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Oral supplementation with antioxidant agents containing alpha lipoic acid: effects on postmenopausal bone mass.

Clinical and experimental obstetrics & gynecology
January 1, 2012
G Mainini et al. (9 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate whether oral supplementation with antioxidant agents (including ALA) combined with calcium and vitamin D3 could improve bone mineral density in osteopenic postmenopausal women compared to calcium and vitamin D3 alone.

Results Summary

The study found that the group receiving ALA plus other antioxidants, calcium, and vitamin D3 showed a slightly better estimated BMD after 12 months compared to the control group (calcium and vitamin D3 alone), though the difference was only marginally statistically significant (p = 0.048).

Population

Postmenopausal women with osteopenia (-2.5 < T-score < -1).

Effective Dosage

Not specified (only mentions "calcium and vitamin D3" without dosage details).

Duration

12 months.

Interactions

None mentioned.

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
oral supplementation with antioxidant agents containing alpha lipoic acid (ALA) plus calcium and vitamin D3
increase
bone mineral density (BMD)
osteopenic postmenopausal women
0.401 +/- 0.026 vs 0.388 +/- 0.025 g/cm2
led to a better estimated BMD compared to the control group
#1
oral supplementation with antioxidant agents containing alpha lipoic acid (ALA) plus calcium and vitamin D3
decrease
bone loss
osteopenic postmenopausal women
-
may mitigate bone loss
#2
only calcium and vitamin D3
neutral
bone mineral density (BMD)
osteopenic postmenopausal women
0.388 +/- 0.025 g/cm2
control group BMD
#3
Abstract

PURPOSE OF INVESTIGATION: Oxidative stress impacts many age-related degenerative processes, such as in postmenopausal bone loss and in antioxidant defenses that are significantly decreased in elderly osteoporotic women. The authors evaluated the effect of oral supplementation with antioxidant agents containing alpha lipoic acid (ALA) on bone mineral density (BMD) of osteopenic postmenopausal women. MATERIALS AND METHODS: Fifty postmenopausal women with osteopenia (-2.5 < T-score < -1) were prospectively enrolled and randomly assigned to orally receive ALA and other antioxidant agents (vitamin C, vitamin E, and selenium) plus calcium and vitamin D3 (n = 25), or only calcium and vitamin D3 (n = 25). The BMD was estimated at baseline and after 12 months of treatment by heel quantitative ultrasonometry (QUS). RESULTS: Forty-four patients completed the one-year study: 23 in the ALA group, 21 in the control group. The treatment of ALA group led to a better estimated BMD compared to the control group (0.401 +/- 0.026 vs 0.388 +/- 0.025 g/cm2), although this difference barely achieved a statistical significance (p = 0.048). CONCLUSION: These findings, although in a small population, could suggest that oral supplementation with antioxidant agents containing ALA may mitigate bone loss in osteopenic postmenopausal women.

Medical Subject Headings (MeSH)
AgedAntioxidantsBone Diseases, MetabolicBone and BonesFemaleHumansMaleMiddle AgedPostmenopauseThioctic Acid
Study Links
PubMed ID23444750
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations18
Citations/Year1.4
Relative Citation Ratio0.69
NIH Percentile36.8%
Research Impact Scores
APT Score0.25
Weight Score1.36
Normalized Score0.61
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