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Efficacy of omega-3 for vasomotor symptoms treatment: a randomized controlled trial.

  • Author(s): Cohen, Lee S
  • Joffe, Hadine
  • Guthrie, Katherine A
  • Ensrud, Kristine E
  • Freeman, Marlene
  • Carpenter, Janet S
  • Learman, Lee A
  • Newton, Katherine M
  • Reed, Susan D
  • Manson, Joann E
  • Sternfeld, Barbara
  • Caan, Bette
  • Freeman, Ellen W
  • LaCroix, Andrea Z
  • Tinker, Lesley F
  • Booth-Laforce, Cathryn
  • Larson, Joseph C
  • Anderson, Garnet L
  • et al.

Published Web Location

http://10.0.4.73/GME.0b013e31829e40b8
No data is associated with this publication.
Abstract

OBJECTIVE:This study aims to determine the efficacy and tolerability of omega-3 fatty acids in reducing vasomotor symptoms (VMS) frequency and bother in perimenopausal and postmenopausal women. METHODS:This study was a 12-week, three-by-two factorial, randomized controlled trial. Eligible women were randomized to a double-blind comparison of omega-3 (n = 177) or placebo (n = 178) capsules, and simultaneously to yoga (n = 107), aerobic exercise (n = 106), or their usual physical activity (n = 142). Participants received 1.8 g of omega-3 daily for 12 weeks. Each capsule contained ethyl eicosapentaenoic acid (425 mg), docosahexaenoic acid (100 mg), and other omega-3s (90 mg). Primary outcomes were VMS frequency and bother. Secondary outcomes included sleep quality (Pittsburgh Sleep Quality Index), insomnia symptoms (Insomnia Severity Index), depressive symptoms (Physician's Health Questionnaire-8), and anxiety (Generalized Anxiety Disorder-7). RESULTS:The mean baseline frequency of VMS per day was 7.6 (95% CI, 7.0 to 8.2). After 12 weeks, the reduction in VMS frequency with omega-3 (-2.5; 95% CI, -3.0 to -1.9) did not differ significantly from that with placebo (-2.7; 95% CI, -3.3 to -2.2), with a relative difference of 0.3 fewer hot flashes per day (95% CI, -0.5 to 1.0; P = 0.28). Changes in VMS bother at 12 weeks were also similar between groups, with no relative difference on a four-point scale (95% CI, -0.1 to 0.2; P = 0.36). Omega-3s compared with placebo showed no improvement in self-reported sleep or mood (P > 0.09 for all comparisons). CONCLUSIONS:Among healthy, sedentary perimenopausal and postmenopausal women, a 12-week treatment with omega-3 does not improve VMS frequency, VMS bother, sleep, or mood compared with placebo.

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