Evidence map›Paper›PMID 41814326›Full record

ArticleNutrition & metabolism2026

Effects of synbiotic supplementation on metabolic profiles in children with obesity: a randomized double-blinded placebo-controlled trial.

Kununya Charoensriwattanakul, Chonnikant Visuthranukul, Penpitcha Pongchaidacha, Surapun Tepaamorndech, Inthawoot Suppavorasatit, Sirinuch Chomtho

Abstract read
In one paragraph

Article in Nutrition & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kununya CharoensriwattanakulDivision of Nutrition, Department of Pediatrics, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, 10330, Thailand.ORCID http://orcid.org/0009-0001-1854-7173
Chonnikant VisuthranukulCenter of Excellence in Pediatric Nutrition, Division of Nutrition, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand. chonnikant.v@chula.ac.th.ORCID http://orcid.org/0000-0003-1693-2550
Penpitcha PongchaidachaDivision of Nutrition, Department of Pediatrics, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, 10330, Thailand.ORCID http://orcid.org/0009-0002-8693-4690
Surapun TepaamorndechDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.ORCID http://orcid.org/0000-0002-5315-2249
Inthawoot SuppavorasatitDepartment of Food Technology, Faculty of Science, Chulalongkorn University, Bangkok, 10330, Thailand.ORCID http://orcid.org/0000-0002-3693-8485
Sirinuch ChomthoCenter of Excellence in Pediatric Nutrition, Division of Nutrition, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.ORCID http://orcid.org/0000-0001-9712-2474

Funding

Ratchadapiseksomphot Fund, Faculty of Medicine, Chulalongkorn University. Grant no. GA68/015
6 · The paper itself

Abstract

backgroundChildhood obesity is a global concern, associated with various metabolic complications. Gut microbiota dysbiosis has been implicated in its pathogenesis. Synbiotics may improve metabolic health by modulating gut microbiota.

objectiveTo evaluate the effects of synbiotic supplementation on lipid profiles, fasting blood glucose (FBG), insulin, and alanine aminotransferase (ALT) in children with obesity.

methodsThis randomized, double-blind, placebo-controlled trial (April 2024-June 2025), children aged 7–18 years with obesity received either a new freeze-dried synbiotic (10 g inulin from Thai Jerusalem artichoke plus Bifidobacterium animalis and Lactobacillus paracasei, 10⁷ CFU each) or a placebo (isocaloric maltodextrin) daily for 3 months. Both groups received the same lifestyle modification counseling. Anthropometric measurements, dietary intake, physical activity, and metabolic parameters were assessed at baseline and month 3.

resultsSixty children were enrolled; 57 completed the study. High-density lipoprotein cholesterol (HDL-C) significantly increased in the synbiotic group compared to controls [median change: 0.34 (-0.16, 1.35) vs. -0.84 (-1.35, -0.33) mg/dL, P = 0.001], after adjusting for baseline. No significant changes were observed in BMI z-score or other metabolic parameters. Furthermore, there were no significant differences in dietary intake or physical activity levels between groups at the 3-month follow-up.

conclusionsSynbiotic supplementation significantly improved HDL-C in children with obesity. These results suggest that synbiotics may serve as an adjunctive nutritional intervention for managing metabolic health in childhood obesity.

trial registrationhttps://www.thaiclinicaltrials.org/ (TCTR20240321005).

Indexed as

Gut microbiotaMetabolic profilesObesitySynbiotic

Identifiers

PMID41814326
PMCPMC13094109

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.