The role of probiotics and prebiotics in pediatric practice

Mauro Batista de Morais1, Cristina Miuki Abe Jacob

  • 1Departamento de Pediatria, Universidade Federal de São Paulo - Escola Paulista de Medicina (UNIFESP-EPM), São Paulo, SP, Brazil. mbmorais@osite.com.br

Jornal De Pediatria
|December 1, 2006
PubMed

Insights

Probiotics and prebiotics show potential in preventing childhood diarrhea and reducing atopic dermatitis. Further research is needed to confirm their efficacy and cost-benefit in pediatric practice.

Area of Science:

  • Pediatric Gastroenterology
  • Microbiome Research
  • Clinical Nutrition

Background:

  • Growing body of research on probiotics and prebiotics in pediatrics.
  • Understanding of their mechanisms of action is expanding.
  • Focus on practical applications in clinical settings.

Purpose of the Study:

  • To review the effects of probiotics and prebiotics in clinical pediatric practice.
  • To assess their current evidence base for common pediatric conditions.

Main Methods:

  • Comprehensive literature search of MEDLINE database.
  • Inclusion of reviews, clinical trials, and meta-analyses.
  • Analysis of studies focusing on practical application and author-reviewed articles.

Main Results:

  • Probiotics may help prevent and shorten acute and antibiotic-associated diarrhea.
  • Preliminary evidence suggests probiotics can reduce atopic dermatitis in early life.
  • Prebiotics in infant formula alter gut microbiota profiles.

Conclusions:

  • Further studies on probiotics, prebiotics, and synbiotics are warranted.
  • Specific clinical effects of individual probiotics and prebiotics require detailed investigation.
  • Need for cost-benefit analyses to guide clinical recommendations.
Abstract

Related Concept Videos

Probiotics01:22

Probiotics

Probiotics are live, non-pathogenic microorganisms that confer health benefits by modulating the gut microbiota. The human gastrointestinal tract harbors a complex microbial ecosystem, and the balance of this microbiota is crucial for digestive and systemic health. Among the most extensively studied and utilized probiotics are species formerly classified within the genera Lactobacillus and Bifidobacterium. These organisms not only naturally colonize the human gut but are also consumed through...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Microbiota Modulation by Antibiotics01:21

Microbiota Modulation by Antibiotics

Antibiotics have revolutionized modern medicine by saving countless lives from bacterial infections. However, their widespread use has inadvertently harmed the delicate balance of the human gut microbiota. The gut microbiota, a complex community of bacteria, archaea, viruses, and fungi, plays a vital role in regulating metabolism, immune responses, and maintaining intestinal health. Antibiotics, especially broad-spectrum types, disrupt this ecosystem by eradicating both harmful and beneficial...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...