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Published on: December 31, 2017
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.
Objective:
To assess the effects of daily consumption of a synbiotic yogurt drink on the health, growth, and quality of life of healthy children 12-48 months of age in out-of-home child care.
Study Design:
Healthy children attending child care centers were enrolled in a prospective, double-blind, placebo-controlled clinical trial. The intervention was a yogurt drink containing Streptococcus thermophilus, Lactobacillus bulgaricus, and Bifidobacterium animalis subspecies lactis (BB-12) (5 × 10(9) cfu/100 mL serving), and 1 g of inulin (synbiotic group) vs a similar nonsynbiotic-containing acidified milk drink (placebo group) once daily for 16 weeks. The end points were days of diarrhea, fever, vomiting, symptoms of upper respiratory tract infection, use of antibiotics, physician visits, child care absenteeism, parental work absenteeism, and quality of life (PedsQL 4.0; Mapi Research Trust, Lyon, France).
Results:
Compared with placebo (n = 73), children receiving synbiotic (n = 76) had significantly fewer days of reported fever (1.85 vs 1.95, P < .05), significant improvement in social functioning (P < .035; pre-to-end intervention), and school functioning (P < .045; pre-to-mid intervention). More days with ≥ 3 loose/watery stools were reported in the synbiotic group (P < .05).
Conclusions:
Daily supplementation of children's diet with yogurt containing probiotic bacteria BB-12 and inulin significantly reduced days of fever and improved social and school functioning. The increased frequency of bowel movements may be explained by an accelerating effect of BB-12 and inulin on intestinal transit. Further research on the possible benefits of synbiotics on children's health is advised.
Trial Registration:
ClinicalTrials.gov: NCT00653705.
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