PROBIOTICS AS AN ADJUNCTIVE THERAPY FOR CELIAC DISEASE: SYMPTOM RELIEF AND QUALITY OF LIFE IMPROVEMENT.

Q2 Medicine
Arquivos de Gastroenterologia Pub Date : 2025-07-21 eCollection Date: 2025-01-01 DOI:10.1590/S0004-2803.24612024-111
Gabriel Fernandes Alves Jesus, Monique Michels, Emily Córneo, Marina P Rossetto, Alexandre J Faraco, Ana Paula Pesarico
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引用次数: 0

Abstract

Background: Celiac disease is a chronic autoimmune disorder triggered by gluten ingestion in genetically predisposed individuals, leading to intestinal damage. Probiotics have been studied for their potential benefits in modulating gut microbiota and alleviating gastrointestinal symptoms, which may be beneficial in managing celiac disease (CD).

Objective: In this way, this study evaluated the effects of probiotics compared to placebo in individuals with CD over the course of treatment.

Methods: A total of 85 participants, with an average age of 40 years, were randomized into two groups using a computer-generated list: 39 receiving placebo and 46 receiving a probiotic blend of Bifidobacterium lactis CCT 7858 and Lactobacillus rhamnosus CCT 7863 (1 x 109 CFU/day) over 90 days. Participants received either a daily probiotic capsule or an identical placebo made from maltodextrin, provided by Gabbia Biotecnologia Ltda. The randomization process and group assignments were concealed from both participants and investigators.

Results: Both groups exhibited similar demographic and clinical characteristics, with most participants symptomatic for CD and adhering to a gluten-free diet. The Bristol Stool Form Scale (BSFS) showed a predominance of normal stool forms in both groups, with a higher prevalence of type 4 in the probiotic group. Gastrointestinal Symptom Rating Scale (GSRS) scores improved significantly in the probiotic group compared to placebo. Additionally, the probiotic group showed significant improvements in emotional well-being and gastrointestinal symptoms, leading to a better quality of life, as measured by the CD-specific quality of life (CD-QOL) scores.

Conclusion: These results suggest that probiotics contribute to symptom improvement and enhanced quality of life in CD patients.

Background: • Probiotics improve celiac disease symptoms.

Background: • This study involved 85 participants with celiac disease.

Background: • The probiotic group significantly modulated gastrointestinal symptoms and quality of life.

Background: • The probiotics are beneficial adjunct therapy for individuals with celiac disease.

益生菌作为乳糜泻的辅助治疗:缓解症状和改善生活质量。
背景:乳糜泻是一种慢性自身免疫性疾病,由遗传易感个体摄入麸质引发,导致肠道损伤。益生菌在调节肠道菌群和减轻胃肠道症状方面的潜在益处已被研究,这可能有助于治疗乳糜泻(CD)。目的:通过这种方式,本研究评估了益生菌与安慰剂在治疗过程中对乳糜泻患者的影响。方法:共有85名参与者,平均年龄为40岁,使用计算机生成的列表随机分为两组:39人接受安慰剂,46人接受乳酸双歧杆菌CCT 7858和鼠李糖乳杆菌CCT 7863的益生菌混合物(1 × 109 CFU/天),持续90天。参与者每天服用益生菌胶囊或由Gabbia生物技术有限公司提供的由麦芽糊精制成的相同安慰剂。随机化过程和分组分配对参与者和调查人员都是隐藏的。结果:两组都表现出相似的人口统计学和临床特征,大多数参与者都有乳糜泻症状,并坚持无麸质饮食。布里斯托大便形式量表(BSFS)显示两组中正常大便形式占主导地位,益生菌组中4型大便的患病率更高。与安慰剂组相比,益生菌组胃肠道症状评定量表(GSRS)评分显著提高。此外,根据cd特异性生活质量(CD-QOL)评分,益生菌组在情绪健康和胃肠道症状方面表现出显着改善,导致更好的生活质量。结论:这些结果表明益生菌有助于改善CD患者的症状和提高生活质量。背景:•益生菌可改善乳糜泻症状。背景:•本研究纳入了85名乳糜泻患者。背景:•益生菌组显著调节胃肠道症状和生活质量。背景:•益生菌是乳糜泻患者有益的辅助疗法。
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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来源期刊
Arquivos de Gastroenterologia
Arquivos de Gastroenterologia Medicine-Gastroenterology
CiteScore
2.00
自引率
0.00%
发文量
109
审稿时长
9 weeks
期刊介绍: The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.
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