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Effect of a Probiotic Preparation (VSL#3) on CardiovascularRisk Parameters in Critically-Ill Patients
Sarvin Sanaie1, Mehrangiz Ebrahimi-Mameghani, Ata Mahmoodpoor
1Student Research Center, Faculty of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran.
Insights
Probiotics significantly reduced triglyceride and hs-CRP levels while increasing HDL-C in critically ill patients. Total cholesterol and LDL-C showed no significant changes, indicating targeted lipid benefits.
Area of Science:
- Critical care medicine
- Microbiology
- Nutritional science
Background:
- Cardiovascular disease (CVD) is a leading cause of global mortality, often linked to lipid abnormalities.
- Critically ill patients are susceptible to lipid disorders and inflammation.
- Probiotics show potential in restoring lipid homeostasis and managing inflammation.
Purpose of the Study:
- To evaluate the impact of probiotic supplementation on inflammation, antioxidant capacity, and lipid peroxidation in critically ill patients.
- To assess changes in serum lipid profiles and high-sensitivity C-reactive protein (hs-CRP) levels.
Main Methods:
- A randomized controlled trial involving 40 critically ill patients.
- Participants received either probiotics or a placebo for 7 days.
- Serum levels of triglyceride (TG), total cholesterol, HDL-C, LDL-C, and hs-CRP were measured pre- and post-intervention.
Main Results:
- Probiotic administration led to significant reductions in TG (P=0.043) and hs-CRP (P=0.003) levels.
- A significant increase in HDL-C levels was observed (P<0.001) in the probiotic group.
- No significant differences were found in total cholesterol or LDL-C levels between the groups.
Conclusions:
- Probiotics effectively reduce triglyceride and hs-CRP levels in critically ill patients.
- Probiotic supplementation can improve HDL-C levels in this patient population.
- Probiotics do not significantly alter total cholesterol or LDL-C levels in critically ill patients.
Introduction:
Cardiovascular disease (CVD) counts for a major portion of morbidity and mortality globally mostly accompanied by lipid abnormalities. Being at increased risk of cardiac injury, critically ill patients suffer from various lipid disorders. Lipid homeostasis has been efficiently restored by the introduction of probiotics. The aim of this trial was to determine the effect of probiotics on inflammation, antioxidant capacity and lipid peroxidation in critically ill patients.
Methods:
Forty patients admitted to the intensive care unit were randomized to receive placebo or probiotic for 7 days. Serum levels of triglyceride (TG), total cholesterol, HDL-C, LDL-C and high- sensitivity C-reactive protein (hs-CRP) were measured before initiation of the study and on the 7(th) day.
Results:
There was a significant difference between two groups regarding the levels of TG, HDL and hs-CRP at the end of the study (P= 0.043, <0.001 and 0.003, respectively); however, there was not a significant difference in total cholesterol and LDL-C levels.
Conclusion:
Administration of probiotics in critically ill patients reduced the levels of TG and hs-CRP and increased HDL-C levels. However, no significant change was detected in levels of total cholesterol or LDL-C.
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