» Articles » PMID: 21229254

Health Benefits of Probiotics: Are Mixtures More Effective Than Single Strains?

Overview
Journal Eur J Nutr
Date 2011 Jan 14
PMID 21229254
Citations 155
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: Most studies on probiotics utilise single strains, sometimes incorporated into yoghurts. There are fewer studies on efficacy of mixtures of probiotic strains. This review examines the evidence that (a) probiotic mixtures are beneficial for a range of health-related outcomes and (b) mixtures are more or less effective than their component strains administered separately.

Results: Mixtures of probiotics had beneficial effects on the end points including irritable bowel syndrome and gut function, diarrhoea, atopic disease, immune function and respiratory tract infections, gut microbiota modulation, inflammatory bowel disease and treatment of Helicobacter pylori infection. However, only 16 studies compared the effect of a mixture with that of its component strains separately, although in 12 cases (75%), the mixture was more effective.

Conclusion: Probiotic mixtures appear to be effective against a wide range of end points. Based on a limited number of studies, multi-strain probiotics appear to show greater efficacy than single strains, including strains that are components of the mixtures themselves. However, whether this is due to synergistic interactions between strains or a consequence of the higher probiotic dose used in some studies is at present unclear.

Citing Articles

Long-term yogurt intake and colorectal cancer incidence subclassified by abundance in tumor.

Ugai S, Liu L, Kosumi K, Kawamura H, Hamada T, Mima K Gut Microbes. 2025; 17(1):2452237.

PMID: 39937126 PMC: 11834522. DOI: 10.1080/19490976.2025.2452237.


Bacillus subtilis Intraspecies Interactions Shape Probiotic Activity Against Salmonella Typhimurium.

Kovacec E, Kraigher B, Podnar E, Lories B, Steenackers H, Mandic-Mulec I Microb Biotechnol. 2024; 17(12):e70065.

PMID: 39718437 PMC: 11667775. DOI: 10.1111/1751-7915.70065.


LRa05 in the treatment of acute diarrhea in children: a randomized controlled trial.

Chen K, Zeng K, Jin S, Ma Y, Cai L, Xu P Front Nutr. 2024; 11:1479186.

PMID: 39619284 PMC: 11607676. DOI: 10.3389/fnut.2024.1479186.


High-dose Probiotic Mix of spp., spp., , and to Prevent Antibiotic-associated Diarrhea in Adults: A Multicenter, Randomized, Double-blind, Placebo-controlled Trial (SPAADA).

Hodzhev V, Dzhambazov K, Sapundziev N, Encheva M, Todorov S, Youroukova V Open Forum Infect Dis. 2024; 11(11):ofae615.

PMID: 39529939 PMC: 11551610. DOI: 10.1093/ofid/ofae615.


Saccharomyces boulardii enhances anti-inflammatory effectors and AhR activation via metabolic interactions in probiotic communities.

Hedin K, Mirhakkak M, Vaaben T, Sands C, Pedersen M, Baker A ISME J. 2024; 18(1).

PMID: 39488793 PMC: 11631509. DOI: 10.1093/ismejo/wrae212.


References
1.
Sandborn W . Pouchitis following ileal pouch-anal anastomosis: definition, pathogenesis, and treatment. Gastroenterology. 1994; 107(6):1856-60. DOI: 10.1016/0016-5085(94)90832-x. View

2.
Gluck U, Gebbers J . Ingested probiotics reduce nasal colonization with pathogenic bacteria (Staphylococcus aureus, Streptococcus pneumoniae, and beta-hemolytic streptococci). Am J Clin Nutr. 2003; 77(2):517-20. DOI: 10.1093/ajcn/77.2.517. View

3.
Haller D, Antoine J, Bengmark S, Enck P, Rijkers G, Lenoir-Wijnkoop I . Guidance for substantiating the evidence for beneficial effects of probiotics: probiotics in chronic inflammatory bowel disease and the functional disorder irritable bowel syndrome. J Nutr. 2010; 140(3):690S-7S. DOI: 10.3945/jn.109.113746. View

4.
Plummer S, Weaver M, Harris J, Dee P, Hunter J . Clostridium difficile pilot study: effects of probiotic supplementation on the incidence of C. difficile diarrhoea. Int Microbiol. 2004; 7(1):59-62. View

5.
Viljanen M, Savilahti E, Haahtela T, Juntunen-Backman K, Korpela R, Poussa T . Probiotics in the treatment of atopic eczema/dermatitis syndrome in infants: a double-blind placebo-controlled trial. Allergy. 2005; 60(4):494-500. DOI: 10.1111/j.1398-9995.2004.00514.x. View