Evidence map›Paper›PMID 38359319›Full record

SynthesisRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo2024

Use of probiotics and similar in pediatric patients with Type 1 Diabetes Mellitus: a systematic review.

Luisa Pinheiro Neiva, Luiza Correia Lopez, Rafaela Orsi Pasiani, Mayco José Reinaldi Serra, Vera Esteves Vagnozzi Rullo

Abstract readSystematic Review
In one paragraph

Synthesis in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Luisa Pinheiro NeivaCentro Universitário Lusíada, Santos, SP, Brazil.ORCID http://orcid.org/0000-0002-7829-8615
Luiza Correia LopezCentro Universitário Lusíada, Santos, SP, Brazil.ORCID http://orcid.org/0000-0002-2110-5608
Rafaela Orsi PasianiCentro Universitário Lusíada, Santos, SP, Brazil.ORCID http://orcid.org/0000-0002-9947-2141
Mayco José Reinaldi SerraCentro Universitário Lusíada, Santos, SP, Brazil.ORCID http://orcid.org/0000-0001-5697-6772
Vera Esteves Vagnozzi RulloCentro Universitário Lusíada, Santos, SP, Brazil.ORCID http://orcid.org/0000-0002-4754-6612

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo perform a systematic review of randomized controlled trials, evaluating the effect of probiotics, prebiotics or symbiotics supplementation on glycemic and inflammatory control in children with Type 1 Diabetes Mellitus (T1DM). DATA SOURCE: The Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), Clinical Trials, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Scientific Electronic Library Online (SciELO) databases were searched. Randomized clinical trials of pediatric patients with DM1 using probiotics, prebiotics or symbiotics were included, regardless of year or language of publication. Studies that did not evaluate glycated hemoglobin (HbA1c) were excluded. Metabolic results (HbA1c, total insulin dose and C-peptide) and inflammatory control [interleukin-10 (IL-10), tumor necrosis factor-alpha (TNF-α) and interferon-gamma (IFN-γ)] during probiotic supplementation or similar, related to modification of the intestinal microbiota, were analyzed. PROSPERO ID: CRD42022384485. DATA SYNTHESIS: Five studies were selected for a systematic review. Regarding metabolic markers, only one of the articles that analyzed HbA1c showed a significant decrease (p=0.03) in the intervention group. One study identified a reduction in the total dose of insulin and increased C-peptide levels. Regarding the evaluation of inflammatory parameters (IL-10, TNF-α, INF-γ), there were no statistical relevant modifications.

conclusionsCurrent data from the literature were not conclusive in identifying an improvement in glycemic control and did not observe changes in inflammatory parameters with the use of probiotics, prebiotics or symbiotics in pediatric patients with T1DM.

Indexed as

Diabetes Mellitus, Type 1ProbioticsChildC-PeptideGlycated HemoglobinHumansInsulinInterleukin-10Tumor Necrosis Factor-alphaC-PeptideGlycated HemoglobinInsulinInterleukin-10Tumor Necrosis Factor-alpha

Identifiers

PMID38359319
PMCPMC10868513

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.