Zadhoush Roya, Alavi-Naeini Amirmansour, Feizi Awat, Naghshineh Elham, Ghazvini Mohammad Reza
Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Biostatistics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2023 Jul 27;14:98. doi: 10.4103/ijpvm.ijpvm_308_21. eCollection 2023.
The purpose of the present study was to investigate the effect of garlic supplementation on androgen levels and glycemic-related markers in patients with PCOS.
In these 8 weeks of randomized double-blinded control trial, 80 women were randomly assigned into two groups in which patients were asked to intake either 800 mg/day garlic or an identical placebo. A blood sample was obtained pre- and post-trial to assess androgens and glycemic-related parapets. A 3-days- food record and a short form of international physical activity questionnaires (IPAQ) were also evaluated at the beginning and end of the trial.
All participants completed the trial. Garlic supplementation resulted in significant reduction in fasting plasma glucose (-3.22 ± 7.41 vs. 0.72 ± 5.37; = 0.008) and homeostatic model assessment for insulin resistance (HOMA-IR) (-0.29 ± 1.45 vs. 0.28 ± 1.20; = 0.02). In addition, a trend to a significant improvement was detected in free androgen index (FAI) ( = 0.09), insulin levels ( = 0.07), and quantitative insulin sensitivity check index (QUICKI) ( = 0.06). However, no significant difference was found in testosterone and sex hormone-binding globulin (SHBG) ( > 0.05).
Present study indicates that garlic supplementation could be beneficial for FPG and insulin resistance improvement. However, garlic supplementation does not show remarkable efficacy on androgens. Further studies are warranted to confirm the results.
本研究旨在探讨补充大蒜对多囊卵巢综合征(PCOS)患者雄激素水平和血糖相关指标的影响。
在这项为期8周的随机双盲对照试验中,80名女性被随机分为两组,要求患者每天摄入800毫克大蒜或相同的安慰剂。在试验前后采集血样以评估雄激素和血糖相关指标。在试验开始和结束时还评估了3天的食物记录和国际体力活动问卷简表(IPAQ)。
所有参与者均完成了试验。补充大蒜导致空腹血糖显著降低(-3.22±7.41对0.72±5.37;P = 0.008)以及胰岛素抵抗的稳态模型评估(HOMA-IR)降低(-0.29±1.45对0.28±1.20;P = 0.02)。此外,游离雄激素指数(FAI)(P = 0.09)、胰岛素水平(P = 0.07)和定量胰岛素敏感性检查指数(QUICKI)(P = 0.06)有显著改善的趋势。然而,睾酮和性激素结合球蛋白(SHBG)未发现显著差异(P>0.05)。
本研究表明补充大蒜可能有益于空腹血糖(FPG)和胰岛素抵抗的改善。然而,补充大蒜对雄激素没有显著疗效。需要进一步研究来证实这些结果。