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. 2025 Aug 21;24(2):189. doi: 10.1007/s40200-025-01700-x

Table 1.

Characteristics of the included studies in the systematic review and meta-analysis

Study Country Study design Participant Gender Sample size
(IG/CG)
Trial duration
(week)
Means Age Means BMI Intervention Dose CG
IG CG IG CG
Mahboobi et al. (2014) Iran RCT, PC, parallel, DB Prediabetic

M & F

(NR)

55

(28/27)

8 51.03 ± 1.37 50.36 ± 1.32 28.87 ± 0.8 29.7 ± 0.8

Probiotics

(multi-strain)

500 mg/day Placebo
Kassaian et al. (2018) (A) Iran RCT, PC, parallel, DB Prediabetic

M & F

(23, 21)

44

(30/14)

24 52.97 ± 6.8 52.97 ± 5.9 29.1 ± 2.9 30.4 ± 3.2 Synbiotics 6 g (1 × 109 CFU for each) + inulin-based prebiotic Placebo
Kassaian et al. (2018) (B) Iran RCT, PC, parallel, DB Prediabetic

M & F

(18, 23)

41

(27/14)

24 52.9 ± 6.3 52.97 ± 5.9 29.6 ± 3.5 30.4 ± 3.2

Probiotics

(multi-strain) (Bifidobacterium spp.)

6 g/day (1 × 109 CFU for each) Placebo
Kassaian et al. (2019) (A) Iran RCT, PC, parallel, DB Prediabetic

M & F

(18, 23)

41

(27/14)

24 52.9 ± 6.3 52.97 ± 5.9 29.6 ± 3.5 30.4 ± 3.2

Probiotics

(multi-strain) (Bifidobacterium spp.)

6 g/day (1 × 109 CFU for each) Placebo
Kassaian et al. (2019) (B) Iran RCT, PC, parallel, DB Prediabetic

M & F

(23, 21)

44

(30/14)

24 52.97 ± 6.8 52.97 ± 5.9 29.1 ± 2.9 30.4 ± 3.2 Synbiotics 6 g (1 × 109 CFU for each) + inulin-based prebiotic Placebo
Tay et al. (2020) New Zealand RCT, PC, parallel, DB Prediabetic

M & F

(8, 18)

26

(15/11)

12 52.9 ± 8.7 54.1 ± 6.4 34.7 ± 4.9 33.6 ± 3.7

Probiotic

(L. Rhamnosus)

6 × 109 CFU Placebo
Oh et al. (2021) Korea RCT, PC, parallel, DB Prediabetic

M & F

(29, 8)

37

(20/17)

8 53.55 ± 10.18 56.4 ± 11.57 25.03 ± 1.92 25.25 ± 3.14

Probiotic

(L. Rhamnosus)

Once per day (4 × 109 CFU/capsule) Placebo
Barthow et al. (2022) New Zealand RCT, PC, parallel, DB Prediabetic M & F (36, 41)

77

(38/39)

24 60.4 ± 10.66 59.9 ± 8.66 30.9 ± 5.3 29.9 ± 6.6 Probiotics 6 × 109 (CFU/day) Placebo
AkbariRad et al. (2023) Iran RCT, PC, parallel, DB Prediabetic

M & F

(20, 50)

70

(35/35)

12 44 ± 8.66 43.06 ± 8.53 30.74 ± 3.56 31.41 ± 3.97 Synbiotics 500 mg/day Placebo

IG intervention group, CG control group, RCT randomized clinical trial, PC placebo control, SB single-blind, DB double-blind, M male, F female, CFU Colony-forming unit