益生菌和共生菌口服补充剂对成年人甲状腺功能的影响:一项分级系统性审查和元分析
Mehdi Karimi1, Reyhane Rabiei2, Kimia Kazemi3
1Faculty of Medicine, Bogomolets National Medical University (NMU), Kyiv, Ukraine. Karimi9010@gmail.com.
Thyroid research
|August 1, 2025
概括
益生菌和协生菌补充剂通过降低甲状腺刺激激素 (TSH) 和增加甲状腺激素T3和T4来改善甲状腺功能,显示出有希望. 这些肠道微生物干预措施可能有利于甲状腺疾病患者.
科学领域:
- 内分泌学 在内分泌学.
- 微生物组研究 微生物组研究
- 营养科学 营养科学
背景情况:
- 肠道微生物群通过肠-甲状腺轴影响甲状腺功能.
- 微生物组参与营养吸收,免疫调节和激素代谢至关重要.
- 益生菌和协生菌可能会影响甲状腺激素调节,但证据不一致.
研究的目的:
- 评估口服益生菌和协生菌对成年人甲状腺激素的影响.
- 综合目前关于针对甲状腺健康的微生物向干预措施的证据.
主要方法:
- 在主要数据库中进行系统的文献搜索,直到2025年4月.
- 使用标准平均差异 (SMD) 和95%置信区间 (CI) 的九项临床试验的元分析.
主要成果:
- 补充剂显著降低了甲状腺刺激激素 (TSH) (SMD: -1.10).
- 补充剂显著增加了自由三甲状腺素 (T3) (SMD:0.98) 和自由甲状腺素 (T4) (SMD:1.04).
- 较短的补充时间 (≤8周) 和甲状腺疾病患者表现出更大的益处.
结论:
- 益生菌和共生菌可以有益地调节甲状腺功能,降低TSH,增加T3/T4水平.
- 针对微生物组的干预措施显示出作为甲状腺功能障碍的辅助疗法的潜力.
- 进一步的大规模,长期随机对照试验是必要的,以确认疗效和建立协议.
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