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Ashwagandha para Ansiedad

La ashwagandha muestra evidencia fuerte y consistente para reducir la ansiedad y el estrés.

Impacto

✓✓Mejora Alta

Confianza en la evidencia

AConfianza Muy Alta
16estudios
7RCTs
9meta-análisis

Distribución de resultados entre estudios

Incremento 95.4%Sin efecto 0%Reducción 0%

Resumen de Evidencia

Múltiples meta-análisis recientes (2024, 2022) que suman más de 1000 participantes, indican que la ashwagandha reduce significativamente los niveles de ansiedad (medidos por escalas como HAM-A y PSS) y los niveles de cortisol sérico en comparación con el placebo. Los tamaños de efecto reportados varían de moderados a grandes, y la evidencia es consistente en diversas poblaciones, incluyendo adultos con estrés crónico, ansiedad e insomnio. Esta consistencia sugiere un beneficio robusto para el manejo del estrés y la ansiedad.

  • Meta-análisis de 2024 (n=558) y 2022 (n=1002) confirman que la ashwagandha reduce significativamente la ansiedad y los niveles de cortisol en comparación con placebo, con efectos de moderados a grandes.
  • La suplementación con ashwagandha, en dosis de 300-600 mg/día, ha demostrado mejorar la gestión del estrés, la calidad del sueño y reducir los síntomas de ansiedad en adultos bajo estrés crónico o con insomnio.
  • La evidencia preclínica y clínica sugiere que la ashwagandha puede tener efectos ansiolíticos moduladores de GABA, mostrando un buen perfil de seguridad y tolerabilidad en los estudios.

👥 Población con mayor evidencia

Adultos con estrés y ansiedad, incluyendo aquellos bajo estrés crónico, con insomnio o con ansiedad moderada a severa.

💊 Dosis con mayor evidencia

Las dosis más estudiadas y con mayor evidencia de eficacia se encuentran en el rango de 300 a 600 mg/día de extracto de raíz de ashwagandha, a menudo administradas en dos tomas diarias.

⚠️ Limitaciones de la evidencia

Aunque la evidencia es fuerte, algunos estudios incluidos en las revisiones sistemáticas tenían un riesgo de sesgo poco claro o alto. Además, la estandarización de los extractos y la duración óptima del tratamiento en poblaciones clínicas específicas requieren mayor investigación.

Otros beneficios de Ashwagandha

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Otros suplementos para Ansiedad

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Estudios Individuales (16)

Effects of Ashwagandha (Withania Somnifera) on stress and anxiety: A systematic review and meta-analysis.

Arumugam Velan, Vijayakumar Venugopal, Balakrishnan Arthi et al. · Explore (New York, N.Y.) 2024 · n=558

Meta-Analysis Incremento

A 2024 meta-analysis of 9 RCTs (n=558) found Ashwagandha significantly reduced Perceived Stress Scale, Hamilton Anxiety Scale, and serum cortisol levels compared to placebo.

Controlado con placeboAshwagandha formulations (dose not specified in abstract)PubMed →
Safety and efficacy of Withania somnifera for anxiety and insomnia: Systematic review and meta-analysis.

Fatima Kaneez, Malik Javeria, Muskan Fariha et al. · Human psychopharmacology 2024 · n=254

Meta-Analysis Incremento

A 2024 meta-analysis of 5 RCTs (n=254) found that Withania somnifera significantly reduced anxiety scores (HAM-A) compared to placebo.

Controlado con placeboPubMed →
Meta-Analysis Incremento

A 2022 meta-analysis of 12 RCTs (n=1002) found Ashwagandha supplementation significantly reduced anxiety (SMD: -1.55, 95% CI: -2.37 to -0.74, p=0.005) in adults aged 25-48 years.

Ashwagandha extract (dose not specified in abstract)PubMed →
Effect of Ashwagandha (Withania somnifera) extract on sleep: A systematic review and meta-analysis.

Cheah Kae Ling, Norhayati Mohd Noor, Husniati Yaacob Lili et al. · PloS one 2021 · n=400

Systematic Review Incremento

A 2021 systematic review and meta-analysis (n=400) found Ashwagandha extract had a small but significant effect on improving sleep, especially in adults with insomnia at doses ≥600 mg/day for ≥8 weeks.

Controlado con placebo≥600 mg/day Ashwagandha extractPubMed →
Randomized Controlled Trial Incremento

A 2021 RCT (n=80) found Ashwagandha root extract significantly improved sleep parameters and reduced anxiety (HAM-A) in both healthy and insomnia subjects, with greater improvement in insomnia patients.

Doble ciegoControlado con placebo8 sem. duraciónAshwagandha root extract (dose not specified in abstract)PubMed →
Body Weight Management in Adults Under Chronic Stress Through Treatment With Ashwagandha Root Extract: A Double-Blind, Randomized, Placebo-Controlled Trial.

Choudhary Dnyanraj, Bhattacharyya Sauvik, Joshi Kedar · Journal of evidence-based complementary & alternative medicine 2017 · n=52

Randomized Controlled Trial Incremento

A 2017 RCT (n=52) found Ashwagandha root extract 600mg/day improved body weight management and reduced stress in adults under chronic stress.

Doble ciegoControlado con placebo8 sem. duración300mg Ashwagandha root extract twice dailyPubMed →
Randomized placebo-controlled adjunctive study of an extract of withania somnifera for cognitive dysfunction in bipolar disorder.

Chengappa K N Roy, Bowie Christopher R, Schlicht Patricia J et al. · The Journal of clinical psychiatry 2013 · n=53

Randomized Controlled Trial Incremento

A 2013 RCT (n=53) found Withania somnifera extract 500 mg/day improved auditory-verbal working memory, reaction time, and social cognition in euthymic bipolar disorder patients.

Doble ciegoControlado con placebo8 sem. duración500 mg/day standardized extract of Withania somniferaPubMed →
Naturopathic care for anxiety: a randomized controlled trial ISRCTN78958974.

Cooley Kieran, Szczurko Orest, Perri Dan et al. · PloS one 2009 · n=81

Randomized Controlled Trial Incremento

A 2009 RCT (n=81) found that naturopathic care including ashwagandha 300mg twice daily reduced Beck Anxiety Inventory scores by 56.5% compared to 30.5% in the psychotherapy group, with significant improvements in quality of life measures.

Controlado con placebo12 sem. duraciónashwagandha (Withania somnifera) 300 mg b.i.d. standardized to 1.5% withanolides, prepared from rootPubMed →
Randomized Controlled Trial Incremento

A 2026 RCT found that both ashwagandha and multi-herb formulas significantly reduced perceived stress, anxiety, and improved sleep quality compared to placebo in stressed adults.

Doble ciegoControlado con placebo8.57 sem. duraciónfull-spectrum ashwagandha (VL-G-E12) and multi-herb formula (VL-G-A57) - doses not specifiedPubMed →
Randomized Controlled Trial Incremento

A 2024 RCT (n=48) found CL18100F4 supplementation (300 or 500 mg/day for 14 days) significantly reduced constipation symptoms, improved sleep quality, and reduced stress in adults with functional constipation.

Doble ciegoControlado con placebo2 sem. duración300 or 500 mg/day CL18100F4 (blend of WS root and AE fruit extracts)PubMed →
Interventions for generalized anxiety disorder.

Byrne Gerard J · Current opinion in psychiatry 2023

Systematic Review Incremento

A 2023 systematic review found some evidence of efficacy for Withania somnifera (ashwagandha) in the treatment of generalized anxiety disorder.

Plant-derived nootropics and human cognition: A systematic review.

Lorca Cristina, Mulet María, Arévalo-Caro Catalina et al. · Critical reviews in food science and nutrition 2023

Systematic Review~ Mixto

A 2023 systematic review (n=256 papers) found mixed effects of plant-derived nootropics on human cognition across various neurocognitive domains.

GABA-modulating phytomedicines for anxiety: A systematic review of preclinical and clinical evidence.

Savage Karen, Firth Joseph, Stough Con et al. · Phytotherapy research : PTR 2018

Systematic Review Incremento

A 2018 systematic review (n=not reported) found that ashwagandha, among other phytomedicines, showed preclinical and clinical evidence of GABA-modulating anxiolytic effects with good safety and tolerability.

Herbal medicines and phytochemicals for obsessive-compulsive disorder.

Ayati Zahra, Sarris Jerome, Chang Dennis et al. · Phytotherapy research : PTR 2020

Systematic Review Incremento

A 2020 systematic review found tentative low-quality evidence that Withania somnifera (Ashwagandha) may have anti-obsessive-compulsive effects, though more research is needed.

Randomized Controlled Trial Incremento

A 2025 RCT (n=20) found that a novel 1.5% Ashwagandha formulation (Zenroot™) 125 mg single dose showed superior bioavailability of total withanolides compared to higher-dose reference products in healthy adults.

Doble ciego125 mg Zenroot™ Ashwagandha 1.5% (single dose)PubMed →
An alternative treatment for anxiety: a systematic review of human trial results reported for the Ayurvedic herb ashwagandha (Withania somnifera).

Pratte Morgan A, Nanavati Kaushal B, Young Virginia et al. · Journal of alternative and complementary medicine (New York, N.Y.) 2014

Systematic Review Incremento

A 2014 systematic review of 5 RCTs found that ashwagandha intervention resulted in greater score improvements than placebo on anxiety or stress scales, though studies had unclear or high risk of bias.

various regimens of Withania somnifera extractPubMed →