EFFECTS OF BIFIDOBACTERIUM BREVE ON LIPID AND BMI IN METABOLIC SYNDROME: DOUBLE-BLIND, PLACEBO-CONTROLLED CLINICAL TRIAL

Authors

DOI:

https://doi.org/10.55766/sujst10940

Abstract

Metabolic Syndrome (MetS) comprises a number of conditions arising due to particular malfunctions in the body’s metabolic system. The symptoms consist of abnormal glucose tolerance (glucose intolerance) and a high lipid profile. In Thailand, MetS has been found to be a major medical issue that is linked to other diseases such as cardiovascular diseases (CVDs), arteriosclerosis, and diabetes mellitus. There are 95,064 deaths per year across the country, equivalent to a death rate of 151.94 per 100,000 populations. Therefore, metabolic syndrome may be considered a major problem in Thailand. Objective: to study the effectiveness of using probiotics and food diet for 6 months to control BMI and biochemical measurements in people with MetS. The current research involved a randomized, case-control clinical trial using forty participants with MetS. The probiotic strains in this study included microencapsulated Bifidobacterium breve BRO3 and B632. Initially, measurements were taken for BMI and biochemical parameters, from the first month (M0) to 6 months (M6). The body composition measurements included BMI and blood pressure. The biochemical measurements included HbA1c, FBS, cholesterol, low-density lipoprotein cholesterol, triacylglycerols, and high-density lipoprotein cholesterol. Overall, forty cases with MetS revealed differences for the treatment group, with a significant decrease in BMI (P = 0.019), HbA1c (P = 0.004), FBS (P = 0.006), TC (P = 0.004), TGs (P = 0.002), LDL-C (P = 0.003) and HDL-C (P = 0.014) which could be considered significant at P<0.05.

References

Aronow, W. S. (2017). Reduction in dietary sodium improves blood pressure and reduces cardiovascular events and mortality. Annals of Translational Medicine, 5(20), 405. https://doi.org/10.21037/atm.2017.08.06

Alberti, G., Zimmet, P., Shaw, J., & Grundy, S. M. (2006). The IDF consensus worldwide definition of the metabolic syndrome. Consensus statement. Brussels, Belgium: International Diabetes Federation.

Bernini, L. J., Simão, A. N. C., Alfieri, D. F., Lozovoy, M. A. B., Mari, N.L., de Souza, C. H. B., Dichi, I., & Costa, G.N. (2016). Beneficial effects of Bifidobacterium lactis on lipid profile and cytokines in patients with metabolic syndrome: A randomized trial. Nutrition, 32(6), 716–719. https://doi.org/10.1016/j.nut.2015.11.001

Brand-Miller, J., Hayne, S., Petocz, P., & Colagiuri, S. (2003). Low-glycemic index diets in the management of diabetes: A meta-analysis of randomized controlled trials. Diabetes Care, 26(8), 2261–2267. https://doi.org/10.2337/diacare.26.8.2261

Bulsiewicz, W. J. (2023). The importance of dietary fiber for metabolic health. American Journal of Lifestyle Medicine, 17(5), 639–648. https://doi.org/10.1177/15598276231167778

Chaiyasut, C., Sivamaruthi, B. S., Kesika, P., Khongtan, S., & Sirilun, S. (2021). Synbiotic supplementation improves obesity index and metabolic biomarkers in Thai obese adults: A randomized clinical trial. Foods, 10(7), Article 1580. https://doi.org/10.3390/foods10071580

Chen, J.-P., Chen, G.-C., Wang, X.-P., Qin, L., & Bai, Y. (2018). Dietary fiber and metabolic syndrome: A meta-analysis and review of related mechanisms. Nutrients, 10(1), Article 24. https://doi.org/10.3390/nu10010024

Di Daniele, N., Noce, A., Vidiri, M. F., Moriconi, E., Marrone, G., Annicchiarico-Petruzzelli, M., D’Urso, G., Tesauro, M., Rovella, V., & De Lorenzo, A. (2017). Impact of Mediterranean diet on metabolic syndrome, cancer and longevity. Oncotarget, 8(5), 8947–8979. https://doi.org/10.18632/oncotarget.13553

Eberly, L. E., Prineas, R., Cohen, J. D., Vazquez, G., Zhi, X., Neaton, J. D., & Kuller, L. H. (2006).

Metabolic syndrome, risk factor distribution, and 18-year mortality in the Multiple Risk Factor Intervention Trial. Diabetes Care, 29(1), 123–130. https://doi.org/10.2337/diacare.29.01.06.dc05-1320

Greany, K. A., Bonorden, M. J. L., Hamilton-Reeves, J. M., McMullen, M, H., Wangen, K. E., Phipps, W. R., Feirtag, J., Thomas, W., & Kurzer, M. S. (2008). Probiotic capsules do not lower plasma lipids in young women and men. European Journal of Clinical Nutrition,

(2), 232–237. https://doi.org/10.1038/sj.ejcn.1602719

Grillo, A., Salvi, L., Coruzzi, P., Salvi, P., & Parati, G. (2019). Sodium intake and hypertension. Nutrients, 11(9), Article 1970. https://doi.org/10.3390/nu11091970

Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., Gordon, D. J., Krauss, R. M., Savage, P. J., Smith, S. C., Spertus, J. A., & Costa, F. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation, 112(17), 2735–2752. https://doi.org/10.1161/CIRCULATIONAHA.105.169404

Guo, Z., Liu, X. M., Zhang, Q. X., Shen, Z., Tian, F. W., Zhang, H., Sun, Z. H., Zhang, H. P., & Chen, W. (2011). Influence of consumption of probiotics on the plasma lipid profile: A meta-analysis of randomised controlled trials. Nutrition, Metabolism and Cardiovascular Diseases, 21(11), 844–850. https://doi.org/10.1016/j.numecd.2011.04.008

Hoyas, I., & León-Sanz, M. (2019). Nutritional challenges in metabolic syndrome. Journal of Clinical Medicine, 8(9), Article 1301. https://doi.org/10.3390/jcm8091301

International Diabetes Federation. (2023). IDF diabetes atlas (11th ed.). International Diabetes Federation.

Kassaian, N., Feizi, A., Aminorroaya, A., Jafari, P., Ebrahimi, M. T., & Amini, M. (2018). The effects of probiotics and synbiotic supplementation on glucose and insulin metabolism in adults with prediabetes: A double-blind randomized clinical trial. Acta Diabetologica, 55(10), 1019–1028. https://doi.org/10.1007/s00592-018-1175-2

Madempudi, R. S., Ahire, J. J., Neelamraju, J., Tripathi, A., & Nanal, S. (2019). Efficacy of UB0316, a multi-strain probiotic formulation in patients with type 2 diabetes mellitus: A double-blind, randomized, placebo-controlled study. PLOS ONE, 14(11), Article e0225168. https://doi.org/10.1371/journal.pone.0225168

Malik, S., Wong, N. D., Franklin, S. S., Kamath, T. V., L’Italien, G. J., Pio, J. R., & Williams, G. R. (2004). Impact of the metabolic syndrome on mortality from coronary heart disease, cardiovascular disease, and all causes in United States adults. Circulation, 110(10), 1245–1250. https://doi.org/10.1161/01.CIR.0000140677.20606.0E

Scavuzzi, B. M., Miglioranza, L. H. S., Henrique, F. C., Paroschi, T. P., Lozovoy, M. A. B., Simão, A. N. C., & Dichi, I. (2015). The role of probiotics on each component of the metabolic syndrome and other cardiovascular risks. Expert Opinion on Therapeutic Targets, 19(8), 1127–1138. https://doi.org/10.1517/14728222.2015.1028361

Radulian, G., Rusu, E., Dragomir, A., & Posea, M. (2009). Metabolic effects of low glycaemic index diets. Nutrition Journal, 8, Article 5. https://doi.org/10.1186/1475-2891-8-5

Sattar, N., Gaw, A., Scherbakova, O., Ford, I., O’Reilly, D. S. J., Haffner, S. M., Isles, C., Macfarlane, P. W., Packard, C. J., Cobbe, S. M., & Shepherd, J. (2003). Metabolic syndrome with and without C-reactive protein as a predictor of coronary heart disease

and diabetes in the West of Scotland Coronary Prevention Study. Circulation, 108(4), 414–419. https://doi.org/10.1161/01.CIR.0000080897.52664.94

Sudha, M. R., Ahire, J. J., Jayanthi, N., Tripathi, A., & Nanal, S. (2019). Effect of multi-strain probiotic (UB0316) in weight management in overweight/obese adults:

A 12-week double-blind, randomised, placebo-controlled study. Beneficial Microbes, 10(8), 855–866. https://doi.org/10.3920/BM2019.0052

Sung, H. K., Youn, S. J., Choi, Y., Eun, S. W., & Shin, S. M. (2023). Body fat reduction effect of Bifidobacterium breve B-3: A randomized controlled trial. Nutrients, 15(1), Article 28. https://doi.org/10.3390/nu15010028

Te Morenga, L. A., Levers, M. T., Williams, S. M., Brown R. C., & Mann, J. (2011). Comparison of high protein and high fiber weight-loss diets in women with risk factors for the metabolic syndrome: A randomized trial. Nutrition Journal, 10, Article 40. https://doi.org/10.1186/1475-2891-10-40

Vasei, M. H., Aliasgharzadeh, A., Mobasseri, M., & Mojtahedi, S. Y. (2022). Effect of dietary approaches to stop hypertension (DASH) diet with different sources of protein on cardiometabolic risk factors in patients with type 2 diabetes: A randomized clinical trial.

Primary Care Diabetes, 16(5), 634–639. https://doi.org/10.1016/j.pcd.2022.09.001

Xia, M., Zhong, Y., Peng, Y., & Qian, C. (2022). Olive oil consumption and risk of cardiovascular disease and all-cause mortality: A meta-analysis of prospective cohort studies. Frontiers in Nutrition, 9, Article 1041203. https://doi.org/10.3389/fnut.2022.1041203

Xiong, R.-G., Zhou, D.-D., Wu, S.-X., Huang, S.-Y., Saimaiti, A., Yang, Z.-J., Shang, A., Zhao, C.-N., Gan, R.-Y., & Li, H.-B. (2022). Health benefits and side effects of short-chain fatty acids. Foods, 11(18), Article 2863. https://doi.org/10.3390/foods11182863

Zhang, L., Chu, J., Hao, W., Zhang, J., Li, H., Yang, C., Yang, J., Chen, X., & Wang, H. (2021). Gut microbiota and type 2 diabetes mellitus: Association, mechanism, and translational applications. Mediators of Inflammation, 2021, Article 5110276. https://doi.org/10.1155/2021/5110276

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Published

2026-06-22

How to Cite

Numnark, D., & Panprame, P. (2026). EFFECTS OF BIFIDOBACTERIUM BREVE ON LIPID AND BMI IN METABOLIC SYNDROME: DOUBLE-BLIND, PLACEBO-CONTROLLED CLINICAL TRIAL. Suranaree Journal of Science and Technology, 33(2), 070104(1–8). https://doi.org/10.55766/sujst10940