用Withania somnifera进行激素调节:随机对照试验的系统审查和元分析
Michal Fornalik1, Anna Malkiewicz1, Dominika Adamczak2,3
1Faculty of Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Planta medica
|February 25, 2026
概括
在男性中,阿什瓦甘达补充剂显著影响激素水平,降低皮质醇,增加血清素和. 由于研究异质性,需要进一步的研究.
科学领域:
- 内分泌学 在内分泌学.
- 神经内分泌学神经内分泌学
- 草药研究 草药研究
背景情况:
- 与压力,不孕症和代谢问题相关的荷尔蒙失衡.
- 阿什瓦甘达 (Withania somnifera L.) 是一种适应原体,有建议的内分泌调节作用.
研究的目的:
- 系统地审查口服阿什瓦甘达对成人激素水平的影响的随机对照试验.
- 评估阿什瓦甘达对下丘脑-垂体-上腺和淋巴腺轴的影响.
主要方法:
- 在 MEDLINE,Embase,ClinicalTrials.gov 搜索; 在 PROSPERO.gov 注册.
- 包括23个随机的,安慰剂控制的试验 (1706名参与者).
- 使用随机效应模型进行元分析;评估偏见和异质性.
主要成果:
- 阿什瓦甘达降低了皮质醇 (SMD -1.18) 和增加了血清素 (MD 31.75 ng/ml).
- T4的适度增加 (MD 0.61μg/dL);对TSH或T3没有影响.
- 男性的丸激素增加 (MD 57.43 ng/dl),但女性没有;对E2.2没有影响.
结论:
- 口服阿什瓦甘达补充剂调节关键的激素通路,包括皮质醇和性激素.
- 观察到的潜在的剂量反应影响基于withanolide含量.
- 由于异质性和有限的数据,进一步的标准化试验是有必要的.
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