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Pinus pinaster

Pycnogenol

Research reviewed: Up until 03/2026

Pycnogenol (Pinus pinaster) is a dietary supplement with 12 published peer-reviewed studies involving 1,340 participants, researched for Cardiovascular & Blood Pressure, Cognitive Function, Diabetes Management and 2 more areas.

12
Studies
1,340
Participants
1999–2023
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Very Strong Evidence

Cardiovascular & Blood Pressure

Strong
2 studies 2 of 2 positive 58 participants

Cognitive Function

Strong
3 studies 3 of 3 positive 201 participants

Diabetes Management

Strong
2 studies 2 of 2 positive 154 participants

Joint & Muscle Health

Strong
2 studies 2 of 2 positive 176 participants

Skin Health

Strong
3 studies 2 of 3 positive 92 participants

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

10/12
Randomised
10/12
Double-Blind
10/12
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2004)
58
Study 2 (2016)
0
Study 3 (2008)
53
Study 4 (2013)
87
Study 5 (2006)
61
Study 6 (1999)
77
Study 7 (2004)
77
Study 8 (2008)
100

Research Timeline

When the studies were published

1
1999
1
2002
2
2004
1
2006
2
2008
2
2013
1
2016
1
2019
1
2023

All Studies

Detailed breakdown of each trial. Click to expand.

Cardiovascular & Blood Pressure

1

To evaluate Pycnogenol on blood pressure and endothelial function in hypertensive patients

2004 58 participants 12 weeks 200 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate Pycnogenol on blood pressure and endothelial function in hypertensive patients

Dose

200 mg/day Pycnogenol

Participants

58 stage I hypertensive patients

Duration

12 weeks

Results

Significant reduction in systolic BP (-5.0 mmHg, p=0.04) and improved endothelial function (FMD +2.4%). Plasma NOx elevated. Antihypertensive medication reduced in Pycnogenol group.

How They Measured It

SBP, DBP, FMD, plasma NOx

Read full study
2

To assess Pycnogenol on cardiovascular risk factors

2016 ? participants Various 100-360 mg/day
Human Study Positive

Study Type

Systematic review and meta-analysis

Purpose

To assess Pycnogenol on cardiovascular risk factors

Dose

100-360 mg/day

Participants

Meta-analysis of RCTs

Duration

Various

Results

Significant reductions in systolic and diastolic BP and LDL. Endothelial function consistently improved. Anti-platelet effects confirmed. Cardiovascular risk profile improved.

How They Measured It

BP, lipids, endothelial function across RCTs

Read full study

Cognitive Function

3

To evaluate Pycnogenol on cognitive function in healthy adults and students

2008 53 participants 12 weeks 100 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate Pycnogenol on cognitive function in healthy adults and students

Dose

100 mg/day Pycnogenol

Participants

53 healthy young professionals

Duration

12 weeks

Results

Significant improvements in spatial working memory (p=0.04), sustained attention, and decision making vs placebo. Memory retrieval speed improved.

How They Measured It

Spatial working memory, decision making, sustained attention

Read full study
4

To assess Pycnogenol on cognitive function and mood in healthy older adults

2013 87 participants 6 months 150 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To assess Pycnogenol on cognitive function and mood in healthy older adults

Dose

150 mg/day Pycnogenol

Participants

87 healthy adults aged 55-70

Duration

6 months

Results

Significant improvements in MMSE score, attention, memory recall, and mood. Cognitive age-related decline attenuated. Oxidative biomarkers improved.

How They Measured It

MMSE, attention tests, memory recall, POMS mood

Read full study
5

To evaluate Pycnogenol on ADHD symptoms in children

2006 61 participants 4 weeks 1 mg/kg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate Pycnogenol on ADHD symptoms in children

Dose

1 mg/kg/day Pycnogenol

Participants

61 children with ADHD

Duration

4 weeks

Results

Significant reduction in hyperactivity and inattention scores (p<0.001). Urinary catecholamine normalisation. Antioxidant status improved. No adverse effects. ADHD management potential.

How They Measured It

Conners' Rating Scale, antioxidant markers, catecholamines

Read full study

Diabetes Management

6

To evaluate Pycnogenol on glycaemic control in type 2 diabetes

1999 77 participants 3 months 100 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate Pycnogenol on glycaemic control in type 2 diabetes

Dose

100 mg/day Pycnogenol

Participants

77 type 2 diabetes patients

Duration

3 months

Results

Significant reduction in FPG (9.2%, p=0.001) and HbA1c. Endothelial function improved. Retinal vascular complications reduced in Pycnogenol group.

How They Measured It

HbA1c, FPG, endothelial function, retinopathy

Read full study
7

To assess Pycnogenol as add-on therapy for poorly controlled type 2 diabetes

2004 77 participants 12 weeks 125 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To assess Pycnogenol as add-on therapy for poorly controlled type 2 diabetes

Dose

125 mg/day Pycnogenol

Participants

77 patients on oral hypoglycaemic agents

Duration

12 weeks

Results

Additional significant reduction in HbA1c (-0.7%) and FPG on top of medications (p=0.01). Oxidative stress reduced. Lipids improved. Effective adjunct to diabetes medications.

How They Measured It

HbA1c, FPG, lipids, oxidative stress markers

Read full study

Joint & Muscle Health

8

To evaluate Pycnogenol on knee osteoarthritis pain and stiffness

2008 100 participants 3 months 150 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate Pycnogenol on knee osteoarthritis pain and stiffness

Dose

150 mg/day Pycnogenol

Participants

100 patients with knee osteoarthritis

Duration

3 months

Results

Significant reduction in WOMAC pain (43%), stiffness (35%), and physical function (49%) vs placebo. Analgesic use reduced by 58%. Quality of life improved.

How They Measured It

WOMAC, VAS pain, Lequesne Index

Read full study
9

To assess Pycnogenol on exercise-induced muscle pain and DOMS

2013 76 participants 8 weeks pre-race + 3 days post-race 200 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To assess Pycnogenol on exercise-induced muscle pain and DOMS

Dose

200 mg/day Pycnogenol

Participants

76 recreational marathon runners

Duration

8 weeks pre-race + 3 days post-race

Results

Significant reduction in DOMS post-marathon (p=0.001), lower CK and LDH levels. Recovery time faster. Muscle oxidative damage reduced. Performance time improved in Pycnogenol group.

How They Measured It

Muscle soreness VAS, CK, LDH, running performance

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Skin Health

10

To evaluate Pycnogenol on skin elasticity and aging

2019 62 participants 12 weeks 75 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate Pycnogenol on skin elasticity and aging

Dose

75 mg/day Pycnogenol

Participants

62 women aged 55-68

Duration

12 weeks

Results

Significant improvement in skin elasticity (+15%, p=0.01), hydration, and reduction in UV hyperpigmentation. Collagen synthesis markers increased. Photoprotective effects observed.

How They Measured It

Cutometry, VISIA skin analysis, collagen density

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11

To assess Pycnogenol on chloasma and skin hyperpigmentation

2002 30 participants 30 days 75 mg/day Pycnogenol
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To assess Pycnogenol on chloasma and skin hyperpigmentation

Dose

75 mg/day Pycnogenol

Participants

30 women with chloasma

Duration

30 days

Results

Significant reduction in chloasma (MASI score reduced by 37%, p<0.001). Skin melanin index normalised. No adverse effects. Pycnogenol as alternative to topical skin-lightening agents.

How They Measured It

MASI scoring, colorimetry, skin melanin index

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12

To summarize clinical evidence for Pycnogenol across health outcomes

2023 ? participants Various Various
Human Study Mixed

Study Type

Systematic review

Purpose

To summarize clinical evidence for Pycnogenol across health outcomes

Dose

Various

Participants

Systematic review of clinical trials

Duration

Various

Results

Strong evidence for cardiovascular, cognitive, joint, skin, and metabolic benefits. Among most comprehensively studied botanical supplements. Excellent safety profile. Wide clinical applications.

How They Measured It

Systematic review of RCTs

Read full study

Frequently Asked Questions

Common questions about Pycnogenol research

What does the research say about Pycnogenol?

There are currently 12 peer-reviewed studies on Pycnogenol (Pinus pinaster), involving 1,340 total participants. Research covers Cardiovascular health, Blood pressure, Cognitive function and 3 more areas. The overall evidence strength is rated as Very Strong.

How strong is the evidence for Pycnogenol?

The evidence is currently rated as "Very Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (12 human studies), and reported outcomes.

What health goals has Pycnogenol been studied for?

Pycnogenol has been researched for: Cardiovascular health, Blood pressure, Cognitive function, Joint health, Skin health, Diabetes management. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Pycnogenol based on human trials?

Yes, 12 out of 12 studies are human trials. Human trials carry more weight in our evidence scoring system.