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Health and Wellness Research

 

Paper Title

Increasing work-place healthiness with the probiotic Lactobacillus reuteri: A randomised, double-blind placebo-controlled study

Author(s) Py Tubelius, Vlaicu Stan1 and Anders Zachrisson
Journal Reference Environmental Health: A Global Access Science Source 2005; 4:25
Background

Short term illnesses, usually caused by respiratory or gastrointestinal diseases are disruptive to productivity and there is relatively little focus on preventative measures. This study examined the effect of the probiotic Lactobacillus reuteri protectis (ATCC55730) on its ability to improve work-place healthiness by reducing short term sick-leave caused by respiratory or gastrointestinal infections.

Methods

262 employees at TetraPak in Sweden (day-workers and three- shift- workers) that were healthy at study start were randomised in a double-blind fashion to receive either a daily dose of  108 Colony Forming Units of L. reuteri or placebo for 80 days. The study products were administered with a drinking straw. 181 subjects complied with the study protocol, 94 were randomised to receive L. reuteri and 87 received placebo.

Results

In the placebo group 26.4% reported sick-leave for the defined causes during the study as compared with 10.6% in the L. reuteri group (p < 0.01). The frequency of sick-days was 0.9% in the placebo group and 0.4% in the L. reuteri group (p < 0.01). Among the 53 shift-workers, 33% in the placebo group reported sick during the study period as compared with none in the L. reuteri group(p < 0.005).

Clinical Significance Probiotics, such as L. reuteri, may have potential to decrease numbers of sick days related to gastrointestinal and upper respiratory illnesses.  Although the specific mechanism is unclear at this point, the impact of probiotics on workplace health and increases in productivity could be considerable.  It cannot be suggested by the findings of this study that L reuteri is more effective than either other probiotics currently available or that natural sources of active cultures such as yogurt and many cheese products. However, patients seeking proactive approaches to health care may consider a source of probiotics as part of their regular dietary or supplement contents.  Further research will help to clarify pros and cons of various sources.
NOTE:  The clinical significance review is the opinion of Dr Ken Mueller based upon the information available at the time of posting.  The balance of the above abstract should be attributed to the published authors.  For further information, please refer to the original article utilizing the publication information provided.   January 2, 2005