Table 2.
PICOS | Inclusion | Exclusion |
---|---|---|
Population | Human Healthy community dwelling sedentary individuals. Sedentary individuals initiating a structured physical activity or exercise program. Recreational and competitive active adults (18–60 years). Male and female biological sex. |
Animals and in vitro studies. Infants or children. Pregnancy or lactating. Sedentary individuals with non-communicable disease risk or established disease (i.e., cardiometabolic risk factors or established cardiovascular diseases, diabetes mellitus, and/or metabolic syndrome). Diagnosed disease or syndrome states (i.e., all clinical populations). Population adhering to dietary modifications and/or dietary supplementation, other than pre-/pro-/syn-biotic intervention. |
Intervention | Acute and prolonged provisions of prebiotic/s, probiotic/s, and synbiotic blends (i.e., prebiotic + probiotic, with or without other nutrient inclusion) (e.g., vitamins, minerals, lipids, phytochemicals, and/or volatiles). With and without monitored and/or structures physical active and/or exercise program. Dietary control (monitoring or provisions). |
Dietary interventions not containing acute and prolonged provisions of prebiotic/s, probiotic/s, and synbiotic blends. Acute and prolonged provisions of prebiotic/s, probiotic/s, and synbiotic blends that contain a pharmaceutics grade product or compound. |
Comparator | Placebo group Control group | No placebo or control |
Outcome | Gastrointestinal integrity markers: e.g., I-FABP, Claudin-3, dual sugars test for permeability, and other markers proposed to assess gastrointestinal epithelial integrity. Gastrointestinal functional markers: e.g., gastric aspiration, C13 breath test, OCTT, EGG, pH pill monitoring, H2 and CH4 malabsorption challenge. Systemic markers of compromised gastrointestinal integrity: e.g., CRP, systemic inflammatory response cytokine profile, systemic endotoxin profile (e.g., LPS, gram-negative endotoxin, ant-endotoxin antibody, sCD14, and/or LBP), systemic microbial identification (e.g., gene sequencing determination), immune cell functional responses and/or counts. Gastrointestinal signs and symptoms: e.g., stool habits and texture, QoL, and/or symptoms. Gastrointestinal microbiota: e.g., bacterial taxonomy (ASV or OTU) including α-diversity and relative abundance, bacterial functional markers including SCFA concentration (e.g., butyrate, propionate, and/or acetate). |
|
Study design | RCT or randomized crossover trial. | All other study designs |
ASV, Amplicon sequence variant; CRP, c-reactive protein; EGG, electrogastrography; I-FABP, Intestinal fatty acid binding protein; LBP, lipopolysaccharide binding protein; LPS, lipopolysaccharide; OCTT, orocecal transit time; OTU, operational taxonomic units; QoL, quality of life; sCD14, soluble CD14; SCFA, short chain fatty acid; RCT, randomized control trial.