成年人的益生菌补充和骨健康参数:系统性审查和元分析
Khemayanto Hidayat1, Yan Zhu2, René Rizzoli3
1Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, 215123, China. khemayanto@suda.edu.cn.
概括
益生菌补充剂对骨健康有适度的益处,在绝经后妇女中显著增加腰椎和部骨矿物质密度 (BMD). 需要进一步的研究来澄清对其他骨标记物的影响.
科学领域:
- 微生物学 微生物学
- 骨生理学 骨生理学
- 营养科学 营养科学
背景情况:
- 肠道微生物群对骨健康起着重要作用.
- 益生菌补充剂对骨的益处需要进一步研究.
研究的目的:
- 对益生菌补充剂和骨健康的随机对照试验 (RCT) 进行系统审查和元分析.
- 评估益生菌在改善骨矿物质密度 (BMD) 和骨周转标记物的有效性.
主要方法:
- 搜索了PubMed,科学网和中国国家知识基础设施数据库的相关RCT.
- 包括研究报告影响的BMD,1型原体 (CTX) 的C-终端端或1型N-propeptide (P1NP) 的亲原体.
- 使用随机效应模型进行元分析,以计算聚合加权平均差异和95%置信区间.
主要成果:
- 益生菌补充剂显著增加腰椎区域BMD (aBMD) 和部aBMD.
- 没有观察到对部部aBMD,P1NP或CTX的显著影响.
- 发现了中等到高的异质性,可能是由于参与者和干预措施的变化. 当分析仅限于绝经后妇女时,结果是一致的.
结论:
- 在绝经后的妇女中,益生菌补充剂在腰椎骨质量和在较小程度上,部骨质量方面提供了适度的,但在统计学上显著的改善.
- 这些证据是基于可用的RCT,强调了需要继续在这一领域的研究.
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