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Effects of Dehydroepiandrosterone Supplement on Health-related Quality of Life in Glucocorticoid Treated Female Patients with Systemic Lupus Erythematosus

Nordmark, Gunnel (author)
Uppsala universitet,Institutionen för medicinska vetenskaper,systemisk autoimmunitet
Bengtsson, Christine (author)
Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine
Larsson, Anders (author)
Uppsala universitet,Institutionen för medicinska vetenskaper,Biologiska membran
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Karlsson, Anders (author)
Uppsala universitet,Institutionen för medicinska vetenskaper
Sturfelt, Gunnar (author)
Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine
Rönnblom, Lars (author)
Uppsala universitet,Institutionen för medicinska vetenskaper
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 (creator_code:org_t)
2009-07-07
2005
English.
In: Autoimmunity. - : Informa UK Limited. - 0891-6934 .- 1607-842X. ; 38:7, s. 531-540
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The objective of this study was to evaluate the efficacy of low dose dehydroepiandrosterone (DHEA) on health-related quality of life (HRQOL) in glucocorticoid treated female patients with systemic lupus erythematosus (SLE). Forty one women ( >or= 5 mg prednisolone/day) were included in a double-blind, randomized, placebo-controlled study for 6 months where DHEA was given at 30 mg/20 mg ( or= 46 years) daily, or placebo, followed by 6 months open DHEA treatment to all patients. HRQOL was assessed at baseline, 6 and 12 months, using four validated questionnaires and the patients' partners completed a questionnaire assessing mood and behaviour at 6 months. DHEA treatment increased serum levels of sulphated DHEA from subnormal to normal. The DHEA group improved in SF-36 "role emotional" and HSCL-56 total score (both p<0.05). During open DHEA treatment, the former placebo group improved in SF-36 "mental health" (p<0.05) with a tendency for improvement in HSCL-56 total score (p=0.10). Both groups improved in McCoy's Sex Scale during active treatment (p<0.05). DHEA replacement decreased high-density lipoprotein (HDL) cholesterol and increased insulin-like growth factor I (IGF-I) and haematocrit. There were no effects on bone density or disease activity and no serious adverse events. Side effects were mild. We conclude that low dose DHEA treatment improves HRQOL with regard to mental well-being and sexuality and can be offered to women with SLE where mental distress and/or impaired sexuality constitutes a problem.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)

Keyword

Adjuvants; Immunologic/pharmacology/*therapeutic use
Adult
Aged
Androgens/blood
Corticotropin/blood
Dehydroepiandrosterone/pharmacology/*therapeutic use
Double-Blind Method
Female
Humans
Insulin-Like Growth Factor I/metabolism
Lupus Erythematosus; Systemic/blood/*drug therapy/*physiopathology
Middle Aged
Prednisolone/pharmacology/*therapeutic use
Quality of Life
Research Support; Non-U.S. Gov't
Sex Characteristics
Sex Hormone-Binding Globulin/metabolism
health-related quality of life
SLE
DHEA
glucocorticoid

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ref (subject category)
art (subject category)

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