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含有嗜酸乳杆菌 La5 和两歧双歧杆菌 Bb12 的益生菌酸奶对代谢综合征患者氧化应激的日常影响。

Daily consumption effects of probiotic yogurt containing Lactobacillus acidophilus La5 and Bifidobacterium lactis Bb12 on oxidative stress in metabolic syndrome patients.

机构信息

Department of Biochemistry and Diet Therapy, Student Research Committee, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Community Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Clin Nutr ESPEN. 2021 Feb;41:136-142. doi: 10.1016/j.clnesp.2020.12.003. Epub 2021 Jan 2.

Abstract

BACKGROUND AND AIMS

Available evidence substantiates a strong association between metabolic syndrome and elevated oxidative stress. This study was aimed to assess the effects of probiotic yogurt containing Lactobacillus acidophilus La5 and Bifidobacterium lactis Bb12 on the oxidative stress biomarkers in patients with metabolic syndrome. Furthermore, the association between uric acid levels and insulin resistance indexes was assessed.

METHODS

An 8-week randomized, double-blind, placebo-controlled, parallel study was designed. Forty-four patients, 22 males and 22 females aged 20-65 years, were assigned into two groups. Treatment (n = 22) and control (n = 22) groups consumed 300 g/d of probiotic and regular yogurt, respectively. The serum concentration of uric acid, oxidized Low-Density Lipoprotein (oxLDL), Malondialdehyde (MDA) and Total Antioxidant Capacity (TAC) were measured at the beginning and the end of the trial. This study was recorded at http://www.irct.ir (code: IRCT201608213140N17).

RESULTS

Probiotic yogurt consumption resulted in a significant decrease in the level of serum uric acid and a significant increase in the level of TAC (p < 0.05). A positive significant association between uric acid with insulin concentration and the homeostasis model assessment of insulin resistance (HOMA-IR) and an inverse significant relationship with insulin sensitivity (Quicki) were also found (p < 0.05).

CONCLUSION

Probiotic yogurt consumption through improvement in insulin sensitivity may exert positive effects on the oxidative stress and uric acid levels. However, further studies are needed to make concise conclusions.

摘要

背景与目的

现有证据充分证实代谢综合征与氧化应激升高之间存在密切关联。本研究旨在评估含有嗜酸乳杆菌 La5 和乳双歧杆菌 Bb12 的益生菌酸奶对代谢综合征患者氧化应激生物标志物的影响。此外,还评估了尿酸水平与胰岛素抵抗指标之间的相关性。

方法

设计了一项 8 周随机、双盲、安慰剂对照、平行研究。将 44 名年龄在 20-65 岁之间的 22 名男性和 22 名女性患者分为两组。治疗组(n=22)和对照组(n=22)分别每天食用 300g 益生菌酸奶和普通酸奶。在试验开始和结束时测量血清尿酸、氧化型低密度脂蛋白(oxLDL)、丙二醛(MDA)和总抗氧化能力(TAC)的浓度。本研究在 http://www.irct.ir 上注册(注册号:IRCT201608213140N17)。

结果

益生菌酸奶的摄入可显著降低血清尿酸水平,显著提高 TAC 水平(p<0.05)。尿酸与胰岛素浓度和胰岛素抵抗评估的稳态模型(HOMA-IR)之间呈正相关,与胰岛素敏感性(Quicki)呈负相关(p<0.05)。

结论

通过提高胰岛素敏感性,益生菌酸奶的摄入可能对氧化应激和尿酸水平产生积极影响。然而,还需要进一步的研究来得出明确的结论。

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