Meta AnalysisID 2988

益生菌和益生元用于成人乳糖不耐受的对症治疗:系统评价与Meta分析

CRD42022295691

Which strains of microorganisms are most effective in improving symptoms of LI in adults?

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Record Fields

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Meta Analysis Id
2988
Evidence Id
11546
Core Evidence Id
11546
Source Meta Analysis Id
2938
Herb2 Meta Analysis Id
HBMA002938
Crd Id
CRD42022295691
Title
Probiotics and prebiotics in the symptomatic treatment of lactose intolerance in adults: a systematic review and meta-analysis
Review Question
Which strains of microorganisms are most effective in improving symptoms of LI in adults?
Study Type Included
The inclusion criteria are: - being a randomised placebo-controlled clinical trial; - addressing the issue of lactose intolerance associated with the use of probiotics of any kind; - being a study with human participants; - being performed with adults; - being in scientific article format; - having free access to read the full text; - having good methodological quality assessed by RoB 2.0. The exclusion criteria are: - studies with non-randomised designs; - studies not reporting on the effect of probiotics and prebiotics in patients with lactose intolerance - being a study in the form of videos, books; - being a repeated study; - being a study with animals; - being a study with children; - not being a free-access article for full reading; - including patients with chronic, infectious, or other illnesses.
Condition Being Studied
Lactose intolerance is a condition when occurred a decrease in the production of lactase enzyme. As a consequence of this, when consuming certain quantities of products containing lactose, the characteristic symptoms of this condition appear. Among the symptoms are diarrhoea, abdominal pain, flatulence, stomach pains, vomiting, and headaches. In this sense, probiotics and prebiotics have stood out as an alternative method of recomposing the intestinal microbiota, minimizing the symptoms caused by malabsorption of lactose.
Participant
Adults of all genders with a confirmed diagnosis of lactose intolerance, who have participated in a RCT that examined the effects of probiotics and prebiotics in this condition.
Animal
Human Disease Modelled
Intervention
Supplementation of any probiotics and/or prebiotics as prevention, control or treatment of Lactose Intolerance symptoms. Interventions can be simultaneous or asynchronous.
Comparator Control
Subgroup analyses should be conducted with a placebo group, with standard treatment with lactase enzymes or alternative supplementation or medicine. The placebo group or control group must have similar characteristics to the intervention group.
Main Outcome
Improvement of clinical symptoms, measured either by self-reported measures and/or by biochemical or microbiological measures chosen and described in the RCT. Measures of effect Odds ratio (95% confidence intervals) for the association between being in the intervention group with prebiotics and probiotics and improvement in clinical symptoms; Odds ratio (95% confidence intervals) for the association between being in the intervention group with prebiotics and probiotics and improvement in biochemical or microbiological measures;
Outcome Measure
Additional Outcome
Relief of abdominal pain, bowel distension, flatulence, diarrhoea, constipation, nausea, and vomiting; or other systemic symptoms, such as headaches, dizziness, among others that may be reported in the RCT.
Study Method
Meta-analysis, Systematic review
Keyword
Adult; Humans; Lactose Intolerance; Prebiotics; Probiotics
Contact
Luiza Scalcon de Oliveira [email protected]
Organisational Affiliation
UNIOESTE – Western Paraná State University Street: Vitório Traiano, Km 2, City: Francisco Beltrão/ State/Province: Paraná / Postal/Zip Code: 85601-970 / Country: Brazil
Funding Source
CAPES - Coordination of Superior Level Staff Improvement
Other Selection Criteria
Final Publication
Oliveira L. S., Wendt G. W., Crestani A. P. J., Casaril, K. B. P. B. The use of probiotics and prebiotics can enable the ingestion of dairy products by lactose intolerant individuals, Clinical Nutrition [Internet] 2022 Dec; 41(12):2644-2650, ISSN 0261-5614, https://doi.org/10.1016/j.clnu.2022.10.003. Available from: https://www.ScienceDirect.com/science/article/pii/S0261561422003545. https://www.ScienceDirect.com/science/article/abs/pii/S0261561422003545?dgcid=author
Same Topic Review
not applicable
Published Protocol
Review Type
Language
English, Portuguese-Brazil, Spanish
Country
Brazilnot applicable
Review Stage
Review Completed published
First Submission Date
2021-12-01
Registration Date
2022-01-01
Anticipated Start Date
2021-12-02
Anticipated Completion Date
2022-10-01
Title Cn
益生菌和益生元用于成人乳糖不耐受的对症治疗:系统评价与Meta分析
Title En
Probiotics and prebiotics in the symptomatic treatment of lactose intolerance in adults: a systematic review and meta-analysis
Bilingual Status
complete