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Journal of Education, Health and Sport

Potential clinical usage of ashwagandha root extract: A review
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Potential clinical usage of ashwagandha root extract: A review

Authors

  • Zofia Potocka Państwowy Instytut Medyczny MSWiA w Warszawie, ul. Wołoska 137, 02-507 Warsaw, Poland https://orcid.org/0009-0008-7738-2795
  • Aleksandra Borycka Państwowy Instytut Medyczny MSWiA w Warszawie, ul. Wołoska 137, 02-507 Warsaw, Poland https://orcid.org/0009-0002-5589-1827
  • Barbara Jędrzejewska Powiatowe Centrum Zdrowia w Otwocku, ul. Stefana Batorego 44, 05-400 Otwock, Poland https://orcid.org/0009-0002-2153-4311
  • Maria Kotulska Państwowy Instytut Medyczny MSWiA w Warszawie, ul. Wołoska 137, 02-507 Warsaw, Poland https://orcid.org/0009-0003-9111-6745
  • Paulina Laskus Międzyleski Szpital Specjalistyczny w Warszawie, ul. Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0006-6882-8797
  • Martyna Lichman Szpital Chirurgii Urazowej św. Anny, ul. Barska 16/20, 02-315 Warsaw, Poland https://orcid.org/0009-0007-5473-4973
  • Zuzanna Lubczyńska Szpital Grochowski im. dr med. Rafała Masztaka, ul. Grenadierów 51/59, 04-073 Warsaw, Poland https://orcid.org/0000-0002-4860-2508
  • Jakub Przeradzki Międzyleski Szpital Specjalistyczny w Warszawie, ul. Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0001-2941-6670
  • Katarzyna Rząd Międzyleski Szpital Specjalistyczny w Warszawie, ul. Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0000-3611-7479

DOI:

https://doi.org/10.12775/JEHS.2023.29.01.004

Keywords

Ashwagandha, Withania somnifera, Review, Clinical trial, herbal

Abstract

INTRODUCTION AND OBJECTIVE

Ashwagandha, an herb commonly used in traditional Indian medicine, has been gathering attention as a potential drug in various specialties such as psychiatry, neurology, or endocrinology and even as a possible cancer treatment. In this review we aim to summarize reports form recent years on potential clinical usage of Ashwagandha.

REVIEW METHODS

The literature review was conducted using PubMed and Google Scholar online databases.

THE STATE OF KNOWLEDGE

Several studies evaluating potential pharmacological uses of Ashwagandha root extract has been published. There are clinical trials conducted in India using the plant in treatment of insomnia that resulted in improved sleep quality. Ashwagandha root extract has been successfully administered in stress-related disorders. There are reports of improvement in cognitive functions in patients with mild cognitive impairment and better symptom control in obsessive-compulsive disorder after Ashwagandha supplementation. Ashwagandha has been studied in endocrine diseases, showing potential in alleviating climacteric symptoms during perimenopause and in subclinical hypothyroidism. The study aimed to assess effect of Ashwagandha on vitality and hormonal changes in elderly men showed mixed results, with improvement in some hormonal levels and not statistically significant improvement in quality of life compared to placebo group. It has also been noted that ashwagandha root extract has positive effect on cardiovascular system, as well as enhancing muscle strength and recovery in otherwise healthy adults.


SUMMARY

Ashwagandha root extract seems to possess beneficial properties that allow for its use in several branches of medicine. However as current findings are reported from small sample studies, further research on a larger scale is needed.

Author Biography

Zofia Potocka, Państwowy Instytut Medyczny MSWiA w Warszawie, ul. Wołoska 137, 02-507 Warsaw, Poland

Intern medical doctor

References

Langade D, Kanchi S, Salve J, Debnath K, Ambegaokar D. Efficacy and Safety of Ashwagandha (Withania somnifera) Root Extract in Insomnia and Anxiety: A Double-blind, Randomized, Placebo-controlled Study. Cureus. 2019 Sep 28;11(9):e5797. doi: 10.7759/cureus.5797. PMID: 31728244; PMCID: PMC6827862.

Akhgarjand C, Asoudeh F, Bagheri A, Kalantar Z, Vahabi Z, Shab-Bidar S, Rezvani H, Djafarian K. Does Ashwagandha supplementation have a beneficial effect on the management of anxiety and stress? A systematic review and meta-analysis of randomized controlled trials. Phytother Res. 2022 Nov;36(11):4115-4124. doi: 10.1002/ptr.7598. Epub 2022 Aug 25. PMID: 36017529.

Kuboyama T, Tohda C, Komatsu K. Effects of Ashwagandha (roots of Withania somnifera) on neurodegenerative diseases. Biol Pharm Bull. 2014;37(6):892-7. doi: 10.1248/bpb.b14-00022. PMID: 24882401.

Dutta R, Khalil R, Green R, Mohapatra SS, Mohapatra S. Withania Somnifera (Ashwagandha) and Withaferin A: Potential in Integrative Oncology. Int J Mol Sci. 2019 Oct 25;20(21):5310. doi: 10.3390/ijms20215310. PMID: 31731424; PMCID: PMC6862083.

Singh N, Bhalla M, de Jager P, Gilca M. An overview on ashwagandha: a Rasayana (rejuvenator) of Ayurveda. Afr J Tradit Complement Altern Med. 2011;8(5 Suppl):208-13. doi: 10.4314/ajtcam.v8i5S.9. Epub 2011 Jul 3. PMID: 22754076; PMCID: PMC3252722.

Singh N, Bhalla M, de Jager P, Gilca M. An overview on ashwagandha: a Rasayana (rejuvenator) of Ayurveda. Afr J Tradit Complement Altern Med. 2011;8(5 Suppl):208-13. doi: 10.4314/ajtcam.v8i5S.9. Epub 2011 Jul 3. PMID: 22754076; PMCID: PMC3252722.

Langade D, Kanchi S, Salve J, Debnath K, Ambegaokar D. Efficacy and Safety of Ashwagandha (Withania somnifera) Root Extract in Insomnia and Anxiety: A Double-blind, Randomized, Placebo-controlled Study. Cureus. 2019 Sep 28;11(9):e5797. doi: 10.7759/cureus.5797. PMID: 31728244; PMCID: PMC6827862

Deshpande A, Irani N, Balkrishnan R, Benny IR. A randomized, double blind, placebo controlled study to evaluate the effects of ashwagandha (Withania somnifera) extract on sleep quality in healthy adults. Sleep Med. 2020 Aug;72:28-36. doi: 10.1016/j.sleep.2020.03.012. Epub 2020 Mar 21. PMID: 32540634.

Lopresti AL, Smith SJ, Malvi H, Kodgule R. An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract. Medicine 2019;98:37(e17186)

Choudhary D, Bhattacharyya S, Bose S. Efficacy and Safety of Ashwagandha (Withania somnifera (L.) Dunal) Root Extract in Improving Memory and Cognitive Functions. J Diet Suppl. 2017 Nov 2;14(6):599-612. doi: 10.1080/19390211.2017.1284970. Epub 2017 Feb 21. PMID: 28471731.

Jahanbakhsh SP, Manteghi AA, Emami SA, Mahyari S, Gholampour B, Mohammadpour AH, Sahebkar A. Evaluation of the efficacy of Withania somnifera (Ashwagandha) root extract in patients with obsessive-compulsive disorder: A randomized double-blind placebo-controlled trial. Complement Ther Med. 2016 Aug;27:25-9. doi: 10.1016/j.ctim.2016.03.018. Epub 2016 Apr 9. PMID: 27515872.

Sharma AK, Basu I, Singh S. Efficacy and Safety of Ashwagandha Root Extract in Subclinical Hypothyroid Patients: A Double-Blind, Randomized Placebo-Controlled Trial. J Altern Complement Med. 2018 Mar;24(3):243-248. doi: 10.1089/acm.2017.0183. Epub 2017 Aug 22. PMID: 28829155.

Gopal S, Ajgaonkar A, Kanchi P, Kaundinya A, Thakare V, Chauhan S, Langade D. Effect of an ashwagandha (Withania Somnifera) root extract on climacteric symptoms in women during perimenopause: A randomized, double-blind, placebo-controlled study. J Obstet Gynaecol Res. 2021 Dec;47(12):4414-4425. doi: 10.1111/jog.15030. Epub 2021 Sep 22. PMID: 34553463.

Lopresti AL, Drummond PD, Smith SJ. A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha ( Withania somnifera) in Aging, Overweight Males. Am J Mens Health. 2019 Mar-Apr;13(2):1557988319835985. doi: 10.1177/1557988319835985. PMID: 30854916; PMCID: PMC6438434.

Tiwari S, Gupta SK, Pathak AK. A double-blind, randomized, placebo-controlled trial on the effect of Ashwagandha (Withania somnifera dunal.) root extract in improving cardiorespiratory endurance and recovery in healthy athletic adults. J Ethnopharmacol. 2021 May 23;272:113929. doi: 10.1016/j.jep.2021.113929. Epub 2021 Feb 15. PMID: 33600918.

Wankhede S, Langade D, Joshi K, Sinha SR, Bhattacharyya S. Examining the effect of Withania somnifera supplementation on muscle strength and recovery: a randomized controlled trial. J Int Soc Sports Nutr. 2015 Nov 25;12:43. doi: 10.1186/s12970-015-0104-9. PMID: 26609282; PMCID: PMC4658772.

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Published

2023-05-15

How to Cite

1.
POTOCKA, Zofia, BORYCKA, Aleksandra, JĘDRZEJEWSKA, Barbara, KOTULSKA, Maria, LASKUS, Paulina, LICHMAN, Martyna, LUBCZYŃSKA, Zuzanna, PRZERADZKI, Jakub and RZĄD, Katarzyna. Potential clinical usage of ashwagandha root extract: A review. Journal of Education, Health and Sport. Online. 15 May 2023. Vol. 29, no. 1, pp. 35-44. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2023.29.01.004.
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Issue

Vol. 29 No. 1 (2023)

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Review Articles

License

Copyright (c) 2023 Zofia Potocka, Aleksandra Borycka, Barbara Jędrzejewska, Maria Kotulska, Paulina Laskus, Martyna Lichman, Zuzanna Lubczyńska, Jakub Przeradzki, Katarzyna Rząd

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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