Effect of probiotic supplementation on plasma metabolite profile after Roux-Y gastric bypass: a prospective, randomized, double-blind, placebo-controlled clinical trial
Background/objective There is evidence that metabolic profile changes after Roux-Y gastric bypass (RYGB), especially due to modifications in the gastrointestinal tract. In addition, previous studies have suggested that probiotics can modify the microbiome and produce metabolites important for metabo...
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Published in | International Journal of Obesity Vol. 46; no. 11; pp. 2006 - 2012 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Nature Publishing Group UK
01.11.2022
Nature Publishing Group |
Subjects | |
Online Access | Get full text |
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Abstract | Background/objective
There is evidence that metabolic profile changes after Roux-Y gastric bypass (RYGB), especially due to modifications in the gastrointestinal tract. In addition, previous studies have suggested that probiotics can modify the microbiome and produce metabolites important for metabolic health maintenance. In this sense, the aim of this study was to verify the influence of probiotic supplementation on the plasma metabolite profile after RYGB.
Methods
This was a randomized, double-blind, placebo-controlled clinical trial conducted with 31 patients subjected to RYGB surgery, randomized in probiotic group that was supplemented with a probiotic supplement (FloraVantage
®
) for 3 months after surgery or a placebo group. Plasma metabonomics was performed using nuclear magnetic resonance (NMR) at the preoperative period (T0) and at 45–50 days (T1) and 90–95 days (T2) during the postoperative period/intervention.
Results
Reductions in trimethylamine-N-oxide (TMAO) and alanine were observed in both groups, however this reduction was greater in the probiotic group (TMAO 13.82%,
p
= 0.01 and alanine 14.03%,
p
= 0.03) at T2. Additionally, β-hydroxybutyrate (BHB) levels increased 10.77% in the probiotic group (
p
= 0.03) compared to the placebo group at T2.
Conclusion
Supplementation with Lactobacillus acidophilus NCFM and Bifidobacterium lactis Bi-07 was able to associate with significant differences in relevant plasma metabolites associated with improved metabolic health. |
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AbstractList | Background/objectiveThere is evidence that metabolic profile changes after Roux-Y gastric bypass (RYGB), especially due to modifications in the gastrointestinal tract. In addition, previous studies have suggested that probiotics can modify the microbiome and produce metabolites important for metabolic health maintenance. In this sense, the aim of this study was to verify the influence of probiotic supplementation on the plasma metabolite profile after RYGB.MethodsThis was a randomized, double-blind, placebo-controlled clinical trial conducted with 31 patients subjected to RYGB surgery, randomized in probiotic group that was supplemented with a probiotic supplement (FloraVantage®) for 3 months after surgery or a placebo group. Plasma metabonomics was performed using nuclear magnetic resonance (NMR) at the preoperative period (T0) and at 45–50 days (T1) and 90–95 days (T2) during the postoperative period/intervention.ResultsReductions in trimethylamine-N-oxide (TMAO) and alanine were observed in both groups, however this reduction was greater in the probiotic group (TMAO 13.82%, p = 0.01 and alanine 14.03%, p = 0.03) at T2. Additionally, β-hydroxybutyrate (BHB) levels increased 10.77% in the probiotic group (p = 0.03) compared to the placebo group at T2.ConclusionSupplementation with Lactobacillus acidophilus NCFM and Bifidobacterium lactis Bi-07 was able to associate with significant differences in relevant plasma metabolites associated with improved metabolic health. Background/objective There is evidence that metabolic profile changes after Roux-Y gastric bypass (RYGB), especially due to modifications in the gastrointestinal tract. In addition, previous studies have suggested that probiotics can modify the microbiome and produce metabolites important for metabolic health maintenance. In this sense, the aim of this study was to verify the influence of probiotic supplementation on the plasma metabolite profile after RYGB. Methods This was a randomized, double-blind, placebo-controlled clinical trial conducted with 31 patients subjected to RYGB surgery, randomized in probiotic group that was supplemented with a probiotic supplement (FloraVantage ® ) for 3 months after surgery or a placebo group. Plasma metabonomics was performed using nuclear magnetic resonance (NMR) at the preoperative period (T0) and at 45–50 days (T1) and 90–95 days (T2) during the postoperative period/intervention. Results Reductions in trimethylamine-N-oxide (TMAO) and alanine were observed in both groups, however this reduction was greater in the probiotic group (TMAO 13.82%, p = 0.01 and alanine 14.03%, p = 0.03) at T2. Additionally, β-hydroxybutyrate (BHB) levels increased 10.77% in the probiotic group ( p = 0.03) compared to the placebo group at T2. Conclusion Supplementation with Lactobacillus acidophilus NCFM and Bifidobacterium lactis Bi-07 was able to associate with significant differences in relevant plasma metabolites associated with improved metabolic health. |
Author | Felicidade, Ingrid Ribeiro, Lúcia Regina Henrique-Bana, Fernanda Carla Campos, Antônio Carlos Ligocki Wagner, Nathalia Ramori Farinha Mantovani, Mário Sérgio de Oliveira Carlos, Lígia de Lima, Luan Vitor Alves Ramos, Marília Rizzon Zaparolli Macedo Junior, Fernando Cesar Lopes, Thiago Inácio Barros da Cruz, Magda Rosa Ramos Zimmerman, João Vitor |
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There is evidence that metabolic profile changes after Roux-Y gastric bypass (RYGB), especially due to modifications in the... Background/objectiveThere is evidence that metabolic profile changes after Roux-Y gastric bypass (RYGB), especially due to modifications in the... BACKGROUND/OBJECTIVEThere is evidence that metabolic profile changes after Roux-Y gastric bypass (RYGB), especially due to modifications in the... |
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SubjectTerms | 101/6 692/700/2814 692/700/2817 82/6 Alanine Clinical trials Dietary supplements Double-blind studies Epidemiology Gastric bypass Gastrointestinal surgery Gastrointestinal system Gastrointestinal tract Health Promotion and Disease Prevention Internal Medicine Medicine Medicine & Public Health Metabolic Diseases Metabolism Metabolites Microbiomes NMR Nuclear magnetic resonance Placebos Plasma Probiotics Public Health Supplements Surgery Trimethylamine Trimethylamine-N-oxide |
Title | Effect of probiotic supplementation on plasma metabolite profile after Roux-Y gastric bypass: a prospective, randomized, double-blind, placebo-controlled clinical trial |
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