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All Journal International Journal of Public Health Science (IJPHS) Global Medical and Health Communication JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Sari Pediatri Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Syntax Literate: Jurnal Ilmiah Indonesia Indonesian Journal of Cardiology Amerta Nutrition Jurnal Ipteks Terapan Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Bioscientia Medicina : Journal of Biomedicine and Translational Research pendidikan, science, teknologi, dan ekonomi International Journal of Public Health Excellence (IJPHE) International Journal of Community Service (IJCS) Jurnal Pengabdian Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Nindrea, Ricvan Dana
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Journal : Amerta Nutrition

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Pengaruh Pemberian Sinbiotik, Probiotik, dan Prebiotik terhadap Depresi, Stres, dan Mood pada Orang Dewasa: Systematic Review dan Meta-Analisis: Effects of Synbiotic, Probiotic, and Prebiotic Supplementation on Depression, Stress, and Mood in Adults: A Systematic Review and Meta-Analysis Habibi, Nur Ahmad; Gusnedi, Gusnedi; Nindrea, Ricvan Dana; Hasniyati, Rina; Afriza, Renita; Rusydi, Riska; Yuska, Defniwita; Darningsih, Sri; Zulkifli, Zulkifli; Ismanilda, Ismanilda; Handayani, Marni; Utami, Citra Tristi; Umar, Hermita Bus; Dwiyanti, Defriani; Yuniritha, Eva
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.420-430

Abstract

Background: Psychobiotics, including probiotics, prebiotics, and synbiotics, have been proposed to improve mental health through modulation of the gut–brain axis. However, findings from randomized controlled trials (RCTs) remain inconsistent, Objectives: To systematically review and synthesize evidence on the effects of probiotics, prebiotics, and synbiotics on depression, stress, and mood in adult populations. Methods: A comprehensive search was conducted in PubMed, yielding 531 articles, of which 14 RCTs met the inclusion criteria. Risk of bias was assessed using the Cochrane Risk of Bias Tool. Meta-analyses were performed using both fixed- and random-effects models in RevMan. The study protocol was registered in PROSPERO (CRD420251103338). Discussions: Ten RCTs (n = 881) assessing depression did not show consistent benefits (SMD = –0.72; 95% CI: –1.42 to –0.01; p-value = 0.05; I² = 96%). Six RCTs (n = 444) evaluating stress also showed non-significant effects (MD = –1.35; 95% CI: –3.70 to 1.01; p-value = 0.26; I² = 73%). Conversely, six RCTs (n = 376) demonstrated significant improvements in mood (MD = 0.73; 95% CI: 0.25 to 1.20; p-value = 0.003; I² = 75%). Meta-regression indicated that larger sample sizes were associated with more consistent improvements in mood (p-value = 0.04). Sensitivity analyses confirmed the stability of the findings, and no evidence of publication bias was detected. Conclusions: Probiotic, prebiotic, and synbiotic supplementation may provide beneficial effects on mood and could serve as a potential nutritional intervention to enhance psychological health. However, effects on depression and stress inconsistent.
Co-Authors Afriza, Renita Aisyah Alfitri Alfitri Alwi, Muh Khidri Andi Maryam Ardiansah Hasin Ardiansah Hasin Asni Hasanuddin Asrianto, La Ode Astuti - Astuti Astuti Bobby Indra Utama Dai, Nilam Fitriani Defniwita Yuska Defriani Dwiyanti, Defriani Dita Ellyana Artha Diyas Anugrah Djanas, Dovy Elis, Andi Elsa Yuniarti Eva Yuniritha, Eva Faiz Nur Hanum Fauzan Fauzan Gusnedi Gusnedi Hafni Bachtiar Handayani, Marni Hasanuddin, Asni Hasin, Ardiansah Hauda El Rasyid Hermita Bus Umar Hovlanta Pidingan Ismanilda, Ismanilda Jurnal Syarif LINDAWATI Luh Putu Ratna Sundari Mahaza Maryam, Andi Masrul Syafri Muh Khidri Alwi Nilam Fitriani Dai Nur Ahmad Habibi putri yeantesa Resmiati Resmiati Revi Rilliani Rina Hasniyati Riviwanto, Muchsin Roza Sriyanti Rusydi, Riska Setiawan, Adek Shinta Qorina Sri Darningsih Syaekhu, Ahmad Syahrial, Syahrial Titik Respati Utami, Citra Tristi Utari Gustiany Gahayu Vebby Amellia Edwin Wanti Wanti Winanda, Winanda Wirsma Arif Harahap Wiza Erlanda Yusri Dianne Jurnalis Zulfahmi Zulfahmi Zulkifli Zulkifli