Effects of Withania somnifera on Cortisol Levels in Stressed Human Subjects: A Systematic Review.

Background: Withania somnifera (WS), a popular medicinal plant of the Solanaceae family, contains active ingredients with antioxidant, anti-inflammatory, immunomodulatory, and anti-stress activities. However, its precise mechanisms of action and optimal use as a supplement are not yet fully understo...

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Publicado en:Nutrients Vol. 15; no. 24; pp. 5015 - 5027
Autores principales: Della Porta, Matteo, Maier, Jeanette A., Cazzola, Roberta
Formato: research systematic review tables/charts Journal Article
Publicado: MDPI Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
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      pub: MDPI
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        atl: Effects of Withania somnifera on Cortisol Levels in Stressed Human Subjects: A Systematic Review.
      aug:
        au:
          Della Porta, Matteo
          Maier, Jeanette A.
          Cazzola, Roberta
        affil: Department of Biomedical and Clinical Sciences, University of Milano, 20157 Milan, Italy
      sug:
        subj:
          Plants, Medicinal Therapeutic Use
          Plants, Medicinal Pharmacodynamics
          Plants, Medicinal Pharmacokinetics
          Hydrocortisone Drug Effects
          Stress Drug Therapy
          Treatment Outcomes Evaluation
          Human
          Plant Extracts
          Descriptive Statistics
          Systematic Review
          Embase
          PubMed
          Antioxidants
          Antiinflammatory Agents
          Stress Prevention and Control
          Medicine, Herbal
          Alkaloids
          Stress Management Methods
      ab: Background: Withania somnifera (WS), a popular medicinal plant of the Solanaceae family, contains active ingredients with antioxidant, anti-inflammatory, immunomodulatory, and anti-stress activities. However, its precise mechanisms of action and optimal use as a supplement are not yet fully understood. The objective of this systematic review is to assess the impact of WS supplementation on cortisol levels in stressed humans by analyzing clinical trials conducted prior to May 2023. Methods: The assessment was carried out following the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) by exploring the databases of EMBASE, PubMed, Google Scholar, CENTRAL, and Scopus. Results: Of the 4788 articles identified, only 9 studies met the selection criteria. The selected studies varied in terms of design, results, formulations, dosages, and treatment duration (30–112 days), and involved subjects with varying degrees of stress. WS supplementation decreases cortisol secretion with no significant adverse effects. Nonetheless, none of the studies evaluated the potential impact of cortisol reduction on adrenal function and long-term effects. Conclusions: Brief-term supplementation with WS appears to have a stress-reducing effect in stressed individuals. However, since the long-term effects of WS supplementation are not yet fully understood, WS supplements should be used under medical supervision.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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