Chronic constipation: focus on microbiome-targeted therapies with prebiotics, probiotics, and synbiotics DOI Creative Commons
M. Yu. Serkova, Е. Б. Авалуева, С. И. Ситкин

и другие.

Almanac of Clinical Medicine, Год журнала: 2024, Номер 52(5), С. 280 - 296

Опубликована: Ноя. 4, 2024

Chronic constipation is a global medical, social, and economic problem due to its negative impact on patients’ quality of life increased risk colorectal cancer, cardiovascular cerebrovascular disorders. The gut microbiota plays an important role in the pathophysiology through interplay with immune system, enteral central nervous representing promising therapeutic target. Gut dysbiosis patients characterized by reduced relative numbers bacteria producing lactate (Lactobacillaceae, Bifidobacteriaceae) butyrate (Lachnospiraceae, Oscillospiraceae), as well those hydrogen sulfide (Desulfovibrionaceae) methanogenic archaea (Methanobacteriaceae). leading pathogenetic mechanism related intestinal chronic constipation, can be microbial metabolic abnormalities (metabolic dysbiosis) altered production short-chain fatty acid, methane, sulfide, tryptophan metabolites abnormal bile acid biotransformation. It has been proven that dysbiotic microbiome play which allows for use prebiotics, probiotics, synbiotics effective microbiome-modulating therapy constipation. determines effectiveness (prebiotics, synbiotics) this syndrome. Inulin most studied preboitic; it soluble food fiber markedly contributes regulation microbiota, stimulates growth beneficial bacteria, anti-inflammatory metabolites. normalized function increasing stool frequency, softening stool, reducing transit time. In addition, inulin modulates response impacts absorption minerals, appetite, satiety. Treatment probiotics also associated time, compared controls. According systematic review meta-analysis 30 randomized controlled trials, only Bifidobacterium lactis strains (but not other probiotics) significantly increase frequencies adults. Clinical studies have shown targeted probiotic HN019 low (≤ 3 per week) frequency up 4.7–5.0 week, reduce time rate functional gastroenterological symptoms adults Beyond clinical effects, leads changes bifidobacteria decreasing enterobacteria numbers. results trials confirm importance synbiotic correction all improve fecal consistency, prevent disorders Synbiotics, such combination inulin, properties both complementary synergic synbiotic, may greatest potential outcomes or prebiotics used alone.

Язык: Английский

Constipation is associated with an increased risk of major adverse cardiac events in a UK population DOI
Tenghao Zheng, Letícia Camargo Tavares, Mauro D’Amato

и другие.

AJP Heart and Circulatory Physiology, Год журнала: 2024, Номер 327(4), С. H956 - H964

Опубликована: Авг. 16, 2024

Traditional cardiovascular risk factors, including hypertension, only explain part of major adverse cardiac events (MACEs). Understanding what other factors contribute to MACE is essential for prevention. Constipation shares common with hypertension and associated an increased several diseases. We hypothesized that constipation underappreciated factor MACE. used the population healthcare genomic data in UK Biobank (

Язык: Английский

Процитировано

9

Metagenomic estimation of absolute bacterial biomass in the mammalian gut through host-derived read normalization. DOI Creative Commons

Gechlang Tang,

Alex V. Carr,

C. Pérez

и другие.

bioRxiv (Cold Spring Harbor Laboratory), Год журнала: 2025, Номер unknown

Опубликована: Янв. 8, 2025

Absolute bacterial biomass estimation in the human gut is crucial for understanding microbiome dynamics and host-microbe interactions. Current methods quantifying stool, such as flow cytometry, qPCR, or spike-ins (i.e., adding cells DNA from an organism not normally found a sample), can be labor-intensive, costly, confounded by factors like water content, extraction efficiency, PCR inhibitors, other technical challenges that add bias noise. We propose simple, cost-effective approach circumvents some of these challenges: directly estimating metagenomes using bacterial-to-host (B:H) read ratios. compare B:H ratios to standard outlined above, demonstrating are useful proxies stool possibly host-associated substrates. show how used track antibiotic treatment response recovery both mice humans, which showed 403-fold 45-fold reductions during treatment, respectively. Our results indicate host metagenomic fractions fluctuate longitudinally around stable mean healthy individuals, average fraction varies across individuals < 8-9 fold. offer convenient alternative absolute quantification methods, without need additional measurements, experimental design considerations, machine learning algorithms, enabling retrospective estimates existing data.

Язык: Английский

Процитировано

0

Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment DOI Creative Commons
Luana Alexandrescu, Ionuț Eduard Iordache,

Alina Mihaela Stăniguţ

и другие.

Gastrointestinal Disorders, Год журнала: 2025, Номер 7(1), С. 11 - 11

Опубликована: Янв. 22, 2025

Background: Chronic constipation is a well-recognized complication which caused by hard and/or infrequent defecation. According to estimates, presents as chronic illness affecting 16% of adults globally, who deal with insufficient bowel movements that cause discomfort, bloating, or sensation incomplete bowel. Objectives: This review looks at the many local and systemic factors contribute pathogenesis causative, including dietary habits, genetic factors, colon function absorption, social economic lifestyle, biological drug factors. Results: Appropriate diagnostic management modalities are cornerstone in patients constipation. However, there still controversies regarding timing these approaches. condition common reduces quality life represents burden on any healthcare system. In clinical practice, it remains problematic, physicians most time indecisive therapy administer what time. Conclusions: Constipation new topic was introduced over decade ago purpose this study shed some light onto problems modern day techniques can be used treat patients, primarily through behavioural, conservative, medical, surgical means. Additionally, particular conjunction an algorithm designed enhance support practice.

Язык: Английский

Процитировано

0

Association between dietary index for gut microbiota and chronic kidney disease: A cross-sectional study from U.S. population DOI Creative Commons
Xiaodong Zhou, Changchuan Jiang,

Byeng-Chun Song

и другие.

Preventive Medicine Reports, Год журнала: 2025, Номер unknown, С. 103060 - 103060

Опубликована: Апрель 1, 2025

Objective: Emerging evidence suggests that diet modulates gut microbiota, which in turn influences chronic kidney disease (CKD) progression. This study investigates the association between newly proposed Dietary Index for Gut Microbiota (DI-GM) and prevalence prognosis of CKD. Methods: cross-sectional analyzed data from U.S. National Health Nutrition Examination Survey 2007-2020. DI-GM scores were calculated based on dietary intake 14 food components, categorized as beneficial or unfavorable. Weighted linear regression model, logistic restricted cubic spline analysis used to assess associations with Results: The CKD among 28,512 participants was 17.4 %. Higher negatively associated (OR = 0.967, 95 %CI: 0.939-0.995, p 0.026) very high-risk 0.877, 0.821-0.937, < 0.001). Beneficial components significantly lower risk 0.928, 0.892-0.966, 0.001), while no significant observed unfavorable components. levels linearly improved (p trend <0.001). Coffee fiber primary contributors both CKD, whole grains primarily impacted its prognosis. Conclusions: DI-GM, driven by is reduced These findings suggest promoting patterns enhance microbiota may play a pivotal role management.

Язык: Английский

Процитировано

0

Senility, defecation disorders, sleep disorders, and non-operative spinal infections: A single-center retrospective analysis DOI Open Access
Lingling Guo, Hongkun Liu, Jinfeng Cao

и другие.

World Journal of Orthopedics, Год журнала: 2025, Номер 16(4)

Опубликована: Апрель 16, 2025

Язык: Английский

Процитировано

0

The relationship of cardiometabolic index with bowel movement frequency: an NHANES-based cross-sectional analysis DOI Creative Commons

Qiaoqiao Ren,

Yanan Wang, Xiaoxu Han

и другие.

Lipids in Health and Disease, Год журнала: 2025, Номер 24(1)

Опубликована: Апрель 24, 2025

Prior studies have indicated a notable link between gut health and metabolic syndrome (MetS). The cardiometabolic index (CMI), an innovative indicator of health, effectively predicts MetS. Bowel movement frequency (BMF) closely reflects gastrointestinal function is key sign health. Nonetheless, the relationship CMI BMF still unclear. Our research explores possible association these two variables. This study employed 2005 to 2010 National Health Nutrition Examination Survey data. for each participant was determined by triglycerides, high-density lipoprotein cholesterol, waist-to-hip ratio. Multiple regression, smooth curve fitting, threshold effect analyses were investigate BMF. association's stability across populations assessed through subgroup interaction tests. included 9,678 participants in total. After controlling potential confounding variables, those uppermost quartile had 0.69 more increase than bottom (β = 0.69, 95% CI: 0.34, 1.03). trend showed that increased steadily with advancement quartiles (P < 0.0001). Associations shown be nonlinear fitting analyses. Specifically, when ranged from 4.97 11.75, negative connection observed -0.78, -1.33, -0.23), while positive associations identified other ranges. Subgroup tests significant variations stratified depression age categories 0.05). indicates generally associated However, ranges it decrease. Notably, potent young, middle-aged, depressed people.

Язык: Английский

Процитировано

0

Factors affecting postdialysis fatigue among hemodialysis patients: a multi-group path analysis according to nutritional status DOI Creative Commons
Yuhan Zhang, Na Yang, Xiaocui Bai

и другие.

Frontiers in Medicine, Год журнала: 2025, Номер 12

Опубликована: Май 13, 2025

The aim was to investigate a structural postdialysis fatigue model, verify the factors which affect of hemodialysis patients, and evaluate moderating effects nutritional status on through multi-group analysis. This multicenter cross-sectional study conducted in six blood purification centers across hospitals Taiyuan, Shanxi, China, with total 1,281 patients recruited as participants. Data were collected using Pittsburgh Sleep Quality Index, Connor-Davidson Resilience Scale, Social Support Rate Post-dialysis Questionnaire, Simplified Nutritional Appetite Rome IV constipation diagnostic criteria. A equation modeling analysis then test effect patients. model's fit indices adequate. quality, resilience social support directly influenced (β = 0.181, -0.322, -0.200, p < 0.01). partial mediated -0.031, 0.038, 0.024, Multi-group did hypothesis overall moderation by status, distinct patterns between two groups observed respect how background interpersonal triggers related (Δχ2 28.879, 155.183, 205.135, 210.135, 230.285, Δdf 6, 9, 11, 14, 17, magnitude direct sleep quality greater poor (Critical ratios for difference -1.958, -4.999). resilience, can fatigue, also indirectly fatigue. Malnourished are more likely suffer from psychological Vigorous efforts needed improve ultimately might constipation.

Язык: Английский

Процитировано

0

Chronic constipation: focus on microbiome-targeted therapies with prebiotics, probiotics, and synbiotics DOI Creative Commons
M. Yu. Serkova, Е. Б. Авалуева, С. И. Ситкин

и другие.

Almanac of Clinical Medicine, Год журнала: 2024, Номер 52(5), С. 280 - 296

Опубликована: Ноя. 4, 2024

Chronic constipation is a global medical, social, and economic problem due to its negative impact on patients’ quality of life increased risk colorectal cancer, cardiovascular cerebrovascular disorders. The gut microbiota plays an important role in the pathophysiology through interplay with immune system, enteral central nervous representing promising therapeutic target. Gut dysbiosis patients characterized by reduced relative numbers bacteria producing lactate (Lactobacillaceae, Bifidobacteriaceae) butyrate (Lachnospiraceae, Oscillospiraceae), as well those hydrogen sulfide (Desulfovibrionaceae) methanogenic archaea (Methanobacteriaceae). leading pathogenetic mechanism related intestinal chronic constipation, can be microbial metabolic abnormalities (metabolic dysbiosis) altered production short-chain fatty acid, methane, sulfide, tryptophan metabolites abnormal bile acid biotransformation. It has been proven that dysbiotic microbiome play which allows for use prebiotics, probiotics, synbiotics effective microbiome-modulating therapy constipation. determines effectiveness (prebiotics, synbiotics) this syndrome. Inulin most studied preboitic; it soluble food fiber markedly contributes regulation microbiota, stimulates growth beneficial bacteria, anti-inflammatory metabolites. normalized function increasing stool frequency, softening stool, reducing transit time. In addition, inulin modulates response impacts absorption minerals, appetite, satiety. Treatment probiotics also associated time, compared controls. According systematic review meta-analysis 30 randomized controlled trials, only Bifidobacterium lactis strains (but not other probiotics) significantly increase frequencies adults. Clinical studies have shown targeted probiotic HN019 low (≤ 3 per week) frequency up 4.7–5.0 week, reduce time rate functional gastroenterological symptoms adults Beyond clinical effects, leads changes bifidobacteria decreasing enterobacteria numbers. results trials confirm importance synbiotic correction all improve fecal consistency, prevent disorders Synbiotics, such combination inulin, properties both complementary synergic synbiotic, may greatest potential outcomes or prebiotics used alone.

Язык: Английский

Процитировано

0