Table 2.
Study | Intervention Type | Delivery Method | Active Compound | Dose | Frequency (Dose/Day) | Duration (Days) | Active/ Control |
Mean Age | Sex (M/F) | Cognitive Tool | Cognitive Function |
Effect WITHIN-G | Effect BETWEEN-G | Participants | Risk of Bias |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Adikari et al. (2020) [55] | probiotic | liquid (orange juice) | Lactobacillus Casei Shirota | 3 × 1010 CFU | 1 | 56 | 10/9 | 19 | 19/0 | DVT-RT | sustained attention/vigilance/visual-motor tracking | + | ↓ | right-handed football players | |
Bos et al. (2015) [74] | prebiotic | fortified margarine | DHA & EPA | 650 mg each | 1 | 112 | 19 ADHD PRO | 10.6 | 76/0 | CBCL-AP | attention | + | ↓(ADHDvsRG) ↓(PROvsPBO) | ADHD children either medication naïve or using metylphenidate | |
19 ADHD PBO | GO/NO-GO TASK | inhibitory control | ns | ns | |||||||||||
20 RG PRO | |||||||||||||||
18 RG PBO | |||||||||||||||
Capitao et al. (2020) [75] | prebiotic | sachet | B-GOS | - | 1 | 84 | 17/18 | 8.84 | 24/11 | BAS-III | literacy | + | ns | children with below-average literacy skills | |
CogTrack | memory retrieval speed | + | ns | ||||||||||||
Cornu et al. (2018) [76] | prebiotic | capsules | DHA & EPA | 6–8 yo: 84 mg & 336 mg | 1 | 91 | 71/77 | 9.9 | 127/35 | Aloulette test | lexical age | - | ns | ADHD children | |
9–11 yo: 126 mg & 504 mg | KiTAP (6–10 yo)/TAP (11–15 yo) | distractibility (6–11 yo only) | - | ns | |||||||||||
12–15 yo: 168 mg & 672 mg | flexibility | - | ns | ||||||||||||
inhibitory control (go/no-go RTs) | - | ↓ RTs | |||||||||||||
Chong et al. (2019) [56] | probiotic | sachet | Lactobacillus plantarum DR7 | 1 × 109 CFU | 1 | 84 | 27/32 | 24.8 | - | CBB | psychomotor control | - | ns | stressed healthy subjects | |
basic attention | - | ns | |||||||||||||
visual learning & memory | - | ns | |||||||||||||
working memory | - | ns | |||||||||||||
executive function | - | ns | |||||||||||||
social emotional cognition | - | ns | |||||||||||||
associate learning | - | ns | |||||||||||||
verbal learning and memory | - | ns | |||||||||||||
Karr et al. (2012) [77] | prebiotic | capsules | DHA & EPA | 240 mg & 360 mg | 2 | 28 | 20 /21 | 20.1 | 12/29 | RAVLT | verbal learning and memory | ns | ns | college students | |
SCWT | inhibitory control | ns | ns | ||||||||||||
TMT | executive control | ns | ↑ | ||||||||||||
Kelly et al. (2017) [63] | probiotic | capsules | Lactobacillus rhamnosus | 1 × 109 CFU | 1 | 28 | 15/14 | 24.6 | 29/0 | CANTAB | associate learning | + | ns | healthy subjects | |
attention | + | ns | |||||||||||||
visual speed processing | + | ns | |||||||||||||
emotional attentional bias | ns | ns | |||||||||||||
Kennedy et al. (2009) [78] | prebiotic | capsules | DHA | 200 mg | 2 (400 mg) | 56 | 28 | 10.8 | 44/42 | CDR | general cognitive functions | + | ↓word recognition speed in 400 mg pre&post breakfast ↑ in 1000 mg pre-breakfast | healthy children | |
DHA | 200 mg | 5 (1000 mg) | 30 | internet battery | - | - | |||||||||
PBO | 30 | ||||||||||||||
Liu et al. (2019) [65] | probiotic | capsules | Lactobacillus plantarum PS128 | 3 × 1010 CFU | - | 30 | 36/35 | 10.01 | 71/0 | CBCL-AP | attention | - | ns | ASD children | |
Milte et al. (2012) [79] | prebiotic | capsules | DHA & EPA | 108 mg & 1109 mg | 1 | 121 | 24 | 8.9 | 70/17 * | WIAT-III/WSCI-III | literacy | - | ns | ADHD | |
DHA & EPA | 1032 mg & 264 mg | 1 | 19 | TEAC | attention and inhibition | - | ns | ||||||||
safflower oil (control) | 1467 mg | 1 | 24 | ||||||||||||
Milte et al. (2015) [80] | prebiotic | capsules | DHA & EPA | 108 mg & 1109 mg | 1 | 121*3 | 56 | 8.9 | 67/20 * | WIAT-III/WSCI-III | literacy | +(spelling) | ns | ADHD | |
DHA & EPA | 1032 mg & 264 mg | 1 | 54 | TEAC | attention and inhibition | +(attention) | ns | ||||||||
safflower oil (control) | 1467 mg | 1 | 57 | ||||||||||||
Widenhorn-Müller et al. (2014) [81] | prebiotic | capsules | DHA & EPA | 600 mg & 120 mg | 1 | 112 | 46/49 | 8.9 | 74/21 | HAWIK-IV | working memory | - | ↓ | ADHD | |
speed of information processing | - | ns | |||||||||||||
KITAP/TAP | attention | - | ns | ||||||||||||
CBCL AP | attention | NA | ns | ||||||||||||
Papalini et al. (2019) [67] | probiotic | powder | Bifidobacterium bifidum W23, Bifidobacterium lactis W51, Bifidobacterium lactis W52, Lactobacillus acidophilus W37, Lactobacillus brevis W63, Lactobacillus casei W56, Lactobacillus salivarius W24, Lactococcus lactis W19, Lactococcus lactis W58 | 2.5 × 109 | 2 | 28 | 29/29 | 21.5 | 0/58 | emotional face-matching | emotional reactivity | + | ns | healthy subjects | |
emotional face-word stroop | resolution of emotional conflicts | + | ns | ||||||||||||
color-word stroop | cognitive inhibition | + | ns | ||||||||||||
digit span backward test | working memory | +after stress | ↓(after stress) | ||||||||||||
Portillo-Reyes et al. (2014) [82] | prebiotic | capsules | DHA & EPA | 60 mg & 90 mg | 3 | 91 | 30/20 | 9.2 | 29/21 | symbolic search | processing speed | + | ↓ | healthy children | |
embedded figures test/visual closure | visuoperceptive integration | + | ↓ | ||||||||||||
semantic fluency/comprehension instruction | language | +semantic fluency (fruit) | ns | ||||||||||||
block design/TMT A | visuomotor coordination | +block design | ↓block design | ||||||||||||
matrix reasoning/stroop colour word/TMT B/letter-number sequencing | executive functions | +letter-number seq, matrix reasoning, stroop | ↓matrix reasoning, stroop | ||||||||||||
letter cancellation | attention | + | ns | ||||||||||||
rey complex figure/word list | visual & verbal memory | +verbal recall & recognition | ns | ||||||||||||
Richardson et al. (2012) [83] | prebiotic | capsules | DHA | 200 mg | 3 | 112 | 179/180 | 8.6 | 192/170 | BAS-II | reading | +very poor readers only | ↓poor and very poor readers only | healthy children | |
DS-FW/DS-BW | working memory | ns | ↓ forward recall | ||||||||||||
Schmidt et al. (2015) [68] | prebiotic | powder | FOS | 5500 mg | 1 | 21 | 15 | 23.7 | 22/23 | Attentional dot-probe task | attention | - | ↓GOS only, unmasked condition | healthy subjects | |
B-GOS | 15 | facial expression recognition/emotional word recognition and recall | emotional cognition | - | ns | ||||||||||
PBO | 15 | ||||||||||||||
Steenbergen et al. (2015) [84] | probiotic | powder | Bifidobacterium bifidum W23, Bifidobacterium lactis W51, Bifidobacterium lactis W52, Lactobacillus acidophilus W37, Lactobacillus brevis W63, Lactobacillus casei W56, Lactobacillus salivarius W24, Lactococcus lactis W19, Lactococcus lactis W58 | 2.5 × 109 CFU | 2 | 28 | 20/20 | 19.9 | 8/32 | LEIDS-r | cognitive reactivity to sad mood | + | ↓particularly aggressive and ruminative thoughts | healthy subjects | |
Vesco et al. (2018) [85] | prebiotic | capsules | DHA & EPA and others | 50 mg & 350 mg & 67 mg | 2 | 84 | 23 | 11.2 | 54/41 | BRIEF | Executive functions | + | ↓ | children with depression/mood disorders | |
PUFAs + PEP | 22 | ||||||||||||||
PEP + PBO | 26 | ||||||||||||||
PBO | 24 | ||||||||||||||
Voigt et al. (2000) [86] | prebiotic | capsules | DHA | 345 mg | 3 | 121 | 25/24 | 9.3 | 42/12 * | TOVA | sustained attention | + | ns | ADHD | |
CCT | visual attention, sequencing, psychomotor speed, cognitive flexibility | ns | ns | ||||||||||||
↓: Improvement vs. placebo; ↑: diminishment vs. placebo; ns: no significant effect; +: improvement of performance vs. baseline; -: not reported or not applicable; dose refers to the amount of active compound. DVT: digit vigilance test, RT: reaction times, DHA: docosahexaenoic acid; EPA: eicosapentaenoic acid; FOS: fructooligosaccharides; B-GOS: Bimuno®-galactooligosaccharides; PRO: probiotics; PBO: placebo; RG: reference group; CBCL-AP: Child Behavior Checklist—Attentional Problems; KiTAP: Test of Attentional Performance for Children; TAP: Test of Attentional Performance; CBB: Computerized CogState Brief Battery; RAVLT: Auditory Verbal Learning Test; SCWT: Stroop Color and Word Test; TMT: Trial-Making Test; CANTAB: Cambridge Neuropsychological Test Automated Battery; CDR: Cognitive Drug Research Battery; WIAT: Wechsler Individual Achievement Test; WSCI: Wechsler Scale of Children Intelligence; TEAC: Test of Everyday Attention for Children; HAWIK: Hamburg Wechsler Intelligence Scales for Children, BAS: British Ability Scale; DS-FW: digit-span forward; DS-BW: digit-span backward; LEIDS-r: Leiden Index of Depression Sensitivity—Revised; BRIEF: Behavior Rating Inventory of Executive Functions; TOVA: Test of Variables of Attention; CCT: Children’s Colors Trials test. * As measured at baseline.