Does Maca Root Help With Anxiety?

Maca root (Lepidium meyenii) is a cruciferous vegetable native to the high-altitude Andes mountains of Peru, where it has been cultivated for thousands of years as a food source and traditional medicine. Historically, the root was used to boost energy, enhance fertility, and increase endurance in the harsh mountain climate. Today, it is globally recognized as a supplement, frequently marketed for its potential to support hormonal health and overall vitality. This article investigates the scientific basis for the specific claim that Maca root may help in reducing symptoms of anxiety.

Maca Root Overview and Varieties

Maca root is primarily available in three phenotypes, distinguished by the color of the hypocotyl: yellow, red, and black. Yellow Maca is the most common variety, accounting for about 60% of the harvest, and is often used for general wellness and energy support. Red Maca is the second most abundant and is typically studied for its effects on bone density and prostate health. Black Maca is the rarest form, frequently linked to benefits in male fertility, cognitive function, and endurance.

The root is processed in two main ways for consumption: raw or gelatinized. Raw Maca is simply dried and ground, retaining its full nutrient and enzyme profile, but the high starch content can cause digestive distress for some individuals. Gelatinized Maca is a product of heating the dried root under pressure to remove the starch. This process makes it easier to digest and concentrates certain compounds, similar to the traditional preparation methods used by the Indigenous people of the Andes.

Proposed Mechanisms for Stress Reduction

Maca’s theoretical ability to modulate stress is largely attributed to its classification as an adaptogen, a substance thought to help the body resist the damaging effects of stress and restore normal physiological function. This adaptogenic effect is proposed to occur through the regulation of the Hypothalamic-Pituitary-Adrenal (HPA) axis, which governs the body’s primary stress response. While direct evidence of Maca consistently lowering the stress hormone cortisol in humans is not robust, some preclinical studies suggest it may help balance the system.

The root contains unique bioactive compounds known as Macamides and Macaenes, which are fatty acids believed to be responsible for some of its effects on the nervous system. Macamides, in particular, are hypothesized to modulate the HPA axis by interacting with the serotoninergic pathway, which plays a role in mood regulation. Maca’s compounds may influence the activity of the neurotransmitter serotonin, potentially leading to improved well-being and a reduction in stress. Furthermore, the presence of flavonoids in Maca suggests another possible mechanism, as these compounds may inhibit monoamine oxidase (MAO) activity, a process similar to how some antidepressant medications work to elevate mood.

Scientific Evidence Specifically for Anxiety

Clinical research focusing specifically on Maca root as a primary treatment for generalized anxiety remains limited. The most direct findings come from studies examining Maca’s impact on psychological symptoms associated with menopause. In a randomized, double-blind, placebo-controlled crossover trial involving postmenopausal women, consumption of 3.5 grams of Maca powder daily for six weeks led to a reduction in psychological symptoms. This improvement included a measurable decrease in scores on the anxiety and depression subscales of the Greene Climacteric Scale.

A subsequent pilot study in Chinese postmenopausal women using 3.3 grams per day found comparable results, demonstrating a reduction in depressive symptoms. These studies determined that Maca’s positive effects on mood and anxiety were independent of any measurable changes in the participants’ sex hormone levels, such as estrogen or testosterone. This suggests the anxiolytic effect is not due to direct hormonal balancing but rather to the action of the Maca’s unique phytochemicals on the nervous system. While the evidence is specific to women experiencing mood symptoms linked to the menopausal transition, more broad-based studies are needed to confirm the effects of Maca on anxiety in the general population.

Practical Considerations and Safety Profile

Maca root is widely considered safe for most people when consumed in typical food amounts. The doses found to be effective in clinical trials generally range from 1.5 grams to 3.5 grams of powdered Maca per day, taken over periods of six weeks to four months. It is commercially available in several forms, including raw or gelatinized powder, capsules, and liquid extracts.

The most commonly reported side effects are mild and relate to digestive upset, which is often mitigated by using the gelatinized form. Individuals with certain pre-existing conditions should exercise caution before starting Maca supplementation. Due to its traditional use and some evidence suggesting an estrogen-like effect, Maca is generally advised against for those with hormone-sensitive conditions, such as breast, uterine, or ovarian cancer. Furthermore, people with thyroid issues should consult a healthcare provider, as Maca contains glucosinolates which may interfere with thyroid function in the context of an iodine-deficient diet. There is insufficient data to confirm its safety during pregnancy and breastfeeding.