Research Summary
Analyzed using Evidence Intelligence™

Synbiotic intake improves calcium and iron levels in type 2 diabetes patients

Last updated September 10, 2026

Key finding

The consumption of a synbiotic food resulted in a significant rise of calcium (0.66 vs. -0.14 mg/dL, P = 0.03).

This study investigated the effects of synbiotic intake on mineral levels, liver enzymes, and blood pressure in patients with type 2 diabetes, finding significant increases in calcium and iron levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the effects of synbiotic intake on mineral levels, liver enzymes, and blood pressure in patients with type 2 diabetes, finding significant increases in calcium and iron levels.

Clinical relevance

Improving mineral levels such as calcium and iron is crucial for patients with type 2 diabetes, as these nutrients play vital roles in overall health and metabolic function. The findings suggest that synbiotic foods could be a beneficial dietary addition for managing mineral deficiencies in this population.

Keep in mind

The study did not assess long-term effects of synbiotic intake. Sample size and demographic details were not specified. No significant changes were observed in magnesium or blood pressure.

Published in

Journal Reference

Publication details and source links for this paper.

Zatollah A, Mohammad HA, Mohammad H, et al. Effects of synbiotic intake on minerals, liver enzymes, and blood pressure in patients with type 2 diabetes. International Journal of Preventive Medicine. 2017;8:43. doi:10.4103/ijpvm.IJPVM_257_16

Main Effects

Calcium levels increased significantly by 0.66 mg/dL (P = 0.03) in the synbiotic group.

Iron levels increased significantly by 5.06 mg/dL (P = 0.03) post-synbiotic intake.

Total bilirubin decreased by 0.08 mg/dL (P = 0.009) in the synbiotic group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Synbiotic intake and Calcium, Diastolic blood pressure, Increased Iron Levels Post-Bariatric Surgery, and 3 more.

Primary intervention

Synbiotic intake

Primary outcomes

  • Calcium
  • Diastolic blood pressure
  • Increased Iron Levels Post-Bariatric Surgery

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 59

1

Related topics

6

Evidence pairs

140

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Blood Pressure

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Calcium

Synbiotic intake → Calcium

Synbiotic intake → Calcium

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diastolic blood pressure

Synbiotic intake → Diastolic blood pressure

Synbiotic intake → Diastolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Increased Iron Levels Post-Bariatric Surgery

Synbiotic intake → Increased Iron Levels Post-Bariatric Surgery

Synbiotic intake → Increased Iron Levels Post-Bariatric Surgery

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Serum magnesium

Synbiotic intake → Serum magnesium

Synbiotic intake → Serum magnesium

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Systolic blood pressure

Synbiotic intake → Systolic blood pressure

Synbiotic intake → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Total bilirubin

Synbiotic intake → Total bilirubin

Synbiotic intake → Total bilirubin

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Calcium levels rose by 0.66 mg/dL with synbiotic intake.
  • Iron levels increased by 5.06 mg/dL post-synbiotic consumption.
  • Total bilirubin decreased by 0.08 mg/dL in the synbiotic group.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Patients seeking dietary interventions to improve mineral levels.
keep in mind

Keep in Mind

  • Results may not be generalizable to all populations with diabetes.
  • The study focused on short-term effects; long-term benefits are unknown.
  • Further research is needed to explore the impact on blood pressure and magnesium.
between the lines

Between the Lines

  • The study did not assess long-term effects of synbiotic intake.
  • Sample size and demographic details were not specified.
  • No significant changes were observed in magnesium or blood pressure.

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Synbiotic intake and Calcium, Synbiotic intake and Blood Pressure.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Synbiotic intake improve calcium?

Emerging Evidence

Synbiotic intake appears to improve calcium.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Calcium

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Synbiotic intake improve increased iron levels post-bariatric surgery?

Emerging Evidence

Synbiotic intake appears to improve increased iron levels post-bariatric surgery.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Increased Iron Levels Post-Bariatric Surgery

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Synbiotic intake improve total bilirubin?

Emerging Evidence

Synbiotic intake appears to improve total bilirubin.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Total bilirubin

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Synbiotic intake improve diastolic blood pressure?

Emerging Evidence

Current evidence does not show a clear benefit of Synbiotic intake for diastolic blood pressure.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Diastolic blood pressure

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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