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Published in: Journal of Endocrinological Investigation 1/2017

01-01-2017 | Original Article

Effects of nutraceuticals on quality of life and sexual function of perimenopausal women

Authors: S. Caruso, S. Cianci, M. Cariola, V. Fava, A. M. C. Rapisarda, A. Cianci

Published in: Journal of Endocrinological Investigation | Issue 1/2017

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Abstract

Purpose

The aim of the study was to evaluate the effects of nutraceuticals containing Equol, Resveratrol, Quecitine and Passiflora (Zemiar®, Avantgarde, Pomezia, Rome, Italy) on quality of life (QoL) and sexual function in perimenopausal women.

Methods

Sixty perimenopausal women having vasomotor symptoms and being in the −1, +1a of the STRAW system (amenorrhea for longer than 60 days and FSH < 20 UI/L) were enrolled. The modified Kupperman Index (KI) was used to evaluate menopause symptoms. The Short Form-36 (SF-36), Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS) were used to assess QoL, sexual function and sexual distress, respectively. The study had two follow-ups at 3 and 6 months.

Results

The women reported an improvement in the KI total score from the baseline (35 ± 4) to the 1st (21 ± 3, p < 0.05) and the 2nd (18 ± 2, p < 0.01) follow-ups. At the 1st follow-up, the women reported QoL improvements in some functions (p < 0.05); at the 2nd follow-up, they reported improvements in all categories (p < 0.001). At baseline, the total FSFI score was 23.1 ± 1.2 and the FSDS score was 18.1 ± 1.4, both indicating sexual dysfunction with sexual distress. FSFI and FSDS total scores did not change at the 1st follow-up (p = NS). On the contrary, at the 2nd follow-up, the FSFI score had risen to (27.6 ± 1.5) (p < 0.001) and the FSDS score had dropped to (11.3 ± 1.2) (p < 0.001).

Conclusions

Nutraceuticals can be effective in modulating the perimenopausal symptoms in women. The progressive reduction of the vasomotor symptoms reported by women over the nutraceutical usage could contribute to improve their QoL and sexual life.
Literature
1.
go back to reference de Bruin JP, Bovenhuis H, van Noord PA, Pearson PL, van Arendonk JA, te Velde ER, Kuurman WW, Dorland M (2001) The role of genetic factors in age at natural menopause. Hum Reprod 16:2014–2018CrossRefPubMed de Bruin JP, Bovenhuis H, van Noord PA, Pearson PL, van Arendonk JA, te Velde ER, Kuurman WW, Dorland M (2001) The role of genetic factors in age at natural menopause. Hum Reprod 16:2014–2018CrossRefPubMed
2.
go back to reference He C, Murabito JM (2014) Genome-wide association studies of age at menarche and age at natural menopause. Mol Cell Endocrinol 382:767–779CrossRefPubMed He C, Murabito JM (2014) Genome-wide association studies of age at menarche and age at natural menopause. Mol Cell Endocrinol 382:767–779CrossRefPubMed
3.
go back to reference Deeks AA (2004) Is this menopause? Women in midlife-psychosocial issues. Aust Fam Physician 33:889–893PubMed Deeks AA (2004) Is this menopause? Women in midlife-psychosocial issues. Aust Fam Physician 33:889–893PubMed
4.
go back to reference McKinley NM, Lyon LA (2008) Menopausal attitudes, objectified body consciousness, aging anxiety, and body esteem: European American women’s body experiences in midlife. Body Image 5:375–380CrossRefPubMed McKinley NM, Lyon LA (2008) Menopausal attitudes, objectified body consciousness, aging anxiety, and body esteem: European American women’s body experiences in midlife. Body Image 5:375–380CrossRefPubMed
5.
go back to reference Freeman EW (2010) Associations of depression with the transition to menopause. Menopause 17:823–827CrossRefPubMed Freeman EW (2010) Associations of depression with the transition to menopause. Menopause 17:823–827CrossRefPubMed
8.
go back to reference Cohen LS, Soares CN, Joffe H (2005) Diagnosis and management of mood disorders during the menopausal transition. Am J Med 118(Suppl 12B):93–97CrossRefPubMed Cohen LS, Soares CN, Joffe H (2005) Diagnosis and management of mood disorders during the menopausal transition. Am J Med 118(Suppl 12B):93–97CrossRefPubMed
9.
go back to reference Pearce G, Thøgersen-Ntoumani C, Duda J (2014) Body image during the menopausal transition: a systematic scoping review. Health Psychol Rev 8:473–489CrossRefPubMed Pearce G, Thøgersen-Ntoumani C, Duda J (2014) Body image during the menopausal transition: a systematic scoping review. Health Psychol Rev 8:473–489CrossRefPubMed
10.
go back to reference Yanikkerem E, Koltan SO, Tamay AG, Dikayak Ş (2012) Relationship between women’s attitude towards menopause and quality of life. Climacteric 15:552–562CrossRefPubMed Yanikkerem E, Koltan SO, Tamay AG, Dikayak Ş (2012) Relationship between women’s attitude towards menopause and quality of life. Climacteric 15:552–562CrossRefPubMed
11.
go back to reference Terauchi M, Hirose A, Akiyoshi M, Owa Y, Kato K, Kubota T (2015) Prevalence and predictors of storage lower urinary tract symptoms in perimenopausal and postmenopausal women attending a menopause clinic. Menopause 22:1084–1090CrossRefPubMed Terauchi M, Hirose A, Akiyoshi M, Owa Y, Kato K, Kubota T (2015) Prevalence and predictors of storage lower urinary tract symptoms in perimenopausal and postmenopausal women attending a menopause clinic. Menopause 22:1084–1090CrossRefPubMed
12.
go back to reference Thornton K, Chervenak J, Neal-Perry G (2015) Menopause and Sexuality. Endocrinol Metab Clin North Am 44:649–661CrossRefPubMed Thornton K, Chervenak J, Neal-Perry G (2015) Menopause and Sexuality. Endocrinol Metab Clin North Am 44:649–661CrossRefPubMed
13.
go back to reference Dennerstein L, Hayes RD (2005) Confronting the challenges: epidemiological study of female sexual dysfunction and the menopause. J Sex Med 2(Suppl 3):118–132CrossRefPubMed Dennerstein L, Hayes RD (2005) Confronting the challenges: epidemiological study of female sexual dysfunction and the menopause. J Sex Med 2(Suppl 3):118–132CrossRefPubMed
14.
go back to reference Nappi RE, Lachowsky M (2009) Menopause and sexuality: prevalence of symptoms and impact on quality of life. Maturitas 63:138–141CrossRefPubMed Nappi RE, Lachowsky M (2009) Menopause and sexuality: prevalence of symptoms and impact on quality of life. Maturitas 63:138–141CrossRefPubMed
15.
go back to reference Hale GE, Robertson DM, Burger HG (2014) The perimenopausal woman: endocrinology and management. J Steroid Biochem Mol Biol 142:121–131CrossRefPubMed Hale GE, Robertson DM, Burger HG (2014) The perimenopausal woman: endocrinology and management. J Steroid Biochem Mol Biol 142:121–131CrossRefPubMed
16.
go back to reference Nutraceuticals/Functional Foods and Health Claims on Foods: Policy Paper”. Health Canada. June 24, 2013. Retrieved January 30, 2014 Nutraceuticals/Functional Foods and Health Claims on Foods: Policy Paper”. Health Canada. June 24, 2013. Retrieved January 30, 2014
17.
go back to reference Hardy G (2000) Nutraceuticals and functional foods: introduction and meaning. Nutrition 16:688–689CrossRefPubMed Hardy G (2000) Nutraceuticals and functional foods: introduction and meaning. Nutrition 16:688–689CrossRefPubMed
18.
go back to reference Wu J, Oka J, Ezaki J, Ohtomo T, Ueno T, Uchiyama S, Toda T, Uehara M, Ishimi Y (2007) Possible role of equol status in the effects of isoflavone on bone and fat mass in postmenopausal Japanese women: a double-blind, randomized, controlled trial. Menopause 14:866–874CrossRefPubMed Wu J, Oka J, Ezaki J, Ohtomo T, Ueno T, Uchiyama S, Toda T, Uehara M, Ishimi Y (2007) Possible role of equol status in the effects of isoflavone on bone and fat mass in postmenopausal Japanese women: a double-blind, randomized, controlled trial. Menopause 14:866–874CrossRefPubMed
19.
go back to reference Mikstacka R, Rimando AM, Ignatowicz E (2010) Antioxidant effect of trans-resveratrol, pterostilbene, quercetin and their combinations in human erythrocytes in vitro. Plant Foods Hum Nutr 65:57–63CrossRefPubMed Mikstacka R, Rimando AM, Ignatowicz E (2010) Antioxidant effect of trans-resveratrol, pterostilbene, quercetin and their combinations in human erythrocytes in vitro. Plant Foods Hum Nutr 65:57–63CrossRefPubMed
20.
go back to reference Yang JY, Della-Fera MA, Rayalam S, Ambati S, Hartzell DL, Park HJ, Baile CA (2008) Enhanced inhibition of adipogenesis and induction of apoptosis in 3T3-L1 adipocytes with combinations of resveratrol and quercetin. Life Sci 82:1032–1039CrossRefPubMed Yang JY, Della-Fera MA, Rayalam S, Ambati S, Hartzell DL, Park HJ, Baile CA (2008) Enhanced inhibition of adipogenesis and induction of apoptosis in 3T3-L1 adipocytes with combinations of resveratrol and quercetin. Life Sci 82:1032–1039CrossRefPubMed
21.
go back to reference Appel K, Rose T, Fiebich B, Kammler T, Hoffmann C, Weiss G (2011) Modulation of the γ-aminobutyric acid (GABA) system by Passiflora incarnata L. Phytother Res 25:838–843CrossRefPubMed Appel K, Rose T, Fiebich B, Kammler T, Hoffmann C, Weiss G (2011) Modulation of the γ-aminobutyric acid (GABA) system by Passiflora incarnata L. Phytother Res 25:838–843CrossRefPubMed
22.
go back to reference Ngan A, Conduit R (2011) A double-blind, placebo-controlled investigation of the effects of Passiflora incarnata (passionflower) herbal tea on subjective sleep quality. Phytother Res 25:1153–1159CrossRefPubMed Ngan A, Conduit R (2011) A double-blind, placebo-controlled investigation of the effects of Passiflora incarnata (passionflower) herbal tea on subjective sleep quality. Phytother Res 25:1153–1159CrossRefPubMed
23.
go back to reference Cao ZY (2005) Chinese obstetrics and gynecology. People’s Medical Publishing House, Beijing Cao ZY (2005) Chinese obstetrics and gynecology. People’s Medical Publishing House, Beijing
24.
go back to reference Ware JE, Kosinski M, Gandek B et al (1998) The factor structure of the SF-36 Health Survey in 10 countries: results from the International Quality of Life Assessment (IQOLA) project. J Clin Epidemiol 51:1159–1165CrossRefPubMed Ware JE, Kosinski M, Gandek B et al (1998) The factor structure of the SF-36 Health Survey in 10 countries: results from the International Quality of Life Assessment (IQOLA) project. J Clin Epidemiol 51:1159–1165CrossRefPubMed
25.
go back to reference Basson R, Leiblum S, Brotto L et al (2004) Revised definitions of women’s sexual dysfunction. J Sex Med 1:40–48CrossRefPubMed Basson R, Leiblum S, Brotto L et al (2004) Revised definitions of women’s sexual dysfunction. J Sex Med 1:40–48CrossRefPubMed
26.
go back to reference Nappi RE, Albani F, Vaccaro P et al (2008) Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice. Gynecol Endocrinol 24:214–219CrossRefPubMed Nappi RE, Albani F, Vaccaro P et al (2008) Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice. Gynecol Endocrinol 24:214–219CrossRefPubMed
27.
go back to reference Derogatis LR, Rosen R, Leiblum S, Burnett A, Heiman J (2002) The Female Sexual Distress Scale (FSDS): initial validation of a standardized scale for assessment of sexually related personal in distress women. J Sex Marital Ther 28:317–330CrossRefPubMed Derogatis LR, Rosen R, Leiblum S, Burnett A, Heiman J (2002) The Female Sexual Distress Scale (FSDS): initial validation of a standardized scale for assessment of sexually related personal in distress women. J Sex Marital Ther 28:317–330CrossRefPubMed
28.
go back to reference Caruso S, Iraci SM, Casella E, Ventura B, Fava V, Cianci A (2015) Chronic pelvic pain, quality of life and sexual health of women treated with palmitoylethanolamide and α-lipoic acid. Minerva Ginecol 67:413–419PubMed Caruso S, Iraci SM, Casella E, Ventura B, Fava V, Cianci A (2015) Chronic pelvic pain, quality of life and sexual health of women treated with palmitoylethanolamide and α-lipoic acid. Minerva Ginecol 67:413–419PubMed
29.
go back to reference Caruso S, Iraci M, Cianci S, Casella E, Fava V, Cianci A (2015) Quality of life and sexual function of women affected by endometriosis-associated pelvic pain when treated with dienogest. J Endocrinol Invest 38:1211–1218CrossRefPubMed Caruso S, Iraci M, Cianci S, Casella E, Fava V, Cianci A (2015) Quality of life and sexual function of women affected by endometriosis-associated pelvic pain when treated with dienogest. J Endocrinol Invest 38:1211–1218CrossRefPubMed
30.
go back to reference Weber MT, Maki PM, McDermott MP (2014) Cognition and mood in perimenopause: a systematic review and meta-analysis. J Steroid Biochem Mol Biol 142:90–98CrossRefPubMed Weber MT, Maki PM, McDermott MP (2014) Cognition and mood in perimenopause: a systematic review and meta-analysis. J Steroid Biochem Mol Biol 142:90–98CrossRefPubMed
Metadata
Title
Effects of nutraceuticals on quality of life and sexual function of perimenopausal women
Authors
S. Caruso
S. Cianci
M. Cariola
V. Fava
A. M. C. Rapisarda
A. Cianci
Publication date
01-01-2017
Publisher
Springer International Publishing
Published in
Journal of Endocrinological Investigation / Issue 1/2017
Electronic ISSN: 1720-8386
DOI
https://doi.org/10.1007/s40618-016-0500-2

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