Efficacy of a mixture of Ginkgo biloba, sesame, and turmeric on cognitive function in healthy adults: Study protocol for a randomized, double-blind, placebo-controlled trial.

<h4>Background and purpose</h4>Ginkgo biloba extract (GBE) reportedly ameliorates cognitive function in patients with chronic cerebrovascular insufficiency. However, its efficacy in healthy adults is ambiguous. It was reported that concentrations of terpene lactones, active components of...

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Main Authors: Taizen Nakase, Yasuko Tatewaki, Izumi Matsudaira, Kouki Kobayashi, Hikari Iki, Haruka Asaoka, Radiztia Ekayantri, Michiho Muranaka, Hiroyuki Murata, Tatsushi Mutoh, Yasuyuki Taki
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0280549
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author Taizen Nakase
Yasuko Tatewaki
Izumi Matsudaira
Kouki Kobayashi
Hikari Iki
Haruka Asaoka
Radiztia Ekayantri
Michiho Muranaka
Hiroyuki Murata
Tatsushi Mutoh
Yasuyuki Taki
author_facet Taizen Nakase
Yasuko Tatewaki
Izumi Matsudaira
Kouki Kobayashi
Hikari Iki
Haruka Asaoka
Radiztia Ekayantri
Michiho Muranaka
Hiroyuki Murata
Tatsushi Mutoh
Yasuyuki Taki
author_sort Taizen Nakase
collection DOAJ
description <h4>Background and purpose</h4>Ginkgo biloba extract (GBE) reportedly ameliorates cognitive function in patients with chronic cerebrovascular insufficiency. However, its efficacy in healthy adults is ambiguous. It was reported that concentrations of terpene lactones, active components of GBE that are present in very low concentrations in the brain, were significantly increased following administration of a mixture of GBE, sesame seed, and turmeric (GBE/MST) in mice. This study aims to investigate the effectiveness of GBE/MST on the cognitive function of healthy adults by comparing it with that of GBE alone.<h4>Methods</h4>Altogether, 159 participants providing informed consent will be recruited from a population of healthy adults aged 20-64 years. Normal cognitive function at baseline will be confirmed using the Japanese version of the Montreal Cognitive Assessment battery. Participants will be randomly assigned in a double-blind manner to the GBE/MST, GBE, and placebo groups in a 1:1:1 ratio. The Wechsler Memory Scale, Trail Making Test, and Stroop Color and Word Test will be used to assess the memory and executive functions at baseline and at the endpoint (24 weeks). For biological assessment, resting state functional magnetic resonance imaging (rs-fMRI) will be performed simultaneously with the neuropsychological tests.<h4>Discussion</h4>This study aims to obtain data that can help compare the profile changes in memory and executive functions among participants consuming GBE/MST, GBE alone, and placebo for 24 weeks. Alterations in the default mode network will be evaluated by comparing the rs-fMRI findings between baseline and 24 weeks in the aforementioned groups. Our results may clarify the impact of GBE on cognitive function and the functional mechanism behind altered cognitive function induced by GBE components.<h4>Trial registration</h4>This study was registered in the University Hospital Medical Information Network Clinical Trials Registry (UMIN-CTR; registration number: UMIN000043494). This information can be searched on the website of the International Clinical Trials Registry Platform Search Portal of the World Health Organization under the Japan Primary Registries Network.
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spelling doaj.art-71617f06df0f4c92b37b727eb12ae3bd2023-04-21T05:32:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183e028054910.1371/journal.pone.0280549Efficacy of a mixture of Ginkgo biloba, sesame, and turmeric on cognitive function in healthy adults: Study protocol for a randomized, double-blind, placebo-controlled trial.Taizen NakaseYasuko TatewakiIzumi MatsudairaKouki KobayashiHikari IkiHaruka AsaokaRadiztia EkayantriMichiho MuranakaHiroyuki MurataTatsushi MutohYasuyuki Taki<h4>Background and purpose</h4>Ginkgo biloba extract (GBE) reportedly ameliorates cognitive function in patients with chronic cerebrovascular insufficiency. However, its efficacy in healthy adults is ambiguous. It was reported that concentrations of terpene lactones, active components of GBE that are present in very low concentrations in the brain, were significantly increased following administration of a mixture of GBE, sesame seed, and turmeric (GBE/MST) in mice. This study aims to investigate the effectiveness of GBE/MST on the cognitive function of healthy adults by comparing it with that of GBE alone.<h4>Methods</h4>Altogether, 159 participants providing informed consent will be recruited from a population of healthy adults aged 20-64 years. Normal cognitive function at baseline will be confirmed using the Japanese version of the Montreal Cognitive Assessment battery. Participants will be randomly assigned in a double-blind manner to the GBE/MST, GBE, and placebo groups in a 1:1:1 ratio. The Wechsler Memory Scale, Trail Making Test, and Stroop Color and Word Test will be used to assess the memory and executive functions at baseline and at the endpoint (24 weeks). For biological assessment, resting state functional magnetic resonance imaging (rs-fMRI) will be performed simultaneously with the neuropsychological tests.<h4>Discussion</h4>This study aims to obtain data that can help compare the profile changes in memory and executive functions among participants consuming GBE/MST, GBE alone, and placebo for 24 weeks. Alterations in the default mode network will be evaluated by comparing the rs-fMRI findings between baseline and 24 weeks in the aforementioned groups. Our results may clarify the impact of GBE on cognitive function and the functional mechanism behind altered cognitive function induced by GBE components.<h4>Trial registration</h4>This study was registered in the University Hospital Medical Information Network Clinical Trials Registry (UMIN-CTR; registration number: UMIN000043494). This information can be searched on the website of the International Clinical Trials Registry Platform Search Portal of the World Health Organization under the Japan Primary Registries Network.https://doi.org/10.1371/journal.pone.0280549
spellingShingle Taizen Nakase
Yasuko Tatewaki
Izumi Matsudaira
Kouki Kobayashi
Hikari Iki
Haruka Asaoka
Radiztia Ekayantri
Michiho Muranaka
Hiroyuki Murata
Tatsushi Mutoh
Yasuyuki Taki
Efficacy of a mixture of Ginkgo biloba, sesame, and turmeric on cognitive function in healthy adults: Study protocol for a randomized, double-blind, placebo-controlled trial.
PLoS ONE
title Efficacy of a mixture of Ginkgo biloba, sesame, and turmeric on cognitive function in healthy adults: Study protocol for a randomized, double-blind, placebo-controlled trial.
title_full Efficacy of a mixture of Ginkgo biloba, sesame, and turmeric on cognitive function in healthy adults: Study protocol for a randomized, double-blind, placebo-controlled trial.
title_fullStr Efficacy of a mixture of Ginkgo biloba, sesame, and turmeric on cognitive function in healthy adults: Study protocol for a randomized, double-blind, placebo-controlled trial.
title_full_unstemmed Efficacy of a mixture of Ginkgo biloba, sesame, and turmeric on cognitive function in healthy adults: Study protocol for a randomized, double-blind, placebo-controlled trial.
title_short Efficacy of a mixture of Ginkgo biloba, sesame, and turmeric on cognitive function in healthy adults: Study protocol for a randomized, double-blind, placebo-controlled trial.
title_sort efficacy of a mixture of ginkgo biloba sesame and turmeric on cognitive function in healthy adults study protocol for a randomized double blind placebo controlled trial
url https://doi.org/10.1371/journal.pone.0280549
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