Evidence map›Paper›PMID 42393816›Full record

ArticleBMC nutrition2026

The effects of a novel combination of a probiotic supplement (L. rhamnosus GG, L. acidophilus, and L. casei) with a weight gain intervention on body composition, appetite, gut permeability, oxidative stress, and inflammation in underweight adults: study protocol for a double-blind, randomized controlled trial.

Alireza Hatami, Maryam Ahmadi-Khorram, Asma Afshari, Aliyeh Ghannadzadeh Yazdi, Ali Jafarzadeh Esfehani, Lida Jarahi, Mohammad Masoumvand, Elena Philippou, Mohsen Nematy

Abstract read
In one paragraph

Article in BMC nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Alireza HatamiDepartment of Clinical Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Maryam Ahmadi-KhorramDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Asma AfshariDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Aliyeh Ghannadzadeh YazdiDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Ali Jafarzadeh EsfehaniDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Lida JarahiCommunity Medicine Department, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran.
Mohammad MasoumvandDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Elena PhilippouDepartment of Life Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus.
Mohsen NematyDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. NematyM@mums.ac.ir.ORCID http://orcid.org/0000-0003-3202-2709

Funding

Mashhad University of Medical Sciences 4010413, 4012306
6 · The paper itself

Abstract

introductionUndernutrition, characterized by insufficient energy and protein intake and/or malabsorption, leads to adverse physical and mental health outcomes. Addressing Undernutrition is complex, requiring adequate dietary intake and consideration of the gut microbiota, which is crucial for nutrient absorption and metabolism. Probiotics have shown potential in restoring the gut microbiota balance, enhancing nutrient absorption, and improving growth and immune function. The proposed double-blind, randomized controlled trial (RCT) aims to evaluate the effects of a novel probiotic combination in conjunction with a weight gain intervention on body composition, appetite, gut permeability, oxidative stress, and inflammation in severely underweight adults.

methodsA double-blind, randomized controlled trial in which 100 underweight (BMI < 18.5 kg/m DISCUSSION: This study outlines a comprehensive approach to investigating the impact of probiotics in combination with dietary intervention on multiple health parameters in underweight adults. The results of this trial will contribute to further ways of managing malnutrition. ETHICS AND DISSEMINATION: This study was approved by the Ethics Committee of the Research Vice-Chancellor at Mashhad University of Medical Sciences (IR.MUMS.MEDICAL.REC.1401.589) (IR.MUMS.MEDICAL.REC.1402.057). All participants will be asked to complete the consent form at the beginning of the study. The results will be actively disseminated through peer-reviewed journals and conference presentations. TRIAL REGISTRATION {2A AND 2B}: Iranian Registry of Clinical Trials, IRCT20230310057667N1 (Issue date 30 March 2023), https://irct.behdasht.gov.ir/trial/69130 .

Indexed as

AnthropometryAppetiteFood insecurityInflammationLactobacillusMalnutritionOxidative stressProbioticsUnderweight

Identifiers

PMID42393816
PMCPMC13378002

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.