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Effect of melatonin supplementation on cardiometabolic risk factors, oxidative stress and hormonal profile in PCOS patients: a systematic review and meta-analysis of randomized clinical trials.

Journal of ovarian research
January 1, 1970
Somayeh Ziaei et al. (6 authors)
Journal ArticleSystematic ReviewMeta-AnalysisReviewHuman Study
Study Details

Study Goal

To determine if melatonin supplementation improves cardiometabolic risk factors, oxidative stress, hormonal outcomes, and pregnancy-related factors in PCOS patients.

Results Summary

Melatonin significantly increased TAC levels, indicating antioxidant benefits, but its effects on cardiometabolic, hormonal, and pregnancy-related outcomes require further large-scale, long-term RCTs.

Population

Patients with polycystic ovary syndrome (PCOS).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin supplementation
increase
cardiometabolic risk factors
patients with PCOS
-
can enhance
#1
melatonin supplementation
decrease
oxidative stress
patients with PCOS
-
reduce
#2
melatonin supplementation
increase
hormonal and pregnancy-related factors
patients with PCOS
-
improve
#3
melatonin intake
increase
TAC levels
patients with polycystic ovary syndrome (PCOS)
SMD: 0.87, 95% CI: 0.46, 1.28
significantly increase
#4
melatonin
decrease
oxidative stress
patients with PCOS
-
is a potential antioxidant that may prevent damage from
#5
Abstract

BACKGROUND: To investigate whether melatonin supplementation can enhance cardiometabolic risk factors, reduce oxidative stress, and improve hormonal and pregnancy-related factors in patients with PCOS. METHODS: We conducted a systematic search of PubMed/Medline, Scopus, and the Cochrane Library for articles published in English from inception to March 2023. We included randomized controlled trials (RCTs) on the use of melatonin for patients with polycystic ovary syndrome (PCOS). We performed a meta-analysis using a random-effects model and calculated the standardized mean differences (SMDs) and 95% confidence intervals (CIs). RESULTS: Six studies met the inclusion criteria. The result of meta-analysis indicated that melatonin intake significantly increase TAC levels (SMD: 0.87, 95% CI: 0.46, 1.28, I CONCLUSION: Melatonin is a potential antioxidant that may prevent damage from oxidative stress in patients with PCOS. However, the clear effect of melatonin supplementation on cardiometabolic risk factors, hormonal outcomes, and pregnancy-related outcomes needs to be evaluated further in large populations and long-term RCTs.

Medical Subject Headings (MeSH)
HumansMelatoninPolycystic Ovary SyndromeFemaleOxidative StressCardiometabolic Risk FactorsRandomized Controlled Trials as TopicDietary SupplementsPregnancyHormonesAntioxidants
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations6
Citations/Year6.0
Relative Citation Ratio2.70
Research Impact Scores
APT Score0.25
Weight Score1.59
Normalized Score0.66
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