This study aimed to conduct the first known systematic review concerning the evidence on probiotic-fermented food consumption among the young population across multiple countries and its dietary outcomes, including diet quality and nutrient intakes. Five databases were searched through December 8, 2025: Web of Science, Scopus, OVID Medline, EBSCO CINAHL, and ProQuest. English-language quantitative studies from 2004 to 2025 were included. Eligible studies reported probiotic-fermented food consumption patterns in youth aged 2–24 years and examined associations with dietary quality and nutrient intakes. Initial searches identified 11,844 records, of which twelve studies met the inclusion criteria. Included studies originated predominantly from high-income countries in North America and Europe, with limited representation from Africa and Asia. Consumption patterns varied widely, with both children and adolescents consuming probiotic-fermented foods at least once a week and having fewer daily servings, particularly for yogurt. Of the seven studies that examined dietary outcomes, six reported positive associations between consumption of probiotic-fermented foods and improved dietary quality scores, and six studies reported associations with higher nutrient intakes. The review underscored the need to increase the consumption of probiotic-fermented foods among the younger population to improve nutrient intake in the early stages. Further research is needed in under-represented regions, including Southeast Asia, Latin America, Africa, and the Middle East, where fermented food traditions are culturally significant but population-level consumption data among youth remain scarce.