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Evaluation of Clinical Meaningfulness of Red Clover (Trifolium pratense L.) Extract to Relieve Hot Flushes and Menopausal Symptoms in Peri- and Post-Menopausal Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Nutrients. 2021 Apr 11; 13(4)N

Abstract

The meta-analysis presented in this article covered the efficacy of red clover isoflavones in relieving hot flushes and menopausal symptoms in perimenopausal and postmenopausal women. Studies were identified by MEDLINE (PubMed), Embase, and the Cochrane Library searches. The quality of the studies was evaluated according to Cochrane criteria. A meta-analysis of eight trials (ten comparisons) demonstrated a statistically significant reduction in the daily incidence of hot flushes in women receiving red clover compared to those receiving placebo: weighted mean difference (WMD-weighted mean difference) -1.73 hot flushes per day, 95% CI (confidence interval) -3.28 to -0.18; p = 0.0292. Due to 87.34% homogeneity, the performed analysis showed substantive difference in comparisons of postmenopausal women with ≥5 hot flushes per day, when the follow-up period was 12 weeks, with an isoflavone dose of ≥80 mg/day, and when the formulations contained a higher proportion of biochanin A. The meta-analysis of included studies assessing the effect of red clover isoflavone extract on menopausal symptoms showed a statistically moderate relationship with the reduction in the daily frequency of hot flushes. However, further well-designed studies are required to confirm the present findings and to finally determine the effects of red clover on the relief of flushing episodes.

Authors+Show Affiliations

Department of Informatics and Medical Statistics, Medical University of Lublin, 20-090 Lublin, Poland.Department of Informatics and Medical Statistics, Medical University of Lublin, 20-090 Lublin, Poland.Department of Virology with SARS Laboratory, Medical University of Lublin, 20-093 Lublin, Poland.Department of Virology with SARS Laboratory, Medical University of Lublin, 20-093 Lublin, Poland.Department of Informatics and Medical Statistics, Medical University of Lublin, 20-090 Lublin, Poland.Department of Social Medicine and Public Health, Warsaw Medical University, 02-007 Warsaw, Poland.Department of Informatics and Medical Statistics, Medical University of Lublin, 20-090 Lublin, Poland.

Pub Type(s)

Journal Article
Meta-Analysis
Systematic Review

Language

eng

PubMed ID

33920485

Citation

Kanadys, Wiesław, et al. "Evaluation of Clinical Meaningfulness of Red Clover (Trifolium Pratense L.) Extract to Relieve Hot Flushes and Menopausal Symptoms in Peri- and Post-Menopausal Women: a Systematic Review and Meta-Analysis of Randomized Controlled Trials." Nutrients, vol. 13, no. 4, 2021.
Kanadys W, Barańska A, Błaszczuk A, et al. Evaluation of Clinical Meaningfulness of Red Clover (Trifolium pratense L.) Extract to Relieve Hot Flushes and Menopausal Symptoms in Peri- and Post-Menopausal Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2021;13(4).
Kanadys, W., Barańska, A., Błaszczuk, A., Polz-Dacewicz, M., Drop, B., Kanecki, K., & Malm, M. (2021). Evaluation of Clinical Meaningfulness of Red Clover (Trifolium pratense L.) Extract to Relieve Hot Flushes and Menopausal Symptoms in Peri- and Post-Menopausal Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients, 13(4). https://doi.org/10.3390/nu13041258
Kanadys W, et al. Evaluation of Clinical Meaningfulness of Red Clover (Trifolium Pratense L.) Extract to Relieve Hot Flushes and Menopausal Symptoms in Peri- and Post-Menopausal Women: a Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients. 2021 Apr 11;13(4) PubMed PMID: 33920485.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of Clinical Meaningfulness of Red Clover (Trifolium pratense L.) Extract to Relieve Hot Flushes and Menopausal Symptoms in Peri- and Post-Menopausal Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. AU - Kanadys,Wiesław, AU - Barańska,Agnieszka, AU - Błaszczuk,Agata, AU - Polz-Dacewicz,Małgorzata, AU - Drop,Bartłomiej, AU - Kanecki,Krzysztof, AU - Malm,Maria, Y1 - 2021/04/11/ PY - 2021/03/19/received PY - 2021/04/03/revised PY - 2021/04/09/accepted PY - 2021/4/30/entrez PY - 2021/5/1/pubmed PY - 2021/6/5/medline KW - Trifolium pratense KW - hot flushes KW - isoflavones KW - menopausal symptoms KW - perimenopausal women KW - postmenopausal women KW - red clover JF - Nutrients JO - Nutrients VL - 13 IS - 4 N2 - The meta-analysis presented in this article covered the efficacy of red clover isoflavones in relieving hot flushes and menopausal symptoms in perimenopausal and postmenopausal women. Studies were identified by MEDLINE (PubMed), Embase, and the Cochrane Library searches. The quality of the studies was evaluated according to Cochrane criteria. A meta-analysis of eight trials (ten comparisons) demonstrated a statistically significant reduction in the daily incidence of hot flushes in women receiving red clover compared to those receiving placebo: weighted mean difference (WMD-weighted mean difference) -1.73 hot flushes per day, 95% CI (confidence interval) -3.28 to -0.18; p = 0.0292. Due to 87.34% homogeneity, the performed analysis showed substantive difference in comparisons of postmenopausal women with ≥5 hot flushes per day, when the follow-up period was 12 weeks, with an isoflavone dose of ≥80 mg/day, and when the formulations contained a higher proportion of biochanin A. The meta-analysis of included studies assessing the effect of red clover isoflavone extract on menopausal symptoms showed a statistically moderate relationship with the reduction in the daily frequency of hot flushes. However, further well-designed studies are required to confirm the present findings and to finally determine the effects of red clover on the relief of flushing episodes. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/33920485/Evaluation_of_Clinical_Meaningfulness_of_Red_Clover__Trifolium_pratense_L___Extract_to_Relieve_Hot_Flushes_and_Menopausal_Symptoms_in_Peri__and_Post_Menopausal_Women:_A_Systematic_Review_and_Meta_Analysis_of_Randomized_Controlled_Trials_ DB - PRIME DP - Unbound Medicine ER -