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Prebiotics Do Not Influence the Severity of Atopic Dermatitis in Infants: A Randomised Controlled Trial
Jan Boženský1, Martin Hill2, Richard Zelenka3
1Paediatrics Department, Vitkovice Hospital, Ostrava, Czech Republic.
Insights
Hypoallergenic formula with galacto-oligosaccharides did not significantly improve infant atopic dermatitis. The formula was safe and well-tolerated, showing no adverse effects on growth or infections.
Area of Science:
- Pediatric Nutrition
- Immunology
- Dermatology
Background:
- Atopic dermatitis (AD) is a common inflammatory skin condition in infants.
- Hypoallergenic (HA) formulas are often used to manage AD.
- Prebiotics like galacto-oligosaccharides (GOS) are explored for their potential health benefits.
Purpose of the Study:
- To evaluate the efficacy of a hypoallergenic infant formula supplemented with galacto-oligosaccharides (GOS) in reducing the severity of atopic manifestations.
- To assess the impact of this supplemented formula on infant growth and infection rates.
Main Methods:
- A randomized clinical trial was conducted over six months.
- Infants were assigned to receive either a standard hypoallergenic formula or a hypoallergenic formula supplemented with GOS.
- Atopic dermatitis severity was measured using the Scoring Atopic Dermatitis (SCORAD) index; anthropometric measurements and infection incidence were also recorded.
Main Results:
- Both groups exhibited a reduction in average SCORAD scores.
- No statistically significant difference in SCORAD scores was observed between the GOS-supplemented group and the control group.
- Anthropometric measurements, tolerance, and incidence of infections showed no significant differences between the groups.
Conclusions:
- Supplementation of hypoallergenic infant formula with galacto-oligosaccharides did not demonstrate a significant effect on reducing the severity of atopic dermatitis in infants.
- The supplemented formula was found to be safe and well-tolerated by infants.
- Further research may be needed to explore the role of prebiotics in infant eczema management.
Unlabelled:
The objective was to evaluate the effects of a hypoallergenic (HA) formula supplemented with prebiotic galacto-oligosaccharides on the severity of atopic manifestations. A randomised clinical trial was conducted. The control group was infants, fed with hypoallergenic formula and without supplementation. The duration of the study was six months. The primary outcome of the study was a difference in the severity of atopic dermatitis measured using SCORAD (Scoring Atopic Dermatitis) criteria. Secondary outcomes were anthropometry (length, weight, and head circumference), together with the tolerance and incidence of infections. Both groups showed a decrease of average SCORAD values, but no statistically significant difference between the evaluated groups was observed. There were no statistically significant differences in anthropometry, or the tolerance or incidence of infections. Although there is no evidence, that consumption of a hypoallergenic infant formula enriched with prebiotic galacto-oligosaccharides had any effect on SCORAD, it was safe and well tolerated.
Trial Registration:
www.clinicaltrials.gov NCT 02077088.
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