Role of Triphala on Gut Microbiota in the Treatment of Obesity and its Complications

Aswini Pavithran, Kalamol M. K, Prajeesh Nath E. N, Vineeth P K, Ramesh N V
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Abstract

Obesity is a rapidly increasing global public health concern with a prevalence of 40.3% in India. Obesity is also a significant risk influence for ailments including hypertension, dyslipidaemia, diabetes, coronary heart condition, osteoarthritis, cancer and mental illness. This review investigates the potential role of Triphala in the treatment of obesity and its complications on gut microbiota. Method: We selected relevant articles after searching Scopus, PubMed and Google Scholar using keywords Triphala, Obesity, DM, CVD, and Gut microbiota. Obesity and related complications are considered by definite changes within the human gut microbiome. The gut microbiota of individuals with obesity contains lower proportions of Bacteroidetes and greater amounts of Firmicutes. Gut microbiota modulation and revitalization are emerging as potential obesity prevention and/or treatment strategies via probiotics, prebiotics, synbiotics, or faecal transplants. Research showed that butyrate generating bacteria like Faecalibacterium prausnitzii and Akkermansia muciniphila, were greatest in normal people, but that Bacteroides were halved in diabetes patients. The host metabolic syndrome and cardiovascular risk may be influenced by lipopolysaccharides (LPS) from gut microbiota. A placebo-controlled trial concluded that Triphala includes a hopeful role in reducing weight, circumferential measures and body fat. Triphala's prebiotic effect was studied using in vitro batch cultures, fruit fly, and a simulated model of the human alimentary tract, where Triphala promoted the growth of good bacteria while inhibiting pathogenic species in each model. Clinical research is still under progress on the effect of Triphala on Stool Microbiome Profiles and Inflammation. The action of Triphala in altering the gut microbiota for effective management of obesity and its complications is yet to be studied. Here we recommend the potential action of Triphala in managing obesity and its complications by targeting gut microbiota.
三叶草对肠道微生物群在治疗肥胖症及其并发症中的作用
肥胖症是一个迅速增长的全球公共健康问题,在印度的发病率高达 40.3%。肥胖也是高血压、血脂异常、糖尿病、冠心病、骨关节炎、癌症和精神疾病等疾病的重要风险因素。本综述研究了三叶草在治疗肥胖症及其并发症中对肠道微生物群的潜在作用。研究方法我们使用关键字 "Triphala"、"肥胖症"、"DM"、"心血管疾病 "和 "肠道微生物群 "在 Scopus、PubMed 和 Google Scholar 上进行搜索,筛选出相关文章。肥胖症及相关并发症会导致人体肠道微生物群发生明确变化。肥胖症患者的肠道微生物群中,类杆菌比例较低,而固着菌较多。通过益生菌、益生元、合成益生菌或粪便移植来调节和振兴肠道微生物群正在成为潜在的肥胖预防和/或治疗策略。研究表明,正常人体内产生丁酸盐的细菌最多,如普罗斯尼茨粪杆菌(Faecalibacterium prausnitzii)和粘蛋白阿克曼氏菌(Akkermansia muciniphila),但糖尿病患者体内的嗜酸乳杆菌(Bacteroides)却减少了一半。宿主代谢综合征和心血管风险可能受到肠道微生物群脂多糖(LPS)的影响。一项安慰剂对照试验得出结论,Triphala 有望在减轻体重、围度和体脂方面发挥作用。使用体外批量培养、果蝇和人体消化道模拟模型对 Triphala 的益生菌效果进行了研究,在每个模型中,Triphala 都能促进有益菌的生长,同时抑制致病菌。目前,有关三苯乙胺对粪便微生物组概况和炎症影响的临床研究仍在进行中。Triphala在改变肠道微生物群以有效控制肥胖症及其并发症方面的作用还有待研究。在此,我们推荐三苯乙胺针对肠道微生物群在控制肥胖症及其并发症方面的潜在作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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