Effect of Probiotics and Prebiotics on Immune Response to Influenza Vaccination in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
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We conducted a meta-analysis to evaluate the effects of probiotics and prebiotics on the immune response to influenza vaccination in adults. We conducted a literature search of Pubmed, Embase, the Cochrane Library, the Cumulative Index to Nursing and Allied Health (CINAHL), Airiti Library, and PerioPath Index to Taiwan Periodical Literature in Taiwan. Databases were searched from inception to July 2017. We used the Cochrane Review risk of bias assessment tool to assess randomized controlled trial (RCT) quality. A total of 20 RCTs comprising 1979 adults were included in our systematic review. Nine RCTs including 623 participants had sufficient data to be pooled in a meta-analysis. Participants who took probiotics or prebiotics showed significant improvements in the H1N1 strain seroprotection rate (with an odds ratio (OR) of 1.83 and a 95% confidence interval (CI) of 1.19–2.82, p = 0.006, I2 = 0%), the H3N2 strain seroprotection rate (OR = 2.85, 95% CI = 1.59–5.10, p < 0.001, I2 = 0%), and the B strain seroconversion rate (OR = 2.11, 95% CI = 1.38–3.21, p < 0.001, I2 = 0%). This meta-analysis suggested that probiotics and prebiotics are effective in elevating immunogenicity by influencing seroconversion and seroprotection rates in adults inoculated with influenza vaccines.
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In a meta-analysis, in adults who received a vaccine to protect against influenza viruses, administration of probiotics was effective.
“Also, in a meta-analysis study, researchers reported that, in adults who received a vaccine to protect against influenza viruses, the administration of probiotics was effective [181].”
From The Potential Impact of Probiotics on Human Health: An Update on Their Health-Promoting Properties (2024) · cites this paper as [181]
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- Authors
- Lei, W.-T., Shih, P.-C., Liu, S.-J., Lin, C.-Y., & Yeh, T.-L.
- Affiliations
- Mackay Memorial Hospital (TW)
- Corresponding author
- Yeh, Tzu-Lin
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2017-10-27
- Volume
- 9
- Issue
- 11
- Pages
- 1175
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC5707647
- OpenAlex
- W2765429016
- Cited by
- 134
- References
- 51
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 16 · 2023: 10 · 2022: 27 · 2021: 38 · 2020: 18 · 2019: 7 · 2018: 5 · 2017: 1
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Mackay Memorial Hospital
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Microbial Metabolites in Food Biotechnology
- Keywords
- probiotics, prebiotics, influenza vaccination, vaccine immunogenicity, seroprotection rate, seroconversion, H1N1, H3N2, adults, gut microbiota
- MeSH terms
- Seroconversion, Adult, Aged, Aged, 80 and over, Female, Humans, Immunity, Influenza, Human, Influenza Vaccines, Male, Influenza B virus, Vaccination, Probiotics, Influenza A Virus, H1N1 Subtype, Influenza A Virus, H3N2 Subtype, Prebiotics
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