Evidence map›Paper›PMID 42006274›Full record

SynthesisFrontiers in endocrinology2026

The impact of estrogen status on the gut microbiome: a systematic review and meta-analysis.

Kristina Saravinovska, Daniele Santi, Francesco Costantino, Alessandro Prete, Antoan Stefan Šojat, Giorgia Spaggiari, Miomira Ivović, Irene Lambrinoudaki, Eleni Armeni, Aleksandar Jurišić and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Kristina SaravinovskaFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Daniele SantiUnit of Endocrinology, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Francesco CostantinoUnit of Endocrinology, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Alessandro PreteDepartment of Metabolism and Systems Science, School of Medical Sciences, College of Medicine and Health, University of Birmingham, Birmingham, United Kingdom.
Antoan Stefan ŠojatClinic of Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, Belgrade, Serbia.
Giorgia SpaggiariUnit of Endocrinology, Department of Medical Specialties, Azienda Ospedaliero-Universitaria of Modena, Modena, Italy.
Miomira IvovićFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Irene Lambrinoudaki2nd Department of Obstetrics and Gynaecology, University of Athens, Aretaieio Hospital, Athens, Greece.
Eleni Armeni2nd Department of Obstetrics and Gynaecology, University of Athens, Aretaieio Hospital, Athens, Greece.
Aleksandar JurišićFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Sladjana MihajlovićFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Svetlana VujovićFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Ljiljana V MarinaFaculty of Medicine, University of Belgrade, Belgrade, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Estrogens have been proposed as modulators of gut microbiome (GM) composition, yet evidence from observational studies remains inconsistent. Objective: This meta-analysis aimed to systematically summarise existing evidence on GM alterations in hypoestrogenic women - post-menopausal or premature ovarian insufficiency (POI) - compared to euestrogenic pre-menopausal controls. Methods: PubMed, SCOPUS and Embase were searched through December 2024 for studies comparing GM characteristics between hypoestrogenic and pre-menopausal women. Primary outcome was α-diversity (Shannon index). Secondary outcomes included relative abundances of Results: Out of 1092 studies screened, 7 met the inclusion criteria (n = 45 women with POI, n = 1222 post-menopausal women, n = 463 eustrogenic controls). No significant differences were observed in Conclusion: Current evidence does not support consistent differences in GM diversity or major bacterial phyla between hypoestrogenic and euestrogenic women. Given the substantial heterogeneity, limited control of confounding factors, and variability in methodological quality, these findings should be interpreted with caution. High-quality, well-controlled studies are needed to better define the relationship between estrogen status and the GM.

Indexed as

EstrogensGastrointestinal MicrobiomePrimary Ovarian InsufficiencyFemaleHumansPostmenopausePremenopauseEstrogensestrobolomegut microbiomegut microbiotahypoestrogenicmenopausepostmenopausepremature ovarian insufficiency

Identifiers

PMID42006274
PMCPMC13082958

What OpenQuestion holds

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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.