Probiotic Supplementation Enhances the Effects of a Nutritional Intervention on Quality of Life in Women with Hashimoto's Thyroiditis-A Double-Blind Randomised Study.
- 2025-10-28
- Nutrients 17(21)
- Karolina Osowiecka
- Damian Skrypnik
- Joanna Myszkowska-Ryciak
- PubMed: 41228460
- DOI: 10.3390/nu17213387
Study Design
- Type
- Randomized Controlled Trial (RCT)
- Sample size
- n = 32
- Population
- 64 female patients with HT
- Methods
- 12-week study, two groups: NE+Lp299v (nutritional education and Lp299v) vs NE+placebo (nutritional education and placebo)
- Blinding
- Double-blind
- Duration
- 12 weeks
- Funding
- Unclear
- Rigorous Journal
Background: Hashimoto's thyroiditis (HT) is characterised by chronic inflammation of the thyroid gland. The impact of a health-promoting diet and probiotics on health and quality of life, as well as on the anti-thyroid peroxidase antibody (anti-TPO), is increasingly being researched. However, the relevance of these factors to the course of HT is yet to be fully established. Objective: The aim of this study was to assess the impact of a 12-week nutritional intervention, comprising a rational, health-promoting diet supplemented with the probiotic strain Lactiplantibacillus plantarum 299v (Lp299v), on eating habits, nutritional status, health and quality of life in patients diagnosed with HT. Methods: The 12-week study involved 64 female patients with HT, divided into two groups: the NE+Lp299v group, which received nutritional education and Lp299v (n = 32); and the NE+placebo group, which received nutritional education and placebo (n = 32). Before and after the intervention, anthropometric parameters, body composition analysis, blood pressure, blood anti-TPO levels, dietary habits, quality of life, and gastrointestinal symptoms were assessed. Results: The NE+Lp299v intervention improved overall quality of life (60.94 pts. vs. 35.94 pts.), including 12 of 14 domains, and the diet quality index (11.03 pts. vs. 18.50 pts.). The NE+placebo group improved overall quality of life (54.69 pts. vs. 39.84 pts.), including 3 of 14 domains, and the diet quality index (12.34 pts. vs. 19.18 pts.). Anti-TPO blood levels and body mass index did not improve in either group. Conclusions: Lp299v can enhance the efficacy of nutritional education in improving the quality of life of individuals diagnosed with HT. However, these benefits appear to be independent of anti-TPO levels.
Research Insights
diet quality index (11.03 pts. vs. 18.50 pts.)
- Effect
- Neutral
- Effect size
- Small
The NE+Lp299v intervention improved overall quality of life (60.94 pts. vs. 35.94 pts.)
- Effect
- Beneficial
- Effect size
- Large
body mass index did not improve in either group.
- Effect
- Neutral
- Effect size
- Small
Anti-TPO blood levels and body mass index did not improve in either group.
- Effect
- Neutral
- Effect size
- Small