The effect of Evening primrose on blood sugar and lipid profile of prediabetic postmenopausal women: Randomized clinical trial

Document Type : Original Article

Authors

1 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

3 Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

4 Assistant Professor, Department of Internal Medicine, Faculty of Medicine, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

5 Assistant Professor, Department of Biostatistics, Occupational Environment Research Center, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Abstract

Introduction: Prevention of diabetes and its associated complications is especially important during menopause because significant changes occur in blood lipid levels along with insulin resistance due to aging and predispose to cardiovascular diseases. Regarding to the lower side effects of herbal medicines than chemical medicines, this study was performed with aim to evaluate the effect of evening primrose on blood sugar and fat profile of pre-diabetic postmenopausal women.
Methods: This triple-blind randomized clinical trial was performed in 2018-2019 on 82 pre-diabetic postmenopausal women referred to the comprehensive health service centers in Rafsanjan. The intervention group received two 1000 mg capsules of evening primrose daily and the control group received placebo for three months. Before and after the intervention, fasting sugar (FBS, HbA1C) and blood lipid profile (including triglyceride, total cholesterol, low and high density lipoprotein) were assessed in the two groups by blood test. Data were analyzed by SPSS software (version 16) and independent t-test, Paired t-test and covariance test. P<0.05 was considered statistically significant.
Results: In this study, mean LDL in pre-diabetic postmenopausal women receiving evening primrose capsule showed a statistically significant difference. But the mean of FBS, HDL, TG and cholesterol didn't show a statistically significant difference.
Conclusion: Daily consumption of two 1000 mg capsules of evening primrose reduces LDL levels in pre-diabetic postmenopausal women, which can reduce the risk of cardiovascular diseases.

Keywords


  1. Pathak N, Shivaswamy MS. Prevalence of menopausal symptoms among postmenopausal women of urban Belagavi, Karnataka. Indian Journal of Health Sciences and Biomedical Research (KLEU) 2018; 11(1):77.
  2. Shoorideh Z, Bijeh N, Khoshraftar Yazdi N. The effect of eight weeks of aquatic aerobic training on lipid profile, Glucose, Insulin resistance and Apoprotein A and B in overweight postmenopausal women. Iran J Obstet Gynecol Infertil 2017; 20(8):89-100.
  3. Malekaneh M, Haratizadeh B, Miri M. Effects of black grapes juice extract on the blood biochemical factors in alloxan-induced diabetic and hyperlipidemic rats. Journal of Birjand University of Medical Sciences 2014; 20(4):366-73.
  4. Esmaeili M, Bijeh N, Ghahremani Moghadam M. Effect of combined aerobic and resistance training on aerobic fitness, strength, beta-endorphin, blood glucose level, and insulin resistance in women with type II diabetes mellitus. Iran J Obstet Gynecol Infertil 2018; 21(6):34-46.
  5. Kryczka KE, Kruk M, Piotrowski W, Księżycka E, Pracoń R, Witkowski A, et al. Menopause improves the predictive value of common cardiovascular risk scores in women with premature coronary artery disease. Menopause 2018; 25(4):408-14.
  6. Matarazzo MG, Caruso S, Giunta G, Valenti G, Sarpietro G, Cianci A. Does vaginal estriol make urodynamic changes in women with overactive bladder syndrome and genitourinary syndrome of menopause?. European Journal of Obstetrics & Gynecology and Reproductive Biology 2018; 222:75-9.
  7. Roelfsema F, Yang RJ, Veldhuis JD. Differential effects of estradiol and progesterone on cardiovascular risk factors in postmenopausal women. Journal of the Endocrine Society 2018; 2(7):794-805.
  8. Firooz M, Mazloom SR, Kimiae SA, Hasanzadeh F. Comparing the effect of group education versus group counseling for self-care on glycated-hemoglobin in patients with diabetes type II. Journal of Mazandaran University of Medical Sciences 2015; 25(124):26-36.
  9. Silva JL, Ribeiro LT, Santos NR, Beserra VC, Fragoso YD. The influence of diabetes mellitus II on cognitive performance. Dementia & neuropsychologia 2012; 6(2):80-4.
  10. Farshchi A, Esteghamati A, Sari AA, Kebriaeezadeh A, Abdollahi M, Dorkoosh FA, et al. The cost of diabetes chronic complications among Iranian people with type 2 diabetes mellitus. Journal of Diabetes & Metabolic Disorders 2014; 13(1):1-4.
  11. Rahbarghazi A, Siahkouhian M. Survey on the Effects of Sleep Disorders on Cardiovascular Index and Exercise Performance in Diabetic Patients. Alborz University Medical Journal 2020 ; 9(1):75-82.
  12. Mohammadi M, Mirzaei M. Population attributable fraction of cardiovascular disease associated with diabetes mellitus in Yazd city. SSU_Journals 2017; 25(8):603-11.
  13. Mohamadzadeh Larijan H, Nikravan A, Aeenparast A. The role of hospital intervention in prevention of diabetes in pre-diabetes patients. Payesh (Health Monitor) 2019; 18(5):465-73.
  14. Shahbazian N, Shahbazian H, Behrouz A, Abdollahi Kashkooli S, Moravej Aleali A. Evaluation the Frequency and Risk Factors of Diabetes Mellitus, Impaired Glucose Tolerance and Impaired Fasting Glucose in Patients with Gestational Diabetes Mellitus Admitted in Imam Khomeini Hospital, Ahvaz, Iran. Iran J Obstet Gynecol Infertil 2013; 16(59):1-5.
  15. Shababi Z, Pouladi S, Raeisi A, Motamed N, Farzaneh MR. On the study of herbal combination effect of securigera securidaca, vaccinium arctostaphylos, citrullus colocynthis and coriandrium sativum on triglyceride of pre-diabetic elderlies. Iranian South Medical Journal 2017; 20(4):326-38.
  16. Tavallali M, Nouri R, Moghadasi M, Khademosharieh M. The effect of eight weeks of walking on insulin resistance and blood plasma protein carbonyl in sedentary postmenopausal women. Razi Journal of Medical Sciences 2019; 26(6):64-72.
  17. Azizi F, Hadaegh F. The rising trend of diabetes and pre-diabetes in Iran. Iranian Journal of Endocrinology and Metabolism 2015; 17(1):1-3.
  18. Elmaraezy A, Abushouk AI, Emara A, Elshahat O, Ahmed H, Mostafa MI. Effect of metformin on maternal and neonatal outcomes in pregnant obese non-diabetic women: A meta-analysis. International Journal of Reproductive BioMedicine 2017; 15(8):461.
  19. Alinejad Mofrad S, Foadoddini M, Saadat Joo AR. Eeffect of Aloe Vera extract on blood lipids in patients with pre-diabetes: A randomized double-blind clinical trial. Journal of Health Promotion Management 2015; 4(4):53-63.
  20. Hosseini SE, Tavakoli F, Karami M. Medicinal plants in the treatment of diabetes mellitus. Clinical Excellence 2014; 2(2):64-89.
  21. Zand Vakili F, Zare SH, Rahimi K, Riahi M. The effect of Evening Primrose Oil on Changes in Polycystic Ovary Syndrome Induced by Estradiol Valerate in Rat. Armaghane danesh 2018; 22(6):714-24.
  22. Khoshnevis MA, Mokhtari Nouri J, Najaflo M, Abedi Ghozal Abadi R. Designing and the Validation of the Evidence-Based Nursing Care Instruction in the Anxiety of Patients Undergoing Chemotherapy. Iranian Journal of Rehabilitation Research 2020; 6(3):116-24.
  23. Jamilian M, Afshar R. Effects of combined evening primrose oil and vitamin D intake on hs-CRP, oxidative stress and pregnancy outcomes in women with gestational diabetes. J Arak Univ Med Sci 2017; 19:43-51.
  24. Motaghi Dastenaie B, Safdari F, Raisi Z, Karimian Z. The effect of evening primrose plant on physical symptoms of menopause. Journal of Babol University of Medical Sciences 2017; 19(2):34-40.
  25. Youn K, Lee S, Jun M. Gamma-linolenic acid ameliorates Aβ-induced neuroinflammation through NF-κB and MAPK signalling pathways. Journal of Functional Foods 2018; 42:30-7.
  26. Heydari S, Shiravi A, Hojati V. Study of the Effect of Aqueous Extract of Grape Seed) Vitis Vinifera (on Testicular Damage in Streptozotocin-Induced Diabetic Male Vistar Rats. Journal of Animal Research (Iranian Journal of Biology) 2017; 30(3):271-8.
  27. Darvishi F, Salmani N. The effect of olive oil on the production of omega fatty acids in Yarrowia lipolytica. Journal of Cellular and Molecular Research (Iranian Journal of Biology) 2018; 31(3):302-11.
  28. Moazzami Farida SH, Rajabian T, Salami SA, Ranjbar M, Taghizadeh M, Rahmani N. Fatty acid composition and phytosterol contents of the seeds from three Salvia L. species growing in Iran. Journal of Plant Research (Iranian Journal of Biology) 2015; 28(2):421-34.
  29. Jamilian M, Karamali M, Taghizadeh M, Sharifi N, Jafari Z, Memarzadeh MR, et al. Vitamin D and evening primrose oil administration improve glycemia and lipid profiles in women with gestational diabetes. Lipids 2016; 51(3):349-56.
  30. Fukushima M, Shimada KI, Ohashi T, Saitoh H, Sonoyama K, Sekikawa M, et al. Investigation of gene expressions related to cholesterol metabolism in rats fed diets enriched in n-6 or n-3 fatty acid with a cholesterol after long-term feeding using quantitative-competitive RT-PCR analysis. Journal of nutritional science and vitaminology 2001; 47(3):228-35.
  31. Fallah LT, Najafi A, Fathizadeh N, Khaledian Z. The effect of evening primrose oil on premenstrual syn. Avicenna Journal of Nursing and Midwifery Care 2008; 16(1):35-45.
  32. Chow SC, Shao J, Wang H, Lokhnygina Y. Sample size calculations in clinical research. Chapman and Hall/CRC; 2017.
  33. Innes JK, Calder PC. Omega-6 fatty acids and inflammation. Prostaglandins, Leukotrienes and Essential Fatty Acids 2018; 132:41-8.
  34. Motaghi Dastenaei B, Safdari F, Jafarzadeh L, Raisi Dehkordi Z, Taghizadeh M, Nikzad M. The effect of Evening Primrose on hot flashes in menopausal women. Iran J Obstet Gynecol Infertil 2017; 20(10):62-8.
  35. Tavakkoli Darestani A, Hosseinpanah F, Hedayati M, Amiri Z, Tavakkoli Darestani R, Tahbaz F. Conjugated linoleic acid and lipid profile of postmenopausal women. Research in Medicine 2010; 34(1):26-34.
  36. Gwak JH, Kim JY, Kim HJ, Shin DH, Lee JH. The effect of isoflavone and gamma-linolenic acid supplementation on serum lipids and menopausal symptoms in postmenopausal women. Korean Journal of Nutrition 2010; 43(2):123-31.
  37. Kaminskas A, Levaciov M, Lupinovic V, Kuchinskene Z. The effect of linseed oil on the fatty acid composition of blood plasma low-and very low-density lipoproteins and cholesterol in diabetics. Voprosy pitaniia 1992; (5-6):13-4.
  38. Laso N, Brugué E, Vidal J, Ros E, Arnaiz JA, Carné X, et al. Effects of milk supplementation with conjugated linoleic acid (isomers cis-9, trans-11 and trans-10, cis-12) on body composition and metabolic syndrome components. British journal of nutrition 2007; 98(4):860-7.
  39. Abdulridha MK, Hussain MS, Khudhair MS. Study effect of evening primrose oil supplement on type 2 diabetes mellitus-associated metabolic parameters. Pharmaceutical and Biosciences Journal 2017: 17-23.
  40. Thakur G, Mitra A, Pal K, Rousseau D. Effect of flaxseed gum on reduction of blood glucose and cholesterol in type 2 diabetic patients. International journal of food sciences and nutrition 2009; 60(sup6):126-36.
  41. Hornych A, Oravec S, Girault F, Forette B, Horrobin DF. The effect of gamma-linolenic acid on plasma and membrane lipids and renal prostaglandin synthesis in older subjects. Bratislavske lekarske listy 2002; 103(3):101-7.