Multispecies probiotic affects fecal short-chain fatty acids in postmenopausal women with obesity: A post hoc analysis of a randomized, double-blind, placebo-controlled study

Nutrition. 2023 Oct:114:112109. doi: 10.1016/j.nut.2023.112109. Epub 2023 Jun 1.

Abstract

Objectives: Probiotics are known to regulate host metabolism. The aim of this study was to assess whether interventions with a multi-strain probiotic formula affect fecal short-chain fatty acids (SCFAs).

Methods: The analysis was carried out in 56 obese, postmenopausal women randomized to three groups: probiotic dose 2.5 × 109 CFU/d (n = 18; lower probiotic dose [LPD]), 1 × 1010 CFU/d (n = 18; higher probiotic dose [HPD]), or placebo (n = 20).

Results: An increase in three SCFA fecal concentrations in the HPD group was observed: acetic acid (C2; effect [E] = 1.72, SE = 0.73; 95% confidence interval [CI], 0.28-3.16; P = 0.019), butyric acid (C4; E = 0.98, SE = 0.46; 95% CI, 0.08-1.88; P = 0.033), and valeric acid (C5; E = 0.68, SE = 0.23; 95% CI, 0.23-1.12; P = 0.003). The mediation analysis showed that the decrease in uric acid under HPD may be transmitted through the elevation of C5 content. Multi-strain probiotic increases the SCFA content in the stool in a dose-dependent manner, which may diminish some cardiovascular risk factors because of a reduction in blood uric acid levels.

Conclusion: Assessing long-term health benefits requires further research, including assessment of blood SCFA concentrations and multiomic and mechanistic approaches.

Keywords: Bbesity; Menopause; Metabolism; Microbiota; Probiotics; Short-chain fatty acids.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Double-Blind Method
  • Fatty Acids, Volatile / analysis
  • Feces / chemistry
  • Female
  • Humans
  • Obesity / therapy
  • Postmenopause*
  • Probiotics* / therapeutic use
  • Uric Acid

Substances

  • Uric Acid
  • Fatty Acids, Volatile