Lactobacillus Casei Eases Constipation and Depression Symptoms
Quick Summary: A 2021 study explored how fermented milk with Lactobacillus casei Shirota helps people dealing with both depression and constipation. Researchers found it significantly reduced constipation severity and eased depression symptoms over 8 weeks. It also shifted gut bacteria in ways that might support these improvements through the gut-brain connection.
What the Research Found
This study showed that daily Lactobacillus casei intake could tackle two tough issues at once: constipation and depression. Here's what stood out in simple terms:
- Better Bowel Movements: Constipation scores dropped by 4.2 points on a standard scale (like the Wexner score, which rates how bad symptoms are). This change was strong and reliable (backed by stats showing p < 0.01, meaning it's unlikely due to chance).
- Lifted Mood: Depression symptoms improved by 3.5 points on the PHQ-9 scale (a common quiz for depression levels), with solid evidence (p < 0.05).
- Gut Changes: Good bacteria like Bifidobacterium grew by 1.8 times, while harmful ones like E. coli dropped by 30%. These shifts hint at how gut health might influence mood and digestion via the "gut-brain axis"—the link between your belly and brain.
Overall, the benefits held up even after accounting for factors like age, gender, and starting symptom levels.
Study Details
- Who Was Studied: 60 adults diagnosed with both depression and ongoing constipation. They were everyday people facing these common but overlapping health struggles.
- How Long: 8 weeks, which is about two months of daily use to see real changes.
- What They Took: One 100 mL serving (roughly half a cup) of fermented milk drink with Lactobacillus casei Shirota strain, delivering 10^10 colony-forming units (CFU)—that's billions of the good bacteria—once a day. Participants tracked their intake to ensure they stuck with it.
The study was observational, meaning it watched what happened without a comparison group, and used symptom quizzes plus stool tests for gut bacteria.
What This Means for You
If you're battling depression and constipation, this research points to Lactobacillus casei as a potential helper. It might improve your daily comfort and mood without heavy meds, thanks to its gut-boosting effects.
- Try It If: You have both issues—consider probiotic drinks like those with L. casei Shirota (check labels for at least 10^10 CFU per serving). It could be a simple add-on to your routine, like a yogurt alternative.
- Real-Life Tip: Start slow and talk to your doctor, especially if you're on antidepressants or have gut issues. This isn't a cure-all but could ease symptoms alongside therapy or diet changes.
- Why It Matters: Many people search for natural ways to fix constipation or depression; this suggests gut-friendly foods might link the two, making probiotics worth exploring for better overall wellness.
Study Limitations
No research is perfect, so keep these in mind to avoid overhyping the results:
- No Comparison Group: Without a placebo or control, we can't be 100% sure the probiotic caused the changes—other factors like diet or mindset might play a role.
- Reliance on Self-Reports: Symptom scores came from patient quizzes, which can be subjective and biased.
- Short Timeframe: Eight weeks shows short-term wins, but we don't know if benefits last longer or if it's safe for extended use.
- Specific Group: Results fit people with both depression and constipation; it might not apply if you have just one issue.
- Unclear Links: Gut bacteria shifts look promising, but they don't prove they directly fixed the symptoms—more studies are needed to connect the dots.
This is early evidence, so view it as a starting point, not medical advice. For stronger proof, look for upcoming randomized trials with bigger groups.
Technical Analysis Details
Key Findings
The study found that fermented milk containing Lactobacillus casei Shirota strain significantly improved both constipation symptoms and depressive symptoms in patients with comorbid depression and constipation. Constipation severity (measured by Wexner score) decreased by 4.2 points (p < 0.01), and depression scores (PHQ-9) dropped by 3.5 points (p < 0.05). Additionally, gut microbiota analysis revealed increased abundance of Bifidobacterium and reduced Escherichia coli levels, suggesting a potential gut-brain axis mechanism.
Study Design
This was an 8-week observational study conducted in 2021, involving 60 participants diagnosed with both depression and chronic constipation. Researchers monitored changes in symptoms and gut microbiota composition before and after daily consumption of the probiotic. No control group was included, and outcomes were primarily self-reported or measured via clinical scales.
Dosage & Administration
Participants consumed 100 mL of fermented milk containing Lactobacillus casei Shirota strain (10^10 CFU/mL) once daily. The probiotic was administered as a ready-to-drink beverage, with compliance assessed via consumption logs.
Results & Efficacy
- Constipation: Wexner score improved from baseline (mean reduction: 4.2, p < 0.01).
- Depression: PHQ-9 scores decreased by 3.5 points (p < 0.05).
- Microbiota: Bifidobacterium increased by 1.8-fold (p = 0.02), while E. coli levels fell by 30% (p = 0.01).
Statistical significance was maintained after adjusting for age, gender, and baseline symptom severity. However, effect sizes were not explicitly reported.
Limitations
- Observational Design: Lacks a control group, limiting causal inferences.
- Self-Reported Data: Potential bias in symptom assessments.
- Short Duration: 8-week follow-up may not capture long-term efficacy or safety.
- Sample Specificity: Participants had comorbid depression and constipation; results may not generalize to isolated cases.
- Mechanistic Gaps: Correlation between microbiota changes and symptom improvement does not confirm causation. Future randomized controlled trials (RCTs) with larger cohorts and mechanistic endpoints are needed.
Clinical Relevance
For individuals with depression and constipation, this study suggests that Lactobacillus casei-containing fermented milk may offer dual benefits. However, the lack of a control group and reliance on observational data mean these findings are preliminary. Users should not replace standard treatments with probiotics but could consider them as adjunct therapy under medical supervision. The effective dose (10^10 CFU/day) aligns with some commercial probiotic products, though formulation differences may affect reproducibility. Clinicians might explore probiotic use in patients with overlapping GI and mood disorders while awaiting higher-quality evidence.
Note: The study’s URL (PMID 34209804) appears to reference a randomized trial in PubMed, suggesting a possible discrepancy in the provided study type. Analysis is based solely on the details given.
Original Study Reference
Effects of Fermented Milk Containing
Source: PubMed
Published: 2021
📄 Read Full Study (PMID: 34209804)