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American Journal of Essential Oils and Natural Products 2020; 8(1): 10-12
ISSN: 2321-9114
AJEONP 2020; 8(1): 10-12
© 2020 AkiNik Publications
Received: 05-11-2019
Accepted: 06-12-2019
Handi Suyono
Faculty of medicine, Widya
mandala catholic university
Surabaya, Campus Pakuwon
City, 6th floor, west tower, Jalan
Kalisari Selatan no. 1, Pakuwon
City, Surabaya, East Java,
Indonesia
FX Himawan Jong
Faculty of medicine, Widya
mandala catholic university
Surabaya, Campus Pakuwon
City, 6th floor, west tower, Jalan
Kalisari Selatan no. 1, Pakuwon
City, Surabaya, East Java,
Indonesia.
Sumi Wijaya
Faculty of Pharmacy, Widya
mandala catholic university
Surabaya, Campus Pakuwon
City, 6th floor, east tower, Jalan
Kalisari Selatan no. 1, Pakuwon
City, Surabaya, East Java,
Indonesia.
Corresponding Author:
Handi Suyono
Faculty of medicine, Widya
mandala catholic university
Surabaya, Campus Pakuwon
City, 6th floor, west tower, Jalan
Kalisari Selatan no. 1, Pakuwon
City, Surabaya, East Java,
Indonesia
Lavender, cedarwood, and vetiver balms work as an
anti-stress treatment by reducing plasma cortisol levels
Handi Suyono, FX Himawan Jong and Sumi Wijaya
Abstract
Prolonged stress has a negative impact on health. Stress stimulates hypothalamic-pituitary-adrenal axis
leading to increased cortisol hormone level. Excessive cortisol causes immunity suppression, sleep
disturbance, and metabolic imbalance. Essential oils have been often used to stimulate relaxation.
Lavender, cedarwood, and vetiver have a relaxation effect and they are useful for anxiety and depression.
Common applications are aromatherapy inhalation and topical/massage. The aim of this study was to find
the effect of lavender, cedarwood, and vetiver balms of reducing plasma cortisol levels. The study design
was experimental with post-test-only control group that used 4 control (negative, positive, diazepam 2
mg/kg BW, balm vehicle) and 9 treatment (lavender 10%, 20%, 30%; cedarwood 10%, 20%, 30%;
vetiver 10%, 20%, 30%) groups with 9 male Wistar rats in each group. Swim test was applied daily as a
stress stimulus and the balms were applied daily on the shaved back for 30 days. Data were shown as
mean ± SD and analyzed using Kruskal Wallis and Spearman correlation test with a significant value of
p<0.05. We found a significant difference in plasma cortisol levels between control and treatment groups
(p = 0.001). The concentration of each essential oil has a significant moderate negative correlation with
plasma cortisol level. The three essential oil balms reduced plasma cortisol level of prolonged swim-
induced stress rats. The greater essential oils concentration has a greater effect to reduce cortisol level.
The 30% concentration of each essential oil has a similar effect to diazepam. The three essential oil
balms have a similar effect of reducing cortisol levels. Lavender, cedarwood, and vetiver balms have a
beneficial effect as an anti-stress treatment by reducing cortisol hormone level.
Keywords: Cedarwood, cortisol, lavender, stress, vetiver
1. Introduction
Stress is a reaction or response to stimuli (external or internal) which changes physical and
psychological functions. Stress can occur immediate (acute) or prolonged (chronic). Stress
stimulates fight or flight mechanisms in the body. Hypothalamic-Pituitary-Adrenal (HPA) axis
is a defense mechanism to cope with stress. Stress stimuli can be mechanical, chemical,
biological, or psychological factors. Stress enhances and activates the neuroendocrine
mechanism which starts from hypothalamus by producing Corticotropin Releasing Hormone
(CRH). The pituitary gland is stimulated by CRH to produce Adrenocorticotropic Hormone
(ACTH). The adrenal cortex is stimulated by ACTH to produce glucocorticoid hormones [1].
Cortisol is one of glucocorticoid hormones which work as a stress hormone. A prolonged
stress exposure enhances the cortisol production. Excessive cortisol production causes immune
suppression, sleep disturbance, and metabolic imbalance. Cortisol also enhances catabolic
process which accelerates degradation and degeneration [1].
Essential oil aromatherapy has been widely used to treat stress by stimulating relaxation.
Previous studies found some essential oils, e.g., lavender, cedarwood, vetiver, have a relaxing
effect. These essential oils reduce anxiety and depressive symptoms. Common applications of
essential oils are inhalation and topical/massage [2]. The aim of this study was to find the effect
of lavender, cedarwood, and vetiver balm of reducing plasma cortisol hormone levels.
2. Materials and Methods
The study design was experimental with post-test-only control group. The study was approved
by Ethical Committee, Faculty of Medicine, Widya Mandala Catholic University Surabaya.
2.1 Animals
Four-to-5-month-old male Wistar (Rattus norvegicus) rats with 100-200 g body weight, were
acclimatized for 1 week, in the laboratory with room temperature (28±1°C), and humidity of
35±3%. The rat was excluded if the body weight decreased >10%. The rats were randomly
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divided into 4 control and 9 treatment groups with 9 rats in
each group. The control groups were 1) negative (no stress
and treatment), 2) positive (stress and no treatment), 3) stress
and a standard drug (diazepam 2 mg/kg BW), 4) stress and
balm vehicle. The treatment groups were lavender balms with
concentrations of 10%, 20% and 30%; cedarwood balms with
concentrations of 10%, 20% and 30%; vetiver balms with
concentrations of 10%, 20% and 30%.
2.2 Essential oils balm
We used lavender (linalyl acetate, linalol), cedarwood (α-
himachalene, β-himachalene, γ-himachalene), and vetiver
(khusimol, α-vetivone, β-vetivone) essential oils (Young
LivingTM). The vehicles were beeswax (West Java) and virgin
coconut oil (VCO) (Kalimantan) purchased from the local
markets. The ratio of beeswax and VCO was 1:5. The
equipment was sterilized using ultraviolet (UV) light for 30
minutes. The balms were stored in room temperature
(28±1°C) and humidity of 35±3%.
2.3 Stress Stimulus
Swim test was given 10 seconds daily in the afternoon. The
rat was placed in a transparent water-filled cylinder with
depth of 20 cm.
2.4 Plasma Cortisol Hormone Level
The intracardiac blood sample was collected for 1 mL and
tested using ELISA method. We used ELISA rat cortisol
reagent kit (Elabscience®). Data were measured in ng/mL.
2.5 Experiment Protocol
After an adaptation period, the rats that matched the criteria
were randomly divided into control and treatment groups. The
back was shaved 2 cm x 2 cm. The swim test was given daily
for 30 days. The balms were daily applied on the shaved back
after the swim test. The 3 rats from each group were
euthanized on 10th, 20th, and 30th day by ether inhalation. Data
were shown in mean ± SD. Kruskal Wallis and Spearman
correlation tests were used with a significant value of p<0.05
by SPSS 20.0.
3. Results and discussion
We found a significant difference of plasma cortisol levels
between control and treatment groups by Kruskal Wallis test
(p=0.001). Concentrations of essential oils have a significant
weak negative correlation with plasma cortisol level by
Spearman test (p = 0.003, r = -0.266).
The three essential oils balms reduced plasma cortisol level of
prolonged swim-induced stress rats. The greater essential oils
concentration has a greater effect to reduce cortisol level. The
30% concentration of each essential oil has a similar effect to
diazepam. However, the diazepam had greater effect than
essential oil 30% balms. The three essential oils balms have a
similar effect of reducing cortisol levels.
Fig 1: Plasma cortisol levels
We used 4-to-5-month-old rats because of this age analog
with the human adolescent period of the age of 13-18.
Prolonged stress in adolescence reduces prefrontal cortex,
amygdala, and hippocampus volume. Morphologic changes
associated with the deterioration of learning ability and
cognitive function. The disruption of these structures leads to
neuropsychiatric disorders in adulthood. The adolescent brain
is more susceptible and responsive to glucocorticoid hormone
(cortisol) than the adult [3, 4]. Chronic cortisol exposure
reduces neuroplasticity (neurogenetic and synaptic
connectivity), stimulates aggressively, inhibits social
interaction/relationship, and stimulates anxiety in adulthood [3,
4]. Our study found the effect of essential oil balms to reduce
plasma cortisol level. Previous several studies found the effect
of essential oil aromatherapy to ameliorate stress disorders.
The research conducted by Cho et al., 2013, found that the
mixed essential oil inhalation (lavender, Roman chamomile,
and neroli) attenuated anxiety level and improved the sleep
quality of percutaneous coronary intervention patients in
intensive care unit [5]. Chamine et al., 2016 showed that the
lavender essential oil use in subjects with acute stress
improved their work performance in memory and speed-
related tasks [6]. Another study of Takeda et al., 2017 found
that elderly people who were treated using 3 kinds of
aromatherapy (pure lavender; lavender and sweet orange
blend; pine, cypress, Virginian cedarwood, and Japanese
cypress blend) on the night before sleep for 20 days would
have better total sleep time and sleep maintenance. The
treatment would also inhibit early morning awakening [7].
Metanalysis study conducted by Sánchez-Vidana et al., 2017
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American Journal of Essential Oils and Natural Products www.essencejournal.com
reported the benefit of essential oils to ameliorate depressive
symptoms. Topical application by massage predominantly
improved depressive symptoms than inhalation. Lavender is
the common usage in order to gain a relaxing effect [8]. The
possible mechanism of aromatherapy to reduce anxiety was
studied by Wu et al., 2012. Aromatherapy inhalation of
lavender, clary sage, Indian sandalwood, sweet orange in rats
for 10 days increased threitol, glucose-6-phosphate, glucose,
glucuronolactone, N-acetylglutamine, mannose, glucose-5-
phosphate. These compounds were discovered to have an
anxiolytic effect. These essential oils increased histamine and
decreased phenylalanine. This subsequently caused anxiety
amelioration [9]. Lavender has the anxiolytic effect similar to
pregabalin. Lavender inhibits voltage-dependent calcium
channel in primary hippocampus neuron synaptosome.
Calcium influx inhibition reduces glutamate and
norepinephrine releasing. Glutamate and norepinephrine have
roles in anxiety pathogenesis [10]. The study by López et al.,
2017, reported the mechanism of lavender oil (linalool and
linalyl acetate) as anxiolytic and antidepressant through N-
methyl-D-aspartate (NMDA) receptor antagonism and
serotonin transporter (SERT) inhibition [11]. In addition, the
study by Atsumi and Tonosaki, 2007, found lavender oil
reduced blood and saliva cortisol level in human subjects [12].
The cedarwood essential oil has been used as antispasmodic,
astringent, decongestant, insecticide, and sedative. Cedarwood
contains a sesquiterpene (cedrol 12-22%) as the main active
ingredient. Cedrol inhalation has a relaxing/sedative effect.
The mechanism of action of cedrol was not only in the
olfactory pathway but possibly also via the non-olfactory one
[13]. The vetiver essential oil has a relaxing/sedative effect.
Vetiver increases total sleep time and has a similar
sedative/hypnotic effect to diazepam [14]. Vetiver also contains
sesquiterpene hydrocarbons (khusimol, β-vetivenene and β-
vetispirene). Our study found that lavender, cedarwood, and
vetiver balm could reduce plasma cortisol level. Essential oil
titration could have a greater effect to reduce cortisol level.
We still need further investigations for the dose titration to
understand toxicity, side effects, dependency and tolerance of
the essential oils. We argue the essential oil balms have a
systemic effect via the skin penetration. There is well-
established evidence that cortisol works as a stress hormone.
If we can modulate the plasma cortisol level, stress can be
attenuated. Lavender, cedarwood, and vetiver oils can be
proposed as anti-cortisol agents.
4. Conclusions
Lavender, cedarwood, and vetiver balms have a beneficial
effect as an anti-stress treatment by reducing cortisol hormone
level. The dose increase gives a greater effect on reducing
plasma cortisol level. These balms can be used as an
alternative medication to manage prolonged stress.
5. Acknowledgements
This study was funded by Research Office of Widya Mandala
Catholic University Surabaya, Surabaya, East Java, Indonesia.
We thank to Prof. Gregory Tan, School of Medicine, Notre
Dame University, Fremantle Campus, Perth, Australia.
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