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终结无效补充!选益生菌,临床验证才是硬道理
Zhong Guo Shi Pin Wang· 2025-06-19 10:13
Core Insights - The probiotic market has seen significant growth, but the effectiveness of probiotics is determined by rigorous clinical validation rather than marketing claims about strain variety and high live bacteria counts [1][11] - The World Health Organization (WHO) defines probiotics as live microorganisms that confer health benefits when consumed in adequate amounts, emphasizing strain specificity and dose dependency [1][11] Clinical Validation Advantages - Precision targeting through genomic screening of functionally defined strains, such as Bifidobacterium animalis ssp. lactis BB-12, which has been shown to regulate the gut-immune axis and reduce diarrhea incidence in infants [3] - Safety assurance from clinical trials that can identify potential risks, such as infection risks in immunocompromised individuals or antibiotic resistance issues [3] - Scientific dosing to prevent ineffectiveness from insufficient doses or imbalances from excessive amounts [3] Market Competitiveness - Clinically validated strains have become a "hard currency" in the market, with notable examples including: - Lactobacillus rhamnosus GG, which has over 300 studies confirming its ability to shorten the duration of acute diarrhea in children by 26% and reduce antibiotic-associated diarrhea risk [5] - Bifidobacterium animalis ssp. lactis BB-12, which reduced diarrhea incidence from 42% to 26% during antibiotic treatment and is featured in Puractive's children's probiotic products [7] - Weizmannia coagulans BC99, included in products like Yili's "explosion pearl yogurt," which has shown to improve gut barrier function and regulate immunity [8] Market Challenges - Despite the probiotic market exceeding 100 billion, there are significant issues with product quality, including: - Ambiguous strain sources that may not adapt to the gut environment [12] - Exaggerated claims without clinical support, such as weight loss or anti-aging benefits [12] - Concerns over viability due to improper storage and transport conditions [12] - True clinical probiotics require a comprehensive investment in the entire process from strain selection to safety evaluation, as exemplified by the development of Lactobacillus Zhang, which took nearly ten years to validate its cholesterol-lowering effects [12] Consumer Awareness - The healthy development of probiotics relies on consumer education, focusing on: - Strain identification, ensuring traceability to clinical studies [15] - Live bacteria counts, typically needing to reach 10^8 to 10^12 CFU per day [15] - Formulation and storage methods that enhance live bacteria survival [15] - The future of probiotics will likely see advancements with next-generation strains, but the principle of "no scientific evidence equals ineffective supplementation" remains crucial [15]