21 Jun 2018 --- Those hoping to alleviate their anxiety with the use of probiotics should probably put down that yogurt spoon or supplement bottle and call a professional instead. This is according to researchers from the University of Kansas who reviewed available research, finding evidence that probiotics can reduce anxiety in rodents, but not in humans. The researchers reviewed data from 22 preclinical studies involving 743 animals and 14 clinical studies of 1,527 individuals, and found that probiotics did “not significantly reduce symptoms of anxiety in humans and did not differentially affect clinical and healthy human samples.”
However, the researchers says their findings shouldn't close the door on probiotics as a potentially useful therapy for anxiety and other cognitive issues in the future.
“We're in the early days of this research into probiotics. I've seen a lot of stories hyping probiotics as helpful for anxiety. We're not saying they do nothing, but we have a lot to figure out before we know if they can be used therapeutically. I wouldn't recommend using probiotics to treat anxiety at this stage,” says lead author Daniel J. Reis, a doctoral student of clinical psychology at the University of Kansas.
“We see a lot of pathways between our digestive systems and our brains,” Reis says. “We see nervous system connections, the inflammation response – these microorganisms seem to be able to influence the human brain through this gut-brain axis. We wanted to know if changes to the microbiota could improve mental health. But in terms of research, it's all at a very preliminary stage.”
For example, Reis says rodents showing reduced anxiety after ingesting probiotics took a lot more probiotics than people in clinical studies, which could explain the difference in results.
“If you control for the weights of animals versus humans, animals are getting much larger doses of probiotics in these experiments by one or two orders of magnitude. Sometimes the doses were hundreds of times higher than we see in human studies,” he says. “That's something else we think is worth looking at.”
“There are thousands of different microbial species residing in the body, and they undoubtedly exert different effects on the brain. We even saw tantalizing hints in the rodent studies that some microbes may be particularly helpful in lowering anxiety, and we suggested that these probiotic strains might be particularly promising to study in future human trials,” says co-author Stephen S. Ilardi.
Also, the KU researchers point out that humans in the existing studies weren't suffering from especially high levels of anxiety.
“We looked at clinical studies with people, and, in terms of the current literature, we didn't find evidence that probiotics were reducing self-reported anxiety,” Reis says. “But we noticed that none of the studies looked at individuals with clinically elevated anxiety. They weren't looking specifically at anxious individuals. In terms of mental health applications for probiotics, those clinical populations haven't been targeted yet.”
The researchers note that expert help is likely the best way forward for those suffering from anxiety.
“[Professional treatment] should be the first action – there are some good therapies out there that can help with various anxiety disorders. There are also helpful medications. These are the sort of things the people should do at this point to get help," he concludes.
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