PICOS-based eligibility criteria for study inclusion and exclusion.
Criteria
Inclusion criteria
Exclusion criteria
Population ‘P’
Adult men and/or women over the age of 18 who are Alzheimer’s patients.
Participants diagnosed with any other neurodegenerative disease (Parkinson’s), psychiatric disorders, depression, or alcoholism other than Alzheimer’s. Patients were diagnosed with chronic gastrointestinal diseases.Participants who received any type of medication or treatment: immunosuppressants, steroids, antibiotics, chemotherapy, and probiotics in at least the last 4 weeks. Participants with a history of recreational drug abuse.
Intervention ‘I’
To include a supplementation intervention that involves the use of probiotics as monotherapy, with clear information on the dose and duration of supplementation.
Administration together with other nutritional supplements. Studies in which probiotics were administered in combination with other nutritional interventions (e.g., specific diets or non-probiotic supplements) were excluded. This decision was made to isolate the effects attributable specifically to probiotic supplementation and to avoid confounding effects that could obscure the independent contribution of probiotics to the observed outcomes.
Comparison ‘C’
To include a placebo, control, or sham treatment group (parallel group study design).
Patients receiving other doses of probiotics or other nutritional supplements.
Outcomes ‘O’
Any biomarker related to biological, cognitive, or physical health in Alzheimer’s patients.
None.
Study design ‘S’
Randomized controlled trials.
Observational studies and studies using a specific analytical approach.
The authors would like to thank the Neurobiology Research Group at the University of Valladolid and the Department of Cell Biology, Genetics, Histology, and Pharmacology at the University of Valladolid School of Medicine for their collaboration in conducting this review and providing infrastructure.
The authors declare that they have no conflicts of interest.
Ethical approval
Not applicable.
Consent to participate
Not applicable.
Consent to publication
Not applicable.
Availability of data and materials
The datasets supporting the findings of this study are available from the corresponding author upon reasonable request.
Funding
The research is funded by the TCUE 2024-2027 Plan, approved by agreement on September 16, 2024, and has been selected within the framework of an operational program co-financed by the European Regional Development Fund (ERDF) and the Regional Government of Castile and León (067/230003 POC). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Open Exploration maintains a neutral stance on jurisdictional claims in published institutional affiliations and maps. All opinions expressed in this article are the personal views of the author(s) and do not represent the stance of the editorial team or the publisher.
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