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Evidence-Based Supplement Research
Evidence-Based Supplement Research

Cardiometabolic Effects of Nigella sativa in Postmenopausal Women with Hypertension: A Prospective, Observational, Pilot Study.

  • 2025-03-11
  • Nutrients 17(6)
    • Barbara Pala
    • Giulia Nardoianni
    • Paola Gualtieri
    • Giulia Frank
    • Marco Alfonso Perrone
    • Laura Di Renzo
    • Giuliano Tocci

Study Design

Type
Observational
Sample size
n = 52
Population
52 postmenopausal women
Methods
Observational pilot study with two active groups (400 mg/day and 800 mg/day) and a control group, evaluated at baseline, 4 and 8 weeks
Duration
8 weeks
Funding
Unclear
  • Rigorous Journal
Background: Hypertension is a prevalent condition, impacting a significant amount of general population and contributing prominently to global mortality. Increasing attention has been directed towards phytotherapy products as potential complementary or alternative therapies for hypertension prevention and treatment. Among these, Nigella sativa (NS) has shown encouraging effects in improving cardiovascular parameters. This study aimed to evaluate the efficacy of NS supplementation in reducing seated office systolic blood pressure (BP) in postmenopausal women. We also explored the dose-dependent effects of this intervention on BP levels and metabolic parameters. Materials and Methods: We conducted an observational pilot study including 52 women, who were stratified into two active groups (n = 32) receiving two different dosages of NS (n = 16, age 54.2 ± 2.3 at 400 mg/day and n = 16, age 52.3 ± 2.4 at 800 mg/day) and a control group (n = 20, age 53.9 ± 3.0). Participants were evaluated at baseline (T0), at 4 (T1) and 8 weeks (T2) for office brachial and central BP, heart rate (HR), lipid profile, body weight, and menopausal symptoms. Results: NS supplementation significantly reduced office systolic and diastolic BP in a dose-dependent manner (p < 0.01), with more pronounced reductions at 800 mg/day. Improvements in climacteric symptoms and reduced HR were observed as early as T1, while metabolic parameters, including lipid profile and weight, showed significant changes at T2. Notably, the 800 mg/day dosage group also experienced significant reductions in weight and body mass index. Younger age, more recent menopausal transition, and elevated baseline HR were identified as predictors of a better response to treatment. Conclusions: NS supplementation demonstrates significant dose-dependent benefits in reducing office BP and improving metabolic parameters. These findings support the role of NS as an effective complementary therapy in hypertension management in postmenopausal women.

Research Insights

  • metabolic parameters, including lipid profile and weight, showed significant changes at T2

    Effect
    Beneficial
    Effect size
    Small
    Dose
    400 mg/day or 800 mg/day
  • improvements in climacteric symptoms and reduced HR were observed as early as T1

    Effect
    Beneficial
    Effect size
    Small
    Dose
    400 mg/day or 800 mg/day
  • the 800 mg/day dosage group also experienced significant reductions in weight and body mass index

    Effect
    Beneficial
    Effect size
    Small
    Dose
    400 mg/day or 800 mg/day
  • the 800 mg/day dosage group also experienced significant reductions in weight and body mass index

    Effect
    Beneficial
    Effect size
    Small
    Dose
    400 mg/day or 800 mg/day
  • NS supplementation significantly reduced office systolic and diastolic BP in a dose-dependent manner (p < 0.01)

    Effect
    Beneficial
    Effect size
    Small
    Dose
    400 mg/day or 800 mg/day
  • improvements in climacteric symptoms and reduced HR were observed as early as T1

    Effect
    Beneficial
    Effect size
    Small
    Dose
    400 mg/day or 800 mg/day
  • NS supplementation significantly reduced office systolic and diastolic BP in a dose-dependent manner (p < 0.01)

    Effect
    Beneficial
    Effect size
    Small
    Dose
    400 mg/day or 800 mg/day
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