The effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome: a randomized controlled trial

Abstract Background Different therapies have been suggested for polycystic ovary syndrome (PCOS), but changes in lifestyle and diet have been considered. Diet and dietary factors can be very effective in modifying the disease. The positive effects of probiotic and synbiotics supplementation on impro...

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Main Authors: Elham Karimi, Javad Heshmati, Nooshin Shirzad, Samira Vesali, Mohammad Javad Hosseinzadeh-Attar, Ashraf Moini, Mahdi Sepidarkish
Format: Article
Language:English
Published: BMC 2020-04-01
Series:Lipids in Health and Disease
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12944-020-01244-4
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author Elham Karimi
Javad Heshmati
Nooshin Shirzad
Samira Vesali
Mohammad Javad Hosseinzadeh-Attar
Ashraf Moini
Mahdi Sepidarkish
author_facet Elham Karimi
Javad Heshmati
Nooshin Shirzad
Samira Vesali
Mohammad Javad Hosseinzadeh-Attar
Ashraf Moini
Mahdi Sepidarkish
author_sort Elham Karimi
collection DOAJ
description Abstract Background Different therapies have been suggested for polycystic ovary syndrome (PCOS), but changes in lifestyle and diet have been considered. Diet and dietary factors can be very effective in modifying the disease. The positive effects of probiotic and synbiotics supplementation on improving lipid profiles and anthropometric indices have been examined in various diseases. This study was conducted to evaluate the effects of synbiotics supplementation on lipid and anthropometric profiles in infertile women with PCOS. Methods PCOS patients aged 19–37 years old were randomized to receive either synbiotics supplement (n = 50) or placebo (n = 49) for 12 weeks. Results Consumption of synbiotics compared to the placebo, resulted in a significant decrease in Low-density lipoprotein cholesterol (LDL) value (Change Mean Difference (CMD): 4.66, 95%CI: 0.20, 9.13) and a significant increase in high-density lipoprotein cholesterol (HDL) (CMD: 1.80, 95%CI: 0.34, 3.26). Although we failed to find a significant effect of synbiotics consumption on total cholesterol (TC) and triglyceride (TG) levels. We did not find differences in anthropometric indices between groups. Conclusions Overall, 12 weeks of synbiotics supplementation among PCOS women resulted in beneficial effects on LDL and HDL, although it is not yet clear how much our findings are clinically significant and more clinical studies with larger sample sizes are still needed. Trial registration Iranian Registry of clinical Trial, IRCT.ir, ID: IRCT2014110515536N2 . Registered on 19 December 2015. Graphical abstract
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spelling doaj.art-c9449a42366642cb961631373e527a9f2022-12-21T17:58:14ZengBMCLipids in Health and Disease1476-511X2020-04-011911910.1186/s12944-020-01244-4The effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome: a randomized controlled trialElham Karimi0Javad Heshmati1Nooshin Shirzad2Samira Vesali3Mohammad Javad Hosseinzadeh-Attar4Ashraf Moini5Mahdi Sepidarkish6Department of Clinical Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical SciencesDepartment of Nutritional Science, School of Nutritional Science and Food Technology, Kermanshah University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesReproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECRDepartment of Clinical Nutrition, School of Nutritional Sciences and Dietetics, International Campus, Tehran University of Medical Sciences (IC-TUMS)Department of Gynecology and Obstetrics, Roointan-Arash Maternity Hospital, Tehran University of Medical SciencesDepartment of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical SciencesAbstract Background Different therapies have been suggested for polycystic ovary syndrome (PCOS), but changes in lifestyle and diet have been considered. Diet and dietary factors can be very effective in modifying the disease. The positive effects of probiotic and synbiotics supplementation on improving lipid profiles and anthropometric indices have been examined in various diseases. This study was conducted to evaluate the effects of synbiotics supplementation on lipid and anthropometric profiles in infertile women with PCOS. Methods PCOS patients aged 19–37 years old were randomized to receive either synbiotics supplement (n = 50) or placebo (n = 49) for 12 weeks. Results Consumption of synbiotics compared to the placebo, resulted in a significant decrease in Low-density lipoprotein cholesterol (LDL) value (Change Mean Difference (CMD): 4.66, 95%CI: 0.20, 9.13) and a significant increase in high-density lipoprotein cholesterol (HDL) (CMD: 1.80, 95%CI: 0.34, 3.26). Although we failed to find a significant effect of synbiotics consumption on total cholesterol (TC) and triglyceride (TG) levels. We did not find differences in anthropometric indices between groups. Conclusions Overall, 12 weeks of synbiotics supplementation among PCOS women resulted in beneficial effects on LDL and HDL, although it is not yet clear how much our findings are clinically significant and more clinical studies with larger sample sizes are still needed. Trial registration Iranian Registry of clinical Trial, IRCT.ir, ID: IRCT2014110515536N2 . Registered on 19 December 2015. Graphical abstracthttp://link.springer.com/article/10.1186/s12944-020-01244-4Polycystic ovary syndromeSynbioticsCholesterol, LDLCholesterol, HDLTriglycerides
spellingShingle Elham Karimi
Javad Heshmati
Nooshin Shirzad
Samira Vesali
Mohammad Javad Hosseinzadeh-Attar
Ashraf Moini
Mahdi Sepidarkish
The effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome: a randomized controlled trial
Lipids in Health and Disease
Polycystic ovary syndrome
Synbiotics
Cholesterol, LDL
Cholesterol, HDL
Triglycerides
title The effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome: a randomized controlled trial
title_full The effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome: a randomized controlled trial
title_fullStr The effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome: a randomized controlled trial
title_full_unstemmed The effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome: a randomized controlled trial
title_short The effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome: a randomized controlled trial
title_sort effect of synbiotics supplementation on anthropometric indicators and lipid profiles in women with polycystic ovary syndrome a randomized controlled trial
topic Polycystic ovary syndrome
Synbiotics
Cholesterol, LDL
Cholesterol, HDL
Triglycerides
url http://link.springer.com/article/10.1186/s12944-020-01244-4
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