Noni: benefits, dosage, contraindications

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Noni, the fruit of Morinda citrifolia, has been used for over 2000 years in Polynesia and Southeast Asia as food, remedy, and natural dye. Polynesians have traditionally consumed it to combat fatigue and various illnesses. Legends recount that this fruit saved lives during famine periods. Historical texts indicate that fermented noni juice was used to treat hypertension and as a heart tonic. All parts of the plant — roots, leaves, flowers, bark, and fruits — are utilized. The fruit contains active compounds such as alkaloids, anthraquinones, terpenes, scopoletine, vitamins A and C, and minerals (potassium, zinc). These components provide it with antioxidant, anti-inflammatory, immunostimulant, and analgesic properties. Scopoletine is identified as a key marker for standardizing noni-based products. In vitro and animal research shows promising effects: reduction of oxidative stress, modulation of the immune system, antimicrobial and cardio-protective activity. Today, noni juice is cherished as a "superfood" for enhancing vitality, boosting immunity, and supporting overall health. However, additional research is necessary to validate its clinical benefits.

Other name(s) 

Nono, dog apple

Scientific name(s)

Morinda citrifolia

Family or group: 

Plants

Active ingredients:

Anthraquinones

Vitamin C

Potassium

Carotenoids


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Osteoarthritis
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An open pilot study by Wang et al. (2011) examined the effects of Tahitian noni juice (Tahitian Noni Juice, TNJ) in 82 patients aged 40 to 75 suffering from knee or hip osteoarthritis. Participants consumed 88 mL of TNJ per day for 90 days, without any other medicinal treatment for arthritis. Results showed significant improvements in mobility, hand and arm functions, daily tasks, social activity, arthritic pain, mood, and strain.

Posologie

posologieOrally: fruit

posologie88 mL

formulationconcentrated juice


Cancer
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Studies on Noni reveal interesting properties concerning cancer. A Phase I clinical study conducted on patients with advanced cancers identified optimal doses of noni juice for improving quality of life, notably reducing fatigue and pain. Although this study did not show measurable tumor regression, it noted an exceptional case of non-progression of gastric cancer over a 36-month period. Noni's anticancer effects seem linked to mechanisms such as the inhibition of angiogenesis—the process by which new vascular structures form to nourish tumors. This inhibition results from the action of specific compounds, such as damnacanthal, capable of inducing tumor capillary degeneration and stimulating cancer cell apoptosis.

Posologie

posologieOrally: fruit

posologie2 - 14 g

formulationdry extract


Properties


Anticancer

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Noni juice presents anticancer potential through various mechanisms, including its anti-angiogenic activity, essential in limiting tumor growth. Angiogenesis, the process by which new blood vessels are formed to supply tissues, is often hijacked by tumors to ensure their growth and survival. Laboratory research suggests that noni extracts, particularly those from the fruit and leaves, inhibit this process by reducing blood vessel formation in tumor tissues. Moreover, damnacanthal, an anthraquinone isolated from noni roots, plays a key role in altering the intracellular signaling pathways of cancerous cells, leading to capillary degeneration and tumor cell death. Furthermore, polysaccharides enriched in noni juice activate the host's immune system, increasing cytokine production and stimulating macrophages, reinforcing defenses against tumors. Finally, noni acts on the prevention of carcinogenesis by inhibiting tumor cell proliferation, promoting their apoptosis, and reducing DNA adduct formation, lesions that promote cancerous mutations. These combined effects make noni a promising complement in the fight against cancers.

Usages associés

Cancer

Hypotensive

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The hypotensive properties of noni have been observed in preliminary research. Active compounds in noni, such as scopoletine, act by inhibiting the angiotensin-converting enzyme, a key mechanism in regulating blood pressure. A clinical study in healthy adults revealed that a consumption of 90 mL of noni juice in three distinct doses led to an average reduction of 6 mmHg in systolic blood pressure and 5 mmHg in diastolic pressure. These results suggest a potential benefit for managing mild hypertension, but clinical trials on higher-risk populations would be necessary to validate these effects.


Anti-inflammatory

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Noni possesses well-documented anti-inflammatory properties, attributed to its ability to inhibit cyclooxygenase-2 (COX-2) and lipoxygenase enzymes, responsible for producing pro-inflammatory mediators. Noni extracts also reduce the production of inflammatory cytokines in various experimental models. In patients with osteoarthritis, the consumption of noni juice has been associated with a significant decrease in levels of high-sensitivity C-reactive protein (hs-CRP), a marker of systemic inflammation.

Usages associés

Osteoarthritis


Safety dosage

Adult: 500 mg (dry extract)

Most available research examining the clinical effects of noni juice has used the brand Tahitian Noni Juice (Tahitian Noni International). Tahitian Noni Juice is composed of 89% noni puree in grapefruit and blackberry juices. Dehydrated noni fruit has also been used in capsules containing 500 mg. A noni extract used in a study contained 1,716 mcg of scopoletin per 150 mg of dried noni fruit extract. A 5-gram dried noni fruit is equivalent to 150 mg of extract.


Precautions

Breastfeeding women: avoid

Insufficient data.


Contraindications

Pregnant women: prohibited

Potential teratogenic effects of noni.0a