Effect of synbiotic supplementation on obesity and gut microbiota in obese adults: a double-blind randomized controlled trial

合生元补充剂对肥胖成人肥胖和肠道菌群的影响:一项双盲随机对照试验

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作者:Xiaokang Niu #, Qi Zhang #, Julong Liu #, Yuyang Zhao, Nan Shang, Shusen Li, Yinghua Liu, Wei Xiong, Erna Sun, Yong Zhang, Hongfeng Zhao, Yixuan Li, Pengjie Wang, Bing Fang, Liang Zhao, Juan Chen, Fuqing Wang, Guofang Pang, Chenyuan Wang, Jingjing He, Ran Wang

Background

Synbiotics, combining specific probiotics and selected prebiotics, may benefit health issues like obesity, but evidence remains inconsistent.

Conclusion

Twelve-week synbiotics intervention reduced body fat percentage, waist, and serum LDL-C, especially in individuals with obesity and abnormal LDL-C. The possible mechanisms may be related to changes in gut microbiota, bile acids and gut hormones. Clinical

Methods

In a randomized, double-blind, placebo-controlled trial, 80 individuals with obesity consumed daily synbiotics (containing MN-Gup 1 × 1011 CFU/day, GOS 0.7 g/day, and XOS 0.7 g/day) or placebo for 12 weeks. Body composition, blood lipids, serum hormone, bile acids, and gut microbiota were measured pre-and post-intervention.

Objective

This study aimed to verify the effect of a pre-screened synbiotics combination [containing Bifidobacterium animalis subsp. lactis MN-Gup (MN-Gup), galacto-oligosaccharides (GOS) and xylo-oligosaccharides (XOS)] on obesity in the population.

Results

Synbiotics supplementation significantly decreased body fat percentage, waist, and serum low-density lipoprotein cholesterol (LDL-C), increased peptide YY, cholecystokinin, oxyntomodulin, GSH (glutathione peroxidase) in individuals with obesity. Additionally, synbiotic supplementation led to an enrichment of beneficial bacteria and bile acids chenodeoxycholic acid (CDCA). Bifidobacterium and Romboutsia were significantly positively correlated with CDCA. A more favorable effect was observed in individuals with obesity and abnormal LDL-C compared to those without dyslipidemia.

Trial registration

Chictr.org.cn, identifier ChiCTR2200064156.

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