Efficacy of Salvia officinalis extract on the prevention of insulin resistance in euglycemic patients with polycystic ovary syndrome: A double-blinded placebo-controlled clinical trial
Abstract
Objectives At the present study, we aimed at evaluating the effect of Salvia officinalis (S. officinalis) extract on "anthropometric indices" and "insulin resistance markers" in Polycystic Ovary Syndrome (PCOS) patients. Design and setting This was a randomized, triple-blinded, controlled trial performed in gynecology hospitals affiliated to Iran University of Medical Sciences. Participants Sixty PCOS patients diagnosed according to Rotterdam criteria. Interventions Consumption of the 330 mg oral S. officinalis extract or placebo capsules daily for eight weeks. Main outcome measures Body mass index (BMI), waist to hip ratio (WHR), blood pressure, homoeostatic model assessment-insulin resistance (HOMA-IR), and quantitative insulin sensitivity check index (QUICKI). Results Results showed a statistically significant decrease in the BMI (P = 0.001) in S. officinalis group, but, there were no significant differences between the two groups for WHR (P = 0.164). Although we failed to find a significant effect of S. officinalis extract on systolic blood pressure (P = 0.283) but using a multivariate model showed a significant difference between two groups regarding diastolic blood pressure (P = 0.025). Also, the consumption of S. officinalis extract, compared to the placebo, resulted in a significant decrease in Insulin levels (P < 0.001), and HOMA-IR (P < 0.001). As well as, S. officinalis extract supplementation resulted in a greater increase in QUICKI (P < 0.001) compared with placebo groups. Conclusion S. officinalis extract at a dose of 330 mg/day could decrease BMI and systolic blood pressure, and it could enhance insulin resistance markers in euglycemic PCOS patients. Trial registration Iranian Registry of Clinical Trials (IRCT201504146917N2, 2015-10-03).
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Sage restores insulin sensitivity and reduces BMI in PCOS patients.
“Sage, which has been traditionally used in Iranian medicine, was found to restore insulin sensitivity and reduce BMI in PCOS patients [34].”
In a study of 70 euglycemic women with PCOS, sage extract supplementation for eight weeks resulted in a decline in BMI and improvements in insulin resistance and fasting insulin levels.
“According to the result of the research of Amini and his colleagues among 70 euglycemic women with PCOS, who received a sage extract supplementation for eight weeks, it was noted that the participants communicated a decline in BMI and huge gains in the area of insulin resistance and fasting insulin level [204].”
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- Authors
- Amini, L., Mojab, F., Jahanfar, S., Sepidarkish, M., Raoofi, Z., & Maleki-Hajiagha, A.
- Affiliations
- Iran University of Medical Sciences (IR)
- Shahid Beheshti University (IR)
- Central Michigan University (US)
- Babol University of Medical Sciences (IR)
- Venue
- Complementary Therapies in Medicine
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 48
- Pages
- 102245
- ISSN
- 0965-2299 (ISSN-L)
- OpenAlex
- W2983245850
- Cited by
- 30
- References
- 65
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 2 · 2023: 9 · 2022: 1 · 2021: 4 · 2020: 3
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Complementary Therapies in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Iran University of Medical Sciences (94-03-28-26521)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Natural Antidiabetic Agents Studies
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Medicinal Plant Research
- Keywords
- Salvia officinalis, sage extract, polycystic ovary syndrome, insulin resistance, body mass index, waist-to-hip ratio, blood pressure, HOMA-IR, QUICKI, insulin sensitivity, herbal supplementation
- MeSH terms
- Adolescent, Adult, Blood Pressure, Camphanes, Double-Blind Method, Drugs, Chinese Herbal, Female, Humans, Insulin Resistance, Polycystic Ovary Syndrome, Body Mass Index, Salvia miltiorrhiza, Waist-Hip Ratio, Panax notoginseng, Young Adult
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