Evidence map›Paper›PMID 40004979›Full record

Trial reportNutrients2025

Psychobiotic Protection of Nutritional Supplements and Probiotics in Patients Undergoing Hemodialysis: A Randomized Trial.

Eric Climent, Francisco Hevilla, Marina Padial, Guillermina Barril-Cuadrado, María Blanca, Tamara Jiménez-Salcedo, Maria López-Picasso, Ángel Nogueira-Pérez, Gabriel Olveira

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. 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

9 authors.

Eric ClimentDepartamento de Biotecnología, Universitat Politècnica de València, 46022 Valencia, Spain.ORCID 0000-0001-6372-8371
Francisco HevillaServicio de Endocrinología y Nutrición, Hospital Regional Universitario, 29071 Málaga, Spain.
Marina PadialServicio de Endocrinología y Nutrición, Hospital Regional Universitario, 29071 Málaga, Spain.ORCID 0009-0009-8727-3231
Guillermina Barril-CuadradoServicio de Nefrología, Hospital la Princesa, 28006 Madrid, Spain.
María BlancaServicio de Endocrinología y Nutrición, Hospital Rey Juan Carlos, 28933 Madrid, Spain.
Tamara Jiménez-SalcedoServicio de Nefrología, Hospital Regional Universitario, 29010 Málaga, Spain.
Maria López-PicassoServicio de Endocrinología y Nutrición, Hospital Rey Juan Carlos, 28933 Madrid, Spain.
Ángel Nogueira-PérezServicio de Nefrología, Hospital la Princesa, 28006 Madrid, Spain.
Gabriel OlveiraServicio de Endocrinología y Nutrición, Hospital Regional Universitario, 29071 Málaga, Spain.ORCID 0000-0002-7646-2899

Funding

Instituto de Salud Carlos III PI18/01041Ministerio de Ciencia, Innovación y Universidades RTC-2017-5959-1
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe prevalence of depression and anxiety symptoms is remarkably high in malnourished individuals undergoing hemodialysis. The goal of this project was to evaluate the impact of administering an oral nutritional supplement combined with a probiotic blend on the microbiota, intestinal permeability, and depression symptoms in malnourished hemodialysis patients.

methodsWith this aim, a randomized trial was conducted with three parallel groups: a control group with individualized diet, a supplement-placebo (SU-PL) group with oral nutritional supplementation (ONS), and a supplement-probiotic (SU-PR) group with ONS in conjunction with a probiotic blend. Blood and fecal samples were collected at basal time, and at 3 and 6 months. Several blood biomarkers, like zonulin, lipopolysaccharide-binding protein (LBP), lipopolysaccharide (LPS), and brain-derived neurotrophic factor (BDNF), were measured, and the fecal microbiome was sequenced with the Illumina platform. The Hospital Anxiety and Depression Scale (HADS) was used for the estimation of depression (HADS-D) and anxiety (HADS-A) symptoms, along with the standardized mental health index SF12-MH from the general health questionnaire SF-12.

resultsThe results showed that patients who consumed the probiotic blend maintained the LPS levels from their baseline readings and decreased their BDNF levels compared to the SU-PL or control groups. Moreover, a significant decrease in HADS-D scores (less depressive symptoms) and an increase in SF12-MH scores (higher quality of life) were found in that group in comparison to the other groups. The intervention produced an impact on the microbiome population, where the SU-PR group had reduced

conclusionsOverall, the results indicate that the probiotic with the nutritional supplement could reduce the intestinal permeability biomarkers and improve depressive symptoms and quality of life in malnourished hemodialysis patients.

Indexed as

DepressionDietary SupplementsMalnutritionProbioticsRenal DialysisAcute-Phase ProteinsAgedAnxietyBiomarkersBrain-Derived Neurotrophic FactorCarrier ProteinsFecesFemaleGastrointestinal MicrobiomeHaptoglobinsHumansAcute-Phase ProteinsBiomarkersBrain-Derived Neurotrophic FactorCarrier ProteinsHaptoglobinsLipopolysaccharide-Binding ProteinLipopolysaccharidesMembrane GlycoproteinsProtein Precursorszonulinhemodialysismental healthmicrobiomeoral nutrition supplementprobiotics

Identifiers

PMID40004979
PMCPMC11858206

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.