International Journal of Reproductive BioMedicine
International Journal of Reproductive BioMedicine
IJRM
Medical Sciences
http://ijrm.ir
1
admin
2476-4108
2476-3772
10.29252/ijrm
en
jalali
1402
8
1
gregorian
2023
11
1
21
11
online
1
fulltext
en
آیا تفاوتی بین اثرات گیاهان دارویی فیتواستروژنی و غیرفیتواستروژنی بر سلامت جنسی وجود دارد؟ یک مرور سیستماتیک و متاآنالیز
Is there a difference between the effects of phytoestrogens and non-phytoestrogens medicinal plants on sexual health? A systematic review and meta-analysis
Reproductive Psycology
Review article
Review Article
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span lang="FA" style="font-family:"B Mitra"">مقدمه: </span></b><span lang="FA" style="font-family:"B Mitra"">کیفیت زندگی افراد و شریک جنسی آن­ها</span> <span lang="FA" style="font-family:"B Mitra"">تحت تأثیر عملکرد جنسی می­باشد. اختلالات عملکرد جنسی در جامعه شیوع قابل توجهی دارد. درمان</span><span lang="FA" style="font-family:"Cambria","serif"">­</span><span lang="FA" style="font-family:"B Mitra"">های مختلفی از جمله درمان</span><span lang="FA" style="font-family:"Cambria","serif"">­</span><span lang="FA" style="font-family:"B Mitra"">های گیاهی برای اختلالات جنسی وجود دارد.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span lang="FA" style="font-family:"B Mitra"">هدف: </span></b><span lang="FA" style="font-family:"B Mitra"">این مطالعه با هدف<b> </b>مقایسه اثرات گیاهان دارویی فیتواستروژنی و غیرفیتواستروژنی بر سلامت جنسی زنان قبل و بعد از یائسگی انجام شد.</span><b><span dir="LTR" style="font-family:"Arial","sans-serif""></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span lang="FA" style="font-family:"B Mitra"">مواد و روش ­ها: </span></b><span lang="FA" style="font-family:"B Mitra"">این مرور سیستماتیک و متاآنالیز به منظور شناسایی مقالات مرتبط در پایگاههای الکترونیکی مانند </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Web of Science</span></span><span lang="FA" style="font-family:"B Mitra"">، </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Scopus</span></span><span lang="FA" style="font-family:"B Mitra"">، </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">PubMed</span></span><span lang="FA" style="font-family:"B Mitra"">، </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Cochrane Library</span></span><span lang="FA" style="font-family:"B Mitra"">، </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Google Scholar</span></span><span style="font-family:"B Mitra""> و </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">SID</span></span> <span lang="FA" style="font-family:"B Mitra"">برای مقالات انگلیسی و فارسی زبان منتشر شده تا دسامبر 2021 انجام شد. ابزار</span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Cochrane</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">Collaboration</span></span> <span lang="FA" style="font-family:"B Mitra"">برای ارزیابی خطر سوگیری استفاده شد. ناهمگونی با استفاده از </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">I<sup>2</sup></span></span><span style="font-family:"B Mitra""> ارزیابی شد.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span lang="FA" style="font-family:"B Mitra"">نتایج: </span></b><span lang="FA" style="font-family:"B Mitra"">از 5428 رکورد بازیابی شده طی جستجو در پایگاه­های اطلاعاتی، پس از حذف مقالات تکراری و غیرمرتبط، 39 مقاله بر اساس معیارهای ورود، به مطالعه وارد شدند. در نهایت 18 مقاله با 1299 شرکت­کننده در مطالعه قرار گرفتند. 13 مطالعه کارآزمایی بالینی تصادفی شده روی فیتواستروژن­ها و 5 مطالعه </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">RCT</span></span> <span lang="FA" style="font-family:"B Mitra"">از گیاهان غیرفیتواستروژن که از پرسشنامه </span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">FSFI</span></span> <span lang="FA" style="font-family:"B Mitra"">استفاده کرده و میانگین تفاوت و انحراف معیار را گزارش کردند، در متاآنالیز گنجانده شدند. طبق متاآنالیز، اثر گیاهان فیتواستروژنی و گیاهان غیرفیتواستروژن بر سلامت جنسی زنان یائسه به طور قابل توجهی با یکدیگر متفاوت است. (به ترتیب 13/5-25/1 </span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">= </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">CI</span></span><span lang="FA" style="font-family:"B Mitra""> 95%، 19/3 </span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">= </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">MD</span></span><span lang="FA" style="font-family:"B Mitra""> و 60/10-56/4 </span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">= </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">CI</span></span><span lang="FA" style="font-family:"B Mitra""> 95%، 59/7 </span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">= </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif"">MD</span></span><span lang="FA" style="font-family:"B Mitra"">). اما این تفاوت در زنان غیر یائسه مشاهده نشد.</span><b><span dir="LTR" style="font-family:"Arial","sans-serif""></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,"sans-serif""><b><span lang="FA" style="font-family:"B Mitra"">نتیجه­ گیری: </span></b><span lang="FA" style="font-family:"B Mitra"">تأثیر گیاهان فیتواستروژن در زنان یائسه بیشتر است و می­توان توصیه کرد که از این گیاهان استفاده کنند.</span><b><span dir="LTR" style="font-family:"Arial","sans-serif""></span></b></span></span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Background</span></span></b><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> The quality of life of a person and her sexual partner is impacted by sexual function. Sexual function disorders have a significant prevalence in society. There are different treatments for sexual disorders, including herbal therapies.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Objective</span></span></b><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">:</span></span></b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> This study aimed to do a comparison of phytoestrogens and non-phytoestrogens</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> medicinal</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> plant’s effects on sexual health in pre- and postmenopausal women</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Materials and Methods:</span></span></b> <span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">This systematic review and meta-analysis was performed to identify relevant articles in electronic databases such as Web of Science, Scopus, PubMed, Cochrane Library, Google Scholar, and SID for English- and Persian-language articles published up to December 2021. The Cochrane collaboration tool was used to assess the risk of bias. Heterogeneity was assessed using I<sup>2</sup></span></span> <span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">statistics. </span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Results:</span></span></b> <span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Of 5428 records <a name="_Hlk149763936">retrieved by searching the databases</a>, after removing duplicate and irrelevant articles, 39 articles were included based on the inclusion criteria in the study. Finally, 18 articles with 1299 participants were included in the meta-analysis.<a name="_Hlk148379537"> 18 randomized clinical trial </a>studies of phytoestrogens (n = 13) and non-phytoestrogens (n = 5) plants that used the female sexual function index questionnaire and reported the mean </span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">difference</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> (MD) and standard deviation were included in the meta-analysis. </span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">The effects of phytoestrogens and non-phytoestrogens plants on the sexual health of postmenopausal women appear to differ significantly from one another, according to the meta-analysis <a name="_Hlk149770229">(MD = 7.59; 95% CI = 4.56-10.60 and MD = 3.19; 95% CI = 1.25-5.13, respectively)</a></span></span> b<span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">ut this difference was not observed in premenopausal women.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,"sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">Conclusion:</span></span></b><span class="A3" style="font-family:"Minion Pro","serif""><span style="color:black"><span style="font-weight:bold"><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""> The effect</span></span></span></span></span> <span class="A3" style="font-family:"Minion Pro","serif""><span style="color:black"><span style="font-weight:bold"><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif"">of <a name="_Hlk140943371">phytoestrogens plants</a> is more in menopausal women and they can be advised to use these herbs.</span></span></span></span></span><span class="A3" style="font-family:"Minion Pro","serif""><span style="color:black"><span style="font-weight:bold"><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span></span></div>
دارویی, گیاهان, سلامت جنسی, زنان, متاآنالیز.
Medicinal, Plants, Sexual health, Women, Meta-analysis.
881
900
http://ijrm.ir/browse.php?a_code=A-10-2429-1&slc_lang=en&sid=1
Masoumeh
Sayahi
m.saiahi430@gmail.com