Noni: benefits, dosage, contraindications

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Noni, the fruit of Morinda citrifolia, has been used for more than 2,000 years in Polynesia and Southeast Asia as a food, remedy, and natural dye. Polynesians traditionally consumed it to combat fatigue and various illnesses. Legends report that this fruit saved lives during periods of famine. Historical writings indicate that fermented noni juice was used to treat hypertension and as a cardiac tonic. All parts of the plant — roots, leaves, flowers, bark, and fruits — are used. The fruit contains active compounds such as alkaloids, anthraquinones, terpenes, scopoletin, vitamins A and C, and minerals (potassium, zinc). These components confer antioxidant, anti-inflammatory, immunostimulant, and analgesic properties. Scopoletin is identified as a key marker for standardizing noni-based products. In vitro and animal studies show promising effects: reduction of oxidative stress, modulation of the immune system, antimicrobial and cardioprotective activity. Today, noni juice is appreciated as a "superfood" to improve vitality, strengthen immunity, and support overall health. However, further research is needed 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

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No 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 years with knee or hip osteoarthritis. The participants consumed 88 mL of TNJ per day for 90 days, with no other drug treatment for arthritis. The results showed significant improvements in mobility, hand and arm function, daily tasks, social activity, arthritic pain, mood and tension.

Posologie

posologieOral: fruit

posologie88 mL

formulationconcentrated juice


Cancer
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Studies on noni reveal interesting properties regarding cancer. A Phase I clinical study carried out in patients with advanced cancers identified optimal doses of noni juice to improve quality of life, notably reducing fatigue and pain. Although this study did not show measurable tumor regression, it noted an exceptional case of no progression of gastric cancer over a 36-month period. The anticancer effects of noni appear to be related to mechanisms such as inhibition of angiogenesis — the process by which new vascular structures form to feed tumors. This inhibition results from the action of specific compounds, such as damnacanthal, which can induce degeneration of tumor capillaries and stimulate apoptosis of cancer cells.

Posologie

posologieOral: fruit

posologie2 - 14 g

formulationdry extract


Properties


Anticancer

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Noni juice shows potential anticancer effects through various mechanisms, notably its anti-angiogenic activity, which is essential for limiting tumor growth. Angiogenesis, the process by which new blood vessels form to supply tissues, is often hijacked by tumors to ensure their growth and survival. Laboratory research suggests that noni extracts, particularly those derived 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 by altering intracellular signaling pathways in cancer cells, leading to capillary degeneration and tumor cell death. In addition, the polysaccharides abundant in noni juice activate the host immune system, increasing cytokine production and stimulating macrophages, which strengthens defenses against tumors. Finally, noni acts in cancer prevention by inhibiting tumor cell proliferation, promoting their apoptosis, and reducing the formation of DNA adducts, lesions that promote cancerous mutations. These combined effects make noni a promising adjunct in the fight against cancer.

Usages associés

Cancer

Antihypertensive

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The hypotensive properties of noni have been observed in preliminary research. The active compounds in noni, such as scopoletin, act by inhibiting the angiotensin-converting enzyme (ACE), a key mechanism in the regulation of blood pressure. A clinical study in healthy adults found that consumption of 90 mL of noni juice divided into three separate doses resulted in an average reduction of 6 mmHg in systolic blood pressure and 5 mmHg in diastolic blood pressure. These results suggest a potential benefit for the management of mild hypertension, but clinical trials in higher-risk populations would be needed to validate these effects.


Anti-inflammatory

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

Usages associés

Osteoarthritis


Safe dosage

Adult: 500 mg (dry extract)

Most of the available research examining the clinical effects of noni juice has used the brand Tahitian Noni Juice (Tahitian Noni International). Tahitian Noni Juice is made of 89% puréed noni in grapefruit and blackberry juices. Dehydrated noni fruit has also been used in capsules containing 500 mg. A noni extract used in one 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: avoid

Insufficient data.


Contraindications

Pregnancy: contraindicated

Potential teratogenic effects of noni.