Evidence map›Paper›PMID 40038860›Full record

SynthesisBrain and behavior2025

The Effect of Prebiotics and Probiotics on Levels of Depression, Anxiety, and Cognitive Function: A Meta-Analysis of Randomized Clinical Trials.

Atefeh Zandifar, Rahim Badrfam, Mahdi Mohammaditabar, Bita Kargar, Saba Goodarzi, Amirhossein Hajialigol, Shera Ketabforoush, Afshin Heidari, Hanie Fathi, Arman Shafiee and 1 more

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The effects ofFrontiers in nutrition · 2025
    Pooled it
  5. Review
  6. Article
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  8. Article
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  10. Article
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  12. Frontiers in physiology · 2026
    Article
  13. Review
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  15. Frontiers in microbiology · 2026
    Article
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  17. Article
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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

11 authors.

Atefeh ZandifarDietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran.ORCID https://orcid.org/0000-0002-4725-1734
Rahim BadrfamDepartment of Psychosomatic Medicine, Shariati Hospital, Alborz University of Medical Sciences, Karaj, Alborz, Iran.ORCID https://orcid.org/0000-0001-9808-1678
Mahdi MohammaditabarStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.ORCID https://orcid.org/0000-0001-9429-0632
Bita KargarTehran Medical Sciences Islamic Azad University, Tehran, Iran.
Saba GoodarziStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Amirhossein HajialigolAlborz Office of Universal Scientific Education and Research Network (USERN), Alborz University of Medical Sciences, Karaj, Iran.ORCID https://orcid.org/0000-0001-7701-9840
Shera KetabforoushStudent Research Committee, Tehran Medical Sciences Islamic Azad University, Tehran, Iran.ORCID https://orcid.org/0009-0004-4391-6294
Afshin HeidariSchool of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID https://orcid.org/0000-0002-9994-3011
Hanie FathiStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Arman ShafieeStudent Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.ORCID https://orcid.org/0000-0002-1941-4399
Hadi PourjafarDietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecent studies have emphasized the relationship between mental health and the human intestine microbiota. In this study, we evaluate the effect of consuming Biotics, on levels of depression, anxiety, and cognitive function.

methodsThis meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. We searched MEDLINE (PubMed), Cochrane Library, Scopus, Web of Science, and ClinicalTrials.gov. All full-text articles and major reviews were manually searched for additional studies.

resultsThe initial analysis was based on the concept that consuming Biotics causes changes in anxiety, measured using various instruments. This analysis showed that consuming Biotics significantly reduced anxiety in our study participants (SMD = 0.2894, Z = 2.46, P = 0.0139, I^2 = 92.4%). The meta-analysis included 4295 samples (2194 in the experimental group and 2101 in the control group). In terms of depression, the analysis showed that consuming Biotics significantly reduced depression in our study participants (SMD = 0.2942, Z = 2.13, P = 0.0335, I^2 = 91.7%). The meta-analysis included 3179 samples (1603 in the experimental group and 1576 in the control group). Regarding cognitive function, the analysis showed that consuming Biotics significantly improved cognitive function in our study participants (SMD = 0.4819, Z = 3.00, P = 0.0027, I^2 = 77.9%). The meta-analysis included 915 samples (470 in the experimental group and 445 in the control group).

conclusionsOur results indicate that most recent studies support the effectiveness of probiotics in reducing symptoms of anxiety, depression, and cognitive issues despite some discrepancies in the findings. People with mild symptoms may experience greater benefits from taking probiotics.

trial registrationPROSPERO registration ID: CRD42024589507.

Indexed as

AnxietyCognitionDepressionPrebioticsProbioticsGastrointestinal MicrobiomeHumansRandomized Controlled Trials as TopicPrebioticsanxietycognitive functiondepressiongut microfloramental disordersprebioticsprobiotics

Identifiers

PMID40038860
PMCPMC11879892

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.