Nutrition, Metabolism and Cardiovascular Diseases, 2025 (SCI-Expanded)
Aim: Kefir, a traditional fermented milk, is rich in probiotics including, lactic acid producing bacteria and yeasts which act as fermentation starters. Studies have suggested its metabolic health benefits, though findings remain inconsistent. This systematic review and meta-analysis evaluated the effects of kefir consumption on anthropometric measures, metabolic profile, and inflammation. Data synthesis: A comprehensive literature search across Scopus, Embase, and PubMed (up to 25-01, 2025) identified 24 relevant interventional studies from 702 articles. Mean ± SD values were obtained for both intervention and control groups. Forest plots and sub-group analyses by kefir dosage were generated using Cochrane Program Review Manager version 5.4. Conclusion: Kefir consumption induced a significant reduction of fasting blood glucose (MD= −8.46 mg/dL, p = 0.006), and HOMA-IR (MD= −1.71, p = 0.004). However, no significant effects were observed on anthropometric measures, lipid profile, or inflammatory markers. In conclusion, regular kefir consumption may improve blood glucose and insulin sensitivity, but further research is needed for definitive recommendations.