PMID- 26209256 OWN - NLM STAT- MEDLINE DCOM- 20180118 LR - 20220410 IS - 1532-1983 (Electronic) IS - 0261-5614 (Linking) VI - 35 IP - 4 DP - 2016 Aug TI - Effects of beta-carotene fortified synbiotic food on metabolic control of patients with type 2 diabetes mellitus: A double-blind randomized cross-over controlled clinical trial. PG - 819-25 LID - S0261-5614(15)00186-7 [pii] LID - 10.1016/j.clnu.2015.07.009 [doi] AB - BACKGROUND & AIMS: The aim of the present study was to determine the beneficial effects of beta-carotene fortified synbiotic food intake on metabolic status in patients with type 2 diabetes mellitus (T2DM). METHODS: This randomized double-blinded placebo-controlled crossover clinical trial was conducted among 51 patients with T2DM. Individuals were randomly assigned to take either a beta-carotene fortified synbiotic (n = 51) or control food (n = 51) for 6 weeks. The beta-carotene fortified synbiotic was containing Lactobacillus sporogenes (1 x 10(7) CFU), 0.1 g inulin and 0.05 g beta-carotene. Control food (the same substance without probiotic, inulin and beta-carotene) was packed in identical 9-g packages. Patients were requested to use the beta-carotene fortified synbiotic and control foods three times a day. RESULTS: Beta-carotene fortified synbiotic food consumption resulted in a significant decrease in insulin (-1.00 +/- 7.90 vs. +3.68 +/- 6.91 muIU/mL, P = 0.002), HOMA-IR (-0.73 +/- 3.96 vs. +1.82 +/- vbnm4.09, P = 0.002), HOMA-B (-0.52 +/- 19.75 vs. +8.71 +/- 17.15, P = 0.01), triglycerides (-2.86 +/- 49.53 vs. +20.14 +/- 50.10 mg/dL, P = 0.02), VLDL-cholesterol levels (-0.57 +/- 9.90 vs. +4.03 +/- 10.02 mg/dL, P = 0.02) and total-/HDL-cholesterol ratio (-0.01 +/- 1.08 vs. +0.64 +/- 0.81, P = 0.001) compared to the control food. In addition, beta-carotene fortified synbiotic food consumption led to elevated plasma nitric oxide (NO) (+6.83 +/- 16.14 vs. -3.76 +/- 16.47 mumol/L, P = 0.001) and glutathione (GSH) (+36.58 +/- 296.71 vs. -92.04 +/- 243.05 mumol/L, P = 0.01). CONCLUSIONS: Beta-carotene fortified synbiotic food intake in patients with T2DM for 6 weeks had favorable effects on insulin, HOMA-IR, HOMA-B, triglycerides, VLDL-cholesterol, total-/HDL-cholesterol ratio, NO and GSH levels. CI - Copyright (c) 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved. FAU - Asemi, Zatollah AU - Asemi Z AD - Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran. FAU - Alizadeh, Sabihe-Alsadat AU - Alizadeh SA AD - Department of Research and Development of Sekkeh Gaz Company, Isfahan, Iran. FAU - Ahmad, Khorshidi AU - Ahmad K AD - Department of Microbiology, Kashan University of Medical Sciences, Kashan, Iran. FAU - Goli, Mohammad AU - Goli M AD - Department of Food Science and Technology, Islamic Azad University, Khorasgan Branch, Khorasgan, Iran. FAU - Esmaillzadeh, Ahmad AU - Esmaillzadeh A AD - Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: Esmaillzadeh@hlth.mui.ac.ir. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20150716 PL - England TA - Clin Nutr JT - Clinical nutrition (Edinburgh, Scotland) JID - 8309603 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 0 (Triglycerides) RN - 01YAE03M7J (beta Carotene) RN - 31C4KY9ESH (Nitric Oxide) RN - 9005-80-5 (Inulin) RN - 97C5T2UQ7J (Cholesterol) RN - GAN16C9B8O (Glutathione) SB - IM MH - Adult MH - Aged MH - Bacillus coagulans/metabolism MH - Biomarkers/blood MH - Blood Glucose/metabolism MH - Cholesterol/blood MH - Cross-Over Studies MH - Diabetes Mellitus, Type 2/*blood MH - Double-Blind Method MH - Female MH - *Food, Fortified MH - Glutathione/blood MH - Humans MH - Inflammation/blood/drug therapy MH - Insulin/blood MH - Inulin/administration & dosage MH - Male MH - Middle Aged MH - Nitric Oxide/blood MH - Oxidative Stress/drug effects MH - Synbiotics/*administration & dosage MH - Triglycerides/blood MH - beta Carotene/*administration & dosage/analysis OTO - NOTNLM OT - Inflammation OT - Metabolic profiles OT - Oxidative stress OT - Synbiotic OT - Type 2 diabetes EDAT- 2015/07/26 06:00 MHDA- 2018/01/19 06:00 CRDT- 2015/07/26 06:00 PHST- 2015/02/06 00:00 [received] PHST- 2015/07/05 00:00 [revised] PHST- 2015/07/06 00:00 [accepted] PHST- 2015/07/26 06:00 [entrez] PHST- 2015/07/26 06:00 [pubmed] PHST- 2018/01/19 06:00 [medline] AID - S0261-5614(15)00186-7 [pii] AID - 10.1016/j.clnu.2015.07.009 [doi] PST - ppublish SO - Clin Nutr. 2016 Aug;35(4):819-25. doi: 10.1016/j.clnu.2015.07.009. Epub 2015 Jul 16.