(DASH)评分、抗氧化酶、氧化应激标志物、血清雌二醇水平和子宫内膜厚度的变化。
RG组的疼痛评分和DASH评分均显著改善(均P<0.05)。与安慰剂组相比,休息时、工作或运动时的疼痛评分以及DASH评分的改善均具有显著性。RG组超氧化物歧化酶水平显著升高(P<0.05),丙二醛水平显著降低(P<0.05),而安慰剂组的抗氧化因子均未出现显著变化。补充RG未影响血清雌二醇水平和子宫内膜厚度。
RG可能是手部退行性骨关节炎绝经后女性的一种有效膳食补充剂。它可能缓解疼痛并提高抗氧化活性,且无子宫内膜增厚风险。