Probiotic supplementation may improve muscle strength and muscle mass to some extent, but it does not replace the need for adequate protein intake. Probiotics can be a supportive strategy, especially for older adults or those with muscle loss, but protein remains essential for muscle health.
What the research shows
Multiple high-quality meta-analyses and randomized controlled trials indicate that probiotics can improve muscle strength and muscle mass, particularly in older adults. Probiotic supplementation showed significant improvements in muscle strength (e.g., handgrip strength, gait speed) and muscle mass in some studies, although effects on total lean mass were generally not significant. Specific strains such as Lactobacillus paracasei PS23 have demonstrated benefits in reducing inflammation and accelerating recovery after muscle damage. The evidence suggests probiotics may support muscle health via the gut-muscle axis, potentially through mechanisms involving reduced inflammation and improved metabolism. However, probiotics alone do not significantly increase muscle mass without adequate protein intake. Nutritional strategies combining protein and probiotics may optimize muscle function, especially in aging populations. More research is needed to identify the best strains, doses, and combinations with protein.
Best studied probiotic strains
Lactobacillus paracasei PS23
Heat-treated PS23 showed more pronounced benefits in elderly adults.
Lactobacillus spp.
Effects are strain-specific and combined with other nutritional interventions.
Who may benefit
Safety
Probiotic supplementation, including Lactobacillus paracasei PS23, was well tolerated in clinical trials with no significant adverse effects reported. Heat-killed probiotic forms also appear safe and effective.
Limitations
Most studies do not specify probiotic strains or doses clearly, limiting strain-specific recommendations. Effects on total lean mass are inconsistent. Evidence on prebiotics and synbiotics is limited and mixed. Many studies focus on older adults, so generalizability to younger populations is uncertain. Probiotics should not replace adequate protein intake, which is essential for muscle health. More high-quality RCTs are needed to confirm optimal strains, doses, and combinations with protein.
PubMed sources
| Study | Type | Year | PMID |
|---|---|---|---|
| Impact of probiotics on muscle mass, muscle strength and lean mass: a systematic review and meta-analysis of randomized controlled trials. Journal of cachexia, sarcopenia and muscle |
Meta-analysis | 2023 | 36414567 |
| Understanding the gut microbiota and sarcopenia: a systematic review. Journal of cachexia, sarcopenia and muscle |
Systematic Review | 2021 | 34523250 |
| Enhancement of Lower Limb Muscle Strength and Reduction of Inflammation in the Elderly: A Randomized, Double-Blind Clinical Trial Comparing PS23 Probiotic with Heat-Treated Supplementation. Nutrients |
Randomized Controlled Trial | 2025 | 39940321 |
| Effect of spp. Supplementation for Improving Muscle Health: A Systematic Review and Meta-Analysis. Journal of medicinal food |
Meta-analysis | 2025 | 40719617 |
| Live and Heat-Killed Probiotic PS23 Accelerated the Improvement and Recovery of Strength and Damage Biomarkers after Exercise-Induced Muscle Damage. Nutrients |
Randomized Controlled Trial | 2022 | 36364825 |
| The Effects of Pro-, Pre-, and Synbiotics on Muscle Wasting, a Systematic Review-Gut Permeability as Potential Treatment Target. Nutrients |
Systematic Review | 2021 | 33805286 |
| Nutritional Strategies for Muscle Atrophy: Current Evidence and Underlying Mechanisms. Molecular nutrition & food research |
Research Study | 2024 | 38712453 |
| Effects of Probiotics, Prebiotics, and Synbiotics on Sarcopenia Parameters in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrition reviews |
Meta-analysis | 2025 | 39405177 |
| Effect of Probiotic Supplementation on Body Fat, Skeletal Muscle Mass, and Body Mass Index in Individuals ≥45 Years Old: A Systematic Review. In vivo (Athens, Greece) |
Systematic Review | 2025 | 40294995 |
| Effect of host and gut microbiota-altering interventions on sarcopenia or its defining parameters: a systematic review and meta-analysis of nutrition-based intervention studies. Aging clinical and experimental research |
Meta-analysis | 2025 | 41269489 |
