You are on page 1of 21

STRESS, MOOD,

AND SLEEP:
Nutritional Support in
Mental Health and
the Role of PEA

Sponsored by
LEVAGEN®+ IS PALMITOYLETHANOLAMIDE (PEA)
A PROVEN SLEEP INGREDIENT
Foods and Beverages Stress and Sleep PEA for Sleep Support

zinkevych/stock.adobe.com

Comfort Food: Foods and Beverages


Deliver Sleep, Stress, and Mood Relief in
Turbulent Times
By Kimberly J. Decker

Formulators Eat your feelings: It’s a saying—and a strategy—that plenty of us have


will have to grown familiar with over the past 12-odd months.
approach the task
And who could blame us? In the midst of a year that’s rendered
of developing words like challenging and unprecedented cliché, it’s only natural to
mood foods seek comfort. And at a fundamental level, comfort is a lot of what
and beverages eating is about. (Just ask any recently fed baby.)
differently from
But while some have found their emotional Band-Aid in a bowl of ice
how they’d build cream or homemade brownie, others seek a more mindful approach
a traditional to eating their feelings.
supplement.
In so doing, they’re inspiring wellness brands to use foods and
beverages as vehicles for destressing, calming, and sleep-promoting
ingredients—ingredients that have heretofore been the province
primarily of supplements. The results are gaining traction and putting
a scientifically substantiated spin on the concept of “comfort food.”

AUGUST 2021 | NUTRITIONAL OUTLOOK 3 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

A Nation on Edge
The reawakening to wellness that consumers SPONSORED CONTENT

experienced in 2020 will go down in history Affron®: Premium


as one of COVID-19’s unanticipated side Ingredient for
effects. But just as striking, says Itay Shafat, Mood Support
cognitive health product manager, IFF Health
(New York City), was the “holistic” tone that
reawakening took. maintaining mental strength to cope with the
‘new normal’ atop all the pandemic’s lingering
“It’s remarkable how much consumers effects remains a must-have for consumers.”
have shifted from centering their idea of
health and well-being around the physical Demand for stress-management, mood-
alone to recognizing that mental and physical support and sleep supplements reflects that
health complement each other,” he notes. must-have status. SPINS reported a 35.7%
And that recognition won’t go away with increase in sales of such products across
the coronavirus. mass and natural channels year-over-year,
with their take totaling nearly $400 million
Why? Because the stress, anxiety, poor from January to June of 2020, compared to
sleep, and even sadness plaguing the $294 million for the same period in 2019.2
collective psyche of late merely amplify
emotions that modern society’s been Mood Foods—and Drinks
managing for generations now. But supplements are only where the story
gets started. According to a 2020 FMCG
Consider that while Kaiser Family Foundation Gurus survey on the pandemic’s effects—
data show that as many as four in 10 conducted for functional-ingredient supplier
American adults reported symptoms of Beneo (Parsippany, NJ)—55% of consumers
anxiety or depressive disorder during the in the market to improve their mental well-
pandemic, a notable 11% were already being are likely to opt for a food or drink as a
reporting those same symptoms in the means of doing so. And a whole constellation
January-to-June period of the previous year.1 of factors drives them toward that decision.

“Thus,” Shafat concludes, “continuing to Pill fatigue, of course, is one, as is the


address issues like stress and sleep are of the aforementioned practice of comforting
utmost importance.” oneself with food and drink.

Julia Díaz, head of marketing, Pharmactive “It’s well known that tasty foods exert a
(Madrid), agrees. “The world is still awaiting full comforting effect and are widely adopted
recovery from this crisis,” she points out. “So coping mechanisms,” Díaz notes. And with

AUGUST 2021 | NUTRITIONAL OUTLOOK 4 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

SPONSORED CONTENT
some continuing pandemic restrictions
New Ingredient for Sleep: A Conversation with
Mariko Hill, Product Development Executive, Gencor extending consumers’ sense of cabin fever,
“the temptation to snack becomes even
What is PEA? greater,” she says.
PEA is a fatty acid amide that’s
produced in the body in response
to pain, inflammation, and Shafat notes that mood foods and drinks
stress. It was first identified as make the most sense when their constituent
a food component in the 1957,
originally derived from egg yolk. ingredients connote an association with calm
Throughout history, we started and relaxation. “In the case of stress, for
to see its anti-inflammatory and analgesic effects (i.e.,
pain relieving). As a result, Gencor started to study PEA example,” he says, “teas made with chamomile,
in the realm of joint health, sleep, and sports nutrition, lemon balm, cinnamon, rhodiola, and other
which is now distributed under our brand name
Levagen® and Levagen+®.
extracts with proven, or at least publicly
accepted, benefits can help to address it.”
Can you talk about the science and the research
behind Levagen+, specifically for sleep health?
Gencor has conducted many human clinical trials on Díaz detects an echo between consumers’
Levagen and Levagen+. To date, we have completed adoption of mood foods and “the growing
six studies. All are either published or have been
submitted for publication. Our latest one is on sleep awareness of self-care and healthy habits,”
health. We tested 125 healthy adults in a double-blind, which she says can include everything from
randomized, placebo-controlled trial. Compared to
placebo, individuals fell asleep 3x faster (measured choosing organic produce to reducing
using sleep latency), feel more awake the next day, had sugar consumption.
improved cognition upon awakening, and didn’t feel
drowsy. If you look at the sleep health category as a
whole, it has been a sea of sameness. With Levagen+, And Shafat cites a very practical reason for
we are taking a more holistic approach to sleep health
than many of the sleep health ingredients on the
using food to improve mood: “Many active
market. And we have the science to back up our claims. ingredients are better absorbed when taken
with food,” he says. “And liquid formats like
We heard you’re working with a few elite sports teams
with Levagen+. Can you elaborate on what you have beverages move more quickly through the
found? GI tract.” By contrast, supplement capsules
We wanted to gain practical insights into how PEA is
used in an elite sports setting. One of our good friends, and tablets must disintegrate first before
James Hudson, is the nutritionist of Gloucester Rugby, allowing their actives to dissolve and the
and he was keen on using PEA as a CBD and even an
NSAID alternative. He was interested in using Levagen+ body to absorb them, he says.
to reduce tendinopathy pain and possibly influencing
sleep. Not only did he see a decrease in tendinopathy,
but he also saw a reduction in time to sleep per the Relaxing Actives
gold standard—the Pittsburgh Quality Questionnaire for As for which mood-improving ingredients
Sleep. This is really interesting because this effect was
not only seen in the clinical setting, but in the applied
are getting play in food and beverage
setting, too. formulations, both Díaz and Shafat shine a
spotlight on botanicals. Díaz sees the plant-
Interested in hearing more? LISTEN TO OUR PODCAST
based ingredients as capitalizing on their
“long history of traditional use to aid sleep

AUGUST 2021 | NUTRITIONAL OUTLOOK 5 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

and induce calm.” That history not only Probiotics are already building a track record
strikes consumers as “natural” and evokes in this arena. A randomized, double-blind,
their trust; on the manufacturing side, it placebo-controlled study involving 120
can also relieve brands of the regulatory healthy subjects aged 18 to 45 found that
concerns surrounding ingredients like CBD. IFF’s Howaru Calm probiotic (Lactobacillus
paracasei Lpc-37) improved psychological and
Díaz notes that sales of Affron, Pharmactive’s physiological markers of stress and anxiety in
natural saffron (Crocus sativus L.) extract, subjects who took the ingredient.4
have been rising in concert with demand for
calming formulations. “That’s a big development,” Shafat says. “It
gives consumers a scientifically proven way
Previous clinical studies have established to manage daily stress by taking a probiotic
its capacity to support mood and relaxation, they can buy online or in a store.”
relieve stress and improve sleep, she notes,
while adding that a recent clinical study of Working Out the Kinks
12- to 16-year-olds with mild to moderate Formulators will have to approach the task
anxiety and depression showed that of developing mood foods and beverages
subjects who took the extract over an differently from how they’d build a
eight-week period experienced traditional supplement. As Shafat cautions,
improvements in symptoms.3 “Adding any functional ingredient to a food
or beverage poses challenges to processing,
The extract’s proposed mechanism of shelf stability, solubility, taste, and more.”
action rests on its antioxidant and anti-
inflammatory properties, which may help And as any food or beverage developer
balance levels of key neurotransmitters like knows, “Consumers drink and eat what’s
serotonin and dopamine while also fighting tasty,” Shafat says. “That’s driving the
the oxidative stress that anxiety and stress industry’s focus toward adapting these
can trigger in the brain. ingredients—many of which are bitter—to
foods and beverages using ingredients like
Meanwhile, Shafat looks to the gut-brain axis flavor maskers.”
for further hints as to where mood food may
be headed. It’s not just product appeal that hangs in the
balance, either; it’s consumer compliance.
“As consumers begin to understand the After all, a mood-enhancing food or drink
connection between our brains and our will only work if consumers feel compelled to
microbiome more widely,” he says, “the consume it on the regular. “These products
category of probiotic-fortified foods and have to be linked to daily, rather than
beverages for stress and mood should grow.” occasional, consumption,” Díaz says. “Natural

AUGUST 2021 | NUTRITIONAL OUTLOOK 6 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

solutions usually work better this way.” of youth anxiety and depressive symptoms: a
randomized, double-blind, placebo-controlled
Brands also must remain measured in making study,” Journal of Affective Disorders. Published
promises for their products. Díaz reiterates online February 26, 2018.
the importance of drawing hard lines at 4. Patterson E et al. “Lacticaseibacillus paracasei
claiming to diagnose, cure, mitigate, treat, or Lpc-37® improves psychological and
prevent disease. And she encourages brands physiological markers of stress and anxiety in
to support any claims they do make with healthy adults: a randomized, double-blind,
rigorous scientific evidence. placebo-controlled and parallel clinical trial (the
Sisu study).” Neurobiology of Stress. Published
As research into mood-enhancing actives online November 24, 2020.
proceeds, that evidence will only mount.
Says Shafat, “New research on mood and
relaxation is taking place to offer more Kimberly J. Decker
substantiation for active ingredients. This will Freelancer Writer
result in more acceptable mood-food and
The article was first published by Nutritional
-beverage formulations for both the industry Outlook, July 26, 2021.
and consumers.”

References
1. Panchal N et al. “The Implications of COVID-19
for Mental Health and Substance Use.” Kaiser
Family Foundation website. Published February
10, 2021. Accessed here. https://www.kff.
org/coronavirus-covid-19/issue-brief/the-
implications-of-covid-19-for-mental-health-and-
substance-use/
2. Daniells S. “Stress Management Supplements
Sales Surge with Sleep and Adaptogen Lines
Leading the Way.” Nutraingredients-USA.
com. Updated August 18, 2020. Accessed
here. https://www.nutraingredients-usa.com/
Article/2020/08/18/Stress-management-
supplements-sales-surge-with-sleep-and-
adaptogen-lines-leading-the-way#
3. Lopresti AL et al. “Affron, a standardized extract
from saffron (Crocus sativus L.) for treatment

AUGUST 2021 | NUTRITIONAL OUTLOOK 7 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

amenic181/stock.adobe.com

The Necezzity of Catching


Some Z’s
By Maggie McNamara

T
Why stress and he pandemic permanently disrupted the lives of people all
over the world, and it very well may continue to do so as we
sleep support is approach the post-pandemic phase. Many “normalcies” of
so important in life have been drastically altered over the past year, work,
2021. education, sports, health care, politics, and relationships, to name a few.

We’re only now seeing the long-lasting impact of the pandemic as


countless people continue to face uncertainty and chaos, and for many of
them, this has caused health challenges that sometimes aren’t so obvious.

Suffering in Silence
Over the past year, the number of people looking for help in
addressing their anxiety has skyrocketed. The 2021 State of Mental
Health in America report showed that from January to September
2020, 315,000+ people took the anxiety MHA (Mental Health
America) screen test, a 93% increase over the 2019 total number of
anxiety screens.1

AUGUST 2021 | NUTRITIONAL OUTLOOK 9 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

“Challenges with sleep isn’t problematic.7 These compounding stressors


anything new with more are taking a toll on the mind and body.

than one-third of Americans Despite having several months of acclimating


having not received enough to a new reality, Americans are continuing
sleep on a regular basis to struggle with the barrage of ongoing
disruptions. The APA estimates that nearly 8
for years.”10 in 10 adults (78%) say the pandemic continues
to be a significant source of stress in their life.
The pandemic negatively affected many Stress and anxiety have always been very much
people’s mental health and created new a part of life, but left unattended or untreated,
obstacles for people who already had been they can become chronic, and that is when
suffering from mental illness and substance greater problems arise.8
abuse. During the pandemic, about 4
in 102 adults in the U.S. have reported The Age of “Coronasomnia”
symptoms of anxiety or depressive disorder, Stress-related insomnia caused by the fallout
a share that has been largely consistent, up of the pandemic is a very real thing, and it is
from 1 in 103 adults who reported these more complicated than typical stress-related
symptoms from January to June 2019.4 sleeplessness. The difference is that it isn’t
brought on just because of the virus itself;
A July 2020 Kaiser Family Foundation Health it’s everything else that’s changed because of
Tracking Poll found that many adults are it, from loneliness to economic hardships to
reporting specific negative impacts on their juggling work and homeschooling.9
mental health and well-being, such as difficulty
sleeping (36%).5 Prior to the pandemic, the Like oil and water, stress and sleep don’t
use of both anti-anxiety and anti-insomnia mix, and sleeplessness not only drains your
medications was on the decline from 2015 mental abilities, but it also puts your physical
to 2019, down 12% and 11.3%, respectively. health at real risk.
Between February 2020 to March 2020, new
prescriptions for anti-anxiety medications Challenges with sleep aren’t new, with more
exhibited a 37.7% increase.6 than one-third10 of Americans having not

According to the American Psychological


Association (APA), Americans have been SPONSORED CONTENT
profoundly affected by the COVID-19
What is Levagen+ PEA and
pandemic, and that the external factors
how it can help with sleep?
Americans have listed in previous years as
significant sources of stress remain present and

AUGUST 2021 | NUTRITIONAL OUTLOOK 10 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

emotions going forward as we begin to


SPONSORED CONTENT rebuild from a year that has reshaped us as
HydroCurc: The Most individuals and as a society.13
Bioavailable Curcumin for
Cognitive Health The Dangers of Sleeplessness
The effects of a restless night are
immediately seen, from fatigue to a lack
received enough sleep on a regular basis for of focus and moodiness. What cannot be
years. In fact, lack of good sleep is such a seen is the dangerous long-term toll sleep
widespread problem that the CDC has called deprivation can make on the body and mind,
it a “public health epidemic.” and a review of studies in 2010 Trusted
Source found that sleeping too little at night
Sleep deprivation was already a problem for could increase the risk of early death.
many, and then the pandemic hit. With all
the stress, grief, and anxiety caused by the Many people don’t realize that a lack of sleep,
pandemic and the impact on daily life, people especially on a regular basis is associated with
reported more sleep problems than ever long-term health consequences, including chronic
before. A 2021 study showed around four medical conditions like a decrease in immune and
in 10 people reported trouble sleeping cognitive functions.14 It has been said that the
during the pandemic.10 Brought on by the immune system is key to whole-body health and,
stress of living in a global pandemic, sleep when out of balance, it not only fails to protect
experts have labeled these sleep problems the body, but can mistake “self” cells for invading
“coronasomnia.”11 pathogens and attack them.

As society attempts to get back to “normal,” While getting adequate sleep, managing
many are carrying with them some baggage stress are effective ways to help maintain
that psychiatrists are calling Post-Covid a healthy immune system, science has
Stress Disorder (PCSD), which may lead to shown that nutrients gained through a
diverse mental health problems, including healthy diet or supplementation are critical
anxiety, depression, post-traumatic stress in maintaining balance.
disorder, and other trauma- and stress-
related disorders.12 According to the FMCG Gurus’ survey
series 2020, 18% of consumers have
Medical practitioners have seen increased become more conscious about their sleep
stress, burnout, sleep disturbance, anxiety, health and 40% said this about their overall
depression, trauma-related disorders, and a mental well-being15 and it didn’t take long
general sense of grief of the life we knew. for companies to take notice. New brands,
There will likely be a broad spectrum of products, and even mobile apps continue to

AUGUST 2021 | NUTRITIONAL OUTLOOK 11 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

pop up, looking to capitalize on this demand antioxidant18 with benefits for immune
as the global sleep economy is big business. health and sleep health.
According to Statistica, it was valued at
$432 billion in 2019 and is set to reach $488 Saffron is another multi-beneficial ingredient
billion in 2021 and $585 billion by 2024.16 that has been extensively researched with
new evidence suggesting it may be an
Don’t Snooze on These effective natural sleep aid. In a small pilot
Natural Ingredients study, the four-week administration of a
Addressing the concerns associated with saffron extract (affron) resulted in greater
sleep starts with consumers looking at their improvements in sleep quality, sleep latency,
health as an interconnected system versus and daytime dysfunction in a subset of
a one-system approach. According to a new poor sleepers compared with placebo with
Innova Market Insights survey, the research no significant adverse events reported.19 A
revealed that seven out of ten consumers 2018 randomized, double-blind, placebo-
made changes over the past year to improve controlled study also showed that 28 mg/
their overall health. Interestingly, the day of saffron (affron) had a positive effect
changes were not just for physical health, on anxiety and depressive symptoms in
but were also focused on balancing physical, adolescents (12-16 years) with mild-to-
mental, and emotional aspects.17 moderate symptoms over 8 weeks20, so
beneficial in improving mood health as an
It should come as no surprise that some of added bonus.
the most recent trending ingredients include
not only benefits for immune function but When a new virus appears, a renewed focus
cognitive health, heart health, sleep, and on immunity health is seen. In the absence of
overall vitality. One of these ingredients vaccines, the body’s innate immune system is
that offers multiple benefits is curcumin. In the primary defense against pathogens, and
a 2020 clinical study, curcumin (Hydrocurc) all too often, consumers fall back on synthetic
was combined with iron, and results showed anti-inflammatory drugs that have applications
benefit in significantly increasing serum in the short-term but are too toxic for long-term
BDNF and ferritin levels, which may suggest and/or preventive use at the public health level.
the ability to enhance cognitive function Endogenous and/or food-derived supplements
(memory & learning) and increase the growth have shown to be safer alternatives.21
of new neurons and may help fight various
degenerative processes in your brain. Palmitoylethanolamide (PEA) is an
endocannabinoid-like lipid mediator with
Curcumin has beneficial effects on several extensively documented anti-inflammatory,
factors known to play a role in CVD. analgesic, antimicrobial, immunomodulatory
Plus, it is an anti-inflammatory agent and and neuroprotective effects. It is well

AUGUST 2021 | NUTRITIONAL OUTLOOK 12 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

tolerated and devoid of side effects in benefit of mood health, brain health and
animals and humans. PEA’s actions on immunity health is a win-win. Sleep well.
multiple molecular targets while modulating
multiple inflammatory mediators provide References
therapeutic benefits in many applications, 1. Mental Health America. The 2021 State Of Mental
including immunity, brain health, allergy, pain Health In America. https://www.mhanational.org/
modulation, joint health, sleep, and recovery.21 issues/state-mental-health-america
2. KFF. Adults Reporting Symptoms of Anxiety or
In a 2020 study, players from the Gloucester Depressive Disorder During COVID-19 Pandemic,
English Rugby Union team took a PEA 4/28/2021-5/10/2021. https://www.kff.org/
product, Levagen+, to aid with recovery from other/state-indicator/adults-reporting-symptoms-
the demands of their sport, but what they of-anxiety-or-depressive-disorder-during-
didn’t know was the applications of PEA covid-19-pandemic/?currentTimeframe=0&so
in sleep. rtModel=%7B%22colId%22:%22Location%22,-
%22sort%22:%22asc%22%7D
The club was already tracking sleep, and they 3. National Center for Health Statistics. Early
saw a shift after players began taking the Release of Selected Mental Health Estimates
PEA product. Based on Data from the January–June 2019
4. National Health Interview Survey. https://
Over the first 12 weeks of PEA (Levagen+) www.cdc.gov/nchs/data/nhis/earlyrelease/
use, the club saw a significant improvement ERmentalhealth-508.pdf
in sleep quality as measured by the 5. KFF. The Implications of COVID-19 for Mental
Pittsburgh Sleep Quality Index with players Health and Substance Use. Feb. 10. 2021. https://
reporting improvements in the quality of www.kff.org/coronavirus-covid-19/issue-brief/
their sleep. Some players even reported the-implications-of-covid-19-for-mental-health-
near reversals of insomnia symptoms. and-substance-use/
These findings are in line with broader 6. KFF. KFF Health Tracking Poll - July 202. July 27,
understanding of the prominent role 2020. https://www.kff.org/coronavirus-covid-19/
endocannabinoids may play in sleep.22 report/kff-health-tracking-poll-july-2020/
7. M. Gavidia. How Has COVID-19 Affected Mental
The importance of sleep has long been Health, Severity of Stress Among Employees?
understood, and English dramatist and April 20, 2020, https://www.ajmc.com/view/how-
pamphleteer Thomas Dekker once said, has-covid19-affected-mental-health-severity-of-
“Sleep is the golden chain that ties health stress-among-employees
and our bodies together,” and through 8. American Psychological Association. Stress in
scientific research, we are seeing a renewed America™ 2020. https://www.apa.org/news/
focus being placed on it. Finding novel press/releases/stress/2020/report-october
solutions to sleeping well with the added 9. American Psychological Association. Infographic.

AUGUST 2021 | NUTRITIONAL OUTLOOK 13 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

https://www.apa.org/images/sia-2020-covid- 18. Food Ingredients First. Healthy aging: Innova


stress_tcm7-279798.jpg Market Insights reveals rising holistic nutrition
10. Cleveland Clinic, How the COVID-19 demands. https://www.foodingredientsfirst.com/
pandemic can impact your sleep. https://health. news/healthy-aging-innova-market-insights-
clevelandclinic.org/covid-19-insomnia-tips/ reveals-rising-holistic-nutrition-demands.html
11. Jahrami H. et al. Sleep problems during the 19. Lorinczova HT, et al., Co-administration of iron
COVID-19 pandemic by population: a systematic and a bioavailable curcumin supplement increases
review and meta-analysis. J Clin Sleep Med. vol. serum BDNF levels in healthy adults. Antioxidants
17, issue 2 (Feb. 2021), 299-313. https://pubmed. (Basel). vol. 9, issue 8 (July 2020), 645. https://
ncbi.nlm.nih.gov/33108269/ pubmed.ncbi.nlm.nih.gov/32707771/
12. Foley L. Coronasomnia: definition, symptoms, 20. Lopresti AL, Smith SJ, Metse AP, Drummond PD.
and solutions. April 14, 2021. https://www. Effects of saffron on sleep quality in healthy adults
sleepfoundation.org/covid-19-and-sleep/ with self-reported poor sleep: a randomized,
coronasomnia double-blind, placebo-controlled trial. J Clin Sleep
13. Tucker P and Czapla CS. Post-COVID stress Med. vol. 16, issue 6 (2020): 937–947.
disorder: another emerging consequence of the 21. Lopresti AL, et al. affron®, a standardized extract
global pandemic. January 8, 2021. Psychiatric from saffron (Crocus sativus L.) for the treatment
Times. https://www.psychiatrictimes.com/ of youth anxiety and depressive symptoms: A
view/post-covid-stress-disorder-emerging- randomized, double-blind, placebo-controlled study.
consequence-global-pandemic J Affect Disord. vol. 232 (May 2018): 349-357.
14. Johns Hopkins Medicine. COVID-19 Story Tip: 22. Clayton P, Hill M, Bogoda N, Subah S, Venkatesh R.
Stressed about ‘returning to normal’? Here Palmitoylethanolamide: A natural compound for health
are tips to ease into the transition. June 16, management. Int. J. Mol. Sci. vol. 22 (2021): 5305.
2021. https://www.hopkinsmedicine.org/news/ 23. Kesner A J. and Lovinger, D. M. Cannabinoids,
newsroom/news-releases/covid-19-story-tip- Endocannabinoids and Sleep. Front. Mol. Neurosci.
stressed-about-returning-to-normal-here-are- vol. 13, (2020): 125
tips-to-ease-into-the-transition
15. Division of Sleep Medicine at Harvard Medical
School. Sleep and Disease Risk. https:// Maggie McNamara is a veteran brand and
healthysleep.med.harvard.edu/healthy/matters/ marketing strategist who has worked with
consequences/sleep-and-disease-risk multimillion-dollar companies all over the world,
growing their brand value, expanding product
16. FMCG Gurus, Insights & Opportunities – Sleep
lines and increasing market share. Maggie holds
and Stress Management – Global 2020. January a bachelor’s degree in marketing communication
2020. https://fmcggurus.com/reports/sleep- and a master’s degree in organizational
stress-management-global-2020-fmcg-gurus/ communications from the University of
Johannesburg. She currently serves as the
17. Statistica. Size of the sleep economy worldwide
marketing director at Gencor.
from 2019 to 2024. https://www.statista.com/
statistics/1119471/size-of-the-sleep-economy-
worldwide

AUGUST 2021 | NUTRITIONAL OUTLOOK 14 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

Asier/stock.adobe.com

Wanted: A Good Night’s Sleep


By Maggie McNamara

Why is PEA As strange as it sounds, humans spend about one-third of their life
either sleeping or trying to fall asleep.1
and how does it
support sleep? Sleep is an essential function1 that allows both body and mind some
time recharge. Healthy sleep also helps the body remain strong
and stave off chronic health conditions. Without enough sleep, the
brain cannot function properly, which can impair your ability2 to
concentrate, think clearly, and process memories.

Most adults require between seven to nine hours3 of sleep each


night, but multiple factors like work schedules, day-to-day stressors,
a disruptive bedroom environment, and illness can all prevent us from
getting enough sleep. A healthy diet and positive lifestyle habits surely
can help with getting an adequate amount of sleep each night, but for
some, a chronic lack of sleep may be the first sign of a sleep disorder.4

AUGUST 2021 | NUTRITIONAL OUTLOOK 16 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

RECOMMENDED AMOUNT
AGE GROUP AGE RANGE
OF SLEEP PER DAY

Newborn 0-3 months 14-17 hours


Infant 4-11 months 12-15 months
Toddler 1-2 years 11-14 hours
Preschool 3-5 years 10-13 hours
School-age 6-13 years 9-11 hours
Teen 14-17 years 8-10 hours
Young Adult 18-25 years 7-9 hours
Adult 26-64 years 7-9 hours
Older Adult 65 years or older 7-8 hours

The right amount of sleep largely depends to cause sleep deprivation in animal models
on your age. The National Sleep Foundation and in humans.9 More and more, people
recommends the following daily sleep are looking for other natural solutions that
allotment for different age groups.5 improve sleep quality without any of these
adverse effects.
Easier Said Than Done
Falling asleep is a simple concept, and should In Search of a Safe Sleep
be easy to do, however multiple factors such Benefits of an effective sleep aid to look for:
as environmental and psychosocial stressors
as well as certain medical conditions can give • Shortens the amount of time people
rise to a range of sleep disorders.6,7 Another spend lying awake tossing and turning
factor that poses challenges with sleep is • Provides a good night’s sleep—the
chronic pain. In fact, joint pain’s effect on quality of sleep is important as any
sleep has been studied extensively and has product that puts someone to sleep
been associated with poor sleep quality.6 Far quickly but leaves them feeling groggy
too often, the answer seen to address these in the morning only addresses part of
challenges with a variety of “sleep aids” like the problem
prescription sedatives and tranquilizers that • Is safe and dependable—decreased chance
are widely used for treating sleep disorders,8 of addiction or other adverse effects
but these carry the risk of addiction and other
adverse effects. While they might prove to be While there are some popular sleep aids on
beneficial in the short term, withdrawal after the market right now, most notably valerian
chronic cannabinoid use has been shown and melatonin, they aren’t without their

AUGUST 2021 | NUTRITIONAL OUTLOOK 17 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

limitations. While valerian does help people


get to sleep, it also may affect their judgment
SPONSORED CONTENT
and focus. A big downside of the drowsiness
caused by the herb may be acceptable at Levagen+(R): Clinically
night but limits what people can do if taken Proven to Improve Sleep
during the day. People need to avoid driving
and using machinery for a few hours after
taking valerian.10 safety profile of the molecule. Across
animal and human studies, researchers
Another widely used sleep aid is melatonin, have linked CBD to adverse events such
which is produced by the pineal gland as developmental toxicity, embryo-fetal
and takes care of the circadian rhythm mortality, liver abnormalities, diarrhea,
that helps the body adjust to daytime and fatigue, and vomiting12. Contamination
nighttime. Resetting circadian rhythms with delta-9-tetrahydrocannabinol (THC)
can help with sleep but getting the dosing is common, too.13 CBD very well could be
regimen right is challenging. There is no an effective sleep aid, but with many of the
consensus about the optimal dosage of claims not backed by clinical research along
melatonin although most experts advise to with questions about possible long-term
avoid extremely high dosages. Some side side effects and regulatory hurdles, the true
effects of melatonin include headache, benefits of CBD as an effective and safe
dizziness, nausea, and drowsiness. Other sleep aid remain to be seen.
less common melatonin side effects might
include short-lasting feelings of depression, PEA: A Natural Skeleton Key for
mild tremor, mild anxiety, abdominal cramps, Health Management
irritability, reduced alertness, confusion or Palmitoylethanolamide (PEA) is a fatty acid
disorientation, and abnormally low blood amide that increases levels of anandamide,
pressure (hypotension).11 Melatonin is also an endocannabinoid that regulates pain
regulated differently around the world with and sleep receptors. PEA is an endogenous
the least amount of regulation placed on compound that helps to stimulate the
OTC supplements in the United States. production of endocannabinoids in the body,
and humans naturally metabolize it.
Cannabidiol (CBD) has also emerged as
a popular sleep aid, but regulatory status PEA can help promote restful sleep through
is an issue for CBD as most regulators the activation of CB1 receptors, which
do not recognize CBD as a supplement. increases calm feelings and induces sleep.
The position of the US Food and Drug It can also increase restful REM sleep by
Administration, which treats CBD as a activating TRPV1 channels.14,15 PEA activates
drug, and its peers is influenced by the the energy-boosting, fat-burning, and anti-

AUGUST 2021 | NUTRITIONAL OUTLOOK 18 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

inflammatory PPAR alpha. By activating this placebo-controlled clinical trial, researchers


key protein, PEA stops the activity of pro- randomized 122 healthy adults to take
inflammatory genes and the production of 350 mg of PEA (Levagen+) or placebo
many inflammatory substances. PEA also one hour before sleep onset. There were
reduces the activity of Fatty Acid Amide positive effects in terms of a reduction in
Hydrolase (FAAH) that breaks down natural time to the onset of sleep in the Levagen+
cannabinoid anandamide thereby increasing cohort. Subjects taking the PEA product
the levels of calming anandamide in the body, also felt fully awake sooner in the mornings. 
which ultimately helps combat pain and Currently, the full research paper and study
increase relaxation. have been submitted for peer review and
publication.22
Multiple studies have shown the potential of
PEA in sleep. A 2020 study on athletes showed PEA’s pain-alleviating and anti-inflammatory
positive results with sleep. Players from the properties, as demonstrated in numerous
Gloucester Rugby took the PEA product clinical studies, could reduce chronic pain
(Levagen+) to help with recovery from the and inflammation that is purported to impair
physical tolls of their sports activities. sleep quality. Evangelista et al. found that
600 mg of exogenous PEA administration
The club had been routinely tracking sleep, twice daily to patients awaiting carpal tunnel
and over the first 12 weeks of Levagen+ use, syndrome surgery significantly improved
was able to see significant improvements in patient’s overall sleep quality, including an
sleep quality as measured by the Pittsburgh increase in continuous sleep time and a
Sleep Quality Index.16 These findings are reduction of sleep latency.23 This was due
in line with a broader understanding of the to its mitigation of painful symptoms in the
prominent role endocannabinoids play in treatment group encountering neuropathic
sleep.16 Sleep is essential for the recovery pain, which contributed to their disrupted
of the brain and body. Sleep deprivation or sleep quality prior to PEA treatment.24
restriction has negative effects on cognition,
learning and memory consolidation and One small problem…or is it?
mental well-being, growth and repair of As a lipophilic substance, PEA is poorly
cells, metabolism of glucose, and immune absorbed due to its limited bioavailability.
function. Sleep helps us to both recover Levagen+ is a clinically studied PEA
from the previous day and prepare for the formulation utilizing cold-water dispersible
next day.17 Multiple studies have identified (CWD) technology (LipiSperse) and has been
changes in levels of endocannabinoids tied shown to significantly increase plasma PEA
to sleep.18–21​ concentration by approximately 2-fold with
1.75 times improved bioavailability25, thereby
In another double-blind, randomized, illuminating the one small problem and

AUGUST 2021 | NUTRITIONAL OUTLOOK 19 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

making it extremely effective and fast acting. a cross-sectional analysis of the Nagahama
study. PLoS One. vol. 10, issue 10, (October
Sleep Safely 2015): e0140058. https://pubmed.ncbi.nlm.nih.
As a self-affirmed GRAS ingredient, Levagen+ gov/26444713/
PEA also received the Informed Ingredient 7. Kalmbach DA, Anderson, JR, and Drake CL,
Certification for absence of WADA-prohibited The impact of stress on sleep: Pathogenic sleep
substances from LGC, the United Kingdom’s reactivity as a vulnerability to insomnia and
designated National Measurement Institute circadian disorders. Journal of Sleep Research. vol.
for chemical and biomeasurement. 27, issue 6 (Dec. 2018), e12710. doi: 10.1111/
jsr.12710. Epub 2018 May 24.
PEA is applicable to consumers across their 8. Cappuccio FP, D’Elia L, Strazzullo P, Miller
lifespan. There are limited sleep health MA. Sleep duration and all-cause mortality:
supplements that are safe, clinically studied, a systematic review and meta-analysis of
and able to avoid the groggy hangover effects. prospective studies. Sleep. 2010 May;33(5):585-
Fortunately, (Levagen+) PEA is able to check 92. doi: 10.1093/sleep/33.5.585
off all those boxes, and knowing this, sleep 9. Kesner AJ and Lovinger DM. Cannabinoids,
can come easier in the safest possible way. endocannabinoids and sleep. Frontiers in Molecular
Neuroscience. vol. 13 (July 2020), 125.
References 10. Spritzler F. How valerian root helps you relax
1. Aminoff MJ, Boller F, Swaab DF. We spend about and sleep better. April 16, 2017, https://www.
one-third of our life either sleeping or attempting healthline.com/nutrition/valerian-root#TOC_
to do so. Handbook of Clinical Neurology. vol. TITLE_HDR_9
98, issue vii (2011). doi: 10.1016/B978-0-444- 11. “Is melatonin a helpful sleep aid — and what
52006-7.00047-2. PMID: 21056174. should I know about melatonin side effects?”
2. NIH, Brain Basics: Understanding Sleep. https:// https://www.mayoclinic.org/healthy-lifestyle/
www.ninds.nih.gov/Disorders/Patient-Caregiver- adult-health/expert-answers/melatonin-side-
Education/understanding-Sleep effects/faq-20057874
3. CDC. https://www.cdc.gov/sleep/features/ 12. Huestis, M. A. et al. Cannabidiol adverse effects
getting-enough-sleep.html and toxicity. Current Neuropharmacology. vol. 17,
4. Suni E. How much sleep do we really need? issue 10, 974–989 (2019).
March 10, 2021. https://www.sleepfoundation. 13. Montoya, Z., Conroy, M., Vanden Heuvel, B. D.,
org/how-sleep-works/how-much-sleep-do-we- Pauli, C. S. & Park, S.-H. Cannabis Contaminants
really-need Limit Pharmacological Use of Cannabidiol.
5. Foley L. Why do we need sleep? September 11, Frontiers in Pharmacology. 11, 571832 (2020).
2020. https://www.sleepfoundation.org/how- 14. Murillo-Rodriguez E. The role of the CB1 receptor
sleep-works/why-do-we-need-sleep in the regulation of sleep. Progress in Neuro-
6. Murase K et al. Knee pain and low back pain Psychopharmacology and Biological Psychiatry.
additively disturb sleep in the general population: volume 32, issue 6, (August 2008), 1420-1427.

AUGUST 2021 | NUTRITIONAL OUTLOOK 20 SPONSORED CONTENT


Foods and Beverages Stress and Sleep PEA for Sleep Support

https://www.sciencedirect.com/science/article/ 23. Evangelista M et al., (2018). Ultra-micronized


abs/pii/S0278584608001103 Palmitoylethanolamide Effects on Sleep-wake
15. Fogaca MV et al. The endocannabinoid and Rhythm and Neuropathic Pain Phenotypes
endovanilloid systems interact in the rat prelimbic in Patients with Carpal Tunnel Syndrome: An
medial prefrontal cortex to control anxiety-like Open-label, Randomized Controlled Study. CNS &
behavior. Neuropharmacology. vol. 63, issue 2 Neurological Disorders - Drug Targets. 17. 10.2174/
(August 2012): 202-210. https://pubmed.ncbi. 1871527317666180420143830.
nlm.nih.gov/22691536/ 24. Rao A et al. Palmitoylethanolamide for sleep
16. Kesner, AJ and Lovinger, D.M. Cannabinoids, disturbance: a double-blind, randomised, placebo-
Endocannabinoids and Sleep. Frontiers in controlled interventional study. 09 April 2021,
Molecular Neuroscience. vol. 13 (2020), 125. PREPRINT (Version 1) available at Research
17. https://www.mysportscience.com/post/ Square [https://doi.org/10.21203/rs.3.rs-376418/
improving-sleep-for-recovery v1]
18. Murillo-Rodriguez, E., Désarnaud, 25. Briskey D, Mallard AR, Rao A. Increased
F. & Prospéro-García, O. Diurnal absorption of palmitoylethanolamide using
variation of arachidonoylethanolamine, a novel dispersion system (LipiSperse®). J
palmitoylethanolamide and oleoylethanolamide in Nutraceuticals Food Sci. vol. 5 (2020)
the brain of the rat. Life Sci. 79, 30–37 (2006).
19. Koethe, D. et al. Sleep deprivation increases
oleoylethanolamide in human cerebrospinal fluid.
Journal of Neural Transmission. vol. 116 (2009),
301–305.
20. Hanlon, E.C. et al. Sleep restriction enhances
the daily rhythm of circulating levels of
endocannabinoid 2-arachidonoylglycerol. Sleep
vol. 39 (2016), 653–66.
21. Murillo-Rodríguez, E. The role of the CB1
receptor in the regulation of sleep. Progress in
Neuro-Psychopharmacology & Biological Psychiatry
32, 1420–1427 (2008).
22. Mallard A, Briskey D, Richards A, Mills D, Rao
A. The Effect of Orally Dosed Levagen+™
(palmitoylethanolamide) on Exercise Recovery
in Healthy Males-A Double-Blind, Randomized,
Placebo-Controlled Study. Nutrients. vol. 12, issue
3 (Feb. 2020): 596. doi: 10.3390/nu12030596.
Syda Productions/stock.adobe.com
PMID: 32106527; PMCID: PMC7146510.

AUGUST 2021 | NUTRITIONAL OUTLOOK 21 SPONSORED CONTENT

You might also like