PMID- 35680009 OWN - NLM STAT- MEDLINE DCOM- 20220809 LR - 20220818 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 182 DP - 2022 Aug TI - Beneficial effects of probiotic and synbiotic supplementation on some cardiovascular risk factors among individuals with prediabetes and type 2 diabetes mellitus: A grade-assessed systematic review, meta-analysis, and meta-regression of randomized clinical trials. PG - 106288 LID - S1043-6618(22)00233-X [pii] LID - 10.1016/j.phrs.2022.106288 [doi] AB - Previous studies suggested that probiotics/synbiotics administration exerts some beneficial effects on cardiometabolic risk factors. However, the results from trials have been inconsistent. This study aimed to identify the impact of probiotic and synbiotic supplements on cardiovascular health factors in patients with type 2 diabetes mellitus (T2DM) and prediabetes We searched PubMed/MEDLINE, Web of Science, and Scopus up to February 2022 to identify eligible RCTs. Estimating 95 % confidence (CI) and the weighted mean difference (WMD) for weight, body mass index (BMI), waist circumferences (WC), triglyceride (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure (SBP), and diastolic blood pressure (DBP), the random-effects model was used. In the current meta-analysis, 54 RCTs were included. With the probiotic/synbiotics intervention, several parameters changed significantly, including weight (WMD: -0.38, 95 % CI: -0.63 to -0.12 Kg), TG (WMD: -19.08, 95 % CI: -27.65 to -10.51 mg/dl), TC (WMD: -10.46, 95 % CI: -15.19 to -5.72 mg/dl), LDL-C (WMD: -4.87, 95 % CI: -7.65 to -2.09 mg/dl), HDL-C (WMD: -2.70, 95 % CI: 1.33-4.07 mg/dl), SBP (WMD: -3.81, 95 % CI: -6.24 to -1.38 mmHg), and DBP (WMD: -2.01, 95 % CI: -3.12 to -0.91 mmHg). In the subgroup analysis, probiotics/synbiotics supplementation resulted in a greater change in lipid profile components in T2DM patients. Weight and BMI reduced only after synbiotic supplementation. We found that the administration of probiotics and synbiotics had beneficial effects on lipid profiles, anthropometric indices, and blood pressure in individuals with T2DM. CI - Copyright (c) 2022 Elsevier Ltd. All rights reserved. FAU - Naseri, Kaveh AU - Naseri K AD - Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Saadati, Saeede AU - Saadati S AD - Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, Australia. FAU - Yari, Zahra AU - Yari Z AD - Department of Nutrition Research, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Asbaghi, Omid AU - Asbaghi O AD - Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Hezaveh, Zohre Sajadi AU - Hezaveh ZS AD - Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Mafi, Davood AU - Mafi D AD - Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Hoseinian, Pooria AU - Hoseinian P AD - Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Ashtary-Larky, Damoon AU - Ashtary-Larky D AD - Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Hekmatdoost, Azita AU - Hekmatdoost A AD - Department of Clinical Nutrition and Dietetics, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - de Courten, Barbora AU - de Courten B AD - Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, Australia; School of Health and Biomedical Sciences, RMIT University, Bundoora, Australia. Electronic address: barbora.decourten@monash.edu. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20220606 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Cholesterol, HDL) RN - 0 (Cholesterol, LDL) RN - 0 (Triglycerides) SB - IM MH - *Cardiovascular Diseases/prevention & control MH - Cholesterol, HDL MH - Cholesterol, LDL MH - *Diabetes Mellitus, Type 2 MH - Dietary Supplements MH - Heart Disease Risk Factors MH - Humans MH - *Prediabetic State MH - *Probiotics/therapeutic use MH - Randomized Controlled Trials as Topic MH - Risk Factors MH - *Synbiotics MH - Triglycerides OTO - NOTNLM OT - Anthropometric indices OT - Blood pressure OT - Cholesterol (PubChem CID: 5997) OT - High-density lipoprotein cholesterol (PubChem CID: 53789179) OT - Lipid profile OT - Low-density lipoprotein cholesterol (PubChem CID: 53789957) OT - Prediabetes OT - Probiotic OT - Synbiotic OT - T2DM OT - Triglyceride (PubChem CID: 5460048) EDAT- 2022/06/10 06:00 MHDA- 2022/08/10 06:00 CRDT- 2022/06/09 19:25 PHST- 2022/04/02 00:00 [received] PHST- 2022/05/30 00:00 [revised] PHST- 2022/06/01 00:00 [accepted] PHST- 2022/06/10 06:00 [pubmed] PHST- 2022/08/10 06:00 [medline] PHST- 2022/06/09 19:25 [entrez] AID - S1043-6618(22)00233-X [pii] AID - 10.1016/j.phrs.2022.106288 [doi] PST - ppublish SO - Pharmacol Res. 2022 Aug;182:106288. doi: 10.1016/j.phrs.2022.106288. Epub 2022 Jun 6.