1. The effects of probiotic bacteria on glycaemic control in overweight men and women: a randomised controlled trial
- Author
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Ivey, K.L., Hodgson, J.M., Kerr, D.A., Lewis, J.R., Thompson, P.L., and Prince, R.L.
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Physiological aspects ,Methods ,Food and nutrition ,Health aspects ,Glucose metabolism -- Methods ,Overweight persons -- Food and nutrition ,Lactobacillus acidophilus -- Physiological aspects ,Probiotics -- Physiological aspects ,Yogurt -- Health aspects - Abstract
INTRODUCTION At the population level, increased glycaemia is associated with increased risk of micro- and macro-vascular diseases, (1-4) even in the nondiabetic range. (5) Thus, population-based approaches to improve glycaemia [...], BACKGROUND/OBJECTIVES: Evidence from animal and in vitro models suggest a role of probiotic bacteria in improving glycaemic control and delaying the onset of type 2 diabetes. However, the evidence from controlled trials in humans is limited. The objective was to determine if the probiotic bacteria L. acidophilus La5 and B. animalis subsp lactis Bb12, supplemented in a whole food (yoghurt) or isolated (capsules) form, can improve biomarkers of glycaemic control. SUBJECTS/METHODS: Following a 3-week washout period, 156 overweight men and women over 55 years (mean age: 67 ± 8 years; mean body mass index (31 ± 4 kg/[m.sup.2]) were randomized to a 6-week double-blinded parallel study. The four intervention groups were: (A) probiotic yoghurt plus probiotic capsules;(B) probiotic yoghurt plus placebo capsules;(C) control milk plus probiotic capsules; and (D) control milk plus placebo capsules. Outcome measurements, including fasting glucose, insulin, glycated haemoglobin and Homoeostasis Model Assessment of Insulin Resistance (HOMA-IR), were performed at baseline and week 6. RESULTS: Relative to the milk-control group, probiotic yoghurt resulted in a significantly higher HOMA-IR (0.32 [+ or - ] 0.15, P = 0.038), but did not have a significant effect on the other three measures of glycaemic control (P>0.05). Relative to placebo capsules, probiotic capsules resulted in a significantly higher fasting glucose (0.15 ± 0.07 mmol/l, P = 0.037), with no significant effect on the other three measures of glycaemic control (P>0.05). Further analyses did not identify other variables as contributing to these adverse findings. CONCLUSIONS: Data from this study does not support the hypothesis that L. acidophilus La5 and B. animalis subsp lactis Bb12, either in isolated form or as part of a whole food, benefit short-term glycaemic control. Indeed, there is weak data for an adverse effect of these strains on glucose homoeostasis. European Journal of Clinical Nutrition (2014) 68, 447-452; doi: 10.1038/ejcn.2013.294; published online 26 February 2014 Keywords: probiotics; yoghurt; dairy products; blood glucose; insulin resistance
- Published
- 2014
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