A Randomized, Double-Blind, Placebo-Controlled Trial: The Efficacy of Multispecies Probiotic Supplementation in Alleviating Symptoms of Irritable Bowel Syndrome Associated with Constipation.

BioMed research international. 2016;2016:4740907
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Plain language summary

A controlled balance between the healthy and harmful intestinal bacterial species is fundamental for maintaining a healthy gut. Recent studies have shown a correlation between microbiota imbalance and onset of IBS-related symptoms, however the available data remains limited and inconclusive. The aim of this trial was to assess the efficacy of multispecies probiotic supplementation on the gut microbiota of 150 patients diagnosed with IBS. Participants were randomly divided into three groups receiving either one of two probiotic mixtures or the placebo for 90 days. Stool samples were analysed and both symptom and quality of life questionnaires were recorded. The multispecies probiotic supplementation administered in this study demonstrated significant amelioration of IBS symptoms and improvement in quality of life. This supports the role of the gut microbiome in IBS and the potential role of multispecies probiotics in managing this disorder.

Abstract

Background and Aim. The efficacy of supplementation treatment with two multispecies probiotic formulates on subjects diagnosed with IBS-C and the assessment of their gut microbiota were investigated. Methods. A randomized, double-blind, three-arm parallel group trial was carried out on 150 IBS-C subjects divided into three groups (F_1, F_2, and F_3). Each group received a daily oral administration of probiotic mixtures (for 60 days) F_1 or F_2 or placebo F_3, respectively. Fecal microbiological analyses were performed by species-specific qPCR to assess the different amount of probiotics. Results. The percentage of responders for each symptom was higher in the probiotic groups when compared to placebo group during the treatment period (t60) and was maintained quite similar during the follow-up period (t90). Fecal analysis demonstrated that probiotics of the formulations increased during the times of treatment only in fecal DNA from subjects treated with F_1 and F_2 and not with F_3, and the same level was maintained during the follow-up period. Conclusions. Multispecies probiotic supplementations are effective in IBS-C subjects and induce a different assessment in the composition of intestinal microbiota. This clinical study is registered with the clinical study registration number ISRCTN15032219.

Lifestyle medicine

Patient Centred Factors : Mediators/Gut microbiota
Environmental Inputs : Microorganisms
Personal Lifestyle Factors : Nutrition
Functional Laboratory Testing : Stool
Bioactive Substances : Probiotics ; Lacidophilus ; Lreuteri ; Lplanatarum ; Lrhamnosus ; Banimalis

Methodological quality

Allocation concealment : Yes

Metadata

Nutrition Evidence keywords : IBS ; Multispeciesprobiotics ; Gutmicrobiome