Literature DB >> 25954637

A Randomized Double-blind Controlled Trial of Lactobacillus acidophilus Plus Bifidobacterium bifidum versus Placebo in Patients with Hypercholesterolemia.

Sanguansak Rerksuppaphol1, Lakkana Rerksuppaphol2.   

Abstract

BACKGROUND: Hypercholesterolemia is a major risk factor for cardiovascular disease. Not all patients respond well to traditional cholesterol lowering medications. Probiotics have been evaluated for their cholesterol-lowering effects in humans with variable results. This study was performed to evaluate the efficacy of two probiotics in lowering the serum cholesterol of hypercholesterolemic patients.
MATERIALS AND METHODS: A randomized double-blind controlled trial was conducted comparing placebo to Lactobacillus acidophilus plus Bifidobacterium bifidum in patients diagnosed with hypercholesterolemia. Placebo or probiotic capsules were taken three times daily for six weeks. Pre- and post-treatment total cholesterol (TC), HDL-cholesterol (HDL-C), LDL-cholesterol (LDL-C) and triglyceride (TG) levels and demographic parameters of the two groups were compared. From a total of 70 participants, 64 completed the assigned treatment (31 in probiotics group and 33 in the control group).The two treatment groups were matched for age, sex, weight, height, BMI, waist and hip circumferences, and blood pressure.
RESULTS: Baseline evaluation revealed no difference between the probiotics group and control group levels of TC, HDL-C, LDL-C and TG. TC levels in the probiotics group decreased during treatment (237.2 vs. 212.7 mg/dL, p<0.05). TC and LDL-C levels in the control group increased significantly from their baseline levels during treatment. TC (212.7 vs 252.8 mg/dL, p<0.001), HDL-C (52.0 vs 59.1 mg/dL, p=0.04) and LDL-C (153.9 vs 182.1 mg/dL, p<0.01) levels in the probiotics group were significantly lower at the end of treatment than the corresponding levels in the control group.
CONCLUSION: A combination of Lactobacillus acidophilus and Bifidobacterium bifidum decreased serum total cholesterol, LDL-cholesterol and HDL-cholesterol levels in hypercholesterolemic patients over a six week period. There was no effect on serum triglyceride or fasting blood glucose levels.

Entities:  

Keywords:  Cholesterol; Probiotics; Randomized controlled trial

Year:  2015        PMID: 25954637      PMCID: PMC4413085          DOI: 10.7860/JCDR/2015/11867.5728

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  22 in total

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Review 7.  2012 update of the Canadian Cardiovascular Society guidelines for the diagnosis and treatment of dyslipidemia for the prevention of cardiovascular disease in the adult.

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Journal:  Atherosclerosis       Date:  1977-03       Impact factor: 5.162

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Review 4.  New Insights on the Use of Dietary Polyphenols or Probiotics for the Management of Arterial Hypertension.

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5.  The Effect of Oral Consumption of Probiotics in Prevention of Heart Injury in a Rat Myocardial Infarction Model: a Histopathological, Hemodynamic and Biochemical Evaluation.

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6.  Lactobacillus Strains Alleviated Hyperlipidemia and Liver Steatosis in Aging Rats via Activation of AMPK.

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7.  The use of probiotics for improving lipid profiles in dyslipidemic individuals: an overview protocol.

Authors:  Patricia M Fortes; Solomar M Marques; Karolline A Viana; Luciane R Costa; Alessandra V Naghettini; Paulo Sucasas Costa
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8.  Antimicrobial Effect and Probiotic Potential of Phage Resistant Lactobacillus plantarum and its Interactions with Zoonotic Bacterial Pathogens.

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9.  Effects of Probiotics on Patients with Hypertension: a Systematic Review and Meta-Analysis.

Authors:  Cheng Chi; Cheng Li; Dongjun Wu; Nicholas Buys; Wenjun Wang; Huimin Fan; Jing Sun
Journal:  Curr Hypertens Rep       Date:  2020-03-21       Impact factor: 5.369

10.  The effects of probiotics on total cholesterol: A meta-analysis of randomized controlled trials.

Authors:  Lang Wang; Mao-Juan Guo; Qing Gao; Jin-Feng Yang; Lin Yang; Xiao-Li Pang; Xi-Juan Jiang
Journal:  Medicine (Baltimore)       Date:  2018-02       Impact factor: 1.889

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