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Probiotics as a Complementary Therapy for Management of Obesity: A Systematic Review

BACKGROUND: Considering the observed role of probiotics in modulating gut microbiome, probiotics are discussed to be one potential complementary therapy for obesity management in recent years. The aim of the present study was to systematically review the meta-analyses of controlled trials and invest...

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Autores principales: Shirvani-Rad, Salman, Tabatabaei-Malazy, Ozra, Mohseni, Shahrzad, Hasani-Ranjbar, Shirin, Soroush, Ahmad-Reza, Hoseini-Tavassol, Zahra, Ejtahed, Hanieh-Sadat, Larijani, Bagher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847354/
https://www.ncbi.nlm.nih.gov/pubmed/33552218
http://dx.doi.org/10.1155/2021/6688450
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author Shirvani-Rad, Salman
Tabatabaei-Malazy, Ozra
Mohseni, Shahrzad
Hasani-Ranjbar, Shirin
Soroush, Ahmad-Reza
Hoseini-Tavassol, Zahra
Ejtahed, Hanieh-Sadat
Larijani, Bagher
author_facet Shirvani-Rad, Salman
Tabatabaei-Malazy, Ozra
Mohseni, Shahrzad
Hasani-Ranjbar, Shirin
Soroush, Ahmad-Reza
Hoseini-Tavassol, Zahra
Ejtahed, Hanieh-Sadat
Larijani, Bagher
author_sort Shirvani-Rad, Salman
collection PubMed
description BACKGROUND: Considering the observed role of probiotics in modulating gut microbiome, probiotics are discussed to be one potential complementary therapy for obesity management in recent years. The aim of the present study was to systematically review the meta-analyses of controlled trials and investigate the effects of probiotics on obesity. METHODS: A comprehensive search was conducted on PubMed, Web of Science, and Cochrane Library web databases up to May 2020. Inclusion criteria were meta-analyses of controlled trials which evaluated the impact of probiotics on obesity in English language. Meta-analyses done on pregnant women, children, animal studies, or the effect of prebiotics on anthropometric indices were excluded. RESULTS: Within 325 recorded studies, 20 studies met the inclusion criteria consisting of 16676 overweight/obese adults with different underlying disorders such as nonalcoholic fatty liver disease (NAFLD), or polycystic ovary syndrome (PCOS). The length of intervention varied from 2 to 26 weeks. Results of meta-analyses have shown a moderate effect of probiotics on body weight in overweight/obese adults: from −0.526 kg/m(2) (95% CI: −0.810, −0.247) to −0.25 kg/m(2) (95% CI: −0.33, −0.17). Body mass index (BMI) was changed from −1.46 kg/m(2) (95% CI: −2.44, −0.48) to −1.08 kg/m(2) (95% CI: −2.05, −0.11) in NAFLD. Probiotics could reduce BMI from −0.36 kg/m(2) (95% CI: −0.74, 0.02) to −0.29 kg/m(2) (95% CI: −0.54, −0.03) in patients with PCOS. CONCLUSION: It seems that the probiotic products could have beneficial effects as an adjunct therapy for care and management of obesity when used in high dose. However, due to heterogeneity of included studies, it is required to confirm our results by more meta-analyses of clinical trials.
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spelling pubmed-78473542021-02-04 Probiotics as a Complementary Therapy for Management of Obesity: A Systematic Review Shirvani-Rad, Salman Tabatabaei-Malazy, Ozra Mohseni, Shahrzad Hasani-Ranjbar, Shirin Soroush, Ahmad-Reza Hoseini-Tavassol, Zahra Ejtahed, Hanieh-Sadat Larijani, Bagher Evid Based Complement Alternat Med Review Article BACKGROUND: Considering the observed role of probiotics in modulating gut microbiome, probiotics are discussed to be one potential complementary therapy for obesity management in recent years. The aim of the present study was to systematically review the meta-analyses of controlled trials and investigate the effects of probiotics on obesity. METHODS: A comprehensive search was conducted on PubMed, Web of Science, and Cochrane Library web databases up to May 2020. Inclusion criteria were meta-analyses of controlled trials which evaluated the impact of probiotics on obesity in English language. Meta-analyses done on pregnant women, children, animal studies, or the effect of prebiotics on anthropometric indices were excluded. RESULTS: Within 325 recorded studies, 20 studies met the inclusion criteria consisting of 16676 overweight/obese adults with different underlying disorders such as nonalcoholic fatty liver disease (NAFLD), or polycystic ovary syndrome (PCOS). The length of intervention varied from 2 to 26 weeks. Results of meta-analyses have shown a moderate effect of probiotics on body weight in overweight/obese adults: from −0.526 kg/m(2) (95% CI: −0.810, −0.247) to −0.25 kg/m(2) (95% CI: −0.33, −0.17). Body mass index (BMI) was changed from −1.46 kg/m(2) (95% CI: −2.44, −0.48) to −1.08 kg/m(2) (95% CI: −2.05, −0.11) in NAFLD. Probiotics could reduce BMI from −0.36 kg/m(2) (95% CI: −0.74, 0.02) to −0.29 kg/m(2) (95% CI: −0.54, −0.03) in patients with PCOS. CONCLUSION: It seems that the probiotic products could have beneficial effects as an adjunct therapy for care and management of obesity when used in high dose. However, due to heterogeneity of included studies, it is required to confirm our results by more meta-analyses of clinical trials. Hindawi 2021-01-22 /pmc/articles/PMC7847354/ /pubmed/33552218 http://dx.doi.org/10.1155/2021/6688450 Text en Copyright © 2021 Salman Shirvani-Rad et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Shirvani-Rad, Salman
Tabatabaei-Malazy, Ozra
Mohseni, Shahrzad
Hasani-Ranjbar, Shirin
Soroush, Ahmad-Reza
Hoseini-Tavassol, Zahra
Ejtahed, Hanieh-Sadat
Larijani, Bagher
Probiotics as a Complementary Therapy for Management of Obesity: A Systematic Review
title Probiotics as a Complementary Therapy for Management of Obesity: A Systematic Review
title_full Probiotics as a Complementary Therapy for Management of Obesity: A Systematic Review
title_fullStr Probiotics as a Complementary Therapy for Management of Obesity: A Systematic Review
title_full_unstemmed Probiotics as a Complementary Therapy for Management of Obesity: A Systematic Review
title_short Probiotics as a Complementary Therapy for Management of Obesity: A Systematic Review
title_sort probiotics as a complementary therapy for management of obesity: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847354/
https://www.ncbi.nlm.nih.gov/pubmed/33552218
http://dx.doi.org/10.1155/2021/6688450
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