Nutr Res Pract.  2024 Feb;18(1):110-118. 10.4162/nrp.2024.18.1.110.

Positive effects of anthocyanin-rich mulberry milk on mental health problems in the working population: an open-label study

Affiliations
  • 1Research Institute for High Human Performance and Health Promotion, Khon Kaen University, Khon Kaen 40000, Thailand
  • 2Brain and Mind Wellness Research Group, Khon Kaen University, Khon Kaen 40000, Thailand
  • 3Department of Psychiatry, Faculty of Medicine, Khon Kaen University, Khon Kaen 40000, Thailand

Abstract

BACKGROUND/OBJECTIVES
Depression and anxiety are common mental health problems. Anthocyanins from berries might have an inhibitory effect on monoamine oxidase (MAO) enzymes and alleviate various mood and anxiety symptoms. This study examined the effects of a daily supplement of an anthocyanin-rich product on mental health problems.
SUBJECTS/METHODS
This study was a secondary analysis from a randomized, 6-week, open-label trial in 300 healthy participants aged 18–60 years who consumed 1 or 2 servings of anthocyanin-rich mulberry milk daily. The General Health Questionnaire-28 (GHQ-28) and Hospital Anxiety and Depression Scale (HADS) were used to monitor mental health problems. In addition, the saliva activity levels of MAO-A, MAO-B, and cortisol were examined at the baseline and after 6 weeks.
RESULTS
The total scores of the GHQ-28 and HADS and all their subscales decreased in both groups (all P < 0.05). The cortisol, MAO-A, and MAO-B activities decreased significantly (all P <0.05), but there were no significant differences between the groups (all P > 0.05). Significant correlations were noted between the decreased activity level of MAO-A enzyme and decreased scores from the GHQ-28 somatic subscale and the HADS depression subscale (all P < 0.05).
CONCLUSIONS
Daily consumption of anthocyanin-rich mulberry milk possibly improves mental health problems by reducing depressive and anxiety symptoms in the working population. The suppression of MAO-A activity is a possible underlying mechanism.

Keyword

Depression; anxiety; anthocyanins; mulberry

Figure

  • Fig. 1 Schematic diagram of the study.GHQ-28, General Health Questionnaire-28; HADS, Hospital Anxiety and Depression Scale; MAO, monoamine oxidase.


Reference

1. Liu CH, Zhang E, Wong GTF, Hyun S, Hahm HC. Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: clinical implications for U.S. young adult mental health. Psychiatry Res. 2020; 290:113172. PMID: 32512357.
2. Tseilikman V, Dremencov E, Tseilikman O, Pavlovicova M, Lacinova L, Jezova D. Role of glucocorticoid- and monoamine-metabolizing enzymes in stress-related psychopathological processes. Stress. 2020; 23:1–12. PMID: 31322459.
3. Barros D, Amaral OB, Izquierdo I, Geracitano L, do Carmo Bassols Raseira M, Henriques AT, Ramirez MR. Behavioral and genoprotective effects of Vaccinium berries intake in mice. Pharmacol Biochem Behav. 2006; 84:229–234. PMID: 16797063.
4. Cásedas G, Les F, Gómez-Serranillos MP, Smith C, López V. Anthocyanin profile, antioxidant activity and enzyme inhibiting properties of blueberry and cranberry juices: a comparative study. Food Funct. 2017; 8:4187–4193. PMID: 29038797.
5. Kaewkaen P, Tong-Un T, Wattanathorn J, Muchimapura S, Kaewrueng W, Wongcharoenwanakit S. Mulberry fruit extract protects against memory impairment and hippocampal damage in animal model of vascular dementia. Evid Based Complement Alternat Med. 2012; 2012:263520. PMID: 22952555.
6. Kawvised S, Wattanathorn J, Thukham-Mee W. Neuroprotective and cognitive-enhancing effects of microencapsulation of mulberry fruit extract in animal model of menopausal women with metabolic syndrome. Oxid Med Cell Longev. 2017; 2017:2962316. PMID: 29158872.
7. Suttisansanee U, Charoenkiatkul S, Jongruaysup B, Tabtimsri S, Siriwan D, Temviriyanukul P. Mulberry fruit cultivar ‘Chiang Mai’ prevents beta-amyloid toxicity in PC12 neuronal cells and in a Drosophila model of Alzheimer’s disease. Molecules. 2020; 25:25.
8. Wattanathorn J, Palachai N, Thukham-Mee W, Muchimapura S. Memory-enhancing effect of a phytosome containing the combined extract of mulberry fruit and ginger in an animal model of ischemic stroke with metabolic syndrome. Oxid Med Cell Longev. 2020; 2020:3096826. PMID: 32802263.
9. Thukham-Mee W, Wattanathorn J, Kirisattayakul W, Wannanon P. Effect of single administration of mulberry milk on the cognitive function of 6–12-year-old children: results from a randomized, placebo-controlled, crossover study. Oxid Med Cell Longev. 2020; 2020:6123759. PMID: 32685097.
10. Thukham-Mee W, Wattanathorn J, Paholpak P, Ransikachi P, Piyavhatkul N. The positive modulation effect of a 6-week consumption of an anthocyanin-rich mulberry milk on working memory, cholinergic, and monoaminergic functions in healthy working-age adults. Oxid Med Cell Longev. 2021; 2021:5520059. PMID: 34484562.
11. Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997; 27:191–197. PMID: 9122299.
12. Piyavhatkul N, Krisanaprakornkit T, Rangseekajee P, Jareonsettasin T, Paholpak S, Visasiri S, Mahaton S, Tong-on S. The validitity and reliabillity of Thai general health questionnaire in Northeastern Thai population. J Psychiatr Assoc Thailand. 1998; 43:325–335.
13. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67:361–370. PMID: 6880820.
14. Nilchaikovit T, Lortrakul M, Phisansuthideth U. Development of Thai version of hospital anxiety and depression scale in cancer patients. J Psychiatr Assoc Thailand. 1996; 41:18–30.
15. Holt A, Sharman DF, Baker GB, Palcic MM. A continuous spectrophotometric assay for monoamine oxidase and related enzymes in tissue homogenates. Anal Biochem. 1997; 244:384–392. PMID: 9025956.
16. Bhandari NJ, Jain T, Marolda C, ZuWallack RL. Comprehensive pulmonary rehabilitation results in clinically meaningful improvements in anxiety and depression in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev. 2013; 33:123–127. PMID: 23399845.
17. Lemay KR, Tulloch HE, Pipe AL, Reed JL. Establishing the minimal clinically important difference for the hospital anxiety and depression scale in patients with cardiovascular disease. J Cardiopulm Rehabil Prev. 2019; 39:E6–11. PMID: 30489438.
18. Dreiseitel A, Korte G, Schreier P, Oehme A, Locher S, Domani M, Hajak G, Sand PG. Berry anthocyanins and their aglycons inhibit monoamine oxidases A and B. Pharmacol Res. 2009; 59:306–311. PMID: 19416630.
19. Wei J, Zhang G, Zhang X, Xu D, Gao J, Fan J, Zhou Z. Anthocyanins from black chokeberry (Aroniamelanocarpa Elliot) delayed aging-related degenerative changes of brain. J Agric Food Chem. 2017; 65:5973–5984. PMID: 28657734.
20. Gutierres JM, Carvalho FB, Schetinger MR, Agostinho P, Marisco PC, Vieira JM, Rosa MM, Bohnert C, Rubin MA, Morsch VM, et al. Neuroprotective effect of anthocyanins on acetylcholinesterase activity and attenuation of scopolamine-induced amnesia in rats. Int J Dev Neurosci. 2014; 33:88–97. PMID: 24374256.
21. Shewale PB, Patil RA, Hiray YA. Antidepressant-like activity of anthocyanidins from Hibiscus rosa-sinensis flowers in tail suspension test and forced swim test. Indian J Pharmacol. 2012; 44:454–457. PMID: 23087504.
22. Krikorian R, Nash TA, Shidler MD, Shukitt-Hale B, Joseph JA. Concord grape juice supplementation improves memory function in older adults with mild cognitive impairment. Br J Nutr. 2010; 103:730–734. PMID: 20028599.
23. Haskell-Ramsay CF, Stuart RC, Okello EJ, Watson AW. Cognitive and mood improvements following acute supplementation with purple grape juice in healthy young adults. Eur J Nutr. 2017; 56:2621–2631. PMID: 28429081.
Full Text Links
  • NRP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr