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      Safety and Efficacy of AlphaWave ® l-Theanine Supplementation for 28 Days in Healthy Adults with Moderate Stress: A Randomized, Double-Blind, Placebo-Controlled Trial

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          Abstract

          Background

          Prolonged periods of stress may lead to negative health consequences. AlphaWave ® l-Theanine was safe and efficacious during an acute stress challenge. However, double-blind, placebo-controlled clinical trials investigating the longer term effects of l-theanine supplementation on stress are warranted.

          Methods

          Thirty healthy adults (18–65 years) with moderate stress were randomized to AlphaWave ® l-Theanine (400 mg l-theanine/day) or placebo ( n = 15/group) for 28 days. Stress was assessed by salivary cortisol, Perceived Stress Scale (PSS) and Depression, Anxiety and Stress Scale-21; sleep was assessed by the Healthy People Sleep Quality Index and actigraphy device; cognition was assessed by Computerized Mental Performance Assessment System; mood was assessed by Profile of Mood States. All outcomes were measured at baseline, Days 14 and 28. Safety included vital signs, clinical chemistry, haematology and adverse events (AEs).

          Results

          All AEs were resolved by the end of the study period or upon subsequent follow up, and out of range laboratory values and changes in vital signs were deemed not clinically relevant following AlphaWave ® l-Theanine supplementation. Participants supplemented with AlphaWave ® l-Theanine had decreases of 12.92% ( p = 0.051) and 17.98% ( p = 0.04) in PSS scores after 14 and 28 days, respectively, while those on placebo had respective decreases of 9.74% ( p = 0.061) and 17.88% ( p = 0.009). There were no significant differences between groups for change in salivary cortisol. The AlphaWave ® l-Theanine group demonstrated decreased time asleep after 28 days and significantly reduced light sleep after 14 and 28 days compared to placebo ( p ≤ 0.040). The AlphaWave ® l-Theanine group significantly improved by 21.79% and 21.33% in Stroop test correct reaction time after 14 and 28 days, respectively, while those on placebo improved after 28 days only ( p = 0.005).

          Conclusions

          AlphaWave ® l-Theanine supplementation for 28 days was safe and significantly decreased perceived stress significantly decreased perceived stress and light sleep, improved sleep quality and enhanced cognitive attention in the studied population. Larger, randomized controlled trials with longer duration of AlphaWave ® l-Theanine supplementation are warranted to reduce inter-individual variability and the potential placebo effect.

          Trial Registration

          ClinicalTrials.gov identifier, NCT05808595.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s40120-024-00624-7.

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          Most cited references24

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          A Global Measure of Perceived Stress

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            CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials.

            Overwhelming evidence shows the quality of reporting of randomised controlled trials (RCTs) is not optimal. Without transparent reporting, readers cannot judge the reliability and validity of trial findings nor extract information for systematic reviews. Recent methodological analyses indicate that inadequate reporting and design are associated with biased estimates of treatment effects. Such systematic error is seriously damaging to RCTs, which are considered the gold standard for evaluating interventions because of their ability to minimise or avoid bias. A group of scientists and editors developed the CONSORT (Consolidated Standards of Reporting Trials) statement to improve the quality of reporting of RCTs. It was first published in 1996 and updated in 2001. The statement consists of a checklist and flow diagram that authors can use for reporting an RCT. Many leading medical journals and major international editorial groups have endorsed the CONSORT statement. The statement facilitates critical appraisal and interpretation of RCTs. During the 2001 CONSORT revision, it became clear that explanation and elaboration of the principles underlying the CONSORT statement would help investigators and others to write or appraise trial reports. A CONSORT explanation and elaboration article was published in 2001 alongside the 2001 version of the CONSORT statement. After an expert meeting in January 2007, the CONSORT statement has been further revised and is published as the CONSORT 2010 Statement. This update improves the wording and clarity of the previous checklist and incorporates recommendations related to topics that have only recently received recognition, such as selective outcome reporting bias. This explanatory and elaboration document-intended to enhance the use, understanding, and dissemination of the CONSORT statement-has also been extensively revised. It presents the meaning and rationale for each new and updated checklist item providing examples of good reporting and, where possible, references to relevant empirical studies. Several examples of flow diagrams are included. The CONSORT 2010 Statement, this revised explanatory and elaboration document, and the associated website (www.consort-statement.org) should be helpful resources to improve reporting of randomised trials. Copyright © 2010 Moher et al/Ottawa Hospital Research Institute. Published by Elsevier Ltd.. All rights reserved.
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              Stress and Quality of Life Among University Students: A Systematic Literature Review

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                Author and article information

                Contributors
                elewis@kgkscience.com
                Journal
                Neurol Ther
                Neurol Ther
                Neurology and Therapy
                Springer Healthcare (Cheshire )
                2193-8253
                2193-6536
                17 May 2024
                17 May 2024
                August 2024
                : 13
                : 4
                : 1135-1153
                Affiliations
                [1 ]KGK Science Inc., 275 Dundas Street, Tower A, Suite A1605, London, ON N6B 3L1 Canada
                [2 ]Ethical Naturals, Inc., 2731 Fair Oaks Ave, Redwood City, CA 94063 USA
                Author information
                http://orcid.org/0000-0002-1760-3073
                Article
                624
                10.1007/s40120-024-00624-7
                11263523
                38758503
                f0c6be69-9b71-4714-b734-88031b71d9ee
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 19 March 2024
                : 23 April 2024
                Funding
                Funded by: Ethical Naturals, Inc.
                Categories
                Original Research
                Custom metadata
                © Springer Healthcare Ltd., part of Springer Nature 2024

                cognition,l-theanine,mental health,mood,stress
                cognition, l-theanine, mental health, mood, stress

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