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Metabolic and hormonal effects of melatonin and/or magnesium supplementation in women with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial

Alizadeh M, Karandish M, Asghari Jafarabadi M, Heidari L, Nikbakht R, Babaahmadi Rezaei H, Mousavi R

Nutrition & metabolism · 37 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (clasificado por nuestro filtro de IA)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
Ahvaz Jundishapur University of Medical Sciences
Universidad u hospital
University of Tabriz
Universidad u hospital
Tabriz University of Medical science
Subvenciones
Ahvaz Jundishapur University of Medical Sciences (NRC-9815)

Según 3 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2021-06-06 · Nutr Metab (Lond) · vol. 18 · número 1 · pág. 57
Editorial
BioMed Central
Citado
52 citas · más que el 93% de estudios similares · 3.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
63 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Magnesium in Health and Disease · Ovarian function and disorders · Menopause: Health Impacts and Treatments
Palabras clave
Melatonin, Polycystic ovary, Endocrinology, Internal medicine, Medicine, Placebo, Insulin resistance, Testosterone (patch), Lipid profile, Insulin, Cholesterol

7 autores

  • Mohammad Alizadeh🇮🇷University of Tabriz
  • Majid Karandish🇮🇷Ahvaz Jundishapur University of Medical Sciences
  • Mohammad Asghari Jafarabadi🇮🇷Zanjan University of Medical Sciences; University of Tabriz
  • Lida Heidari🇮🇷Isfahan Fertility and Infertility Center
  • Roshan Nikbakht🇮🇷Ahvaz Jundishapur University of Medical Sciences
  • Hossein Babaahmadi‐Rezaei🇮🇷Ahvaz Jundishapur University of Medical Sciences
  • Reihaneh Mousavi🇮🇷 · autor de correspondenciaAhvaz Jundishapur University of Medical Sciences

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders among women of reproductive age. This study was designed to investigate the effects of melatonin and/or magnesium supplementation on metabolic profile and levels of sex hormones in PCOS women.

Methods

In an 8-week randomized double-blind placebo-controlled trial, 84 subjects with PCOS aged 18-40 years were randomly assigned based on the random block procedure to take magnesium, melatonin, magnesium plus melatonin, and placebo. Fasting blood samples were obtained at the beginning and end of the study.

Results

After intervention, the mean Pittsburg Sleep Quality Index score decreased significantly in both co-supplementation and melatonin groups (P < 0.001). Magnesium supplementation in combination with melatonin resulted in a significant greater decrease in testosterone concentrations compared with the placebo (P < 0.05). Co-supplementation of magnesium-melatonin had significantly reduced serum insulin levels (geometric means difference: - 1.11 (mIU/mL) (percent change: - 15.99)), homeostasis model of assessment-insulin resistance (HOMA-IR) (- 0.28 (- 18.66)), serum cholesterol (mean difference: - 16.08 (mg/dl) [95% CI - 24.24, - 7.92]), low-density lipoprotein cholesterol (LDL-C) - 18.96 (mg/dl) [- 28.73, - 9.20]) and testosterone levels (- 0.09 (ng/ml) (- 25.00)), as compared to the baseline values (P < 0.05). An increase in serum high-density lipoprotein cholesterol (HDL-C) levels was also observed following the administration of the melatonin alone (2.76 (mg/dl) [0.57, 4.95]) or in combination with magnesium (2.19 (mg/dl) [0.61, 3.77]) (P < 0.05).

Conclusions

Co-supplementation with magnesium and melatonin had beneficial effects on sleep quality and total testosterone. Additionally, melatonin supplementation alone was found to be associated with a significant reduction in PSQI score. Moreover, combined melatonin and magnesium supplementation was more effective in improving serum levels of cholesterol, LDL-C, HDL-C and insulin, and HOMA-IR.

Trial registration

Iranian Registry of Clinical Trial. http://www.irct.ir : IRCT20191130045556N1, January 2020.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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