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B Emerging evidence · Health & Micronutrients

Probiotics

Also known as: probiotic supplements, gut bacteria, lactobacillus, bifidobacterium

Probiotics are live microorganisms that may support gut and immune health. Some strains may reduce respiratory infections or travel gut issues in athletes; effects depend on the strain.

Why grade B?

Graded B because some probiotic strains may reduce the frequency or severity of upper respiratory and gut problems in athletes and travellers, but effects are strain-specific, results are inconsistent and direct performance benefits are not established.

At a Glance

Probiotics

EvidenceB

RatingEmerging evidence
CategoryHealth & Micronutrients
Food sourcesYoghurt with live cultures, Kefir, Sauerkraut (unpasteurised)
Side effects listed1

Grades follow the style of the Australian Institute of Sport Sports Supplement Framework. Summary of published research, not advice.

How it works

Probiotics are live bacteria or yeasts that, in adequate amounts, may benefit the host. They interact with the gut microbiome, the lining of the intestine and the immune system, which is closely connected to the gut. Heavy training, travel and stress can affect gut and immune function. Specific strains have been studied for reducing upper respiratory tract infections, gastrointestinal symptoms during endurance events and antibiotic-associated diarrhoea. Benefits from one strain cannot be assumed for another.

What research supports

  • Certain strains may reduce the number or duration of upper respiratory tract infections
  • May reduce traveller's diarrhoea and antibiotic-associated diarrhoea with specific strains
  • May reduce gastrointestinal symptoms in some endurance athletes
  • Direct effects on performance are not established

Dosage

Doses are measured in colony-forming units (CFU), typically around 1–10 billion CFU per day or more, depending on the strain. Use the strain and dose that has been tested for the outcome you care about.

Timing

Daily intake is used in research, often for at least 2–4 weeks before a period of heavy training, travel or competition. Some products should be taken with food; follow the label.

Side effects

  • Temporary gas or bloating in the first days

Cautions

  • People who are immunocompromised, critically ill or have central venous catheters should not use probiotics without medical advice due to rare infection risks
  • Product quality varies; viable counts may be lower than labelled by the end of shelf life
  • Trial new products well before competition
  • Athletes subject to anti-doping rules should only use products certified by an independent third-party testing program for banned substances; certification lowers, but does not eliminate, the risk of contamination.

Food sources

Yoghurt with live cultures, Kefir, Sauerkraut (unpasteurised), Kimchi, Miso, Tempeh.

Frequently asked questions

Do probiotics help athletes?

Some strains may reduce respiratory infections and gut symptoms during heavy training or travel, which can indirectly help consistency, but they do not directly enhance performance.

Which probiotic strain is best?

It depends on the goal. Benefits are strain-specific, so look for strains studied for the outcome you are interested in.

Are fermented foods as good as probiotic supplements?

Fermented foods contain live microbes and may support gut diversity, but their strains and amounts vary and are rarely tested for specific outcomes.

Sources & further reading

  1. NIH Office of Dietary Supplements (2023). Probiotics: Fact Sheet for Health Professionals . National Institutes of Health
  2. Maughan RJ, Burke LM, Dvorak J, et al. (2018). IOC consensus statement: dietary supplements and the high-performance athlete . Br J Sports Med · doi:10.1136/bjsports-2018-099027
  3. Australian Institute of Sport (2021). AIS Sports Supplement Framework . Australian Sports Commission