title: Effect of a proprietary Magnolia and Phellodendron extract on stress levels in healthy women: a pilot, double-blind, placebo-controlled clinical trial.
abstract: BACKGROUND
  Recent research has established correlations between stress, anxiety, insomnia and excess body weight and these correlations have significant implications for health. This study measured the effects of a proprietary blend of extracts of Magnolia officinalis and Phellodendron amurense (Relora) on anxiety, stress and sleep in healthy premenopausal women.
  
  
  METHODS
  This randomized, parallel, placebo controlled clinical study was conducted with healthy, overweight (BMI 25 to 34.9), premenopausal female adults, between the ages of 20 and 50 years, who typically eat more in response to stressful situations and scores above the national mean for women on self-reporting anxiety. The intervention was Relora (250 mg capsules) or identical placebo 3 times daily for 6 weeks. Anxiety as measured by the Spielberger STATE-TRAIT questionnaires, salivary amylase and cortisol levels, Likert Scales/Visual Analog Scores for sleep quality and latency, appetite, and clinical markers of safety. The study was conducted by Miami Research Associates, a clinical research organization in Miami, FL.
  
  
  RESULTS
  The intent-to-treat population consisted of 40 subjects with 26 participants completing the study. There were no significant adverse events. Relora was effective, in comparison to placebo, in reducing temporary, transitory anxiety as measured by the Spielberger STATE anxiety questionnaire. It was not effective in reducing long-standing feelings of anxiety or depression as measured using the Spielberger TRAIT questionnaire. Other assessments conducted in this study including salivary cortisol and amylase levels, appetite, body morphology and sleep quality/latency were not significantly changed by Relora in comparison to placebo.
  
  
  CONCLUSIONS
  This pilot study indicates that Relora may offer some relief for premenopausal women experiencing mild transitory anxiety. There were no safety concerns or significant adverse events observed in this study.
authors.affiliation: Director, Nutrition, Miami Research Associates, Miami, FL, USA. dkalman@miamiresearch.com
authors.forename: Douglas S
authors.initials: DS
authors.lastname: Kalman
authors.forename: Samantha
authors.initials: S
authors.lastname: Feldman
authors.forename: Robert
authors.initials: R
authors.lastname: Feldman
authors.forename: Howard I
authors.initials: HI
authors.lastname: Schwartz
authors.forename: Diane R
authors.initials: DR
authors.lastname: Krieger
authors.forename: Robert
authors.initials: R
authors.lastname: Garrison
mesh_terms: D000328:Adult; D000681:Amylases / Q000032:analysis; D001007:Anxiety / Q000188:drug therapy; D001835:Body Weight / Q000187:drug effects; D019587:Dietary Supplements; D004311:Double-Blind Method; D004435:Eating / Q000523:psychology; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000032:analysis; D031566:Magnolia / Q000737:chemistry*; D008875:Middle Aged; D032102:Phellodendron / Q000737:chemistry*; D008517:Phytotherapy; D010865:Pilot Projects; D010936:Plant Extracts / Q000627:therapeutic use*; D017697:Premenopause; D011446:Prospective Studies; D012449:Safety; D012463:Saliva / Q000201:enzymology; D012893:Sleep Wake Disorders / Q000188:drug therapy; D013315:Stress, Psychological / Q000188:drug therapy*; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D016387:Women's Health
chemical_list: D010936:Plant Extracts; D000681:Amylases; D006854:Hydrocortisone