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Record W4411121981 · doi:10.1163/18762891-bja00081

The role of probiotics in the improvement of cognitive performance of older adults: a meta-analysis

2025· review· en· W4411121981 on OpenAlex
Cato Wiegers, S. Doğan, M J Metzelaar, Olaf F. A. Larsen

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBeneficial Microbes · 2025
Typereview
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicGut microbiota and health
Canadian institutionsAthena Sustainable Materials Institute
Fundersnot available
KeywordsMeta-analysisCognitionMedicineEffects of sleep deprivation on cognitive performanceRandomized controlled trialPsychological interventionCognitive skillProbioticCognitive testInternal medicinePhysical therapyPsychiatryBiology

Abstract

fetched live from OpenAlex

With our increasing lifespan comes an increasing prevalence of age-related neurological diseases, which are often difficult to treat. The gut-brain axis may provide opportunities for cognitive health improvement through gut microbiota-targeting interventions, such as probiotics. The aim of this meta-analysis is to determine the clinical potential of probiotics for the amelioration of cognitive functioning in older adults. Systematic searches were executed in PubMed, Scopus, and Web of Science to retrieve published records of randomised controlled trials (RCTs). Records were assessed to fit the criteria of focusing on probiotic supplementation with cognitive functioning as the main outcome. After screening and assessment of 56 identified records, 20 RCTs were included for analysis. Reported means and standard deviations of cognitive test scores were used to calculate standardised mean differences (SMD) with a random effects model. Where applicable, blood concentrations of pro-inflammatory cytokines were taken as a secondary outcome. Based on the calculated SMDs it appears, overall, that supplementation of probiotics tends to have positive effects on both cognitive performance and reduction of inflammatory markers in older adults, albeit not significant (SMD [95%CI] = 0.19 [-0.13, 0.52] for cognitive performance, and SMD [95%CI] = -0.44 [-0.94, 0.06] for inflammation). The set of RCTs studied here is characterised by high heterogeneity, preventing the determination of a true overall effect size.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.810
Threshold uncertainty score0.579

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.016
GPT teacher head0.298
Teacher spread0.282 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it