Provisionally accepted1Tongji University Affiliated Shanghai Pulmonary Hospital, Shanghai, China2Laboratory of Microbiology, Immunology, and Metabolism, DiPROBIO (Shanghai) Co., Ltd., Shanghai, China, Shanghai, China3Tsinghua University Vanke School of Public Health, Beijing, ChinaBackground: International travel exposes individuals to abrupt environmental, dietary, and circadian changes that can disturb gut microbiota and overall well-being. While probiotics are known to support gastrointestinal and systemic health, their effects during short-term travel remain incompletely characterized in randomized trials. Methods: This randomized, double-blind, placebo-controlled study investigated whether a multi-strain Bifidobacterium probiotic could maintain gut microbiota stability and support health during a five-day trip from China to Japan. Forty healthy adults were randomly assigned to receive either probiotic (n = 22) or placebo (n = 18) daily from Day 1 to Day 4. Stool samples collected before departure (Day 0) and after return (Day 5) were analyzed by metagenomic sequencing, quantitative PCR, and fecal secretory immunoglobulin A (sIgA) assays. Participants completed validated questionnaires on gastrointestinal and respiratory symptoms, sleep quality (PSQI), anxiety (GAD-7), and well-being (WHO-5). Results: Compared with placebo, participants receiving the probiotic showed maintenance of microbial diversity (Chao1 and Fisher indices, both p = 0.044), prevented enrichment of potentially harmful taxa (Bilophila, Flavonifractor), and increased Bifidobacterium abundance. Clinically, the probiotic group reported fewer respiratory and systemic symptoms, including sore throat (p = 0.034) and fatigue (p = 0.043). Sleep quality also improved, with longer sleep duration (p = 0.023), fewer total occurrence days of PSQI > 5 (p = 0.009), lower anxiety scores (p = 0.001) and higher WHO-5 well-being scores (p = 0.041). Functional profiling showed up-regulation of vitamin biosynthesis pathways (folate, biotin, retinol) and decreased antibiotic resistance gene prevalence. Conclusion: Short-term probiotic administration demonstrated gut microbiota resilience and improved physiological and psychological stability during travel. Probiotics may serve as an accessible strategy to support well-being under transient environmental and lifestyle stress. Trial registration: The trial was registered at ClinicalTrials.gov (identifier number NCT07163819) Ethics approval: Tsinghua University Science and Technology Ethics Committee (Approval No. THU-01-2025-1007).Keywords: antibiotic resistantgenes, Bifidobacterium, Gut Microbiota, probiotic, short term travelReceived: 15 Oct 2025; Accepted: 21 Jan 2026. Copyright: © 2026 Wang, Yu, Shen, Li, Wang, Zhai, Jiang, Zhao, Yu, Liong, Chen and Zhao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provid Read More
Frontiers | Bifidobacterium Supplementation Maintains Gut Microbiota Stability and Enhances Well-Being During Short-Term Travel
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