The efficacy of probiotic supplementation in rheumatoid arthritis: a meta-analysis of randomized, controlled trials
Abstract
Probiotics are considered as -immunomodulatory agents; their efficacy as an adjunct therapy option for rheumatoid arthritis (RA), however, remains controversial. The main aim of the present meta-analysis, therefore, was to compare available data from the published randomized, controlled trials (RCTs) recruiting adults with RA which compared probiotics with placebo. The English literature search was performed using Ovid version of Medline, EmBase, Web of Science, and the Central Cochrane library through October 2016 and supplemented by hand searching reference lists. Among 240 citations identified, 4 RCTs (153 participants; 89% female) were included. All data were pooled using a standardized mean difference (SMD) with a 95% CI. Compared to the placebo, probiotics did not change the inflammatory parameters (erythrocyte sedimentation rate, tumor necrosis factor [TNF]-α, interleukin [IL]-1β, IL-6, IL-10, and IL-12) and oxidative stress indices (total antioxidant capacity and malondialdehyde) significantly. The borderline significant reduction as a result of probiotic administration was only determined in C-reactive protein [SDM - 0.32 (95% CI - 0.65 to 0.00)]. Among disease activity indices (disease activity score [DAS], tender joint count, and swollen joint count), DAS showed a significant improvement following probiotic treatment with a SMD (95% CI) of - 0.58 (- 0.97 to - 0.19). The number of trials was too small to determine if a strain-, dose-, or duration-response effect was present. Probiotics seem to be less effective in RA; however, to reach a firm conclusion, we need further evidence.
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A recent meta-analysis of four probiotic trials in RA identified some improvement, but due to scarcity in data, further definitive research is needed.
“A recent meta-analysis of four probiotic trials in RA identified some improvement, however, due to a scarcity in data, further definitive research is needed (Aqaeinezhad Rudbane et al., 2018).”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Aqaeinezhad Rudbane et al., 2018
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- Authors
- Aqaeinezhad Rudbane, S. M., Rahmdel, S., Abdollahzadeh, S. M., Zare, M., Bazrafshan, A., & Mazloomi, S. M.
- Affiliations
- Shiraz University (IR)
- Shiraz University of Medical Sciences (IR)
- Kerman University of Medical Sciences (IR)
- Corresponding author
- Abdollahzadeh, Seyedeh Maryam
- ORCID
- Venue
- Inflammopharmacology
- Published
- 2018-01-04
- Volume
- 26
- Issue
- 1
- Pages
- 67-76
- ISSN
- 0925-4692 (ISSN-L)
- 1568-5608
- OpenAlex
- W2781848730
- Cited by
- 69
- References
- 23
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 9 · 2023: 8 · 2022: 9 · 2021: 12 · 2020: 11 · 2019: 6 · 2018: 5
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Inflammopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Research Information System of Ardabil University of Medical Sciences (Ardabil University of Medical Sciences) (submittedVersion)
- Funders
- Shiraz University of Medical Sciences (95-01-106-12747)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Complementary and alternative medicine › Natural Compounds in Disease Treatment
- Keywords
- probiotics, rheumatoid arthritis, adjunctive therapy, disease activity, C-reactive protein, inflammatory cytokines, oxidative stress, immunomodulation, placebo comparison
- MeSH terms
- Adult, Aged, Aged, 80 and over, Arthritis, Rheumatoid, C-Reactive Protein, Erythrocytes, Female, Humans, Immunologic Factors, Inflammation, Interleukins, Male, Malondialdehyde, Middle Aged, Tumor Necrosis Factor-alpha, Randomized Controlled Trials as Topic, Antirheumatic Agents, Dietary Supplements, Probiotics, Young Adult
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