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Implications of melatonin therapy in irritable bowel syndrome: a systematic review.

Current pharmaceutical design
January 1, 2010
Shilan Mozaffari et al. (3 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to review clinical and non-clinical data on melatonin's effects on the GI tract and its potential role in treating IBS.

Results Summary

The study found that melatonin significantly improved IBS symptoms, including reduced abdominal pain and better overall symptom scores, and demonstrated anxiolytic, anti-inflammatory, antioxidant, and motility-regulating effects in the GI tract.

Population

IBS patients and general GI disorder cases (based on reviewed studies).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin
decrease
endogenous melatonin concentration
IBS patients
-
disturbances in
#1
exogenous melatonin
decrease
abdominal pain
IBS patients
-
significant benefits of
#2
exogenous melatonin
increase
overall IBS symptom scores
IBS patients
-
improvement of
#3
melatonin
increase
GI tract
-
-
anxiolytic effects of
#4
melatonin
decrease
GI tract
-
-
anti-inflammatory effects of
#5
melatonin
decrease
GI tract
-
-
anti oxidative effects of
#6
melatonin
increase
GI tract
-
-
motility regulatory effects of
#7
Abstract

Irritable bowel syndrome (IBS) is a highly prevalent chronic functional gastrointestinal (GI) disorder associated with abdominal pain and change in bowel habits that its etiology is not known yet. In the recent years, melatonin has been proposed as a possible candidate. In the present work, all clinical or non-clinical data about effects of melatonin in GI tract and IBS obtained from literature without time limit up to August 2010 have been studied and reviewed. Eight clinical trials were reviewed for efficacy and disturbance of melatonin in IBS and other GI disorders. The results showed disturbances in endogenous melatonin concentration in IBS patients and significant benefits of exogenous melatonin in these patients by decreasing abdominal pain and improvement of overall IBS symptom scores. The results of seventeen non-clinical studies showed anxiolytic, anti-inflammatory, anti oxidative and motility regulatory effects of melatonin on GI tract. In conclusion melatonin can be a target of interest in IBS because of its potentials to regulate GI motility.

Medical Subject Headings (MeSH)
AnimalsGastrointestinal MotilityGastrointestinal TractHumansIrritable Bowel SyndromeMelatonin
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations49
Citations/Year3.3
Relative Citation Ratio1.57
NIH Percentile66.8%
Research Impact Scores
APT Score0.75
Weight Score0.61
Normalized Score0.64
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