Cited by 20Probiotics and Fermented FoodsLipoproteins and Cardiovascular HealthNatural Products and Biological Research

The Administration of Probiotics against Hypercholesterolemia: A Systematic Review

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Sivamaruthi, Bhagavathi Sundaram, Bharathi, Muruganantham, Kesika, Periyanaina, Suganthy, Natarajan, Chaiyasut, Chaiyavat·2021·Applied Sciences

Abstract

Hypercholesterolemia is a key factor in the progression of atherosclerosis and cardiovascular disease (CVD). CVD is a significant public health concern with a high death rate. Some of the main factors linked to CVD include genetics and lifestyle. Dyslipidemia has been one of the factors related to the onset of several CVD-related diseases. Several clinicopathological studies have shown a correlation between high cholesterol levels, particularly low-density lipoprotein cholesterol (LDL-c), and CVD development. Probiotics have received a lot of attention for various beneficial effects, especially their ability to reduce blood cholesterol in humans. Probiotics were shown in several investigations to affect hypercholesterolemia by influencing cholesterol biosynthesis. The current review focuses on the human dietary interventions with probiotics and their effects on CVD risk factors and hypercholesterolemia. The outcomes are debatable and consider various parameters such as probiotic strain, dosing frequency, therapeutic response, dietary changes, and so forth. As a result, probiotics have the propensity to become dietary supplements in moderate/severe hypercholesterolemic patients, which significantly reduces the CVD risk.

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  • Probiotics reduce blood cholesterol levels.

    “In addition to modulating the immune system, the positive health effects of taking probiotics include: the improvement of lactose tolerance and digestion [199,205], the prevention and treatment of gastrointestinal infections [206], the prevention of colorectal cancer [203,207], reduction in blood cholesterol levels [208,209,210], and the improvement of mental health via the gut-brain axis [211].”

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References 74 · Cited by 20

Authors
Sivamaruthi, B. S., Bharathi, M., Kesika, P., Suganthy, N., & Chaiyasut, C.
Affiliations
  • Chiang Mai University (TH)
  • Alagappa University (IN)
Corresponding author
Chaiyasut, Chaiyavat
Venue
Applied Sciences
Publisher
MDPI AG
Published
2021-07-27
Volume
11
Issue
15
Pages
6913
ISSN
2076-3417 (ISSN-L)
OpenAlex
W3186632331
Cited by
20
References
74
Citations by year
2026: 4 · 2025: 2 · 2024: 6 · 2023: 5 · 2022: 3
FWCI
0.32
Type
journal article
Language
en
Open access
Locations
  • Applied Sciences (publishedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Chiang Mai University
Topics
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Surgery › Natural Products and Biological Research
Keywords
probiotics, hypercholesterolemia, cardiovascular disease, LDL cholesterol, dyslipidemia, cholesterol biosynthesis, dietary intervention, probiotic strains, cardiovascular risk factors, dietary supplements

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