The Effect of Synbiotic Consumption on Serum NTproBNP, hsCRP and Blood Pressure in Patients With Chronic Heart Failure: A Randomized, Triple-Blind, Controlled Trial

BackgroundIn recent years, there has been a positive attitude toward gut microbiota and its effect on cardiovascular diseases, including heart failure.ObjectiveThe purpose of this study was to evaluate the effect of synbiotics on left ventricular hypertrophy by measuring NT-proBNP, and their effect...

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Main Authors: Shakiba Shoaei Matin, Farzad Shidfar, Nasim Naderi, Ahmad Amin, Fatemeh Sadat Hosseini-Baharanchi, Afsaneh Dehnad
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2021.822498/full
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author Shakiba Shoaei Matin
Farzad Shidfar
Nasim Naderi
Ahmad Amin
Fatemeh Sadat Hosseini-Baharanchi
Afsaneh Dehnad
author_facet Shakiba Shoaei Matin
Farzad Shidfar
Nasim Naderi
Ahmad Amin
Fatemeh Sadat Hosseini-Baharanchi
Afsaneh Dehnad
author_sort Shakiba Shoaei Matin
collection DOAJ
description BackgroundIn recent years, there has been a positive attitude toward gut microbiota and its effect on cardiovascular diseases, including heart failure.ObjectiveThe purpose of this study was to evaluate the effect of synbiotics on left ventricular hypertrophy by measuring NT-proBNP, and their effect on blood pressure and hsCRP as an inflammatory biomarker in patients with chronic heart failure.DesignIn this triple-blind randomized clinical trial, 90 eligible patients were included in the study. They were randomly assigned to receive one capsule (500 mg) of synbiotics or placebo per day for 10 weeks. NTproBNP, hsCRP and blood pressure were measured at the beginning and end of the study. Statistical analysis was performed on 80 patients by using SPSS 24, and p < 0.05 as statistically significant.ResultAt the end of the study, the level of NT-proBNP decreased significantly in the synbiotic group compared to the placebo group (r = −256.55; P = 0.04). However, hsCRP increased in both groups as compared to the beginning of the study, but only in the placebo group the increase in hsCRP was significant (P = 0.01). The results showed that the changes in hs-CRP was not significant between the two groups. No statistically significant differences were observed in systolic and diastolic blood pressure between the two groups at the end of the intervention.ConclusionSynbiotics have favorable effect on cardiac hypertrophy index (NT-proBNP). Although the inflammatory factor increased in both groups, the significant increase in hsCRP in the placebo group could indicate the beneficial effects of synbiotics on the inflammatory status of these patients.Clinical Trial Registrationhttps://en.irct.ir/user/trial/42905/view, identifier: IRCT20091114002709N52.
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spelling doaj.art-1d62b79cee6e441897b6cf15b7ebe4132022-12-22T00:11:01ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-04-01810.3389/fnut.2021.822498822498The Effect of Synbiotic Consumption on Serum NTproBNP, hsCRP and Blood Pressure in Patients With Chronic Heart Failure: A Randomized, Triple-Blind, Controlled TrialShakiba Shoaei Matin0Farzad Shidfar1Nasim Naderi2Ahmad Amin3Fatemeh Sadat Hosseini-Baharanchi4Afsaneh Dehnad5Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, IranDepartment of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, IranRajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, IranRajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, IranDepartment of Biostatistics, Minimally Invasive Surgery Research Center, School of Public Health, Iran University of Medical Sciences, Tehran, IranDepartment of Medical Education, Center for Educational Research in Medical Sciences (CERMS), School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranBackgroundIn recent years, there has been a positive attitude toward gut microbiota and its effect on cardiovascular diseases, including heart failure.ObjectiveThe purpose of this study was to evaluate the effect of synbiotics on left ventricular hypertrophy by measuring NT-proBNP, and their effect on blood pressure and hsCRP as an inflammatory biomarker in patients with chronic heart failure.DesignIn this triple-blind randomized clinical trial, 90 eligible patients were included in the study. They were randomly assigned to receive one capsule (500 mg) of synbiotics or placebo per day for 10 weeks. NTproBNP, hsCRP and blood pressure were measured at the beginning and end of the study. Statistical analysis was performed on 80 patients by using SPSS 24, and p < 0.05 as statistically significant.ResultAt the end of the study, the level of NT-proBNP decreased significantly in the synbiotic group compared to the placebo group (r = −256.55; P = 0.04). However, hsCRP increased in both groups as compared to the beginning of the study, but only in the placebo group the increase in hsCRP was significant (P = 0.01). The results showed that the changes in hs-CRP was not significant between the two groups. No statistically significant differences were observed in systolic and diastolic blood pressure between the two groups at the end of the intervention.ConclusionSynbiotics have favorable effect on cardiac hypertrophy index (NT-proBNP). Although the inflammatory factor increased in both groups, the significant increase in hsCRP in the placebo group could indicate the beneficial effects of synbiotics on the inflammatory status of these patients.Clinical Trial Registrationhttps://en.irct.ir/user/trial/42905/view, identifier: IRCT20091114002709N52.https://www.frontiersin.org/articles/10.3389/fnut.2021.822498/fullsynbioticheart failureNT-proBNPblood pressurehs-CRP
spellingShingle Shakiba Shoaei Matin
Farzad Shidfar
Nasim Naderi
Ahmad Amin
Fatemeh Sadat Hosseini-Baharanchi
Afsaneh Dehnad
The Effect of Synbiotic Consumption on Serum NTproBNP, hsCRP and Blood Pressure in Patients With Chronic Heart Failure: A Randomized, Triple-Blind, Controlled Trial
Frontiers in Nutrition
synbiotic
heart failure
NT-proBNP
blood pressure
hs-CRP
title The Effect of Synbiotic Consumption on Serum NTproBNP, hsCRP and Blood Pressure in Patients With Chronic Heart Failure: A Randomized, Triple-Blind, Controlled Trial
title_full The Effect of Synbiotic Consumption on Serum NTproBNP, hsCRP and Blood Pressure in Patients With Chronic Heart Failure: A Randomized, Triple-Blind, Controlled Trial
title_fullStr The Effect of Synbiotic Consumption on Serum NTproBNP, hsCRP and Blood Pressure in Patients With Chronic Heart Failure: A Randomized, Triple-Blind, Controlled Trial
title_full_unstemmed The Effect of Synbiotic Consumption on Serum NTproBNP, hsCRP and Blood Pressure in Patients With Chronic Heart Failure: A Randomized, Triple-Blind, Controlled Trial
title_short The Effect of Synbiotic Consumption on Serum NTproBNP, hsCRP and Blood Pressure in Patients With Chronic Heart Failure: A Randomized, Triple-Blind, Controlled Trial
title_sort effect of synbiotic consumption on serum ntprobnp hscrp and blood pressure in patients with chronic heart failure a randomized triple blind controlled trial
topic synbiotic
heart failure
NT-proBNP
blood pressure
hs-CRP
url https://www.frontiersin.org/articles/10.3389/fnut.2021.822498/full
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