Evidence map›Paper›PMID 41495831›Full record

SynthesisBMC medicine2026

Effect of probiotic supplementation on the gut microbiota diversity in healthy populations: a systematic review and meta-analysis of randomised controlled trials.

Anna Júlia Éliás, Kincső Csepke Földvári-Nagy, Yasmin Zubeida Al-Gharati, Dániel Sándor Veres, Tamás Schnabel, Brigitta Teutsch, Bálint Erőss, Péter Hegyi, Katalin Lenti, László Földvári-Nagy

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Frontiers in nutrition · 2026
    Article
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

10 authors.

Anna Júlia ÉliásDivision of Health Sciences, Semmelweis University Doctoral School, Semmelweis University, Budapest, Hungary.
Kincső Csepke Földvári-NagyFaculty of Health Sciences, Semmelweis University, Budapest, Hungary.
Yasmin Zubeida Al-GharatiFaculty of Health Sciences, Semmelweis University, Budapest, Hungary.
Dániel Sándor VeresCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Tamás SchnabelDepartment of Gastroenterology, Skien Hospital, Telemark Hospital Trust, Skien, Norway.
Brigitta TeutschCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Bálint ErőssCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Katalin Lenti *Department of Morphology and Physiology, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary.
László Földvári-Nagy *Department of Morphology and Physiology, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary. foldvari-nagy.laszlo@semmelweis.hu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProbiotics are widely used dietary supplements promoted to positively influence gut health and microbiota diversity, making them popular among healthy individuals. One of the purported benefits of probiotics is their ability to enhance gut microbiota diversity, a feature associated with improved resilience and overall health. However, evidence supporting this claim remains inconclusive. We aimed to investigate whether probiotics significantly modify gut microbiota diversity in healthy populations through a systematic review and meta-analysis.

methodsA systematic search of MEDLINE, Embase, and Cochrane databases was conducted on 12/04/2024, following the search strategy registered in PROSPERO (CRD42022286137). Out of 9217 identified articles, 47 met the inclusion criteria of the current review, and 22 studies with data from 1068 individual subjects were eligible for meta-analysis of changes in gut microbiota diversity assessed by diversity indices. A random-effects model was employed to estimate the means of median differences (MedD) with 95% confidence intervals (CI) due to the expected heterogeneity.

resultsThe quantitative synthesis revealed no statistically significant effects of probiotics on Shannon diversity (MedD = - 0.08, 95% CI [- 0.16 to 0.01]), observed operational taxonomic units (MedD = 2.19, 95% CI [- 2.20 to 6.57]), Chao1 (MedD = - 3.19, 95% CI [- 27.28 to 20.89]), or Simpson's index of diversity (MedD = - 0.01, 95% CI [- 0.02 to 0.00]) indices compared to unsupplemented controls. Subgroup and sensitivity analyses suggest that the probiotic taxonomic family, the risk of bias, or the duration of intervention did not change our findings. Insufficient data prevented us from meta-analysing other diversity indices; however, most of the included studies reported no difference in other reported α- and ß-diversity indices between the probiotic and control groups.

conclusionsOur results indicate that probiotic supplementation does not produce statistically significant changes in gut microbiota diversity in healthy individuals. This study highlights the need for further research to determine whether specific probiotic strains or formulations may influence diversity in targeted subgroups or under specific conditions.

Indexed as

Dietary SupplementsGastrointestinal MicrobiomeProbioticsBiodiversityHumansRandomized Controlled Trials as TopicChao1 indexDiversityGastrointestinal microbiomeMeta-analysisOUTProbioticsShannon indexSimpson’s index of diversity

Identifiers

PMID41495831
PMCPMC12870995

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.