A multicentric, double-blind, randomized, placebo-controlled clinical study to evaluate the novel combination of Taurine and Ginseng in improving energy parameters in healthy male subjects

Main Article Content

Gaurav Chhaya Gursaran Kaur Sidhu Sunil S Iyer Rajat Singal Milan C Satia Muneeb Ahsan Ashutosh Gautam Jaspreet Kaur Chetan Mehndiratta

Abstract

Objective: To evaluate the efficacy and safety of the multivitamin tablet “Health OK” (phytochemical formulation of nutrients and super-nutrients like Taurine and Ginseng Extract) in healthy male subjects.


Material and methods: This was a multicentric, double-blind, randomized, placebo-controlled clinical study of Health OK Tablet (Multivitamin, Multimineral, Amino Acids with Taurine & Ginseng Extract) (test product:control= 2:1).   Efficacy parameter evaluation was carried out at randomization, and follow-ups (2, 4, 8 and 12th weeks). Primary endpoint was to assess general well-being. Secondary endpoints were mean changes in laboratory parameters, immune/inflammatory response, oxidative stress markers, energy and fatigue, mental alertness, and memory.


Results: 56.67% of the 60 test subjects showed clinical improvement in general well-being compared to 30% in control.  The test group showed notable improvement in the Energy and Fatigue scores by day 14, than control group. Similar differences between the two groups were also observed in mental alertness and memory scores. In terms of the immune/inflammatory response, the test group (2.58 pg/ml) showed a major reduction in IFN-γ from baseline to the end of the study (EOS) than the control group (1.5 pg/ml). Significant reductions were seen in levels of malondialdehyde (p=0.0001), superoxide dismutase (p=0.0261), and glutathione (p=0.0058) in the test group than control. None of the subjects were withdrawn from the study owing to adverse events.


Conclusion: Our results showed that the test product was effective in improving the general well-being, energy, memory and mental alertness parameters, immune and inflammatory responses and oxidative stress markers compared to placebo in healthy male subjects, with improvement in energy scores evident within 14 days.

Keywords: Health, energy, multivitamin, memory, supplements

Article Details

How to Cite
CHHAYA, Gaurav et al. A multicentric, double-blind, randomized, placebo-controlled clinical study to evaluate the novel combination of Taurine and Ginseng in improving energy parameters in healthy male subjects. Medical Research Archives, [S.l.], v. 12, n. 9, sep. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5559>. Date accessed: 04 oct. 2024. doi: https://doi.org/10.18103/mra.v12i9.5559.
Section
Research Articles

References

1. EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA), Turck D, Bohn T, et al. Scientific advice related to nutrient profiling for the development of harmonised mandatory front‐of‐pack nutrition labelling and the setting of nutrient profiles for restricting nutrition and health claims on foods. EFSA J. 2022;20(4). doi:10.2903/j.efsa.2022.7259
2. Vitamins and Minerals. NCCIH. Accessed May 11, 2023. https://www.nccih.nih.gov/health/vitamins-and-minerals
3. Chugh PK, Lhamo Y. An Assessment of Vitamin Supplements in the Indian Market. Indian J Pharm Sci. 2012;74(5):469-473. doi:10.4103/0250-474X.108431
4. Zhang FF, Barr SI, McNulty H, Li D, Blumberg JB. Health effects of vitamin and mineral supplements. The BMJ. 2020;369:m2511. doi:10.1136/bmj.m2511
5. Chandel NS. Amino Acid Metabolism. Cold Spring Harb Perspect Biol. 2021;13(4):a040584. doi:10.1101/cshperspect.a040584
6. Schaffer S, Kim HW. Effects and Mechanisms of Taurine as a Therapeutic Agent. Biomol Ther. 2018;26(3):225-241. doi:10.4062/biomolther.2017.251
7. LeVatte M, Keshteli AH, Zarei P, Wishart DS. Applications of Metabolomics to Precision Nutrition. Lifestyle Genomics. 2022;15(1):1-9. doi:10.1159/000518489
8. Wee JJ, Mee Park K, Chung AS. Biological Activities of Ginseng and Its Application to Human Health. In: Benzie IFF, Wachtel-Galor S, eds. Herbal Medicine: Biomolecular and Clinical Aspects. 2nd ed. CRC Press/Taylor & Francis; 2011. Accessed May 11, 2023. http://www.ncbi.nlm.nih.gov/books/NBK92776/
9. Tardy AL, Pouteau E, Marquez D, Yilmaz C, Scholey A. Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence. Nutrients. 2020;12(1):228. doi:10.3390/nu12010228
10. Levy MA, McKinnon T, Goldfine H, Enomoto A, Schneider E, Cuomo J. Consumption of a multivitamin/multimineral supplement for 4 weeks improves nutritional status and markers of cardiovascular health. J Funct Foods. 2019;62:103511. doi:10.1016/j.jff.2019.103511
11. Lerman RH, Desai A, Lamb JJ, Chang JL, Darland G, Konda VR. A Phytochemical-rich Multivitamin-multimineral Supplement Is Bioavailable and Reduces Serum Oxidized Low-density Lipoprotein, Myeloperoxidase, and Plasminogen Activator Inhibitor-1 in a Four-week Pilot trial of Healthy Individuals. Glob Adv Health Med. 2014;3(2):34-39. doi:10.7453/gahmj.2013.098
12. Bond A, Lader M. The use of analogue scales in rating subjective feelings. Br J Med Psychol. 1974;47(3):211-218. doi:10.1111/j.2044-8341.1974.tb02285.x
13. Baycrest Centre - Multifactorial Memory Questionnaire. Accessed May 12, 2023. http://www.baycrest.org/Baycrest/Healthcare-Programs-Services/Clinical-Services/Neuropsychology-Cognitive-Health/Clinical-Tools/Multifactorial-Memory-Questionnaire
14. Office of Dietary Supplements - Dietary Supplements for Exercise and Athletic Performance. Accessed May 12, 2023. https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-Consumer/
15. Czajka A, Kania EM, Genovese L, et al. Daily oral supplementation with collagen peptides combined with vitamins and other bioactive compounds improves skin elasticity and has a beneficial effect on joint and general wellbeing. Nutr Res N Y N. 2018;57:97-108. doi:10.1016/j.nutres.2018.06.001
16. Kennedy DO, Veasey R, Watson A, et al. Effects of high-dose B vitamin complex with vitamin C and minerals on subjective mood and performance in healthy males. Psychopharmacology (Berl). 2010;211(1):55-68. doi:10.1007/s00213-010-1870-3
17. La Rue A, Koehler KM, Wayne SJ, Chiulli SJ, Haaland KY, Garry PJ. Nutritional status and cognitive functioning in a normally aging sample: a 6-y reassessment. Am J Clin Nutr. 1997;65(1):20-29. doi:10.1093/ajcn/65.1.20
18. Macpherson H, Ellis KA, Sali A, Pipingas A. Memory improvements in elderly women following 16 weeks treatment with a combined multivitamin, mineral and herbal supplement: A randomized controlled trial. Psychopharmacology (Berl). 2012;220(2):351-365. doi:10.1007/s00213-011-2481-3
19. Cambria C, Sabir S, Shorter IC. Ginseng. In: StatPearls. StatPearls Publishing; 2023. Accessed May 12, 2023. http://www.ncbi.nlm.nih.gov/books/NBK538198/
20. Yeo HB, Yoon HK, Lee HJ, Kang SG, Jung KY, Kim L. Effects of Korean Red Ginseng on Cognitive and Motor Function: A Double-blind, Randomized, Placebo-controlled Trial. J Ginseng Res. 2012;36(2):190-197. doi:10.5142/jgr.2012.36.2.190
21. Khoubnasabjafari M, Ansarin K, Jouyban A. Reliability of malondialdehyde as a biomarker of oxidative stress in psychological disorders. BioImpacts BI. 2015;5(3):123-127. doi:10.15171/bi.2015.20
22. Baliou S, Adamaki M, Ioannou P, et al. Protective role of taurine against oxidative stress. Mol Med Rep. 2021;24(2):605. doi:10.3892/mmr.2021.12242
23. Thirupathi A, Pinho RA, Baker JS, István B, Gu Y. Taurine Reverses Oxidative Damages and Restores the Muscle Function in Overuse of Exercised Muscle. Front Physiol. 2020;11. Accessed May 12, 2023. https://www.frontiersin.org/articles/10.3389/fphys.2020.582449
24. Castelli V, Paladini A, d’Angelo M, et al. Taurine and oxidative stress in retinal health and disease. CNS Neurosci Ther. 2021;27(4):403-412. doi:10.1111/cns.13610
25. Maleki V, Mahdavi R, Hajizadeh-Sharafabad F, Alizadeh M. The effects of taurine supplementation on oxidative stress indices and inflammation biomarkers in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled trial. Diabetol Metab Syndr. 2020;12(1):9. doi:10.1186/s13098-020-0518-7
26. Lee YM, Yoon H, Park HM, Song BC, Yeum KJ. Implications of red Panax ginseng in oxidative stress associated chronic diseases. J Ginseng Res. 2017;41(2):113-119. doi:10.1016/j.jgr.2016.03.003
27. Younus H. Therapeutic potentials of superoxide dismutase. Int J Health Sci. 2018;12(3):88-93.
28. Javanbakht M, Keshavarz S, Mirshafiey A, et al. The Effects of Vitamins E and D Supplementation on Erythrocyte Superoxide Dismutase and Catalase in Atopic Dermatitis. Iran J Public Health. 2010;39(1):57-63.
29. Singh N, Chander Narula S, Kumar Sharma R, Tewari S, Kumar Sehgal P. Vitamin E supplementation, superoxide dismutase status, and outcome of scaling and root planing in patients with chronic periodontitis: a randomized clinical trial. J Periodontol. 2014;85(2):242-249. doi:10.1902/jop.2013.120727
30. Gould RL, Pazdro R. Impact of Supplementary Amino Acids, Micronutrients, and Overall Diet on Glutathione Homeostasis. Nutrients. 2019;11(5):1056. doi:10.3390/nu11051056