Assessing the Effect of Shatavari Supplementation on Bone and Skeletal Muscle Health in Healthy Postmenopausal Women

NCT ID: NCT05025917

Last Updated: 2021-08-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-16

Study Completion Date

2020-01-17

Brief Summary

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Shatavari is a plant that grows in Nepal, Sri Lanka, India and the Himalayas and its root has long been used in Ayurvedic medicine. Its traditional uses include supporting women's health, particularly during breastfeeding and during the perimenopausal period. Shatavari has been found to contain substances that have similar chemical properties to estrogen. A decrease in the amount of ovarian estrogen production causes the menopause and this reduction in circulating estrogen has widespread effects, including promoting a decrease in bone density. This increases the risk of bone fractures. Having less oestrogen is also thought to contribute to a loss of muscle strength in postmenopausal women.

As shatavari may act on the body's tissues in a similar way to estrogen, shatavari supplementation may represent one way of preventing postmenopausal bone and muscle loss. This study will investigate these questions. 24 healthy postmenopausal women aged 60 years or older will be recruited. The participants will be randomly assigned to consume shatavari (1000 mg per day, equivalent to 26,500 mg per day fresh weight shatavari) or placebo (1000 mg per day magnesium stearate) for 6 weeks. Handgrip and knee extensor strength will be measured at baseline and at 6 weeks. Vastus lateralis (VL) muscle biopsy samples will be obtained at baseline and at 6 weeks and analysed for markers of muscle function and protein turnover. Plasma and serum samples will be collected via venepuncture and markers of bone turnover (P1NP, β-CTX) will be measured at baseline and at 6 weeks. Primary human osteoblasts (not obtained from these participants) will be stimulated with pooled sera from the placebo and shatavari supplementation conditions to assess markers of osteoblast (bone-building) activity.

Detailed Description

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Conditions

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Muscle Weakness Osteoporosis, Postmenopausal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Shatavari

1000 mg per day shatavari root powder (2 x 500 mg opaque capsules; equivalent to 26,500 mg fresh weight shatavari). Ingested in the morning, daily for 6 weeks.

Group Type EXPERIMENTAL

Shatavari

Intervention Type DIETARY_SUPPLEMENT

Shatavari root powder

Placebo

1000 mg per day magnesium stearate powder (2 x 500 mg opaque capsules). Ingested in the morning, daily for 6 weeks.

Group Type PLACEBO_COMPARATOR

Magnesium stearate

Intervention Type DIETARY_SUPPLEMENT

Magnesium stearate powder

Interventions

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Shatavari

Shatavari root powder

Intervention Type DIETARY_SUPPLEMENT

Magnesium stearate

Magnesium stearate powder

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Asparagus Racemosus

Eligibility Criteria

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Inclusion Criteria

* Postmenopausal women (Last menstrual period \> 12 months ago)
* Aged 60 years or older

Exclusion Criteria

* BMI ≥ 30
* Diagnosis (DEXA t-score \< -2.5) and/or treatment for the prevention of osteoporosis, including treatmeat with bisphosphonates and non-bisphosphonates (including, but not limited to raloxifene, denosumab, teriparatide, calcitriol and estrogenic hormone replacement therapy).
* Currently taking estrogenic hormone replacement therapy or history of estrogenic hormone replacement therapy in the past 5 years via any route of administration apart from vaginal.
* PAR-Q+ screening indicates physical activity is unsuitable.
Minimum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Exeter

OTHER

Sponsor Role lead

Responsible Party

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Mary O'Leary

Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mary O'Leary

Role: PRINCIPAL_INVESTIGATOR

University of Exeter

Locations

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Deparment of Sport and Health Sciences

Exeter, Devon, United Kingdom

Site Status

Countries

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United Kingdom

References

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O'Leary MF, Jackman SR, Bowtell JL. Shatavari supplementation in postmenopausal women alters the skeletal muscle proteome and pathways involved in training adaptation. Eur J Nutr. 2024 Apr;63(3):869-879. doi: 10.1007/s00394-023-03310-w. Epub 2024 Jan 12.

Reference Type DERIVED
PMID: 38214710 (View on PubMed)

Other Identifiers

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190206/B/01

Identifier Type: -

Identifier Source: org_study_id

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