Effects of a Multispecies Probiotic Mixture on Glycemic Control and Inflammatory Status in Women with Gestational Diabetes: A Randomized Controlled Clinical Trial

Objective. This trial aims to examine the effects of a Probiotic Mixture (VSL#3) on glycemic status and inflammatory markers, in women with GDM. Materials and Methods. Over a period of 8 weeks, 82 women with gestational diabetes were randomly assigned to either an intervention group (n=41) which wer...

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Main Authors: Sadegh Jafarnejad, Sadaf Saremi, Farzan Jafarnejad, Arman Arab
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2016/5190846
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author Sadegh Jafarnejad
Sadaf Saremi
Farzan Jafarnejad
Arman Arab
author_facet Sadegh Jafarnejad
Sadaf Saremi
Farzan Jafarnejad
Arman Arab
author_sort Sadegh Jafarnejad
collection DOAJ
description Objective. This trial aims to examine the effects of a Probiotic Mixture (VSL#3) on glycemic status and inflammatory markers, in women with GDM. Materials and Methods. Over a period of 8 weeks, 82 women with gestational diabetes were randomly assigned to either an intervention group (n=41) which were given VSL#3 capsule or to a control group which were given placebo capsule (n=41). Fasting plasma glucose, homeostatic model assessment of insulin resistance, glycosylated hemoglobin, high-sensitivity C-reactive protein, tumor necrosis factor-α, interleukin-6, Interferon gamma, and interleukin-10 were measured before and after the intervention. Results. After 8 wk of supplementation FPG, HbA1c, HOMA-IR, and insulin levels remained unchanged in the probiotic and placebo groups. The comparison between the two groups showed no significant differences with FPG and HbA1c, but there were significant differences in insulin levels and HOMA-IR (16.6±5.9; 3.7±1.5, resp.). Unlike the levels of IFN-g (19.21±16.6), there was a significant decrease in levels of IL-6 (3.81±0.7), TNF-α (3.10±1.1), and hs-CRP (4927.4±924.6). No significant increase was observed in IL-10 (3.11±5.7) in the intervention group as compared with the control group. Conclusions. In women with GDM, supplementation with probiotics (VSL#3) may help to modulate some inflammatory markers and may have benefits on glycemic control.
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spelling doaj-art-6505d9545345455f9f39bd7cd5b86ccc2025-02-03T01:30:52ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322016-01-01201610.1155/2016/51908465190846Effects of a Multispecies Probiotic Mixture on Glycemic Control and Inflammatory Status in Women with Gestational Diabetes: A Randomized Controlled Clinical TrialSadegh Jafarnejad0Sadaf Saremi1Farzan Jafarnejad2Arman Arab3Department of Clinical Nutrition, School of Nutritional Sciences and Dietetic, Tehran University of Medical Sciences, P.O. Box 14155-6117, Tehran, IranDepartment of Public Health, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Health Information Management, Mazandaran University of Medical Sciences, Sari, IranDepartment of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, IranObjective. This trial aims to examine the effects of a Probiotic Mixture (VSL#3) on glycemic status and inflammatory markers, in women with GDM. Materials and Methods. Over a period of 8 weeks, 82 women with gestational diabetes were randomly assigned to either an intervention group (n=41) which were given VSL#3 capsule or to a control group which were given placebo capsule (n=41). Fasting plasma glucose, homeostatic model assessment of insulin resistance, glycosylated hemoglobin, high-sensitivity C-reactive protein, tumor necrosis factor-α, interleukin-6, Interferon gamma, and interleukin-10 were measured before and after the intervention. Results. After 8 wk of supplementation FPG, HbA1c, HOMA-IR, and insulin levels remained unchanged in the probiotic and placebo groups. The comparison between the two groups showed no significant differences with FPG and HbA1c, but there were significant differences in insulin levels and HOMA-IR (16.6±5.9; 3.7±1.5, resp.). Unlike the levels of IFN-g (19.21±16.6), there was a significant decrease in levels of IL-6 (3.81±0.7), TNF-α (3.10±1.1), and hs-CRP (4927.4±924.6). No significant increase was observed in IL-10 (3.11±5.7) in the intervention group as compared with the control group. Conclusions. In women with GDM, supplementation with probiotics (VSL#3) may help to modulate some inflammatory markers and may have benefits on glycemic control.http://dx.doi.org/10.1155/2016/5190846
spellingShingle Sadegh Jafarnejad
Sadaf Saremi
Farzan Jafarnejad
Arman Arab
Effects of a Multispecies Probiotic Mixture on Glycemic Control and Inflammatory Status in Women with Gestational Diabetes: A Randomized Controlled Clinical Trial
Journal of Nutrition and Metabolism
title Effects of a Multispecies Probiotic Mixture on Glycemic Control and Inflammatory Status in Women with Gestational Diabetes: A Randomized Controlled Clinical Trial
title_full Effects of a Multispecies Probiotic Mixture on Glycemic Control and Inflammatory Status in Women with Gestational Diabetes: A Randomized Controlled Clinical Trial
title_fullStr Effects of a Multispecies Probiotic Mixture on Glycemic Control and Inflammatory Status in Women with Gestational Diabetes: A Randomized Controlled Clinical Trial
title_full_unstemmed Effects of a Multispecies Probiotic Mixture on Glycemic Control and Inflammatory Status in Women with Gestational Diabetes: A Randomized Controlled Clinical Trial
title_short Effects of a Multispecies Probiotic Mixture on Glycemic Control and Inflammatory Status in Women with Gestational Diabetes: A Randomized Controlled Clinical Trial
title_sort effects of a multispecies probiotic mixture on glycemic control and inflammatory status in women with gestational diabetes a randomized controlled clinical trial
url http://dx.doi.org/10.1155/2016/5190846
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