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急性多菌种和多菌株益生菌补充对年轻成年人心血管功能和对心理应激反应的影响:一项双盲、随机、安慰剂对照试验。

Influence of Acute Multispecies and Multistrain Probiotic Supplementation on Cardiovascular Function and Reactivity to Psychological Stress in Young Adults: A Double-Blind, Randomized, Placebo-Controlled Trial.

机构信息

From the Neuroscience Program (Möller, Olsa, Tindall, Holesh, Conklin), Psychology Department (Möller, Olsa, Rapelje, Tindall, Holesh, Conklin), Allegheny College, Meadville, Pennsylvania; School of Sport, Exercise, and Rehabilitation Sciences (Möller), University of Birmingham, Edgbaston, Birmingham, United Kingdom; Department of Psychology and Neuroscience (Ginty), Baylor University, Waco, Texas; and Department of Psychology and Sociology (Petersen), College of St. Scholastica, Duluth, Minnesota.

出版信息

Psychosom Med. 2017 Oct;79(8):914-919. doi: 10.1097/PSY.0000000000000489.

Abstract

OBJECTIVE

The potential influence of probiotic supplementation on cardiovascular health and stress responsivity remains largely unexplored. Some evidence suggests the possibility that probiotics may influence blood pressure. A separate body of research suggests that exaggerated cardiovascular reactions to acute psychological stress in the laboratory predict cardiovascular morbidity and mortality. The current investigation explored the effect of acute probiotic use on (1) resting cardiovascular measures in healthy young adults and (2) cardiovascular and psychological reactions to an acute psychological stressor in the laboratory.

METHOD

Participants (N = 105, M [SD] age = 20.17 [1.26], 84.8% white) completed a 2-week, double-blind, and placebo-controlled trial of a multispecies and multistrain probiotic. Exclusion criteria included previous probiotic use, diagnosed gastrointestinal disorder, and/or current antibiotic use. At visits 1 and 2, participants completed the Paced Auditory Serial Addition Test, a widely used psychological stress task. Participants were randomly assigned to a probiotic blend or matched placebo.

RESULTS

Compared with placebo, 2-week probiotic supplementation did not affect resting measures of cardiovascular function, cardiovascular responses during or recovery from stress, or psychological reactions to acute psychological stress.

CONCLUSIONS

Contrary to expectations, short-term use of a probiotic supplement in healthy participants did not influence measures of cardiovascular function or responsivity to psychological stress. Future research is needed to determine species- and strain-specific effects of probiotics in healthy participants with various degrees of stress responsiveness, as well as in diseased populations.

摘要

目的

益生菌补充对心血管健康和应激反应性的潜在影响在很大程度上尚未得到探索。有证据表明,益生菌可能会影响血压。另一部分研究表明,实验室中对急性心理应激的心血管反应过度会预测心血管发病率和死亡率。目前的研究探讨了急性益生菌使用对(1)健康年轻成年人静息心血管测量值和(2)实验室中急性心理应激源的心血管和心理反应的影响。

方法

参与者(N=105,M[SD]年龄=20.17[1.26],84.8%为白人)完成了为期 2 周的、双盲的、安慰剂对照的多菌种和多菌株益生菌试验。排除标准包括以前使用过益生菌、诊断为胃肠道疾病和/或当前使用抗生素。在第 1 次和第 2 次就诊时,参与者完成了 paced auditory serial addition test(Paced Auditory Serial Addition Test,PASAT),这是一种广泛使用的心理应激任务。参与者被随机分配到益生菌混合物或匹配的安慰剂组。

结果

与安慰剂相比,2 周的益生菌补充剂并未影响心血管功能的静息测量值、应激期间或恢复期间的心血管反应,或对急性心理应激的心理反应。

结论

与预期相反,健康参与者短期使用益生菌补充剂并未影响心血管功能或对心理应激的反应性。需要进一步的研究来确定健康参与者中不同应激反应程度的益生菌的物种和菌株特异性影响,以及在患病人群中的影响。

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