Di Minno Alessandro, Morone Maria Vittoria, Buccato Daniele Giuseppe, De Lellis Lorenza Francesca, Ullah Hammad, Piccinocchi Roberto, Cordara Marcello, Larsen Danaé S, Di Guglielmo Antonietta, Baldi Alessandra, Piccinocchi Gaetano, Xiao Xiang, Sacchi Roberto, Daglia Maria
Department of Pharmacy, University of Napoli Federico II, Via D. Montesano 49, 80131 Naples, Italy.
CEINGE-Biotecnologie Avanzate, Via Gaetano Salvatore 486, 80145 Naples, Italy.
Nutrients. 2025 Apr 28;17(9):1491. doi: 10.3390/nu17091491.
: Primary insomnia is characterized by persistent sleeplessness that is not caused by medical, psychological, or environmental factors. It is defined by difficulty initiating or maintaining sleep for at least one month, leading to significant distress or impairment in daily functioning. This randomized, crossover, double-blind, placebo-controlled clinical trial aimed to assess the efficacy and tolerability of a L. extract-based food supplement in subjects with mild to moderate primary insomnia. : A total of 66 participants, aged 18-70 years, were randomly allocated into two groups (1:1 allocation ratio) and received either the food supplement (400 mg/day) or a placebo for 56 days, separated by a 28-day washout period. The clinical effectiveness of the food supplement was assessed using the Pittsburgh Sleep Quality Index (PSQI) as the primary outcome measure. Secondary outcomes included sleep-wake cycle parameters (sleep onset latency, sleep efficiency, and total sleep time) and a Visual Analog Scale (VAS). : A significant improvement in sleep-wake balance following supplementation with , as reflected by enhanced scores in both primary and secondary outcomes, was observed. Furthermore, none of the participants reported adverse effects from the food supplement. : Overall, these findings suggest that a extract-based food supplement is a safe and effective strategy for restoring the sleep-wake cycle and improving quality of life in individuals with primary insomnia.
原发性失眠的特征是持续失眠,且并非由医学、心理或环境因素引起。其定义为入睡困难或维持睡眠困难至少持续一个月,导致严重痛苦或日常功能受损。这项随机、交叉、双盲、安慰剂对照的临床试验旨在评估一种基于L.提取物的食品补充剂对轻至中度原发性失眠患者的疗效和耐受性。
共有66名年龄在18至70岁之间的参与者被随机分为两组(分配比例为1:1),接受食品补充剂(400毫克/天)或安慰剂,为期56天,中间有28天的洗脱期。以匹兹堡睡眠质量指数(PSQI)作为主要结局指标评估食品补充剂的临床效果。次要结局包括睡眠-觉醒周期参数(入睡潜伏期、睡眠效率和总睡眠时间)以及视觉模拟量表(VAS)。
观察到补充后睡眠-觉醒平衡有显著改善,主要和次要结局的得分均有所提高。此外,没有参与者报告食品补充剂有不良反应。
总体而言,这些发现表明,基于提取物的食品补充剂是恢复原发性失眠患者睡眠-觉醒周期和改善生活质量的一种安全有效的策略。