Evidence map›Paper›PMID 42052391›Full record

ArticleFrontiers in microbiology2026

Distinct effects of a dairy probiotic drink and physical exercise on gut microbiota in pediatric acute lymphoblastic leukemia patients in remission: a randomized clinical trial.

Libuša Nechalová, Ivan Hric, Sabína Smahová, Miriam Babicová, Simona Ugrayová, Veronika Hlaváčová, Leonard Lendvorský, Timotej Surán, Alexandra Kolenová, Viktor Bielik

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Libuša NechalováDepartment of Biological and Medical Sciences, Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia.
Ivan HricDepartment of Biological and Medical Sciences, Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia.
Sabína SmahováDepartment of Pediatric Hematology and Oncology, Comenius University and National Institute of Children's Diseases, Bratislava, Slovakia.
Miriam BabicováDepartment of Biological and Medical Sciences, Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia.
Simona UgrayováDepartment of Biological and Medical Sciences, Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia.
Veronika HlaváčováDepartment of Biological and Medical Sciences, Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia.
Leonard LendvorskýNational Sports Centre, Bratislava, Slovakia.
Timotej SuránNational Sports Centre, Bratislava, Slovakia.
Alexandra KolenováDepartment of Pediatric Hematology and Oncology, Comenius University and National Institute of Children's Diseases, Bratislava, Slovakia.
Viktor BielikDepartment of Biological and Medical Sciences, Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Treatment of pediatric acute lymphoblastic leukemia (ALL) induces persistent gut microbiota dysbiosis. However, microbiota-targeted interventions remain limited. This study evaluated the independent effects of physical exercise and probiotic supplementation on gut microbiota composition in pediatric ALL patients in remission for <5 years. Methods: Thirty patients were randomized to an experimental group (8-week exercise followed by 8-week daily probiotic intake) or a non-intervention control group. Gut microbiota composition, stool metabolite profiles, anthropometric parameters, and physical strength outcomes were assessed. Results: Physical exercise improved handgrip strength and supported anthropometric stability, with only modest effects on gut microbiota composition. In contrast, probiotic supplementation induced a significant shift in gut microbial community structure permutational multivariate analysis of variance (PERMANOVA, Discussion: Overall, probiotic supplementation had a greater impact on gut microbiota composition than physical activity, inducing targeted shifts toward a more favorable microbial profile in this clinically vulnerable population.

Indexed as

cancerhandgrip strengthLacticaseibacillus paracaseiVeillonellaβ diversity

Identifiers

PMID42052391
PMCPMC13111229

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.