益生菌对老年人的认知和便秘的影响:元分析
Neeraja Recharla1, Jihee Choi1,2, Pradeep Puligundla3
1Institute for Aging and Clinical Nutrition Research, Gachon University, Seongnam-si, Gyeonggi-do 13120, Republic of Korea.
益生菌补充剂没有显著改善老年人的整体认知功能. 然而,单株益生菌增强了认知能力,而益生菌有效地减少了便秘症状,特别是在更长的干预期间.
科学领域:
- 老年学是指老年学的学科.
- 微生物学 微生物学
- 神经科学是一个神经科学.
背景情况:
- 认知能力下降和便秘是老年人群中普遍存在的问题.
- 肠-大脑轴表明肠道健康和认知功能之间存在联系.
- 益生菌正在探索其减轻这些与年龄相关的疾病的潜力.
研究的目的:
- 通过元分析量化评估益生菌补充剂对老年人认知功能和便秘的疗效.
- 根据益生菌菌株类型和干预持续时间分析子组影响.
主要方法:
- 对13项临床研究进行了元分析.
- 对八项认知和五项便秘研究进行了偏差和异质性风险评估.
- 随机效应模型用于组和子组元分析.
主要成果:
- 总体而言,益生菌补充剂没有改善认知评分尺度 (p=0.41).
- 单株益生菌在认知功能上显著改善 (p=0.039).
- 益生菌显著提高了便秘患者的排便频率 (p=0.019) 和增加了便中的Lactobacillus数量 (p=0.026).
- 4周以上的干预措施在缓解便秘方面更有效 (p=0.044).
结论:
- 益生菌补充剂显示出减轻老年人便秘的潜力.
- 单株益生菌可能对老年人的认知功能有好处.
- 高异质性和有限的研究需要进一步研究益生菌和认知功能.
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