Dietary supplementation roles in concussion management: A systematic review

Concussion, one of the most common types of mild traumatic brain injury, remains a global problem that poses substantial effects on individuals, families, and society. When dealing with concussion, clinicians primarily focus on symptomatic treatment and modified activity with no established therapie...

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Main Authors: Andre Marolop Pangihutan Siahaan, Alvin Ivander, Bahagia Wilibrordus Maria Nainggolan, Ruth Hasian Nami Siagian, Lidya Veronika, Natanael Ramoti
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Tzu Chi Medical Journal
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Online Access:https://journals.lww.com/10.4103/tcmj.tcmj_241_24
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author Andre Marolop Pangihutan Siahaan
Alvin Ivander
Bahagia Wilibrordus Maria Nainggolan
Ruth Hasian Nami Siagian
Lidya Veronika
Natanael Ramoti
author_facet Andre Marolop Pangihutan Siahaan
Alvin Ivander
Bahagia Wilibrordus Maria Nainggolan
Ruth Hasian Nami Siagian
Lidya Veronika
Natanael Ramoti
author_sort Andre Marolop Pangihutan Siahaan
collection DOAJ
description Concussion, one of the most common types of mild traumatic brain injury, remains a global problem that poses substantial effects on individuals, families, and society. When dealing with concussion, clinicians primarily focus on symptomatic treatment and modified activity with no established therapies specifically addressing the underlying pathophysiological changes. In recent years, there has been a growing increase in attention to the effectiveness of dietary supplements (DS) and nutritional interventions as adjunctive therapy options for concussion. Hence, this review aims to comprehensively explore the existing human studies on using DS as adjunctive therapy in the management of concussion. This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The search strategy was created based on the population, intervention, comparison, outcome framework. The findings are conveyed narratively and analyzed according to the timing of the intervention. DS administered within 7 days of onset were classified as acute interventions, while those given after this period were classified as nonacute interventions. After screening, we identified 21 reports for 19 studies involving 13 DS. Thirteen DS were included in this review. Notably, omega-3 polyunsaturated fatty acids were the most extensively studied and accounted for 23.81% of studies, followed by melatonin and pine bark extract (19.05% and 9.5%). At least 13 supplements were identified in clinical studies, with 77% demonstrating favorable outcomes. However, none of the interventions reviewed offer strong enough evidence to justify regular use in clinical practice.
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spelling doaj-art-89ed464acf314c5683b7a6bcc8b528082025-08-20T02:27:35ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562025-04-0137215716610.4103/tcmj.tcmj_241_24Dietary supplementation roles in concussion management: A systematic reviewAndre Marolop Pangihutan SiahaanAlvin IvanderBahagia Wilibrordus Maria NainggolanRuth Hasian Nami SiagianLidya VeronikaNatanael RamotiConcussion, one of the most common types of mild traumatic brain injury, remains a global problem that poses substantial effects on individuals, families, and society. When dealing with concussion, clinicians primarily focus on symptomatic treatment and modified activity with no established therapies specifically addressing the underlying pathophysiological changes. In recent years, there has been a growing increase in attention to the effectiveness of dietary supplements (DS) and nutritional interventions as adjunctive therapy options for concussion. Hence, this review aims to comprehensively explore the existing human studies on using DS as adjunctive therapy in the management of concussion. This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The search strategy was created based on the population, intervention, comparison, outcome framework. The findings are conveyed narratively and analyzed according to the timing of the intervention. DS administered within 7 days of onset were classified as acute interventions, while those given after this period were classified as nonacute interventions. After screening, we identified 21 reports for 19 studies involving 13 DS. Thirteen DS were included in this review. Notably, omega-3 polyunsaturated fatty acids were the most extensively studied and accounted for 23.81% of studies, followed by melatonin and pine bark extract (19.05% and 9.5%). At least 13 supplements were identified in clinical studies, with 77% demonstrating favorable outcomes. However, none of the interventions reviewed offer strong enough evidence to justify regular use in clinical practice.https://journals.lww.com/10.4103/tcmj.tcmj_241_24concussionssupplementationstraumatic brain injury
spellingShingle Andre Marolop Pangihutan Siahaan
Alvin Ivander
Bahagia Wilibrordus Maria Nainggolan
Ruth Hasian Nami Siagian
Lidya Veronika
Natanael Ramoti
Dietary supplementation roles in concussion management: A systematic review
Tzu Chi Medical Journal
concussions
supplementations
traumatic brain injury
title Dietary supplementation roles in concussion management: A systematic review
title_full Dietary supplementation roles in concussion management: A systematic review
title_fullStr Dietary supplementation roles in concussion management: A systematic review
title_full_unstemmed Dietary supplementation roles in concussion management: A systematic review
title_short Dietary supplementation roles in concussion management: A systematic review
title_sort dietary supplementation roles in concussion management a systematic review
topic concussions
supplementations
traumatic brain injury
url https://journals.lww.com/10.4103/tcmj.tcmj_241_24
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