Document Type : Review Article

Author

PhD graduate in Crop Physiology from the College of Agriculture and Natural Resources, University of Tehran, Tehran, Iran & MSc student in Clinical Psychology at the Non-Profit Naser Khosrow Institute in Saveh, Saveh, Iran.

Abstract

Introduction: Saffron (Crocus sativus L.) is a medicinal plant with a long history, recognized for its anti-inflammatory, antioxidant, and antidepressant properties. Historically, this plant has been used in traditional medicine in Iran and other Asian countries as an effective treatment for various ailments. One of saffron's notable attributes is its impact on sleep quality and mental health. Recent research has demonstrated that the active compounds in saffron, particularly crocin and safranal, may play an essential role in improving sleep quality. This study aims to explore and analyze the effects of saffron on sleep quality in adults. Sleep disorders are a prevalent issue in modern societies, which can have significant negative effects on both physical and mental health. These disorders may arise from various factors, including stress, anxiety, depression, and hormonal imbalances. As a result, the use of sleep-inducing medications and chemical analgesics has become a common approach to managing these issues, although these drugs may cause side effects and dependency. Consequently, there is a growing interest in natural and low-risk treatments, such as the use of medicinal plants, especially saffron, as a suitable alternative for addressing sleep disorders. The aim of this study is to investigate and analyze the effects of saffron on sleep quality in adults.
 
Materials and Methods: This study was conducted as a systematic review of the available literature from reputable databases such as PubMed, Google Scholar. Keywords such as "saffron," "crocin," "safranal," "sleep quality," "sleep disorders," were used for data collection. Articles published between 2014 and 2024 in English were evaluated. Only studies that investigated the effects of saffron on sleep quality in adults were included in this review. These studies consisted of randomized controlled trials, cross-sectional studies, and correlational studies that directly addressed saffron’s effects on sleep. In the evaluation of the results, particular attention was given to various sleep parameters, including sleep onset latency, sleep duration, and sleep quality based on scales such as the "Pittsburgh Sleep Quality Index" (PSQI) and the "Insomnia Severity Index" (ISI). Additionally, the impact of saffron on anxiety and depression, which can indirectly affect sleep, was also reviewed.
 
Results and Discussion: The results of this review suggest that saffron and its active compounds, particularly crocin and saffranal, have significant positive effects on improving sleep quality in adults. In most of the clinical trials examined, saffron consumption led to a reduction in sleep onset latency and an increase in total sleep duration. Based on the review of studies, the appropriate amount of consumption of these compounds is suggested between 28-30 mg per day. Crocin, a carotenoid found in saffron, is recognized as an antioxidant and anti-inflammatory agent that can have positive effects on the central nervous system. This compound can improve sleep by regulating neurotransmitter levels such as gamma-aminobutyric acid (GABA) and serotonin. Furthermore, safranal, another active compound in saffron, is known as an inhibitor of oxidative enzymes and has antidepressant properties, which may indirectly enhance sleep quality by alleviating anxiety and depression. Research has also shown that saffron may influence melatonin, a hormone that plays a key role in regulating the sleep-wake cycle. Studies have indicated that saffron supplementation increases blood melatonin levels, which can contribute to improved sleep, particularly in individuals suffering from insomnia or sleep disturbances caused by hormonal changes. Additionally, saffron has been shown to significantly reduce cortisol levels, the stress hormone, which can further improve sleep quality. Comparative studies have demonstrated that saffron is effective in improving sleep without causing significant side effects, making it a preferable option compared to conventional sleep medications.
 
Conclusion: The findings of this study suggest that saffron, due to its active compounds such as crocin and safranal, may serve as an effective and natural remedy for improving sleep quality in adults. Its effects on the central nervous system, melatonin regulation, and reduction of cortisol levels are some of the primary mechanisms underlying its sleep-enhancing properties. Given its positive influence on anxiety and depression, saffron could be particularly beneficial in treating sleep disorders associated with psychological issues. However, to confirm and extend these results, further large-scale and long-term studies are needed. Additionally, investigating the potential side effects of saffron and its interactions with other medications, especially in individuals with specific health conditions, should be a priority for future research. Ultimately, saffron, as a natural and low-risk treatment, could become an effective and appealing option for improving sleep quality and promoting mental health.

Keywords

Adrian, L., Lopresti, Stephen, J., Smith; Alexandra, P. & Peter, D., Drummond.(2020). Effects of saffron on sleep quality in healthy adults with self-reported poor sleep: a randomized,double-blind, placebo-controlled trial. Journal of Clinical Sleep Medicine, 16(6),937–947.
Amiriyan, F., Mostafaie, A., Kargar, S. M. A. (2021). The Investigation of Genetic Diversity of Saffron (Crocus sativus L.)Ecotypes Traits under Chilling Stress. Journal of Saffron Research, 8(2), 191-206. [in Persian].
Alayunt, O.N., Aksoy, L., Karafakioglu, Y.S. & Sevimli, S.(2019). Assessment of Anti-inflammatory and Antioxidant Properties of Safranal on CCI4-Induced Oxidative Stress and Inflammation in Rats. Evidence-Based Complementary and Alternative Medicine,1-11
Almodovar, P,. Briskey, D., Rao, A. & et al. (2020). Bioaccessibility and pharmacokinetics of a commercial saffron (Crocus sativus L.) extract. Evidence-Based Complementary and Alternative Medicine, 11,1-8.
Begas, E., Bounitsi, M.& Kilindris, T. (2019). Effects of short-term saffron (Crocus sativus L.) intake on the in vivo activities of xenobiotic metabolizing enzymes in healthy volunteers. Food Chem Toxicol , 130, 32-43.
Ferlazzo, N., Andolina, G., Cannata, A., Costanzo, M.G., Rizzo, V., Curro, M., Ientile, R.& Caccamo, D. (2020).Is Melatonin the Cornucopia of the 21st Century? Antioxidants, 9,1-29.
Grandner, M., &Fernandez, F. (2021). The translational neuroscience of sleep: A contextual framework. Science,374:568–573.
Fernández, M.J.F., Valero-Cases, E.& Rincon-Frutos, L. (2019).Food components with the potential to be used in the therapeutic approachof mental diseases. Current Pharmaceutical Biotechnology, 20, (2),100-113.
Gao K, Mu CL, Farzi A, et al. Tryptophan metabolism: a link between the gut microbiota and brain. Advances in nutrition, 11(3),709-723.
Grandner, M.(2020). Sleep, health, and society. Sleep Medicine Clinics,  15:139–34.
Henssler, J., Alexander, D., Schwarzer, G., Bschor, T.& Baethge, C. (2022). Combining antidepressants vs. antidepressant monotherapy for treatment of patients with acute depression: A systematic review and meta-analysis. Get the latest from JAMA Psychiatry, 79, 300–312.
Herman, AP., Bochenek, J. & Król, K. (2016). Central interleukin-1β suppresses the nocturnal secretion of melatonin. Mediators of Inflammation, 1-15.
Hoseinzadeh, M.S&Modi.M. (2022).A review of saffron plant compounds and its medicinal treatment for degenerative diseases Nervous system. Saffron Research Journal,10(2), 258-275. [in Persian].
Hosseini, A., Razavi, B. M., Hosseinzadeh, H. (2018). Pharmacokinetic properties of saffron and its active components. European Journal of Drug Metabolism and Pharmacokinetics, 43(4), 383–390.
Kavianipour, F., Aryaeian, N., Mokhtare, M., Mirnasrollahiparsa, R., Jannani, L., Agah, S., Fallah, S.& Moradi, N.  (2020). The effect of saffron supplementation on some inflammatory and oxidative markers, leptin, adiponectin, and body composition in patients with nonalcoholic fatty liver disease: A double-blind randomized clinical trial. Phytotherapy Research , 34, 3367–3378.
Kell, G., Rao, A., Beccaria, G., Clayton, P., Inarejos-García, AM.&Prodanov ,M. affron® a novel saffron extract (crocus sativus l.) improves mood in healthy adults over 4 weeks in a double- blind, parallel, randomized, placebo-controlled clinical trial. Complementary Therapies in Medicine,33:58-64.
Koninklijke Philips. NV.(2024). Seeking Solutions: How COVID-19 Changed Sleep Around the World. Philips Global Survey. https://www.philips.com/worldsleepday.
Liu, Y., Liang, Y., Zheng, B., Chu, L., Ma, D., Wang, H.,Chu, X.&&  Zhang, J. (2020). Protective Effects of Crocetin on Arsenic Trioxide-Induced Hepatic Injury: Involvement of Suppression in Oxidative Stress and Inflammation Throug Activation of Nrf2 Signaling Pathway in Rats. Drug Development and Industrial Pharmacy, 14, 1921–1931.
Meamarbashi A. Herbs and natural supplements in the prevention and treatment of delayed-onset muscle soreness. in a tertiary healthcare facility in southeastern Iran: A quasi-experimental study. (2017).Tropical Journal of Pharmaceutical Research, 16(11), 2749-53.
Mohd Puad, M., Mohd Noor, N. & Noraini,M. ( 2022). Crocus Sativus for Insomnia: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health,19,1-16.
Mollazadeh, H.; Emami, S.A.; Hosseinzadeh, H. Razi’s Al-Hawi and saffron (Crocus sativus): A review .(2015). Iranian  journal of basic medical sciences,18, 1153–1166. [in Persian].
Monchaux, De., Oliveira, C., De Smedt-Peyrusse, V., Morael, J., Vancassel, S., Capuron, L., Gaudout, D., Pourtau, L.& Castanon, N.(2021). Prevention of Stress-Induced Depressive-like Behavior by Saffron Extract Is Associated with Modulation of Kynurenine Pathway and Monoamine Neurotransmission. Pharmaceutics, 13, 1-24.
Mortazavi, SS., Foroughan, M., Hosseini, SA., Nasiri E. & Shahbazi ,F.(2021). Negative Factors Affecting the Sleep Quality of the Elderly in Iran: A Systematic Review. Journal of Rehabilitation , 22(2), 132-153 [in Persian].
Muñoz, De la, Fuente, M., Roman-Carmena, M., Amor, S., García-Villalón, A.L., Espinel, A.E., Gonzalez-Hedström, D.& Granado Garcla, M. (2023). Effects of Supplementation with the Standardized Extract of Saffron (affron®) on the Kynurenine Pathway and Melatonin Synthesis in Rats. Antioxidants ,12,1-17.
Ng, J.Y. (2021). Insight into the characteristics of research published in traditional, complementary, alternative, and integrative medicine journals: A bibliometric analysis. BMC complementary medicine and therapies, 21,1-31.
Pachikian, BD., Copine, S., Suchareau, M.& Deldicque L.(2021). Effects of saffron extract on sleep quality: a randomized double-blind controlled clinical trial. Nutrients,13,1-11.
Pesoli, M., Rucco, R., Liparoti, M., Lardone, A., D’aurizio, G., Minino, R., Troisi, Lopez, E., Paccone, A., Granata, C., Curcio, G.& Sorrentino G.(2022). A night of sleep deprivation alters brain connectivity and affects specific executive functions. Neurological Sciences, 43(2),1025-1034.
Rahaiee, S., Moini, S., Hashemi, M. & Shojaosadati, SA. (2015). Evaluation of antioxidant activities of bioactive compounds and various extracts obtained from saffron (Crocus sativus L.): a review. Journal of food science and technology , 52,1881-1888.
Sadat Rafiei, SK., Abolghasei, S., Frashidi, M., Ebrahimi, S., Gharei, F., Razmkhah, Z., Tavousi, N., Mahmoudvand, B., Faani, M., Karimi, N., Abdi, A., Soleimanzadeh, M., Ahmadpour, Youshanlui, M., Sadatmadani, SF., Alikhani, R., Pishkari, Y. & Deravi N. (2023).Saffron and Sleep Quality: A Systematic Review of Randomized Controlled Trials. Nutrition and metabolic insights, 16,1-7.
Schaub, A.C.; Schneider, E.; Vazquez-Castellanos, J.F.; Schweinfurth, N.; Kettelhack, C.; Doll, J.P.K.; Yamanbaeva, G.; Mählmann, L.; Brand, S.; Beglinger, C.; et al.(2022). Clinical, gut microbial and neural effects of a probiotic add-on therapy in depressed patients: A randomized controlled trial. Translational Psychiatry, 12, 227.
Seibel, R., Schneider, R.H.& Gottlieb, M.G. (2021).Effects of spices (saffron, rosemary, cinnamon, turmeric and ginger) in Alzheimer’s disease. Current Alzheimer Research, 18, 347–357.
 Shinjyo,N.,   Waddell , G., &  Green,J.(2020).Valerian Root in Treating Sleep Problems and Associated Disorders-A Systematic Review and Meta-Analysis. Journal of evidence-based integrative medicine, 25,1-31.
Stevner, A. B. A., Vidaurre, D. I. E. G. O., Cabral, J., Rapuano, K., Nielsen, S. F. V., Tagliazucchi, E., ... & Van Someren, E. (2019). Discovery of key whole-brain transitions and dynamics during human wakefulness and non REM sleep. Nature communications, 10(1), 1-14.
Tawfik, S.S., Elkady, A.A. & El Khouly, W.A.(2019). Crocin mitigates gamma-rays-induced hepatic toxicity in rats. Environmental Science and Pollution Research , 26(1),1-6.
Umigai, N., Takeda, R. & Mori, A. (2018). Effect of crocetin on quality of sleep: A randomized, double-blind, placebo-controlled, crossover study. Complement. Therapeutic Medicine, 41, 47–51.
Van Dalfsen JH. & Markus, CR. (2019). The involvement of sleep in the relationship between the serotonin transporter gene-linked polymorphic region (5-HTTLPR) and depression: a systematic review. Journal of Affective Disorders, 256,205–212.
Zhao, D., Yu, Y.& Shen, Y.(2019). Melatonin synthesis and function: evolutionary history in animals and plants. Front Endocrinol,10, 249.