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每日补充益生菌对绝经后女性钙状态、骨代谢生物标志物及骨密度的影响:一项对照随机临床研究。

Effects of daily probiotic supplementation with on calcium status, bone metabolism biomarkers, and bone mineral density in postmenopausal women: a controlled and randomized clinical study.

作者信息

Harahap Iskandar Azmy, Moszak Małgorzata, Czlapka-Matyasik Magdalena, Skrypnik Katarzyna, Bogdański Paweł, Suliburska Joanna

机构信息

Department of Human Nutrition and Dietetics, Faculty of Food Science and Nutrition, Poznań University of Life Sciences, Poznań, Poland.

Department of Treatment of Obesity, Metabolic Disorders and Clinical Dietetics, Poznań University of Medical Sciences, Poznań, Poland.

出版信息

Front Nutr. 2024 Jul 1;11:1401920. doi: 10.3389/fnut.2024.1401920. eCollection 2024.

Abstract

BACKGROUND

Menopause poses significant health risks for women, particularly an increased vulnerability to fractures associated with osteoporosis. Dietary interventions have emerged as promising strategies, focusing on mitigating the risk of osteoporosis rather than solely addressing the established disease. This 12-week randomized controlled trial aimed to analyze the effects of consuming probiotics on calcium levels, biomarkers of bone metabolism, and bone mineral density (BMD) profiles in postmenopausal women.

METHODS

Fifty-five participants were randomly assigned to receive either a placebo ( = 25) or the probiotic UALa-01™ ( = 30) daily via oral intervention. Throughout the study, evaluations included body composition, blood biochemical parameters, serum calcium levels, and biomarkers of bone metabolism. Additionally, Dual-energy X-ray absorptiometry was used to measure BMD profiles.

RESULTS

The findings delineated that the probiotic group experienced a decrease in serum calcium levels compared to their initial levels. However, hair calcium levels and biomarkers related to bone metabolism showed no notable changes within this group. Consumption of probiotic also seemed to prevent fluctuations in bone turnover markers. Moreover, there were no significant alterations in BMD levels at the lumbar spine, left femur, and total body in the probiotic group. Additionally, probiotic intake led to favorable outcomes by significantly reducing both body fat and visceral fat during the intervention period. Conversely, an adverse effect of consuming probiotic was observed with a significant increase in glucose concentration.

CONCLUSION

In conclusion, the consumption of probiotics daily for 12 weeks among postmenopausal women does not affect the profile of BMD, but it may help in stabilizing bone turnover. It is important to note that most measured parameters were within the normal range for this population. However, it is worth noting that 3 months of probiotic supplementation could potentially disrupt calcium and glucose status in postmenopausal women.

摘要

背景

更年期给女性带来重大健康风险,尤其是与骨质疏松症相关的骨折易感性增加。饮食干预已成为有前景的策略,重点是降低骨质疏松症风险,而非仅治疗已确诊的疾病。这项为期12周的随机对照试验旨在分析食用益生菌对绝经后女性钙水平、骨代谢生物标志物和骨密度(BMD)的影响。

方法

55名参与者通过口服干预被随机分配,每天接受安慰剂(n = 25)或益生菌UALa - 01™(n = 30)。在整个研究过程中,评估包括身体成分、血液生化参数、血清钙水平和骨代谢生物标志物。此外,使用双能X线吸收法测量骨密度。

结果

研究结果表明,与初始水平相比,益生菌组血清钙水平有所下降。然而,该组头发钙水平和与骨代谢相关的生物标志物没有明显变化。食用益生菌似乎还能防止骨转换标志物的波动。此外,益生菌组腰椎、左股骨和全身的骨密度水平没有显著变化。此外,在干预期内,摄入益生菌通过显著降低体脂和内脏脂肪产生了良好效果。相反,观察到食用益生菌有不良影响,血糖浓度显著升高。

结论

总之,绝经后女性每天食用益生菌12周不会影响骨密度,但可能有助于稳定骨转换。需要注意的是,该人群的大多数测量参数在正常范围内。然而,值得注意的是,3个月的益生菌补充可能会扰乱绝经后女性的钙和葡萄糖状态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8551/11247006/d8e8bd624203/fnut-11-1401920-g001.jpg

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