Strauss Maja, Mičetić Turk Dušanka, Lorber Mateja, Pogačar Maja Šikić, Koželj Anton, Tušek Bunc Ksenija, Fijan Sabina
Faculty of Health Sciences, University of Maribor, Žitna ulica 15, 2000 Maribor, Slovenia.
Faculty of Medicine, University of Maribor, Taborska ulica 8, 2000 Maribor, Slovenia.
Microorganisms. 2023 Jul 5;11(7):1760. doi: 10.3390/microorganisms11071760.
Immunosenescence is the adverse change in the human immune function during aging, leaving older people more prone to an increased risk of infections and morbidity. Acute upper respiratory tract infections (URTIs) are very common among older people, often resulting in continued morbidity and mortality. Therefore, approaches, such as consuming probiotics, that shorten the duration or even reduce the incidence of URTIs in older people are being studied. The aim of this study was to determine the effects of a multi-strain probiotic OMNi-BiOTiC Active, which contains 11 live probiotic strains, on the incidence, duration, and severity of URTIs in older people. In this randomized double-blinded placebo-controlled study, 95 participants, with an average age of 70.9 years in the probiotic group and 69.6 years in the placebo group, were randomly allocated to two groups: 10 cfu per day of the multi-strain probiotic intervention OMNi-BiOTiC Active (49) or placebo (46). The incidence of URTIs in older people after 12 weeks supplementation with OMNi-BiOTiC showed no statistically significant difference between the two groups ( = 0.5244). However, the duration of the URTI infections was statistically significantly different between the groups ( = 0.011). The participants that consumed the probiotic had an average duration of illness of 3.1 ± 1.6 days, whilst participants that received the placebo had symptoms for an average of 6.0 ± 3.8 days ( = 0.011). Statistically significant differences in lymphocyte counts in both groups after supplementation ( = 0.035 for the probiotic group and = 0.029 for the placebo group) and between both groups were found ( = 0.009). Statistically significant differences in eosinophil ( = 0.002) and basophil counts ( = 0.001) in the probiotic groups before and after supplementation with probiotics were also found. Supplementation with the multi-strain probiotic OMNi-BiOTiC Active may benefit older people with URTIs. Larger randomised controlled clinical trials are warranted. Clinical Trial Registration; identifier NCT05879393.
免疫衰老指的是人类免疫功能在衰老过程中发生的不利变化,这使得老年人更容易面临感染风险增加和发病率上升的问题。急性上呼吸道感染(URTIs)在老年人中非常常见,常常导致持续的发病和死亡。因此,正在研究诸如食用益生菌等能够缩短老年人URTIs病程甚至降低其发病率的方法。本研究的目的是确定含有11种活性益生菌菌株的多菌株益生菌OMNi-BiOTiC Active对老年人URTIs的发病率、病程和严重程度的影响。在这项随机双盲安慰剂对照研究中,95名参与者被随机分为两组:益生菌组平均年龄70.9岁,安慰剂组平均年龄69.6岁。一组每天服用10 cfu的多菌株益生菌干预制剂OMNi-BiOTiC Active(49人),另一组服用安慰剂(46人)。补充OMNi-BiOTiC 12周后,两组老年人URTIs的发病率无统计学显著差异(P = 0.5244)。然而,两组之间URTI感染的病程有统计学显著差异(P = 0.011)。食用益生菌的参与者平均病程为3.1±1.6天,而接受安慰剂的参与者平均症状持续时间为6.0±3.8天(P = 0.011)。补充后两组淋巴细胞计数有统计学显著差异(益生菌组P = 0.035,安慰剂组P = 0.029),且两组之间也有统计学显著差异(P = 0.009)。在益生菌组补充益生菌前后,嗜酸性粒细胞(P = 0.002)和嗜碱性粒细胞计数(P = 0.001)也有统计学显著差异。补充多菌株益生菌OMNi-BiOTiC Active可能对患有URTIs的老年人有益。有必要进行更大规模的随机对照临床试验。临床试验注册;标识符NCT05879393。