Evidence explainerSaffron
Saffron for Sleep: Better Quality Scores in 8 Trials, Low-Certainty Evidence
Saffron extract is sold as a sleep aid. A meta-analysis found better sleep quality and duration than placebo, though the certainty of the quality result was very low.
Key takeaways
- Across 8 studies (431 adults with sleep complaints), saffron improved sleep quality versus placebo (SMD 0.89), with very low-quality evidence [1].
- Sleep duration also improved (SMD 0.57), with moderate-quality evidence [1].
- The reduction in insomnia severity was not significant [1].
- A second 2022 meta-analysis also found better sleep-quality scores, with no serious adverse events [2].
The evidence, graded
Pulled from our monograph evidence tables. Grades follow our evidence-grading policy.
- Grade CImprovedSleep quality and durationSleep quality (SMD 0.89, very low-quality evidence) and sleep duration (SMD 0.57, moderate-quality evidence) improved versus placebo; the reduction in insomnia severity was not significant.
- Grade DNo effectShort-term safety measuresNo gross clinical changes. The 400 mg dose lowered standing systolic and mean arterial pressure; red cells, hemoglobin and platelets dipped slightly and sodium, urea and creatinine rose, all within normal ranges.
What the sleep trials found
A 2022 meta-analysis of 8 studies (431 participants with insomnia complaints) found saffron improved sleep quality (SMD 0.89) and sleep duration (SMD 0.57) compared with placebo [1]. The evidence was rated very low quality for sleep quality and moderate for duration, and insomnia severity did not change significantly [1].
A separate 2022 meta-analysis also reported better sleep-quality scores with saffron and no serious adverse events [2].
Limits
The pooled abstract does not report doses or trial lengths [1]. The trials enrolled people with sleep complaints, so results may not apply to good sleepers [1].
Safety
In a one-week safety study of 200 or 400 mg/day in 30 healthy adults, there were no gross clinical changes; the 400 mg dose lowered standing systolic pressure, and small blood and kidney-marker changes stayed within normal ranges [3]. Long-term safety is not established. See saffron supplement side effects.
Quick answers
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References
- [1]Crocus Sativus for Insomnia: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health, 2022.
- [2]Effects of saffron supplementation on improving sleep quality: a meta-analysis of randomized controlled trials. Sleep Med, 2022.
- [3]Safety evaluation of saffron (Crocus sativus) tablets in healthy volunteers. Phytomedicine, 2008.
