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Probiotics on Pediatric Functional Gastrointestinal Disorders
Anna Pärtty1,2, Samuli Rautava3,4, Marko Kalliomäki5,6
1Department of Pediatrics, University of Turku, 20521 Turku, Finland. aklein@utu.fi.
Insights
Probiotics show limited efficacy for childhood functional gastrointestinal disorders. Lactobacillus reuteri DSM 17938 may help breastfed infants with colic, but more research is needed for other conditions.
Area of Science:
- Pediatric Gastroenterology
- Microbiome Research
- Probiotic Therapeutics
Background:
- Childhood functional gastrointestinal disturbances are linked to gut microbiota changes.
- Probiotics offer potential therapeutic and preventive strategies.
Purpose of the Study:
- To review evidence on probiotic efficacy for pediatric functional abdominal pain disorders, functional constipation, and infantile colic.
Main Methods:
- Systematic review of current scientific literature.
- Evaluation of studies on single probiotic strains, combinations, and synbiotics.
Main Results:
- No specific probiotic strain, combination, or synbiotic is currently recommended for pediatric irritable bowel syndrome, functional abdominal pain, or functional constipation.
- Lactobacillus reuteri DSM 17938 shows potential for managing colic in breastfed infants.
- Limited data exists for other probiotic interventions in infantile colic.
Conclusions:
- Current evidence does not support broad probiotic recommendations for most pediatric functional gastrointestinal disorders.
- Lactobacillus reuteri DSM 17938 is a potential option for infantile colic in breastfed infants.
- Further research is required to establish the efficacy of various probiotics and synbiotics.
Abstract:
The potential association between gut microbiota perturbations and childhood functional gastrointestinal disturbances opens interesting therapeutic and preventive possibilities with probiotics. The aim of this review was to evaluate current evidence on the efficacy of probiotics for the management of pediatric functional abdominal pain disorders, functional constipation and infantile colic. Thus far, no single strain, combination of strains or synbiotics can be recommended for the management of irritable bowel syndrome, functional abdominal pain or functional constipation in children. However, Lactobacillus reuteri DSM 17938 may be considered for the management of breastfed colic infants, while data on other probiotic strains, probiotic mixtures or synbiotics are limited in infantile colic.
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