Effects of probiotic therapy on cardio-metabolic parameters and autonomic modulation in hypertensive women: a randomized, triple-blind, placebo-controlled trial

Background and aims : We assessed the effects of probiotic therapy for 8 weeks on cardiometabolic variables and autonomic function in women medically diagnosed with arterial hypertension. Methods and results : Forty women with arterial hypertension, 20-50 years, were assigned to two groups in this r...

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Veröffentlicht in:Food & function 2020-08, Vol.11 (8), p.7152-7163
Hauptverfasser: Romão da Silva, Larissa de Fátima, de Oliveira, Yohanna, de Souza, Evandro Leite, de Luna Freire, Micaelle Oliveira, Braga, Valdir de Andrade, Magnani, Marciane, de Brito Alves, José Luiz
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container_end_page 7163
container_issue 8
container_start_page 7152
container_title Food & function
container_volume 11
creator Romão da Silva, Larissa de Fátima
de Oliveira, Yohanna
de Souza, Evandro Leite
de Luna Freire, Micaelle Oliveira
Braga, Valdir de Andrade
Magnani, Marciane
de Brito Alves, José Luiz
description Background and aims : We assessed the effects of probiotic therapy for 8 weeks on cardiometabolic variables and autonomic function in women medically diagnosed with arterial hypertension. Methods and results : Forty women with arterial hypertension, 20-50 years, were assigned to two groups in this randomized, triple-blind, placebo-controlled clinical trial. Patients in the probiotic group received a daily sachet containing Lactobacillus para casei LPC-37, Lactobacillus rhamnosus HN001, Lactobacillus acidophilus NCFM, and Bifidobacterium lactis HN019 (10 9 CFU of each strain) for 8 weeks. Patients in the placebo group received identical sachets with polydextrose (1 g day −1 , for 8 weeks). Anthropometric, BP, electrocardiogram, biochemical measurements, fecal microbiota composition, and glucose hydrogen breath test were assessed at baseline and after 8 weeks intervention. Anthropometric variables (weight, BMI, and waist circumference) were similar between the two groups ( p > 0.05). Probiotic supplementation significantly reduced fasting glucose (change −10.3 mg dL −1 , p < 0.05) and cholesterol levels (change −23.6 mg dL −1 , p < 0.05), and increased the HDL-cholesterol (change 6.5 mg dL −1 , p < 0.05) compared with the baseline condition. Probiotic supplementation lowered, although without statistical significance, systolic BP by about 5 mmHg and diastolic BP by about 2 mmHg in hypertensive women. Lastly, probiotic administration reduced the low frequency (LF) oscillation and LF/high frequency (HF) ratio ( p < 0.05) in the frequency domain of heart rate variability, suggesting an improvement in autonomic modulation. Conclusion : Probiotic therapy for 8 weeks reduced fasting glucose levels, and improved the lipid profile and autonomic modulation in hypertensive women. We assessed the effects of probiotic therapy for 8 weeks on cardiometabolic variables and autonomic function in women medically diagnosed with arterial hypertension.
doi_str_mv 10.1039/d0fo01661f
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Methods and results : Forty women with arterial hypertension, 20-50 years, were assigned to two groups in this randomized, triple-blind, placebo-controlled clinical trial. Patients in the probiotic group received a daily sachet containing Lactobacillus para casei LPC-37, Lactobacillus rhamnosus HN001, Lactobacillus acidophilus NCFM, and Bifidobacterium lactis HN019 (10 9 CFU of each strain) for 8 weeks. Patients in the placebo group received identical sachets with polydextrose (1 g day −1 , for 8 weeks). Anthropometric, BP, electrocardiogram, biochemical measurements, fecal microbiota composition, and glucose hydrogen breath test were assessed at baseline and after 8 weeks intervention. Anthropometric variables (weight, BMI, and waist circumference) were similar between the two groups ( p &gt; 0.05). Probiotic supplementation significantly reduced fasting glucose (change −10.3 mg dL −1 , p &lt; 0.05) and cholesterol levels (change −23.6 mg dL −1 , p &lt; 0.05), and increased the HDL-cholesterol (change 6.5 mg dL −1 , p &lt; 0.05) compared with the baseline condition. Probiotic supplementation lowered, although without statistical significance, systolic BP by about 5 mmHg and diastolic BP by about 2 mmHg in hypertensive women. Lastly, probiotic administration reduced the low frequency (LF) oscillation and LF/high frequency (HF) ratio ( p &lt; 0.05) in the frequency domain of heart rate variability, suggesting an improvement in autonomic modulation. Conclusion : Probiotic therapy for 8 weeks reduced fasting glucose levels, and improved the lipid profile and autonomic modulation in hypertensive women. 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Methods and results : Forty women with arterial hypertension, 20-50 years, were assigned to two groups in this randomized, triple-blind, placebo-controlled clinical trial. Patients in the probiotic group received a daily sachet containing Lactobacillus para casei LPC-37, Lactobacillus rhamnosus HN001, Lactobacillus acidophilus NCFM, and Bifidobacterium lactis HN019 (10 9 CFU of each strain) for 8 weeks. Patients in the placebo group received identical sachets with polydextrose (1 g day −1 , for 8 weeks). Anthropometric, BP, electrocardiogram, biochemical measurements, fecal microbiota composition, and glucose hydrogen breath test were assessed at baseline and after 8 weeks intervention. Anthropometric variables (weight, BMI, and waist circumference) were similar between the two groups ( p &gt; 0.05). Probiotic supplementation significantly reduced fasting glucose (change −10.3 mg dL −1 , p &lt; 0.05) and cholesterol levels (change −23.6 mg dL −1 , p &lt; 0.05), and increased the HDL-cholesterol (change 6.5 mg dL −1 , p &lt; 0.05) compared with the baseline condition. Probiotic supplementation lowered, although without statistical significance, systolic BP by about 5 mmHg and diastolic BP by about 2 mmHg in hypertensive women. Lastly, probiotic administration reduced the low frequency (LF) oscillation and LF/high frequency (HF) ratio ( p &lt; 0.05) in the frequency domain of heart rate variability, suggesting an improvement in autonomic modulation. Conclusion : Probiotic therapy for 8 weeks reduced fasting glucose levels, and improved the lipid profile and autonomic modulation in hypertensive women. We assessed the effects of probiotic therapy for 8 weeks on cardiometabolic variables and autonomic function in women medically diagnosed with arterial hypertension.</description><subject>Adult</subject><subject>Anthropometry</subject><subject>Autonomic nervous system</subject><subject>Bifidobacterium - metabolism</subject><subject>Bifidobacterium animalis</subject><subject>Biomarkers - blood</subject><subject>Blood Glucose - metabolism</subject><subject>Blood Pressure</subject><subject>C-Reactive Protein - metabolism</subject><subject>Cardiovascular Diseases - microbiology</subject><subject>Cardiovascular Diseases - therapy</subject><subject>Cholesterol</subject><subject>Cholesterol - blood</subject><subject>Clinical trials</subject><subject>Creatinine - blood</subject><subject>EKG</subject><subject>Electrocardiography</subject><subject>Exercise</subject><subject>Fasting</subject><subject>Fecal microflora</subject><subject>Feces - microbiology</subject><subject>Female</subject><subject>Glucose</subject><subject>Heart Rate</subject><subject>High density lipoprotein</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - microbiology</subject><subject>Hypertension - therapy</subject><subject>Laboratory testing</subject><subject>Lactobacilli</subject><subject>Lactobacillus acidophilus - metabolism</subject><subject>Lactobacillus casei - metabolism</subject><subject>Lactobacillus rhamnosus - metabolism</subject><subject>Lipids</subject><subject>Mathematical analysis</subject><subject>Metabolic Syndrome - microbiology</subject><subject>Metabolic Syndrome - therapy</subject><subject>Microbiota</subject><subject>Middle Aged</subject><subject>Modulation</subject><subject>Nutrition Assessment</subject><subject>Polydextrose</subject><subject>Probiotics</subject><subject>Probiotics - administration &amp; dosage</subject><subject>Randomization</subject><subject>Supplements</subject><subject>Therapy</subject><subject>Triglycerides - blood</subject><subject>Urea - blood</subject><subject>Waist Circumference</subject><subject>Young Adult</subject><issn>2042-6496</issn><issn>2042-650X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90U9rFTEQAPBFLLa0vXhXIl5EuprdZLOJN6l9VSj0ouBtyZ8JTckma5JVnp_Gj2qer63gwVySYX4zJJmmedrhNx0m4q3BNuKOsc4-ao56TPuWDfjr4_szFeywOc35FtdFhOCCP2kOST8OjFFy1Py6sBZ0yShatKSoXCxOo3IDSS5bFAPSMhkX2xmKVNHX3CKTrBGkjGQwSK4lhjjXxBzN6mVxtcgFdLNdIBUI2X0H9CPOEN4hiVItqfgnmDNUkls8tMq7UKPFSw0qtjqGkqL3YHZA-pPmwEqf4fRuP26-bC4-n39sr64vP52_v2o1xbS0nGqlxcgF5h3FI1eWC61Ib3nPgYEklA1mxAMhypJBjQqMZhwbBjBgaS05bl7t-9Zf-LZCLtPssgbvZYC45qmnBAuOx55X-vIfehvXFOrtdmroRj7gvqrXe6VTzDmBnZbkZpm2U4en3eimD3hz_Wd0m4qf37Vc1Qzmgd4PqoIXe5Cyfsj-nf20mN0Tnv3PkN-7TKxH</recordid><startdate>20200819</startdate><enddate>20200819</enddate><creator>Romão da Silva, Larissa de Fátima</creator><creator>de Oliveira, Yohanna</creator><creator>de Souza, Evandro Leite</creator><creator>de Luna Freire, Micaelle Oliveira</creator><creator>Braga, Valdir de Andrade</creator><creator>Magnani, Marciane</creator><creator>de Brito Alves, José Luiz</creator><general>Royal Society of Chemistry</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7T7</scope><scope>7TO</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4696-3809</orcidid><orcidid>https://orcid.org/0000-0002-7771-0479</orcidid></search><sort><creationdate>20200819</creationdate><title>Effects of probiotic therapy on cardio-metabolic parameters and autonomic modulation in hypertensive women: a randomized, triple-blind, placebo-controlled trial</title><author>Romão da Silva, Larissa de Fátima ; 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Methods and results : Forty women with arterial hypertension, 20-50 years, were assigned to two groups in this randomized, triple-blind, placebo-controlled clinical trial. Patients in the probiotic group received a daily sachet containing Lactobacillus para casei LPC-37, Lactobacillus rhamnosus HN001, Lactobacillus acidophilus NCFM, and Bifidobacterium lactis HN019 (10 9 CFU of each strain) for 8 weeks. Patients in the placebo group received identical sachets with polydextrose (1 g day −1 , for 8 weeks). Anthropometric, BP, electrocardiogram, biochemical measurements, fecal microbiota composition, and glucose hydrogen breath test were assessed at baseline and after 8 weeks intervention. Anthropometric variables (weight, BMI, and waist circumference) were similar between the two groups ( p &gt; 0.05). Probiotic supplementation significantly reduced fasting glucose (change −10.3 mg dL −1 , p &lt; 0.05) and cholesterol levels (change −23.6 mg dL −1 , p &lt; 0.05), and increased the HDL-cholesterol (change 6.5 mg dL −1 , p &lt; 0.05) compared with the baseline condition. Probiotic supplementation lowered, although without statistical significance, systolic BP by about 5 mmHg and diastolic BP by about 2 mmHg in hypertensive women. Lastly, probiotic administration reduced the low frequency (LF) oscillation and LF/high frequency (HF) ratio ( p &lt; 0.05) in the frequency domain of heart rate variability, suggesting an improvement in autonomic modulation. Conclusion : Probiotic therapy for 8 weeks reduced fasting glucose levels, and improved the lipid profile and autonomic modulation in hypertensive women. We assessed the effects of probiotic therapy for 8 weeks on cardiometabolic variables and autonomic function in women medically diagnosed with arterial hypertension.</abstract><cop>England</cop><pub>Royal Society of Chemistry</pub><pmid>32756643</pmid><doi>10.1039/d0fo01661f</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-4696-3809</orcidid><orcidid>https://orcid.org/0000-0002-7771-0479</orcidid></addata></record>
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source MEDLINE; Royal Society Of Chemistry Journals 2008-
subjects Adult
Anthropometry
Autonomic nervous system
Bifidobacterium - metabolism
Bifidobacterium animalis
Biomarkers - blood
Blood Glucose - metabolism
Blood Pressure
C-Reactive Protein - metabolism
Cardiovascular Diseases - microbiology
Cardiovascular Diseases - therapy
Cholesterol
Cholesterol - blood
Clinical trials
Creatinine - blood
EKG
Electrocardiography
Exercise
Fasting
Fecal microflora
Feces - microbiology
Female
Glucose
Heart Rate
High density lipoprotein
Humans
Hypertension
Hypertension - microbiology
Hypertension - therapy
Laboratory testing
Lactobacilli
Lactobacillus acidophilus - metabolism
Lactobacillus casei - metabolism
Lactobacillus rhamnosus - metabolism
Lipids
Mathematical analysis
Metabolic Syndrome - microbiology
Metabolic Syndrome - therapy
Microbiota
Middle Aged
Modulation
Nutrition Assessment
Polydextrose
Probiotics
Probiotics - administration & dosage
Randomization
Supplements
Therapy
Triglycerides - blood
Urea - blood
Waist Circumference
Young Adult
title Effects of probiotic therapy on cardio-metabolic parameters and autonomic modulation in hypertensive women: a randomized, triple-blind, placebo-controlled trial
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