Probiotic supplementation significantly improved executive function scores in children with ADHD compared to placebo after 2 months, suggesting probiotics 'may be beneficial as non-pharmacological adjunctive therapy for enhancing executive function in children with ADHD.'
Key Findings
Results
Probiotic supplementation significantly improved executive function scores in children with ADHD compared to placebo after 2 months of treatment.
Post-intervention BRIEF scores were 151.50 ± 16.784 in the probiotic group versus 190.68 ± 23.479 in the control group (F = 7.93, p < 0.001).
Analysis used repeated measures ANOVA after adjusting for confounders including age, BMI, and IQ.
The probiotic supplement contained Lactobacillus Acidophilus, Bifidobacterium Lactis, and Bifidobacterium Longum, administered once daily for 2 months.
The study was a triple-blind, randomized controlled trial with 84 children with ADHD.
Results
Baseline executive function scores did not differ significantly between the probiotic and placebo groups.
Baseline BRIEF scores were 191.45 ± 20.725 in the intervention group versus 190.55 ± 23.520 in the control group (p = 0.214).
This confirmed successful randomization and comparability of groups at study entry.
Methods
The study employed a triple-blind randomized controlled trial design to examine probiotic effects on executive function in children with ADHD.
84 children with ADHD were randomly allocated to probiotic or placebo groups.
Executive function was assessed using the parent form of the Behavior Rating Inventory of Executive Function (BRIEF) questionnaire.
The intervention duration was 2 months with once-daily administration.
The trial was registered under IRCT: IRCT20210531051454N2.
Conclusions
The authors concluded that further studies with extended follow-up durations and objective neuropsychological evaluations are warranted.
The current study relied on the parent-report form of the BRIEF questionnaire rather than objective neuropsychological measures.
The follow-up period was limited to 2 months, leaving longer-term effects unknown.
The authors noted probiotics 'may be beneficial as non-pharmacological adjunctive therapy for enhancing executive function in children with ADHD.'
Parhiz A, Samani P, Kamali M, Shekari Y, Naghshi N, Faghihshojaei N, et al.. (2025). Probiotic Supplementation and Executive Function in Children With Attention-Deficit/Hyperactivity Disorder.. Neuropsychopharmacology reports. https://doi.org/10.1002/npr2.70084