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Revisión sistemática2026Acceso abierto

Effects of <i>Withania somnifera (L.) Dunal</i> (Ashwagandha) on cognitive and physical function in adults: a systematic review and meta-analysis

Zhu X, Zeng Q, Lei Y, Xu D

Frontiers in pharmacology · 1 cita

Cómo se estudió

Diseño
Revisión sistemática (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
Sanming Project of Medicine in Shenzhen

Según 1 financiador declarado y la declaración de financiación del texto completo.

Publicación

Publicado
2026-05-11 · Front Pharmacol · vol. 17 · pág. 1799467
Editorial
Frontiers Media
Citado
2 citas · más que el 97% de estudios similares · 8.4× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
43 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Phytochemicals and Medicinal Plants · Piperaceae Chemical and Biological Studies · Mindfulness and Compassion Interventions
Palabras clave
Withania somnifera, Cognition, Confidence interval, Meta-analysis, Randomized controlled trial, Systematic review, Subgroup analysis, MEDLINE

4 autores

  • Xiaoling Zhu🇨🇳Qinghai University
  • Qiang Zeng
  • Yuyu Lei🇨🇳Qinghai University
  • Danping Xu🇨🇳 · autor de correspondenciaQinghai University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

This study aimed to systematically review and evaluate the effects of Withania somnifera (L.) Dunal (Solanaceae) supplementation on cognitive and physical function in adults by meta-analysis.

Methods

Following PRISMA guidelines, we searched PubMed, Web of Science, Cochrane Library, and Embase from inception to 1 February 2026. Ramdom control trials were included to evaluate the effects of Ashwagandha on cognitive function, musclestrength, testosterone, body weight, and body fat percentage by meta-analysis using Stata 14. A random-effects model was used to calculate standardized mean differences (SMD) with 95% confidence intervals. To assess the heterogeneity, sensitivity analyses and subgroup analyses were conducted. Methodological quality and risk of bias were assessed with RoB 2, evidence certainty for each outcome was evaluated with GRADE system, and botanical reporting was assessed with the ConPhyMP checklist.

Results

Twenty studies with 1,249 participants were included. Ashwagandha significantly improved memory (SMD = 0.52; 95% CI: 0.27-0.78; P 2 = 29.7%), attention and processing speed (SMD = 0.29; 95% CI: 0.07-0.51; P = 0.009; I2 = 0%), and executive function (SMD = -0.42; 95% CI: -0.70 to -0.13; P = 0.004; I2 = 37.5%). Visuospatial ability improved after excluding one heterogeneous study (SMD = 0.39; 95% CI: 0.08-0.70; P = 0.013; I2 = 0%). Only one study assessed global cognition and reported significant improvement. For physical outcomes, Ashwagandha increased testosterone (SMD = 0.33; 95% CI: 0.13-0.54; P = 0.001; I2 = 20.8%) and muscle strength (SMD = 0.58; 95% CI: 0.12-1.04; P = 0.013; I2 = 56.9%). Subgroup analysis showed significant muscle strength gains in physically active individuals (SMD = 1.03; 95% CI: 0.56-1.49; P 2 = 0%) but not in untrained or special populations. No significant effects were observed on body weight or body fat percentage. Sensitivity analyses confirmed robustness, and most studies were rated as high or moderate quality.

Conclusion

Ashwagandha supplementation significantly improved several aspects of cognitive function (including global cognitive, memory, attention and processing speed, executive function, and visuospatial ability), as well as serum testosterone and muscle strength in adults, but did not affect body weight or body fat percentage.

Systematic review registration

https://www.crd.york.ac.uk/PROSPERO/view/CRD420261292996.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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