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The Infant Microbiome: Implications for Infant Health and Neurocognitive Development
Irene Yang1, Elizabeth J Corwin, Patricia A Brennan
1Irene Yang, PhD, RN, is Postdoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Elizabeth J. Corwin, PhD, RN, FAAN, is Associate Dean and Professor, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia. Patricia A. Brennan, PhD, is Professor, Department of Psychology, Emory University, Atlanta, Georgia. Sheila Jordan, RN, MPH, is Graduate Student; Jordan R. Murphy, BS, is Graduate Student; and Anne Dunlop, MD, MPH, is Associate Professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Insights
The infant gut microbiome plays a crucial role in development and health. Factors like birth mode and feeding impact its composition, influencing neurocognitive outcomes and long-term health.
Area of Science:
- Microbiome research
- Developmental biology
- Neuroscience
Background:
- The gut microbiome is vital from birth, aiding digestion, immune development, and neurotransmitter production.
- These microbes significantly influence infant behavior and cognitive function.
Purpose of the Study:
- To review the microbiome and its connection to the brain (microbiome-gut-brain axis).
- To examine factors influencing infant gut microbiome composition: delivery mode, antibiotic use, and feeding.
- To identify research priorities and clinical implications for infant health and neurodevelopment.
Main Methods:
- Literature review of existing studies on infant microbiome.
- Analysis of factors affecting microbial colonization.
- Synthesis of research findings on neurocognitive development and health outcomes.
Main Results:
- Microbiome composition varies based on delivery method (vaginal vs. surgical) and antibiotic exposure.
- Infant feeding patterns significantly shape the gut microbial community.
- Specific microbial colonization patterns are linked to physical and neurocognitive development.
Conclusions:
- The gut microbiome profoundly impacts immunological, endocrine, and neural pathways crucial for infant development.
- Early-life microbial colonization patterns have long-term implications for health and disease risk.
- Understanding these influences is essential for optimizing newborn care and parental guidance.
Background:
Beginning at birth, the microbes in the gut perform essential duties related to the digestion and metabolism of food, the development and activation of the immune system, and the production of neurotransmitters that affect behavior and cognitive function.
Objectives:
The objectives of this review are to (a) provide a brief overview of the microbiome and the "microbiome-gut-brain axis"; (b) discuss factors known to affect the composition of the infant microbiome: mode of delivery, antibiotic exposure, and infant-feeding patterns; and (c) present research priorities for nursing science and clinical implications for infant health and neurocognitive development.
Discussion:
The gut microbiome influences immunological, endocrine, and neural pathways and plays an important role in infant development. Several factors influence colonization of the infant gut microbiome. Different microbial colonization patterns are associated with vaginal versus surgical birth, exposure to antibiotics, and infant-feeding patterns. Because of extensive physiological influence, infant microbial colonization patterns have the potential to impact physical and neurocognitive development and life course disease risk. Understanding these influences will inform newborn care and parental education.
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