Exploring the therapeutic potential of Ashwagandha (Withania somnifera) supplementation in alleviating stress and stress-related disorders
DOI:
https://doi.org/10.12775/QS.2024.15.51854Keywords
ashwagandha, Withania somnifera, adaptogen, stress, insomnia, anxiety, depressionAbstract
Withania somnifera, also known as Ashwagandha, is a key herb in Ayurvedic medicine, celebrated for its ability to rejuvenate and promote longevity. It is believed to support overall wellness, offering neuroprotective, anti-inflammatory, and adaptogenic benefits. This study aims to evaluate how Ashwagandha (Withania somnifera) supplementation impacts stress levels, psychological well-being, and resilience, assessing its overall effectiveness as an adaptogen. Stress, be it physical or psychological, activates a response involving the nervous, endocrine, and immune systems through various mechanisms, initially aiding in handling challenges but becoming detrimental when perceived as intense, repetitive, or prolonged, contributing to conditions like depression, anxiety and cognitive decline. Ashwagandha reduces morning cortisol and DHEA-S levels and increases heart rate variability. It improves sleep quality, alleviates anxiety symptoms, and may help with depression due to its components, such as alkaloids and withanolides. Additionally, it reduces fatigue and enhances overall well-being and happiness. It is important that Ashwagandha supplementation is safe and does not cause side effects, making it an attractive alternative for supporting health and well-being. Ashwagandha supplementation, due to adaptogenic qualities, appears promising in addressing stress and stress-related disorders, as well as enhancing overall well-being. Further research is warranted to fully explore its potential role in conventional health strategies.
References
Tandon N, Yadav SS. Safety and clinical effectiveness of Withania Somnifera (Linn.) Dunal root in human ailments. J Ethnopharmacol. 2020 Jun 12;255:112768. doi: 10.1016/j.jep.2020.112768. Epub 2020 Mar 19. PMID: 32201301.
Speers AB et al. Effects of Withania somnifera (Ashwagandha) on Stress and the Stress- Related Neuropsychiatric Disorders Anxiety, Depression, and Insomnia. Curr Neuropharmacol. 2021;19(9):1468-1495. doi: 10.2174/1570159X19666210712151556. PMID: 34254920; PMCID: PMC8762185.
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.
Mikulska P et al. Ashwagandha (Withania somnifera)-Current Research on the Health-Promoting Activities: A Narrative Review. Pharmaceutics. 2023 Mar 24;15(4):1057. doi: 10.3390/pharmaceutics15041057. PMID: 37111543; PMCID: PMC10147008.
Tsigos C et al. Stress: Endocrine Physiology and Pathophysiology. 2020 Oct 17. In: Feingold KR, Anawalt B, Blackman MR, Boyce A, Chrousos G, Corpas E, de Herder WW, Dhatariya K, Dungan K, Hofland J, Kalra S, Kaltsas G, Kapoor N, Koch C, Kopp P, Korbonits M, Kovacs CS, Kuohung W, Laferrère B, Levy M, McGee EA, McLachlan R, New M, Purnell J, Sahay R, Shah AS, Singer F, Sperling MA, Stratakis CA, Trence DL, Wilson DP, editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000–. PMID: 25905226.
Todorova V et al. Plant Adaptogens-History and Future Perspectives. Nutrients. 2021 Aug 20;13(8):2861. doi: 10.3390/nu13082861. PMID: 34445021; PMCID: PMC8398443.
Panossian AG et al. Evolution of the adaptogenic concept from traditional use to medical systems: Pharmacology of stress- and aging-related diseases. Med Res Rev. 2021 Jan;41(1):630-703. doi: 10.1002/med.21743. Epub 2020 Oct 25. PMID: 33103257; PMCID: PMC7756641.
Chu B et al. Physiology, Stress Reaction. 2022 Sep 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 31082164.
Zhang W et al. Medicinal herbs for the treatment of anxiety: A systematic review and network meta-analysis. Pharmacol Res. 2022 May;179:106204. doi: 10.1016/j.phrs.2022.106204. Epub 2022 Apr 1. PMID: 35378276.
Lightman SL, Birnie MT, Conway-Campbell BL. Dynamics of ACTH and Cortisol Secretion and Implications for Disease. Endocr Rev. 2020 Jun 1;41(3):bnaa002. doi: 10.1210/endrev/bnaa002. PMID: 32060528; PMCID: PMC7240781.
van Zuiden M et al. DHEA and DHEA-S levels in posttraumatic stress disorder: A meta-analytic review. Psychoneuroendocrinology. 2017 Oct;84:76-82. doi: 10.1016/j.psyneuen.2017.06.010. Epub 2017 Jun 15. PMID: 28668711.
Lopresti AL et al. An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract: A randomized, double-blind, placebo-controlled study. Medicine (Baltimore). 2019 Sep;98(37):e17186. doi: 10.1097/MD.0000000000017186. PMID: 31517876; PMCID: PMC6750292.
Kim HG et al. Stress and Heart Rate Variability: A Meta-Analysis and Review of the Literature. Psychiatry Investig. 2018 Mar;15(3):235-245. doi: 10.30773/pi.2017.08.17. Epub 2018 Feb 28. PMID: 29486547; PMCID: PMC5900369.
Arakaki X et al. The connection between heart rate variability (HRV), neurological health, and cognition: A literature review. Front Neurosci. 2023 Mar 1;17:1055445. doi: 10.3389/fnins.2023.1055445. PMID: 36937689; PMCID: PMC10014754.
Smith SJ, Lopresti AL, Fairchild TJ. Exploring the efficacy and safety of a novel standardized ashwagandha (Withania somnifera) root extract (Witholytin®) in adults experiencing high stress and fatigue in a randomized, double-blind, placebo-controlled trial. J Psychopharmacol. 2023 Nov;37(11):1091-1104. doi: 10.1177/02698811231200023. Epub 2023 Sep 23. PMID: 37740662; PMCID: PMC10647917.
Kalmbach DA, Anderson JR, Drake CL. The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. J Sleep Res. 2018 Dec;27(6):e12710. doi: 10.1111/jsr.12710. Epub 2018 May 24. PMID: 29797753; PMCID: PMC7045300.
Westfall S et al. Chronic Stress-Induced Depression and Anxiety Priming Modulated by Gut-Brain-Axis Immunity. Front Immunol. 2021 Jun 24;12:670500. doi: 10.3389/fimmu.2021.670500. PMID: 34248950; PMCID: PMC8264434.
Langade D et al. Clinical evaluation of the pharmacological impact of ashwagandha root extract on sleep in healthy volunteers and insomnia patients: A double-blind, randomized, parallel-group, placebo-controlled study. J Ethnopharmacol. 2021 Jan 10;264:113276. doi: 10.1016/j.jep.2020.113276. Epub 2020 Aug 17. PMID: 32818573.
Zhang W et al. Medicinal herbs for the treatment of anxiety: A systematic review and network meta-analysis. Pharmacol Res. 2022 May;179:106204. doi: 10.1016/j.phrs.2022.106204. Epub 2022 Apr 1. PMID: 35378276.
Kumar P, Patel D. Can Traditional Treatment Such as Ashwagandha Be Beneficial in Treating Depression? Altern Ther Health Med. 2023 Jan;29(1):36-39. PMID: 35139495.
Baker C et al. The Perceived Impact of Ashwagandha on Stress, Sleep Quality, Energy, and Mental Clarity for College Students: Qualitative Analysis of a Double-Blind Randomized Control Trial. J Med Food. 2022 Dec;25(12):1095-1101. doi: 10.1089/jmf.2022.0042. Epub 2022 Aug 18. PMID: 35984870.
Kelgane SB et al. Efficacy and Tolerability of Ashwagandha Root Extract in the Elderly for Improvement of General Well-being and Sleep: A Prospective, Randomized, Double-blind, Placebo-controlled Study. Cureus. 2020 Feb 23;12(2):e7083. doi: 10.7759/cureus.7083. PMID: 32226684; PMCID: PMC7096075.
Choudhary D, Bhattacharyya S, Joshi K. Body Weight Management in Adults Under Chronic Stress Through Treatment With Ashwagandha Root Extract: A Double-Blind, Randomized, Placebo-Controlled Trial. J Evid Based Complementary Altern Med. 2017 Jan;22(1):96-106. doi: 10.1177/2156587216641830. Epub 2016 Apr 6. PMID: 27055824; PMCID: PMC5871210.
O'Connor J et al. The Impact of Ashwagandha on Stress, Sleep Quality, and Food Cravings in College Students: Quantitative Analysis of a Double-Blind Randomized Control Trial. J Med Food. 2022 Dec;25(12):1086-1094. doi: 10.1089/jmf.2022.0040. Epub 2022 Aug 18. Erratum in: J Med Food. 2023 Apr;26(4):275. PMID: 35984871.
Verma N et al. Safety of Ashwagandha Root Extract: A Randomized, Placebo-Controlled, study in Healthy Volunteers. Complement Ther Med. 2021 Mar;57:102642. doi: 10.1016/j.ctim.2020.102642. Epub 2020 Dec 15. PMID: 33338583.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Martyna Kuśmierska, Jakub Kuśmierski, Oliwia Kwaśniewska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 333
Number of citations: 0