<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2024000400005</article-id>
<article-id pub-id-type="doi">10.4321/s1134-928x2024000400005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Una revisión actual sobre enfoques terapéuticos microbianos destinados a mejorar las funciones cognitivas en adultos mayores]]></article-title>
<article-title xml:lang="en"><![CDATA[A current review on microbial therapeutic approaches aimed at improving cognitive functions in older adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borrego-Ruiz]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borrego]]></surname>
<given-names><![CDATA[Juan J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Educación a Distancia Departamento de Psicología Social y de las Organizaciones ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Málaga Departamento de Microbiología ]]></institution>
<addr-line><![CDATA[Málaga ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>35</volume>
<numero>4</numero>
<fpage>235</fpage>
<lpage>243</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2024000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2024000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2024000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivos: En la presente revisión, se sintetizan y evalúan los conocimientos actuales sobre los moduladores microbianos que poseen la capacidad de potenciar la función cognitiva en personas mayores. Asimismo, se exploran las nuevas estrategias existentes para su implementación en el tratamiento de condiciones clínicas difíciles de abordar, como el deterioro cognitivo leve y las enfermedades neurodegenerativas.  Metodología: Revisión narrativa enfocada en analizar la literatura sobre intervenciones microbianas en el envejecimiento neurocognitivo. Entre abril y mayo de 2024, se consultaron diversas fuentes bibliográficas y se seleccionaron estudios relevantes para ofrecer una visión actualizada y completa del tema.  Resultados: Se han revisado 34 intervenciones enfocadas en mejorar la salud cognitiva de los adultos mayores mediante la terapéutica microbiana. Existen pocos estudios clínicos basados en la utilización de psicobióticos para paliar el cuadro sindrómico asociado a las enfermedades neurodegenerativas. Los resultados más prometedores se han obtenido aplicando tratamientos probióticos, aunque las terapias prebióticas y sinbióticas también han demostrado alentadoras perspectivas. El trasplante de microbiota fecal parece ser una herramienta efectiva, pero todavía quedan muchas cuestiones por resolver antes de implementar un uso generalizado de este tipo de tratamiento.  Conclusiones: Los estudios analizados reflejan resultados alentadores, pero su implementación clínica precisa de una comprensión más profunda respecto a los mecanismos subyacentes. Por este motivo, se requieren ensayos clínicos controlados y longitudinales que permitan identificar los beneficios de la terapéutica microbiana en la salud mental durante el envejecimiento. Esclarecer los factores que modulan las respuestas individuales resulta fundamental para desarrollar intervenciones personalizadas y enfocadas en el microbioma intestinal. A tal respecto, la terapia con psicobióticos puede constituir una prometedora estrategia de intervención para mejorar las funciones cognitivas en adultos mayores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objectives: In the present review, current knowledge on microbial modulators that have the ability to enhance cognitive function in older adults is synthesized and evaluated. Likewise, new existing strategies are explored for their implementation in the treatment of clinical conditions that are difficult to address, such as mild cognitive impairment and neurodegenerative diseases.  Methodology: Narrative review focused on analyzing the literature on microbial interventions in neurocognitive aging. Between April and May 2024, various bibliographic sources were consulted and relevant studies were selected to provide an updated and comprehensive overview of the topic.  Results: A total of 34 interventions focused on improving the cognitive health of older adults through microbial therapy have been reviewed. There are few clinical studies based on the use of pychobiotics to alleviate the syndromic condition associated with neurodegenerative diseases. The most promising results have been obtained by applying probiotic treatments, although prebiotic and synbiotic therapies have also shown encouraging prospects. Fecal microbiota transplantation appears to be an effective tool, but there are still many issues to be resolved before widespread use of this type of treatment is implemented.  Conclusions: The studies analyzed reflect encouraging results, but their clinical implementation requires a deeper understanding of the underlying mechanisms. For this reason, controlled and longitudinal clinical trials are required to identify the benefits of microbial therapeutics on mental health during aging. Clarifying the factors that modulate individual responses is essential to develop personalized interventions focused on the gut microbiome. In this regard, psychobiotic therapy may constitute a promising intervention strategy to improve cognitive functions in older adults.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Adultos mayores]]></kwd>
<kwd lng="es"><![CDATA[deterioro cognitivo]]></kwd>
<kwd lng="es"><![CDATA[psicobióticos]]></kwd>
<kwd lng="es"><![CDATA[enfermedades neurodegenerativas]]></kwd>
<kwd lng="es"><![CDATA[tratamiento microbiano]]></kwd>
<kwd lng="en"><![CDATA[Older adults]]></kwd>
<kwd lng="en"><![CDATA[cognitive impairment]]></kwd>
<kwd lng="en"><![CDATA[psychobiotics]]></kwd>
<kwd lng="en"><![CDATA[neurodegenerative diseases]]></kwd>
<kwd lng="en"><![CDATA[microbial treatment]]></kwd>
</kwd-group>
</article-meta>
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