Randomized, double-blind, placebo-controlled study of synbiotic yogurt effect on the health of children

Tamar Ringel-Kulka1, Jonathan B Kotch1, Elizabeth T Jensen2

  • 1Department of Maternal and Child Health, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC.

Insights

Daily synbiotic yogurt consumption in children reduced fever days and improved social and school functioning. This probiotic drink containing Bifidobacterium animalis subspecies lactis (BB-12) and inulin showed benefits for young children in childcare settings.

Area of Science:

  • Pediatric Nutrition
  • Microbiome Research
  • Child Health & Development

Background:

  • Childhood illnesses and their impact on development are significant concerns.
  • Synbiotics, combining probiotics and prebiotics, show potential for modulating gut health and immunity.
  • Understanding the effects of synbiotics in young children, particularly in group care settings, is crucial.

Purpose of the Study:

  • To evaluate the impact of a daily synbiotic yogurt drink on the health and quality of life of children aged 12-48 months.
  • To assess specific health outcomes including fever, respiratory infections, and gastrointestinal symptoms.
  • To determine effects on social and school functioning and overall quality of life.

Main Methods:

  • A prospective, double-blind, placebo-controlled clinical trial was conducted.
  • Participants received either a synbiotic yogurt drink (Bifidobacterium animalis subspecies lactis BB-12 and inulin) or a placebo daily for 16 weeks.
  • Health outcomes, including illness days, antibiotic use, physician visits, and quality of life (PedsQL 4.0), were monitored.

Main Results:

  • Children consuming the synbiotic drink experienced significantly fewer days of fever compared to the placebo group.
  • Significant improvements were observed in social functioning and school functioning in the synbiotic group.
  • An increased frequency of loose stools was noted in the synbiotic group, potentially indicating accelerated intestinal transit.

Conclusions:

  • Daily synbiotic yogurt supplementation, featuring BB-12 and inulin, effectively reduced fever duration in children.
  • The synbiotic intervention positively influenced social and school functioning, suggesting broader developmental benefits.
  • Further investigation into the benefits of synbiotics for children's health is recommended, considering the observed effects on intestinal transit.
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...
231
Bioavailability Study Design: Healthy Subjects Versus Patients01:15

Bioavailability Study Design: Healthy Subjects Versus Patients

Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
225
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
1.1K
Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from...
50
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
931
Bioavailability Study Design: Single Versus Multiple Dose Studies01:11

Bioavailability Study Design: Single Versus Multiple Dose Studies

Bioavailability studies are essential for understanding how a drug is absorbed, distributed, metabolized, and excreted in the body. These studies assess the extent and rate at which the active pharmaceutical agent becomes available at the site of action. The design of bioavailability studies can involve single-dose or multiple-dose regimens, each with distinct advantages and limitations.Single-dose studies are the preferred approach due to their simplicity and reduced drug exposure for...
353