About this trial
The goal of this clinical trial is to learn whether a natural-origin nutritional supplement, combined with a functional exercise program, can improve psycho-emotional, cognitive, functional, and neuroendocrine health in perimenopausal women. The study will also help determine the safety of this combined intervention.
The main questions it aims to answer are:
* Does the combined intervention improve mood, sleep quality, menopausal symptoms, and cognitive performance? * Does it enhance physical function and neuroendocrine regulation?
Researchers will compare the supplement to a placebo. All participants will follow the same supervised functional exercise program.
Participants will:
* Take a daily nutritional supplement or placebo for 10 weeks * Attend three weekly supervised functional exercise sessions (45-60 minutes each) * Complete pre- and post-intervention evaluations including questionnaires, physical and cognitive tests, and blood samples for biomarker analysis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women aged between 45 and 65 years.
In the menopausal transition (defined by irregular menstrual cycles and typical symptoms within the past year) or postmenopause.
Score ≥ 8 on the Menopause Rating Scale (MRS), indicating moderate menopausal symptom intensity.
Regular nighttime sleep and not engaged in shift work.
Disqualifiers
Current or recent (within the last 3 months) use of hormone replacement therapy (HRT).
Surgical, induced, or early menopause (before age 40).
Current treatment with medications that may affect mood, sleep, or vasomotor symptoms, including: antidepressants (SSRIs, SNRIs, tricyclics); anxiolytics or hypnotics; phytoestrogens, isoflavones, or other over-the-counter hormonal supplements.
Medical diagnosis of severe or uncontrolled chronic diseases, including cardiovascular, respiratory (particularly sleep apnea), metabolic, active oncological, neurological, severe autoimmune, or psychiatric disorders.
Trial design
Parallel
Treatments tested in this trial
Exercise + nutritional supplement
Dietary supplementParticipants in this group will receive an oral daily dose of the natural-origin nutritional supplement in combination with a supervised functional exercise program (3 sessions per week, 45-60 minutes each) for 10 weeks, composed by three exercise blocks: 1) joint mobility and postural control exercises block, 2) functional strength block with three sets of two explosive strength exercises using elastic bands at 70% of 1RM and, 3) coordination and agility exercises block.
Exercise + placebo supplement
Dietary supplementParticipants in this group will receive an oral placebo supplement identical in appearance to the active supplement, together with the same functional exercise program for 10 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Changes in Brain-Derived Neurotrophic Factor (BDNF)
Serum BDNF levels will be collected through a blood sample (ELISA KIT) in the morning in a fasted state to assess neuroplasticity and cognition.
Changes in cortisol
Serum cortisol levels will be collected through a blood sample (ELISA KIT) in the morning in a fasted state to assess hypothalamic-pituitary-adrenal (HPA) axis-mediated physiological stress.
Changes in inteleukin 6 (IL-6)
Serum IL-6 levels will be collected through a blood sample (ELISA KIT) in the morning in a fasted state to assess systemic inflammation and immunity
Changes in tumor necrosis factor alfa (TNF-α)
Serum TNF-α levels will be collected through a blood sample (ELISA KIT) in the morning in a fasted state to assess chronic inflammation and immune state, which is related with fatigue and depression.
Secondary outcomes
Changes in sleep quality
Sleep quality will be assessed through the Pittsburgh Sleep Quality Index (PSQI)
Changes in perceived insomnia
Perceived insomnia will be assessed through the Insomnia Severity Index (ISI)
Changes in daytime sleepiness
Daytime sleepiness will be assessed through the Epworth Sleepiness Scale (ESS)
Changes in state-trait anxiety
State-trait anxiety will be assessed through the State-Trait Anxiety Inventory (STAI-R)
Sponsors and contacts
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