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Effect of a fermented formula on thymus size and stool pH in healthy term infants
Flavia Indrio1, Grazia Ladisa, Angela Mautone
1Department of Pediatrics, Gastroenterology Division, University of Bari, Policlinico Piazza G. Cesare, 70124 Bari, Italy. f.indrio@neonatologia.uniba.it
Insights
Fermented formula (FF) with specific probiotics, including Bifidobacterium breve C50, supported infant thymus index (TI) and stool pH similarly to breast milk. This suggests a role for gut bacteria in immune response development.
Area of Science:
- Pediatrics
- Microbiology
- Immunology
Background:
- Infant gut microbiota plays a crucial role in immune system development.
- Fermented formulas (FF) contain probiotics that may influence gut health.
- Thymus size and stool pH are indicators of infant health and gut environment.
Purpose of the Study:
- To evaluate the impact of a fermented formula (FF) with Bifidobacterium breve C50 and Streptococcus thermophilus 065 on thymus size and stool pH in healthy term infants.
- To compare the effects of FF with breast milk and standard formula (SF).
Main Methods:
- Ultrasound examinations for thymus size and thymus index (TI) measurements.
- Stool pH measurements.
- Study included 90 term neonates, with groups for breast-fed, FF, and SF.
- Measurements taken on the 3rd day of life and at 1, 2, 3, and 4 months of life.
Main Results:
- Fecal pH was lower in breast-fed infants compared to SF infants (p < 0.05).
- Fecal pH in the FF group was similar to the breast-fed group throughout the 4-month study.
- Thymus index (TI) showed statistically significant differences among groups over time.
- FF infants exhibited a TI comparable to breast-fed newborns.
Conclusions:
- Fermented formula (FF) with Bifidobacterium breve C50 and Streptococcus thermophilus 065 demonstrates effects on infant thymus size and stool pH similar to breast milk.
- These findings support the hypothesis that intestinal bacterial balance, influenced by probiotics, is important for enhancing host immune responses in infants.
Abstract:
To investigate the effects of fermented formula (FF) with Bifidobacterium breve C50 and Streptococcus thermophilus 065 on thymus size and stool pH of healthy term infants, ultrasound examinations and evaluations of thymus sizes and thymus indices (TI) and measurements of stool pH were performed in the same 90 term neonates on the 3rd d of life and on the 1st, 2nd, 3rd, and 4th mo of life. Thirty newborns were exclusively breast-fed while the remaining 60 were randomly assigned to receive either a FF or a standard formula (SF). The fecal pH of the breast-fed group was lower than the SF group (p < 0.05), although it was similar to that of the FF group on the third postnatal day, persisting for the entire 4 mo of the study. The difference in TI was statistically significant over repeated measurements among the groups. The FF infants showed a TI similar to the breast-fed newborns. Probiotic fermentation products have effects comparable to those of the bacteria composing the intestinal microflora supporting the idea that intestinal bacterial balance plays an important role in improving host immune responses.
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