PMID- 33183665 OWN - NLM STAT- MEDLINE DCOM- 20210706 LR - 20210706 IS - 1873-6963 (Electronic) IS - 0965-2299 (Linking) VI - 54 DP - 2020 Nov TI - The Effect of Lactobacillus Consumption on Human Blood Pressure: a Systematic Review and Meta-Analysis of Randomized Controlled Trials. PG - 102547 LID - S0965-2299(20)31814-8 [pii] LID - 10.1016/j.ctim.2020.102547 [doi] AB - OBJECTIVES: Previous clinical studies have shown controversial results regarding the effect of Lactobacillus supplementation on blood pressure (BP). The purpose of this systematic review and meta-analysis is to examine the effect of Lactobacillus consumption on BP. METHODS: Eligible randomized controlled trials (RCTs) were searched from five electronic databases until May 2020. In total, 18 studies were included in our meta-analysis. Quality of the selected studies was assessed, and a random-effects model was used to calculate the overall effect sizes of weighted mean differences (WMD). This systematic review was registered in PROSPERO with the number: CRD42019139294. RESULTS: Lactobacillus consumption significantly reduced systolic blood pressure (SBP) by -2.74 mmHg (95% confidence interval, -4.96 to -0.51) and diastolic blood pressure (DBP) by -1.50 mmHg (95% confidence interval, -2.44 to -0.56) when comparing with the control group. Subgroup analysis showed that type 2 diabetes mellitus (T2DM) patients, Asian individuals, or borderline hypertension participants were more sensitive to daily consumption of Lactobacillus. And the effect of Lactobacillus on BP-reduction was more significant in capsule form, with the dose was above 5 x 10(9) colony-forming unit (CFU)/day or lasted for more than 8 weeks. CONCLUSIONS: Our present study suggests that Lactobacillus consumption in capsule form when the daily dose is above 5 x 10(9) CFU for more than 8 weeks can decrease SBP or DBP in T2DM patients, borderline hypertension participants or Asian individuals. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Liu, Jinshu AU - Liu J AD - Nursing school of Jilin University, Changchun, Jilin, 130021, China. Electronic address: jsliu1226@foxmail.com. FAU - Zhang, Dan AU - Zhang D AD - Nursing school of Jilin University, Changchun, Jilin, 130021, China. Electronic address: danzhang01@foxmail.com. FAU - Guo, Yingze AU - Guo Y AD - The first hospital of Jilin University, Changchun, Jilin, 130021, China. Electronic address: glr248@163.com. FAU - Cai, Hongwei AU - Cai H AD - Nursing school of Jilin University, Changchun, Jilin, 130021, China. Electronic address: cai1002741397@foxmail.com. FAU - Liu, Keyuan AU - Liu K AD - Basic College of Medical Sciences, Jilin University, Changchun, Jilin, 130021, China. Electronic address: 18243054065@163.com. FAU - He, Yayu AU - He Y AD - Nursing school of Jilin University, Changchun, Jilin, 130021, China. Electronic address: 18838986180@163.com. FAU - Liu, Yumo AU - Liu Y AD - Nursing school of Jilin University, Changchun, Jilin, 130021, China. Electronic address: 18843148523@163.com. FAU - Guo, Lirong AU - Guo L AD - Nursing school of Jilin University, Changchun, Jilin, 130021, China. Electronic address: guolr@jlu.edu.cn. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20200902 PL - Scotland TA - Complement Ther Med JT - Complementary therapies in medicine JID - 9308777 SB - IM MH - Blood Pressure/*drug effects MH - Humans MH - Hypertension/drug therapy MH - *Lactobacillus MH - Probiotics/*administration & dosage MH - Randomized Controlled Trials as Topic EDAT- 2020/11/14 06:00 MHDA- 2021/07/07 06:00 CRDT- 2020/11/13 05:36 PHST- 2020/03/04 00:00 [received] PHST- 2020/07/19 00:00 [revised] PHST- 2020/08/24 00:00 [accepted] PHST- 2020/11/13 05:36 [entrez] PHST- 2020/11/14 06:00 [pubmed] PHST- 2021/07/07 06:00 [medline] AID - S0965-2299(20)31814-8 [pii] AID - 10.1016/j.ctim.2020.102547 [doi] PST - ppublish SO - Complement Ther Med. 2020 Nov;54:102547. doi: 10.1016/j.ctim.2020.102547. Epub 2020 Sep 2.