Evidence mapPaperPMID 42518167Full record

ReviewProbiotics and antimicrobial proteins2026

Efficacy of Lactobacillus plantarum on Body Composition, Lipid Profile, Liver Enzymes, and Inflammatory Markers in Overweight or Obese Adults: A GRADE Systematic Review and Meta-analysis of Randomized Trials.

Zhen Cheng, Liping Du, Wei Zheng, Shuangqin Zheng, Xiaoheng Zheng, Zhi Liu, Zhong Wong, Xiaofang Ge

Abstract readReview
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In one paragraph

Review in Probiotics and antimicrobial proteins, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Zhen ChengEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Liping DuEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Wei ZhengEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Shuangqin ZhengEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Xiaoheng ZhengEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Zhi LiuEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Zhong WongEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Xiaofang GeEmergency and Critical Care Center, Department of Emergency Medicine, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China. gexiaofang1822@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLactobacillus plantarum (L. plantarum) has been studied for its potential effects on obesity-related outcomes, but evidence remains inconsistent. This meta‑analysis of randomized controlled trials (RCTs) evaluated the impact of L. plantarum supplementation on body composition, lipid profile, glycemic indices, inflammatory biomarkers, and liver enzymes in non‑diabetic overweight or obese adults.

methodsWe systematically searched PubMed, Embase, Cochrane Library, Web of Science, Google Scholar, and ClinicalTrials.gov up to May 2026. Random‑effects models were used to pool weighted mean differences (WMD) with 95% confidence intervals (CI). Subgroup analyses examined strain type, intervention duration, and sample size. The risk of bias was assessed using the Risk of Bias 2 (ROB‑2) tool, and the certainty of evidence was rated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach.

resultsSeventeen RCTs were included. L. plantarum significantly reduced body weight (WMD: -1.20 kg; 95% CI -1.92 to -0.48; P < 0.001; I²=47.4%) and waist circumference (WC) (WMD: -1.36 cm; 95% CI -2.27 to -0.45; P = 0.003; I²=58.5%) but not body mass index (BMI) (WMD: -0.25 kg/m²; p = 0.102; I²=82.8%). Greater improvements in body weight and WC were observed with multi-strain formulations, 12-week interventions, and sample sizes exceeding 50 participants. No significant overall effects were found for triglycerides (TG), total cholesterol (TC), low‑density lipoprotein cholesterol (LDL‑C), high‑density lipoprotein cholesterol (HDL‑C), fasting blood sugar (FBS), insulin, interleukin‑6 (IL‑6), C‑reactive protein (CRP), tumor necrosis factor‑α (TNF‑α), alanine aminotransferase (ALT), or aspartate aminotransferase (AST). However, intervention durations longer than 12 weeks modestly improved lipid profiles. For glycemic indices, multi-strain L. plantarum reduced FBS specifically in studies with > 50 participants and a 12-week duration.

conclusionsL. plantarum supplementation, especially multi-strain and for at least 12 weeks, may modestly reduce body weight and WC. Evidence for benefits in lipid, glycemic, inflammatory, or liver enzyme levels is limited. Longer and larger trials are warranted.

Indexed as

Body compositionGRADELactobacillus plantarumMeta-analysisObesityOverweightProbiotics

Identifiers

What Socratic holds

Textmetadata
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Registered trials

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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.