口服玛咖提取物对日本围绝经期妇女的临床疗效:一项随机、双盲、安慰剂对照研究

T. Takewaka, Kiyoshi Hara
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摘要

背景:在秘鲁的安第斯山脉,数千年来,玛卡的根因其丰富的营养特性而被传统地用作食物补充剂。秘鲁土著进一步扩大了玛咖在医学上的使用,以提高人类和牲畜的生育能力和壮阳作用,并治疗更年期疾病。目的:研究含1.2%以上苄基硫代葡萄糖苷(Maca- bg1.2 tm)的玛咖提取物对日本围绝经期妇女血清激素水平和更年期紊乱的影响。方法:采用随机、双盲、安慰剂对照、平行临床研究,为期8周,比较基线(第0周)和第8周血清中雌二醇(E2)、促卵泡激素(FSH)、黄体生成素(LH)和孕酮(PGS)水平。在绝经障碍方面,我们比较了所有队列的简化绝经指数(SMI)。42名健康的日本围绝经期妇女(40 ~ 58岁)随机分为两组,一组接受玛卡- bg1.2 tm治疗8周,另一组接受安慰剂治疗。所有参与者都签署了知情同意书。参与者每天早餐后自行服用两粒含150毫克玛咖- bg1.2 tm的硬凝胶胶囊或180毫克安慰剂。结果:给药8周后,月经周期围绝经期妇女血清E2水平明显升高。失眠是重度精神障碍的关键之一,玛卡- bg1.2 tm也能缓解围绝经期妇女的轻度更年期障碍。结论:玛咖- bg1.2 tm可能是日本围绝经期妇女有益的非激素植物物质。
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Clinical Effect of Oral Administration of Maca (Lepidium meyenii) Extract on Japanese Peri-Menopausal Women Subjects: A Randomized, Double-Blind, Placebo-Controlled Study
Background: Roots of Lepidium meyenii (Maca) is traditionally used as a food supplement for its rich nutritional property in Andes of Peru for thousands of years. Native Peruvian have further expanded Maca usage in medicine to enhance fertility and aphrodisiac in both human and live stocks and to treat menopausal disorders. Objective: We examined the effect of Maca extract containing at least 1.2% of benzylglucosinolate (Maca-BG1.2TM) on the serum level of hormones and menopausal disorder of Japanese peri-menopausal women. Methods: a randomized, double-blind, placebo controlled, parallel clinical study was carried out in a period of 8 weeks, levels of estradiol (E2), follicle stimulating hormone (FSH), luteinizing hormone (LH) and progesterone (PGS) in sera of baseline (week 0) and week 8 were compared. As for menopausal disorder, we compared the simplified menopausal index (SMI) of all the cohorts. 42 healthy peri-menopausal Japanese women (aged 40 to 58 years) were randomly allocated to two groups, one receiving Maca-BG1.2TM for 8 weeks and the other receiving placebo. All participants signed informed consent forms. Two hard gel capsules with 150 mg Maca-BG1.2TM or 180 mg placebo were self-administered by participants once daily after breakfast. Results: after 8 weeks administration of Maca-BG1.2TM, the E2 level was significantly increased in the sera of peri-menopausal women with periodical menstruation. insomnia, one key SMI, was also elevated and mild menopausal disorder peri-in menopausal women was alleviated by Maca-BG1.2TM. Conclusion: These results showed that Maca-BG1.2TM may be a useful non-hormonal plant material for Japanese peri-menopausal women.
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