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Epogam evening primrose oil treatment in atopic dermatitis and asthma
1Paediatric Clinic, Health Centre, Gripen, Karlstad, Sweden.
Insights
Evening primrose oil supplementation showed no significant benefit for childhood atopic dermatitis or asthma symptoms compared to placebo. While essential fatty acid levels increased, clinical improvements in eczema were not statistically different between groups.
Area of Science:
- Dermatology and Nutritional Science
- Pediatric Atopic Diseases Research
Background:
- Essential fatty acids (EFAs) are proposed to benefit atopic diseases.
- Atopic dermatitis is a chronic inflammatory skin condition common in children.
- Asthma frequently co-exists with atopic dermatitis in pediatric populations.
Purpose of the Study:
- To evaluate the efficacy of evening primrose oil (Epogam) supplementation in children with atopic dermatitis.
- To assess the impact of Epogam on co-existing asthma symptoms and general well-being.
Main Methods:
- A 16-week, double-blind, placebo-controlled, parallel-group study involving 58 children with atopic dermatitis.
- Participants received either Epogam evening primrose oil or placebo capsules.
- Data collected included symptom diaries, medication use, peak expiratory flow, and clinician-assessed disease activity.
Main Results:
- Plasma essential fatty acid concentrations significantly increased in the Epogam group.
- Significant improvements in eczema symptoms were observed overall, but without a statistically significant difference between the Epogam and placebo groups.
- No significant therapeutic effects were demonstrated for asthma symptoms or fidgeting.
Conclusions:
- Evening primrose oil supplementation did not show a significant therapeutic advantage over placebo for childhood atopic dermatitis.
- The study found no evidence of benefit for co-existing asthma symptoms or general fidgeting in the treated children.
- Further research may be needed to clarify the role of essential fatty acids in managing atopic diseases.
Abstract:
Essential fatty acids are claimed to have positive effects in atopic diseases. In a double blind, placebo controlled, parallel group study 58 out of 60 children, with atopic dermatitis and the need for regular treatment with topical skin steroids, completed a 16 weeks' treatment period with either Epogam evening primrose oil or placebo capsules. Twenty two of these subjects also had asthma. The parents used diaries to record symptom scores and concomitant medication. Peak expiratory flow was measured and disease activity was monitored by the clinician every four weeks. The plasma concentrations of essential fatty acids increased significantly in the group treated with Epogam capsules. The study demonstrated significant improvements of the eczema symptoms but no significant difference was found between the placebo and the Epogam groups. No therapeutic effect was shown on asthma symptoms or fidget.
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