The effects of formulated palmitoylethanolamide supplementation on indicators of stress and heart rate variability in female university students: a randomised cross-over trial.

IF 4 2区 农林科学 Q2 NUTRITION & DIETETICS
Frontiers in Nutrition Pub Date : 2025-09-19 eCollection Date: 2025-01-01 DOI:10.3389/fnut.2025.1586409
Sanjoy K Deb, Nadia Kim, Brenda Parolin, Derek Renshaw, Mohammed Gulrez Zariwala
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引用次数: 0

Abstract

Background: Chronic stress is a prevalent issue among university students, negatively affecting both mental and physiological health. Palmitoylethanolamide (PEA), particularly in the Levagen+® formulation, has been investigated for its potential stress-modulating effects through its anti-inflammatory and neuroprotective properties. This study aimed to assess the effects of 6 weeks of Levagen+® PEA supplementation on physiological and subjective markers of stress in moderately stressed female university students.

Methods: A double-blind, placebo-controlled crossover trial was conducted with 16 female participants who met the inclusion criteria based on the Perceived Stress Scale (PSS). Participants were randomly assigned to receive either 6 weeks of PEA supplementation (600 mg/day) or a placebo, with a six-week washout period. Stress responses were assessed through heart rate variability (HRV), subjective stress and mood measures (PSS, PANAS), and salivary cortisol levels. To enhance ecological validity, assessments were conducted in real-life settings rather than laboratory environments.

Results: PEA supplementation significantly increased the Standard Deviation of Normal-to-Normal (SDNN), a key HRV marker associated with autonomic resilience to stress (+9.70 ± 6.02 ms) compared to placebo (-5.72 ± 3.14 ms, p = 0.024), suggesting enhanced physiological stress regulation. While there was a trend of increased Root Mean Square Successive Difference (RMSSD) with PEA, it did not significantly change between conditions (p = 0.087). Similarly, a trend toward reduced self-reported stress was observed, though it did not reach statistical significance. No significant changes were detected in positive (p = 0.78) or negative (p = 0.95) emotions experienced. Salivary cortisol levels remained unchanged between conditions (p = 0.70).

Conclusion: This exploratory study demonstrates for the first time that PEA supplementation may enhance physiological resilience to stress as indicated by improved HRV. While subjective stress and emotional measures did not show significant changes, the observed trend suggests potential benefits in individuals experiencing moderate stress. Given PEA's role in the endocannabinoid system and its influence on inflammation, further research is warranted in larger and more diverse populations, including individuals with higher baseline stress levels. These preliminary findings contribute to the growing body of evidence supporting PEA as a promising dietary intervention for stress management.

Clinical trial registration: https://clinicaltrials.gov, NCT06225440.

配方棕榈酰乙醇酰胺补充剂对女大学生压力指标和心率变异性的影响:一项随机交叉试验。
背景:慢性压力是大学生普遍存在的问题,对心理和生理健康都有负面影响。棕榈酰乙醇酰胺(PEA),特别是Levagen+®配方中的PEA,已经通过其抗炎和神经保护特性研究了其潜在的应激调节作用。本研究旨在评估6 周补充Levagen+®PEA对中度应激女大学生生理和主观应激指标的影响。方法:采用双盲、安慰剂对照交叉试验,选取16名符合感知压力量表(PSS)纳入标准的女性受试者。参与者被随机分配接受6 周PEA补充(600 mg/天)或安慰剂,并有6周的洗脱期。通过心率变异性(HRV)、主观压力和情绪测量(PSS、PANAS)和唾液皮质醇水平评估应激反应。为了提高生态有效性,评估是在现实生活环境而不是实验室环境中进行的。结果:与安慰剂(-5.72 ± 3.14 ms, p = 0.024)相比,补充PEA显著增加了正常到正常(SDNN)的标准偏差(+9.70 ± 6.02 ms),这是一个与自主神经应激恢复能力相关的关键HRV标记(+9.70 ± 6.02 ms),表明生理应激调节增强。虽然PEA有增加均方根连续差(RMSSD)的趋势,但不同条件之间没有显著变化(p = 0.087)。同样地,自我报告的压力减少的趋势也被观察到,尽管没有达到统计学意义。阳性情绪(p = 0.78)和阴性情绪(p = 0.95)均无显著变化。唾液皮质醇水平在两种情况下保持不变(p = 0.70)。结论:本探索性研究首次证明了PEA补充剂可以通过改善HRV来增强对应激的生理恢复能力。虽然主观压力和情绪测量没有显示出明显的变化,但观察到的趋势表明,在经历适度压力的个体中,潜在的益处。鉴于PEA在内源性大麻素系统中的作用及其对炎症的影响,有必要在更大、更多样化的人群中进行进一步的研究,包括基线应激水平较高的个体。这些初步发现有助于越来越多的证据支持PEA作为一种有希望的压力管理饮食干预。临床试验注册:https://clinicaltrials.gov, NCT06225440。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Nutrition
Frontiers in Nutrition Agricultural and Biological Sciences-Food Science
CiteScore
5.20
自引率
8.00%
发文量
2891
审稿时长
12 weeks
期刊介绍: No subject pertains more to human life than nutrition. The aim of Frontiers in Nutrition is to integrate major scientific disciplines in this vast field in order to address the most relevant and pertinent questions and developments. Our ambition is to create an integrated podium based on original research, clinical trials, and contemporary reviews to build a reputable knowledge forum in the domains of human health, dietary behaviors, agronomy & 21st century food science. Through the recognized open-access Frontiers platform we welcome manuscripts to our dedicated sections relating to different areas in the field of nutrition with a focus on human health. Specialty sections in Frontiers in Nutrition include, for example, Clinical Nutrition, Nutrition & Sustainable Diets, Nutrition and Food Science Technology, Nutrition Methodology, Sport & Exercise Nutrition, Food Chemistry, and Nutritional Immunology. Based on the publication of rigorous scientific research, we thrive to achieve a visible impact on the global nutrition agenda addressing the grand challenges of our time, including obesity, malnutrition, hunger, food waste, sustainability and consumer health.
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