Randomised trial · Sao Paulo medical journal = Revista paulista de medicina · 1996

Guarana and thinking skills in older volunteers

What it found

In 45 healthy older volunteers, taking guarana for five months did not change memory, attention or other thinking skills compared with placebo or caffeine.

The authors say the results were mostly the same across the three groups.

What they found

Studies in people

Memory

Tests of immediate and recent memory showed no significant differences between the guarana, caffeine and placebo groups at any point.

Attention and psychomotor speed

All three groups improved on the Digit Symbol test by the end, but there were no differences between groups. The authors say this was likely due to learning.

Visual-spatial organisation

The guarana group improved on the Mosaic test, but their starting scores were already higher than the other groups. The authors say one isolated result is not relevant.

Anxiety and reasoning

There were no significant changes in anxiety levels or in reasoning ability (Raven test) in any group.

Side effects

Four volunteers reported burning in the stomach (three on guarana, one on caffeine), which improved with lower doses taken after meals. One volunteer on guarana stopped treatment because of a clinically confirmed fast heart rate.

Sleep

One volunteer on placebo had persistent insomnia that stopped when treatment was interrupted. No other sleep changes were reported.

What the authors conclude

“Results show that guarana, in the studied doses, did not cause enough alterations to characterize any detectable clinical manifestation.”
Galduróz JC, Carlini EA, 1996

Also in their conclusions

  • They say guarana, at the doses studied, did not cause enough alterations to produce any detectable clinical effect.
  • They suggest that guarana's reputation comes mainly from its popularity and from the placebo effect, and that caffeine's stimulant action may explain some reported effects.
  • They note that guarana is not totally free from side effects, as one volunteer stopped treatment due to tachycardia.

How it was done

Guarana is a Brazilian plant widely believed in popular medicine to stimulate brain function. The authors wanted to test whether long-term use actually improves thinking in normal, elderly people.

Forty-five volunteers over 60 years old, free of medications and with no significant health problems, were randomly split into three groups: placebo, caffeine, or guarana. They took two capsules a day for 150 days (guarana group got 1 gram of guarana daily; caffeine group got 25 mg daily; placebo got brown sugar). Thinking, sleep and anxiety were tested at the start, at 3 months and at 5 months.

What it can’t tell you

  • This was a five-month study in healthy older volunteers. It cannot show whether guarana affects thinking in younger people or in people with memory problems.
  • The authors note that the treatment time may have been too short, or the tests not sensitive enough, to detect any effect.

The paper

Title
The effects of long-term administration of guarana on the cognition of normal, elderly volunteers
Type
Randomised controlled trial
Evidence
Studies in people
Summarised from
Full text
Licence
CC BY. Words in quotation marks are the authors’; the rest is our summary.
Cite
Galduróz JC, Carlini EA (1996). The effects of long-term administration of guarana on the cognition of normal, elderly volunteers. Sao Paulo medical journal = Revista paulista de medicina. doi:10.1590/s1516-31801996000100003Free full textPubMed 8984582DOI

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