In this study the effects of different dosages and preparations of krill oil in comparison to placebo on symptoms of premenstrual syndrome in healthy, female adults will be assessed.
The study is a randomized, placebo-controlled, double-blind, parallel group trial, in which the effect of krill oil is investigated in healthy female volunteers showing premenstrual symptoms. The study period covers a time period over 6 menstrual cycles of women under which the first two cycles are recorded to assess baseline conditions followed by a 4-cycle supplementation phase. Volunteers are randomly allocated to the 5 study groups including placebo and 4 different dosages and formulations of krill oil. Over the whole study period, volunteers report daily their symptoms in the validated questionnaire DRSP. Mood state and quality of life are assessed at baseline and after two and 4 cycles of supplementation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
179
The krill oil capsules contain Superba™ krill oil extracted from Antarctic krill (Euphausia superba).
The placebo capsules contain a medium-chain triglyceride (MCT) oil obtained by fractionation of coconut and palm kernel oil, which has no detectable levels of EPA, DHA, astaxanthin, or phospholipids.
BioTeSys GmbH
Esslingen am Neckar, Germany
Measurement of reduction in premenstrual symptoms in the late luteal phase
Reduction in premenstrual symptoms in the late luteal phase, as measured by the Daily Record of Severity of Problems (DRSP), following supplementation with 2 g krill oil compared to placebo. All other products are assessed as secondary outcomes.
Time frame: Daily from baseline to study completion, up to 6 months
Measurement of total DRSP score in mid follicular phase
Measures the overall severity of symptoms using the Daily Rating of Severity of Problems (DRSP) scale during the mid-follicular phase. It combines daily ratings to reflect symptom intensity for this specific phase.
Time frame: Daily from baseline to study completion, up to 6 months
Measurement of physical Items Subscore
The Physical Items Subscore assesses the severity and frequency of physical symptoms experienced by participants, such as fatigue, headaches, and muscle pain. These symptoms are evaluated daily using a standardized scale, where each symptom is rated based on intensity and impact on daily functioning. The scores in scale points are combined to create a subscore representing the overall physical symptom burden.
Time frame: Daily from baseline to study completion, for up to 6 months
Measurement of mood Items Subscore
This subscore assesses the severity of mood-related symptoms, such as anxiety and irritability, rated daily on a standardized scale. Scores in scale points reflect the overall emotional symptom burden.
Time frame: Daily from baseline to study completion, up to 6 months
Measurement of physical Items Subscore
The Physical Items Subscore assesses the severity and frequency of physical symptoms experienced by participants, such as fatigue, headaches, and muscle pain. These symptoms are evaluated daily using a standardized scale, where each symptom is rated based on intensity and impact on daily functioning. The scores in scale points are then combined to create a subscore representing the overall physical symptom burden.
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Time frame: Daily from baseline to study completion, for up to 6 months.
Measurement of total Score on Q-LES-Q SF
Evaluates overall quality of life using the Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q SF). This score reflects the combined daily assessments of various life satisfaction and enjoyment domains given in scale points.
Time frame: Daily from baseline to study completion, up to 6 months
Measurement of quantity of analgesics consumed
Tracks the number of analgesic doses taken daily by participants. This measure reflects the overall usage of pain relief medication throughout the study.
Time frame: Daily from baseline to study completion, up to 6 months
Measurement of total mood disturbance score on POMS
Assesses the overall mood disturbance using the Profile of Mood States (POMS) scale. This score given in scale points combines daily ratings to indicate the intensity of mood disturbances experienced by participants.
Time frame: Daily from baseline to study completion, for up to 6 months
Measurement of proportion of responders with 50% reduction in late luteal phase symptoms
Measures the percentage of participants who show a 50% reduction in symptoms during the late luteal phase. This reflects the effectiveness of the intervention in alleviating symptoms during this phase.
Time frame: Daily from baseline to study completion, up to 6 months
Measurement of Omega-3 Index
Assesses the Omega-3 Index by measuring the percentage of EPA and DHA in red blood cells. This reflects the level of Omega-3 fatty acids, indicating dietary intake and compliance.
Time frame: Baseline and at 6 months post-intervention
Measurement of global assessment score at visits 4 and 6
Evaluates overall health and symptom severity during study visits 4 and 6 using a standardized scale. This score reflects participants\' general condition at these specific time points.
Time frame: At 4 and 6 months