A Narrative Review of Human Clinical Trials to Improve Lactose Digestion and Tolerance by Feeding Bifidobacteria or Galacto-Oligosacharides

Supplementation with the probiotic <i>Bifidobacterium</i> and prebiotic galacto-oligosaccharides (GOS) could improve gut health and benefit lactose intolerant individuals. A narrative review was conducted to identify human clinical trials that evaluated lactose digestion and/or tolerance...

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Main Authors: Sindusha Mysore Saiprasad, Olivia Grace Moreno, Dennis A. Savaiano
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/16/3559
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author Sindusha Mysore Saiprasad
Olivia Grace Moreno
Dennis A. Savaiano
author_facet Sindusha Mysore Saiprasad
Olivia Grace Moreno
Dennis A. Savaiano
author_sort Sindusha Mysore Saiprasad
collection DOAJ
description Supplementation with the probiotic <i>Bifidobacterium</i> and prebiotic galacto-oligosaccharides (GOS) could improve gut health and benefit lactose intolerant individuals. A narrative review was conducted to identify human clinical trials that evaluated lactose digestion and/or tolerance in response to consumption of <i>Bifidobacterium</i>, GOS, or both. A total of 152 studies on <i>Bifidobacterium</i> and GOS or both were published between 1983 and 2022. Out of the 152 studies, 20 were human clinical trials conducted in lactose intolerant subjects; 8 studies were conducted with <i>Bifidobacterium</i> supplementation and 3 studies involved GOS supplementation. Five studies reported favorable outcomes of <i>Bifidobacterium</i> supplementation in managing lactose intolerance (LI). Similarly, three studies reported favorable outcomes with GOS supplementation. The other three studies reported neutral outcomes. In conclusion, most studies reported a favorable effect of <i>Bifidobacterium</i> and GOS on managing the symptoms of LI. No study has examined the effects of combined supplementation with <i>Bifidobacterium</i> and GOS in lactose intolerant subjects. Future research could examine if co-supplementation with <i>Bifidobacterium</i> and GOS is a more effective strategy to reduce the dairy discomfort in LI individuals.
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spelling doaj.art-d65a480b9cf843bfb50bed50e47ee23f2023-11-19T02:29:44ZengMDPI AGNutrients2072-66432023-08-011516355910.3390/nu15163559A Narrative Review of Human Clinical Trials to Improve Lactose Digestion and Tolerance by Feeding Bifidobacteria or Galacto-OligosacharidesSindusha Mysore Saiprasad0Olivia Grace Moreno1Dennis A. Savaiano2Department of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USADepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USADepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USASupplementation with the probiotic <i>Bifidobacterium</i> and prebiotic galacto-oligosaccharides (GOS) could improve gut health and benefit lactose intolerant individuals. A narrative review was conducted to identify human clinical trials that evaluated lactose digestion and/or tolerance in response to consumption of <i>Bifidobacterium</i>, GOS, or both. A total of 152 studies on <i>Bifidobacterium</i> and GOS or both were published between 1983 and 2022. Out of the 152 studies, 20 were human clinical trials conducted in lactose intolerant subjects; 8 studies were conducted with <i>Bifidobacterium</i> supplementation and 3 studies involved GOS supplementation. Five studies reported favorable outcomes of <i>Bifidobacterium</i> supplementation in managing lactose intolerance (LI). Similarly, three studies reported favorable outcomes with GOS supplementation. The other three studies reported neutral outcomes. In conclusion, most studies reported a favorable effect of <i>Bifidobacterium</i> and GOS on managing the symptoms of LI. No study has examined the effects of combined supplementation with <i>Bifidobacterium</i> and GOS in lactose intolerant subjects. Future research could examine if co-supplementation with <i>Bifidobacterium</i> and GOS is a more effective strategy to reduce the dairy discomfort in LI individuals.https://www.mdpi.com/2072-6643/15/16/3559probioticsprebiotics<i>Bifidobacterium</i>galacto-oligosaccharideslactose intolerance
spellingShingle Sindusha Mysore Saiprasad
Olivia Grace Moreno
Dennis A. Savaiano
A Narrative Review of Human Clinical Trials to Improve Lactose Digestion and Tolerance by Feeding Bifidobacteria or Galacto-Oligosacharides
Nutrients
probiotics
prebiotics
<i>Bifidobacterium</i>
galacto-oligosaccharides
lactose intolerance
title A Narrative Review of Human Clinical Trials to Improve Lactose Digestion and Tolerance by Feeding Bifidobacteria or Galacto-Oligosacharides
title_full A Narrative Review of Human Clinical Trials to Improve Lactose Digestion and Tolerance by Feeding Bifidobacteria or Galacto-Oligosacharides
title_fullStr A Narrative Review of Human Clinical Trials to Improve Lactose Digestion and Tolerance by Feeding Bifidobacteria or Galacto-Oligosacharides
title_full_unstemmed A Narrative Review of Human Clinical Trials to Improve Lactose Digestion and Tolerance by Feeding Bifidobacteria or Galacto-Oligosacharides
title_short A Narrative Review of Human Clinical Trials to Improve Lactose Digestion and Tolerance by Feeding Bifidobacteria or Galacto-Oligosacharides
title_sort narrative review of human clinical trials to improve lactose digestion and tolerance by feeding bifidobacteria or galacto oligosacharides
topic probiotics
prebiotics
<i>Bifidobacterium</i>
galacto-oligosaccharides
lactose intolerance
url https://www.mdpi.com/2072-6643/15/16/3559
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