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In addition, another aim of the study was to determine the best probiotic, prebiotic, and\/or synbiotic for the management of sarcopenia in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>A systematic search was conducted in the MEDLINE\/PubMed, Cochrane Library, SCOPUS databases, and other sources (eg, references obtained from articles identified in databases).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Extraction<\/jats:title>\n                    <jats:p>The search was limited from 2000 to 2023 and was based on sarcopenia parameters, and probiotics, prebiotics, or synbiotics supplementation. The quality of each included study also was assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Analysis<\/jats:title>\n                    <jats:p>A meta-analysis was performed with the Review Manager program and publication bias and sensitivity analysis were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight randomized controlled trials (RCTs) were included in the systematic review and 4 in the meta-analysis. Results showed that probiotics supplementation improved muscle strength and physical performance and function and suggested a beneficial effect on muscle mass. Prebiotics are suggested to be effective on muscle strength. The meta-analysis also determined that probiotic interventions were effective in increasing muscle strength by handgrip strength (mean difference [MD], 2.50\u2009kg [95% CI, 1.33-3.66]; P\u2009&amp;lt;\u2009.0001) and physical performance and function by gait speed (MD, 0.10\u2009m\/s [95% CI, 1.33-3.66]; P\u2009&amp;lt;\u2009.0001) and physical performance and function by gait speed (MD, 0.10\u2009m\/s [95%CI, 0.03-0.16]; P\u2009=\u2009.003), but when sensitivity analysis was applied, the effectiveness was only maintained for gait speed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nutritional strategies based on probiotic supplementation seem to improve muscle strength and physical function. More robust research is needed with high-quality RCTs to confirm probiotics' effects. There is still limited evidence about prebiotic and synbiotic strategies, and more evidence is needed to elucidate their effects on sarcopenia parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic Review Registration<\/jats:title>\n                    <jats:p>PROSPERO registration no. CRD42022360514.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/nutrit\/nuae145","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T15:23:59Z","timestamp":1727105039000},"page":"e1693-e1708","source":"Crossref","is-referenced-by-count":23,"title":["Effects of Probiotics, Prebiotics, and Synbiotics on Sarcopenia Parameters in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials"],"prefix":"10.1093","volume":"83","author":[{"given":"Maria","family":"Besora-Moreno","sequence":"first","affiliation":[{"name":"Universitat Rovira i Virgili, Facultat de Medicina i Ci\u00e8ncies de la Salut, Departament de Medicina i Cirurgia, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group , 43201 Reus,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7439-9531","authenticated-orcid":false,"given":"Elisabet","family":"Llaurad\u00f3","sequence":"additional","affiliation":[{"name":"Universitat Rovira i Virgili, Facultat de Medicina i Ci\u00e8ncies de la Salut, Departament de Medicina i Cirurgia, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group , 43201 Reus,","place":["Spain"]},{"name":"Institut Investigaci\u00f3 Sanit\u00e0ria Pere i Virgili , 43204 Reus,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa M","family":"Valls","sequence":"additional","affiliation":[{"name":"Universitat Rovira i Virgili, Facultat de Medicina i Ci\u00e8ncies de la Salut, Departament de Medicina i Cirurgia, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group , 43201 Reus,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Pedret","sequence":"additional","affiliation":[{"name":"Universitat Rovira i Virgili, Facultat de Medicina i Ci\u00e8ncies de la Salut, Departament de Medicina i Cirurgia, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group , 43201 Reus,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Sol\u00e0","sequence":"additional","affiliation":[{"name":"Universitat Rovira i Virgili, Facultat de Medicina i Ci\u00e8ncies de la Salut, Departament de Medicina i Cirurgia, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group , 43201 Reus,","place":["Spain"]},{"name":"Institut Investigaci\u00f3 Sanit\u00e0ria Pere i Virgili , 43204 Reus,","place":["Spain"]},{"name":"Hospital Universitari Sant Joan de Reus , 43204 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