Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.180124
Jornal Vascular Brasileiro
Review Article

Efeitos dos probióticos no perfil lipídico: revisão sistemática

Effects of probiotics on the lipid profile: systematic review

Carlos Jorge Maciel Uchoa Gadelha; Alane Nogueira Bezerra

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Resumo

Resumo: As alterações na microbiota intestinal podem modular mecanismos envolvendo fatores de risco para doenças cardiovasculares, incluindo as dislipidemias. O objetivo foi revisar os efeitos da suplementação de probióticos na prevenção e no tratamento de alterações do perfil lipídico. As pesquisas foram feitas na base de dados PubMed, com os descritores “probiotics and lipid profile” e “probiotics and dyslipidemia”, em artigos publicados entre 2013 e 2018. A suplementação com probióticos reduziu significativamente o colesterol total, o colesterol LDL (lipoproteína de baixa densidade) e os triglicerídeos, assim como aumentou o colesterol HDL (lipoproteína de alta densidade). Alguns benefícios foram observados sobre variáveis antropométricas, de controle glicêmico, de estresse oxidativo, de inflamação e do sistema imune. O presente estudo sugere que a suplementação de probióticos seja indicada como tratamento coadjuvante às dislipidemias. Novos estudos devem ser desenvolvidos com a finalidade de esclarecer os efeitos de longo prazo, assim como a influência dos probióticos em associação com o tratamento medicamentoso.

Palavras-chave

dislipidemias, hipercolesterolemia, probióticos

Abstract

Abstract: Alterations in the intestinal microbiota can modulate mechanisms involving risk factors for cardiovascular diseases, including dyslipidemias The objective was to review the effects of probiotic supplementation on the prevention and treatment of changes to the lipid profile. The searches were run on the PubMed database, using the descriptors “probiotics and lipid profile” and “probiotics and dyslipidemia,” with publication dates restricted to 2013 to 2018. Supplementation with probiotics significantly reduced total cholesterol, LDL-c, and triglycerides and increased HDL-c. Some benefits were observed on anthropometric variables, glycemic control, oxidative stress, inflammation, and immune system. The present study suggests that probiotic supplementation should be indicated as adjunctive treatment for dyslipidemias. Further studies should be developed to clarify long-term effects, as well as the influence of probiotics in combination with drug therapy.
 

Keywords

dyslipidemias, hypercholesterolemia, probiotics

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