Effect of Cimicifuga racemosa on metabolic parameters in women with menopausal symptoms. A retrospective observational study (CIMBOLIC)

Authors

  • L. Friederichsen Spital Interlaken, Interlaken
  • L. Friederichsen Spital Interlaken, Interlaken
  • S. Nebel Max Zeller Söhne AG, Romanshorn
  • S. Nebel Max Zeller Söhne AG, Romanshorn
  • C. Zahner Max Zeller Söhne AG, Romanshorn
  • C. Zahner Max Zeller Söhne AG, Romanshorn
  • L. Bütikofer CTU Bern, Institute of Social and Preventive Medicine, University of Bern, Bern
  • P. Stute Bern University Hospital, University of Bern, Bern
  • L. Bütikofer CTU Bern, Institute of Social and Preventive Medicine, University of Bern, Bern

DOI:

https://doi.org/10.18370/2309-4117.2020.52.61-66

Keywords:

black cohosh, Cimicifuga racemosа, body weight, HOMA index, menopausal hormone therapy, menopause

Abstract

Purpose. To compare the influence of Cimicifuga racemosa extract (CR, Ze 450) and menopausal hormone therapy (MHT) on metabolic parameters and body weight in symptomatic menopausal women.

Methods. In this monocentric retrospective cohort study, women over 40 years old with a first consultation between 2009 and 2016 were screened. Included in the final analysis were women treated with either MHT or CR and having at least one follow-up consultation. Metabolic serum parameters (lipids, glucose, insulin, and HOMA-IR), body weight, and menopausal symptoms

(Menopause Rating Scale (MRS)-II) were the main outcome measures. Statistical analysis by uni- and multi-variable linear mixed-effects regression models assuming a linear effect of time.

Results. 174 women were included in the final analysis (CR n = 32, MHT n = 142). There was no difference between the groups regarding baseline characteristics (age, BMI, serum metabolic parameters, hormones, and blood pressure) and total MRS-II score, while reproductive stage differed significantly with more postmenopausal women treated with CR (83%) than MHT (55%)

(p = 0.038). Median follow-up time was 12 months. In both groups, metabolic serum parameters and body weight did not change over the follow-up period, while total and MRS-II subscores improved.

Conclusion. Menopausal symptoms improved significantly in both groups (MHT and CR), while serum metabolic parameters and body weight did not change in MHT- or CR-treated women.

Author Biographies

L. Friederichsen, Spital Interlaken, Interlaken

Department of Obstetrics and Gynecology

L. Friederichsen, Spital Interlaken, Interlaken

Department of Obstetrics and Gynecology

P. Stute, Bern University Hospital, University of Bern, Bern

MD, professor, President of Swiss Society of Obstetrics & Gynecology, Board Member of EMAS, Department of Obstetrics and Gynecology

Published

2020-05-13

Issue

Section

Management of menopause