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

Table 3.

GRADE profile for the effects of probiotics and synbiotics supplementation on cardiovascular risk factors in adults with prediabetes

Outcomes Risk of bias Inconsistency Indirectness Imprecision Publication Bias Quality
of evidence
TG No serious limitation No serious limitation No serious limitation Serious limitation 1 Serious limitation 2

⊕⊕◯◯

Moderate

TC No serious limitation No serious limitation No serious limitation Serious limitation 1 No serious limitation

⊕⊕⊕◯

High

LDL-C No serious limitation No serious limitation No serious limitation Serious limitation 1 No serious limitation

⊕⊕⊕◯

High

HDL-C No serious limitation No serious limitation No serious limitation No serious limitation No serious limitation

⊕⊕⊕⊕

Very High

FBG No serious limitation No serious limitation No serious limitation Serious limitation 1 No serious limitation

⊕⊕⊕◯

High

FI No serious limitation No serious limitation No serious limitation Serious limitation 1 No serious limitation

⊕⊕⊕◯

High

HbA1c No serious limitation No serious limitation No serious limitation No serious limitation No serious limitation

⊕⊕⊕⊕

Very High

HOMA-IR No serious limitation No serious limitation No serious limitation Serious limitation 1 No serious limitation

⊕⊕⊕◯

High

SBP No serious limitation No serious limitation No serious limitation Serious limitation 1 No serious limitation

⊕⊕⊕◯

High

DBP No serious limitation No serious limitation No serious limitation Serious limitation 1 Serious limitation 2

⊕⊕◯◯

Moderate

BW No serious limitation No serious limitation No serious limitation Serious limitation 1 No serious limitation

⊕⊕⊕◯

High

BMI No serious limitation No serious limitation No serious limitation Serious limitation 1 No serious limitation

⊕⊕⊕◯

High

TG Triglycerides, TC total cholesterol, LDL-C low-density lipoprotein cholesterol, HDL-C high-density lipoprotein cholesterol, FBG fasting blood glucose, FI fasting insulin, HbA1c glycated hemoglobin, HOMA-IR homeostatic model assessment of insulin resistance, SBP systolic blood pressure, DBP diastolic blood pressure, BW body weight, BMI, and body mass index

1. There is no significant effect of probiotics and symbiotics

2. There is a significant publication bias