Healthy seniors who take DHEA tablets to
protect memory or pep up their sex lives are wasting
money, according to a yearlong study that found no
gains from the over-the-counter hormone supplement.
"This product is touted everywhere like it's the
fountain of youth," said Donna Kritz-Silverstein at
the University of California at San Diego School of
Medicine and lead author of the report.
"But when we looked @ ... cognitive function, mood,
sexual function and feelings of general well-being, it
didn't seem to provide any benefit," said Kritz-Silverstein,
whose study was published in the May issue of the
Journal of the American Geriatrics Society. The
National Institute on Aging funded the research.
The body's adrenal glands make DHEA, or
dehydroepiandrosterone, out of cholesterol. DHEA is
then converted into two important hormones -
testosterone and estrogen.
DHEA production declines gradually during life,
starting when people are in their mid-20s. By the time
individuals reach 70, their DHEA levels are about
one-fifth of the peak.
Consumer interest in DHEA supplements took off in
the 1990s, and U.S. sales of the product totaled about
$55 million last year. It costs nearly $100 for a
year's supply of pills that amount to 50 mg a day, the
amount required to achieve peak levels of DHEA in the
bloodstream.
Studies on the effects of DHEA have been limited,
and their findings have been mixed.
"There is little scientific evidence to support the
use of DHEA as a 'rejuvenating' hormone," the National
Institute on Aging said on its Web site.
The agency also said early signs suggest that DHEA
supplements might cause problems such as liver damage
and raise the risk of breast and prostate cancer by
adversely influencing levels of testosterone and
estrogen.
In the 1990s, some studies found that mice and rats
showed greater learning and memory capacity after
receiving doses of DHEA.
"That prompted some people to speculate that if you
could restore DHEA levels to that of youth, perhaps
you could improve health overall," Kritz-Silverstein
said.
In recent years, certain studies recorded no
benefits from DHEA supplements.
Others suggested that people who receive boosts of
DHEA have improved libido and memory skills. But Kritz-Silverstein
said those studies weren't definitive because they
tested DHEA supplements for only a few weeks or
months, enrolled very small numbers of participants
and didn't focus on people old enough to start
suffering age-related cognitive impairment.
"So the only way to determine whether they have any
benefits is to conduct good, scientific,
placebo-controlled clinical trials to see if they
work," she said.
The University of California San Diego study
enrolled 225 healthy men and women in the San Diego
area ages 55 to 85. Half of them took 50 mg of DHEA
pills per day, while the other half took placebo
pills.
Participants were examined for depression,
perceptions of physical and emotional health,
satisfaction with life and sexual function throughout
the study. When the results were tallied, "We really
didn't see any change over the year between those who
were taking DHEA and those who were not," Kritz-Silverstein
said.
Dr. Thomas Perls, a specialist in the anti-aging
industry at the Boston University School of Medicine,
said claims that DHEA supplements rejuvenate healthy
seniors are a "sign of medical quackery."
While there might be limited benefit in giving DHEA
supplements to younger people with conditions that
cause abnormally low DHEA levels, he said, "I'm not
familiar with any studies showing a beneficial effect
on young or old individuals aging normally."