Prebiotics Do Not Influence the Severity of Atopic Dermatitis in Infants: A Randomised Controlled Trial

. 2015 ; 10 (11) : e0142897. [epub] 20151116

Jazyk angličtina Země Spojené státy americké Médium electronic-ecollection

Typ dokumentu klinické zkoušky, časopisecké články, randomizované kontrolované studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid26571488

UNLABELLED: The objective was to evaluate the effects of a hypoallergenic (HA) formula supplemented with prebiotic galacto-oligosaccharides on the severity of atopic manifestations. A randomised clinical trial was conducted. The control group was infants, fed with hypoallergenic formula and without supplementation. The duration of the study was six months. The primary outcome of the study was a difference in the severity of atopic dermatitis measured using SCORAD (Scoring Atopic Dermatitis) criteria. Secondary outcomes were anthropometry (length, weight, and head circumference), together with the tolerance and incidence of infections. Both groups showed a decrease of average SCORAD values, but no statistically significant difference between the evaluated groups was observed. There were no statistically significant differences in anthropometry, or the tolerance or incidence of infections. Although there is no evidence, that consumption of a hypoallergenic infant formula enriched with prebiotic galacto-oligosaccharides had any effect on SCORAD, it was safe and well tolerated. TRIAL REGISTRATION: www.clinicaltrials.gov NCT 02077088.

Zobrazit více v PubMed

Benno Y, Sawada K, Mitsuoka T (1984) The intestinal microflora of infants—composition of fecal flora in breast-fed and bottle-fed infants. Microbiology and Immunology 28: 975–986. PubMed

Gibson GR, Roberfroid MB (1995) Dietary modulation of the human colonic microbiota—introducing the concept of prebiotics. Journal of Nutrition 125: 1401–1412. PubMed

Fanaro S, Marten B, Bagna R, Vigi V, Fabris C, Pena-Quintana L, et al. (2009) Galacto-oligosaccharides Are Bifidogenic and Safe at Weaning: A Double-blind Randomized Multicenter Study. Journal of Pediatric Gastroenterology and Nutrition 48: 82–88. 10.1097/MPG.0b013e31817b6dd2 PubMed DOI

Collins MD, Gibson GR (1999) Probiotics, prebiotics, and synbiotics: approaches for modulating the microbial ecology of the gut. American Journal of Clinical Nutrition 69: 1052S–1057S. PubMed

Ben X-M, Li J, Feng Z-T, Shi S-Y, Lu Y-D, Chen R, et al. (2008) Low level of galacto-oligosaccharide in infant formula stimulates growth of intestinal Bifidobacteria and Lactobacilli. World Journal of Gastroenterology 14: 6564–6568. PubMed PMC

Eigenmann PA, Sicherer SH, Borkowski TA, Cohen BA, Sampson HA (1998) Prevalence of IgE-mediated food allergy among children with atopic dermatitis. Pediatrics 101. PubMed

Niggemann B, Sielaff B, Beyer K, Binder C, Wahn U (1999) Outcome of double-blind, placebo-controlled food challenge tests in 107 children with atopic dermatitis. Clinical and Experimental Allergy 29: 91–96. PubMed

Sampson HA, McCaskill CC (1985) Food hypersensitivity and atopic dermatitis—Evaluation of 113 patients. Journal of Pediatrics 107: 669–675. PubMed

Host A, Koletzko B, Dreborg S, Muraro A, Wahn U, Aggett P, et al. (1999) Dietary products used in infants for treatment and prevention of food allergy. Joint statement of the European Society for Paediatric Allergology and Clinical Immunology (ESPACI) Committee on Hypoallergenic Formulas and the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee on Nutrition. Archives of Disease in Childhood 81: 80–84. PubMed PMC

Rzehak P, Sausenthaler S, Koletzko S, Reinhardt D, von Berg A, Kraemer U, et al. (2009) Short- and long-term effects of feeding hydrolyzed protein infant formulas on growth at < = 6 y of age: results from the German Infant Nutritional Intervention Study. American Journal of Clinical Nutrition 89: 1846–1856. 10.3945/ajcn.2008.27373 PubMed DOI

Rzehak P, Sausenthaler S, Koletzko S, Reinhardt D, von Berg A, Kraemer U, et al. (2011) Long-term effects of hydrolyzed protein infant formulas on growth-extended follow-up to 10 y of age: results from the German Infant Nutritional Intervention (GINI) study. American Journal of Clinical Nutrition 94: 1803S–1807S. 10.3945/ajcn.110.000679 PubMed DOI

van Hoffen E, Ruiter B, Faber J, M'Rabet L, Knol EF, Stahl B, et al. (2009) A specific mixture of short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides induces a beneficial immunoglobulin profile in infants at high risk for allergy. Allergy 64: 484–487. 10.1111/j.1398-9995.2008.01765.x PubMed DOI

Grueber C, Arslanoglu S, Piemontese P, Eisses A, Macheiner M, et al. (2008) Prevention of early atopic dermatitis by an infant formula supplemented with immunoactive prebiotics in low atopy risk infants. Allergy 63: 615–615.

EFSA Panel on Dietetic Products, Nutrition and Allergies (2009) Scientific Opinion on the substantiation of a health claim related to Immunofortis® and strengthening of the baby’s immune system. EFSA J 8(2): 1430 10.2903/j.efsa.2010.1430 DOI

Arslanoglu S, Moro GE, Schmitt J, Tandoi L, Rizzardi S, Boehm G (2008) Early dietary intervention with a mixture of prebiotic oligosaccharides reduces the incidence of allergic manifestations and infections during the first two years of life. Journal of Nutrition 138: 1091–1095. PubMed

Meloun M, Hill M, Militky J, Kupka K (2000) Transformation in the PC-aided biochemical data analysis. Clinical Chemistry and Laboratory Medicine 38: 553–559. PubMed

Meloun M, Militky J, Hill M, Brereton RG (2002) Crucial problems in regression modelling and their solutions. Analyst 127: 433–450. PubMed

Schulz KF, Altman DG, Moher D (2011) CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomized Trials RESPONSE. Annals of Internal Medicine 154: 291–292. PubMed

Nakamura N, Gaskins HR, Collier CT, Nava GM, Rai D, Petschow B, et al. (2009) Molecular Ecological Analysis of Fecal Bacterial Populations from Term Infants Fed Formula Supplemented with Selected Blends of Prebiotics. Applied and Environmental Microbiology 75: 1121–1128. 10.1128/AEM.02359-07 PubMed DOI PMC

Le Huerou-Luron I, Blat S, Boudry G (2010) Breast- v. formula-feeding: impacts on the digestive tract and immediate and long-term health effects. Nutrition Research Reviews 23: 23–36. 10.1017/S0954422410000065 PubMed DOI

van der Aa LB, Heymans HS, van Aalderen WM, Smitt JHS, Knol J, Ben Amor K et al. (2010) Effect of a new synbiotic mixture on atopic dermatitis in infants: a randomized-controlled trial. Clinical and Experimental Allergy 40: 795–804. 10.1111/j.1365-2222.2010.03465.x PubMed DOI

Severity scoring of atopic dermatitis: the SCORAD index(1993) Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology (Basel, Switzerland) 186: 23–31. PubMed

Zobrazit více v PubMed

ClinicalTrials.gov
NCT02077088

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...