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Published on: January 27, 2019
The delivery of probiotics and prebiotics to infants
1Research and Development, Wyeth Nutrition, PO Box 8299, Philadelphia, PA 19101, USA. kullenm@wyeth.com
Insights
Probiotics and prebiotics show promise for infant health, potentially improving gut microbiota in formula-fed infants. Further research and favorable regulations are expected to increase the availability of these beneficial additives in infant formulas.
Area of Science:
- Pediatric Nutrition
- Microbiome Research
- Infant Health
Background:
- Numerous studies have explored the impact of probiotics and prebiotics on infant health over the past decade.
- These interventions have been investigated for various outcomes, including growth, safety, diarrhea prevention, atopic disease reduction, necrotizing enterocolitis prevention, and infection reduction in preterm infants.
- Microbiological changes in response to probiotic and prebiotic supplementation have also been documented.
Purpose of the Study:
- To review the health outcomes and microbiological alterations associated with probiotic and prebiotic feeding in infants.
- To discuss the potential of these interventions in improving infant health, for both breastfed and formula-fed infants.
- To examine the role of probiotics and prebiotics in infant formula to mimic the microbiota of breastfed infants.
Main Methods:
- Systematic review of published studies on infant probiotic and prebiotic feeding.
- Analysis of health outcomes such as growth, safety, and disease prevention.
- Evaluation of microbiological data related to gut flora alterations.
Main Results:
- Probiotics demonstrate significant potential in addressing key infant health concerns.
- Differences in gut microbiota exist between breastfed and formula-fed infants.
- Infant formulas are increasingly incorporating probiotics and prebiotics to enhance infant gut flora.
Conclusions:
- Probiotic and prebiotic supplementation offers considerable promise for improving infant health outcomes.
- Innovations in infant formula aim to align the gut microbiota of formula-fed infants with that of breastfed infants.
- Market growth for probiotic- and prebiotic-containing infant formulas is anticipated as safety and efficacy data accumulate and regulatory environments evolve.
Abstract:
A number of studies involving the feeding of probiotics and prebiotics to infants have been published over the last decade. These studies have examined a wide range of health outcomes, including growth and safety, prophylaxis and alleviation of diarrheal disease, reduction in atopic disease, reduction in necrotizing enterocolitis, and reduction in infection of the preterm infant. In addition, these studies have described microbiological alterations observed in response to probiotic and prebiotic feeding. Collectively, the reports demonstrate that probiotics show considerable promise in addressing several health outcomes of significance to both formula-fed and breastfed infants. As quantitative and qualitative differences appear to exist between the microfloras of human-milk fed and formula-fed infants, recent innovations to infant formula have involved the inclusion of probiotics and prebiotics as a means of making the flora of the formula fed infant more similar to that of the breastfed infant. To date, only a few probiotic- and prebiotic-containing infant formulas have been marketed, but as new safety and efficacy data emerge and the regulatory climate becomes more favourable, the number of products is expected to grow.
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