Nurgaziyev Madiyar, Kozhakhmetov Samat, Jarmukhanov Zharkyn, Nurgaziyeva Ayaulym, Sergazy Shynggys, Issilbayeva Argul, Mukhatayev Zhussipbek, Seidulla Symbat, Sailybayeva Aliya, Bekbossynova Makhabbat, Kushugulova Almagul
Laboratory of Microbiome, Center for Life Sciences, National Laboratory Astana, Nazarbayev University, Z05H0P9, Astana, Kazakhstan.
CF "University Medical Center", Heart Center, Z05G9F9, Astana, Kazakhstan.
Eur J Med Res. 2025 Apr 21;30(1):313. doi: 10.1186/s40001-025-02538-y.
Heart failure poses a significant health concern globally, and despite advancements in treatment, the search for additional, supportive therapeutic options remains crucial. This systematic review and meta-analysis studied the impact of probiotics and polyphenols on heart failure biomarkers, focusing on potential improvements in heart function and inflammation.
We analyzed studies published in Embase, PubMed and Cochrane library from 2012 to 2024, focusing on randomized controlled trials. Our findings are drawn from 5 studies on probiotics, involving 401 participants, and 3 studies on polyphenols with a total of 140 participants. The analysis included assessments of LVEF, hs-CRP, creatinine and NT-proBNP levels in intervention and control groups.
The probiotics or polyphenols from the included studies did not demonstrate significant changes in the health indicators analyzed for heart failure patients compared to placebo.
The systematic review suggested that while the concept of dietary management for heart failure is promising, further research is necessary to validate the efficacy of probiotics and polyphenols as supplementary therapies in heart failure care, by analyzing more diverse health outcomes and patient populations.
心力衰竭是全球重大的健康问题,尽管治疗取得了进展,但寻求更多支持性治疗方案仍至关重要。本系统评价和荟萃分析研究了益生菌和多酚对心力衰竭生物标志物的影响,重点关注心脏功能和炎症方面的潜在改善。
我们分析了2012年至2024年在Embase、PubMed和Cochrane图书馆发表的研究,重点是随机对照试验。我们的研究结果来自5项关于益生菌的研究,涉及401名参与者,以及3项关于多酚的研究,共有140名参与者。分析包括对干预组和对照组左心室射血分数、高敏C反应蛋白、肌酐和N末端脑钠肽前体水平的评估。
与安慰剂相比,纳入研究中的益生菌或多酚在心力衰竭患者分析的健康指标方面未显示出显著变化。
该系统评价表明,虽然心力衰竭饮食管理的概念很有前景,但有必要通过分析更多样化的健康结果和患者群体,进一步研究以验证益生菌和多酚作为心力衰竭护理辅助治疗的疗效。