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Clinical Efficacy Of Lactase Enzyme Supplement In Infant Colic: A Randomised Controlled Trial
Mubashir Ahmed1, Abdul Gaffar Billoo2, Khalid Iqbal3
1Kharadar General Hospital, Karachi.
Insights
Lactase enzyme supplements significantly reduced crying duration in infants with colic. This randomized clinical trial found a notable improvement in colic symptoms after a two-week intervention with lactase enzyme.
Area of Science:
- Pediatrics
- Gastroenterology
- Pharmacology
Background:
- Infant colic, characterized by excessive crying, affects a significant number of infants.
- Current management strategies for infant colic have varying degrees of effectiveness.
- The role of lactase enzyme in alleviating colic symptoms warrants further investigation.
Purpose of the Study:
- To evaluate the efficacy of lactase enzyme supplementation in managing infant colic.
- To compare the reduction in crying duration between infants receiving lactase enzyme and those receiving a placebo.
Main Methods:
- A double-blind, randomized clinical trial involving 104 infants aged 0-6 months diagnosed with infant colic.
- Infants were randomized into two groups: one receiving lactase enzyme (Colibid) and the other a placebo, for two weeks.
- Crying duration was recorded at baseline and after one and two weeks of intervention, with statistical analysis at p<0.05.
Main Results:
- After two weeks, 86.5% of infants in the lactase enzyme group showed significant improvement in crying duration compared to 59.6% in the placebo group.
- The reduction in crying duration in the lactase enzyme group was statistically significant (p<0.05).
- No significant difference in crying duration was observed between boys and girls.
Conclusions:
- Lactase enzyme supplementation demonstrated significant efficacy in reducing crying duration in infants suffering from colic.
- The findings support the use of lactase enzyme as a potential therapeutic option for infant colic.
- Further research may explore optimal dosage and long-term effects.
Objective:
To determine the efficacy of lactase enzyme supplement in infant colic.
Methods:
The double-blind randomised clinical trial was conducted from November 2014 to June 2017 at Kharadar General Hospital, Karachi, and comprised infants aged 0-6 months with infant colic, excessive crying lasting at least 3 hours a day on at least 3 days a week for at least 3 weeks. The subjects were randomised into intervention group A which received lactase enzyme Colibid, and placebo group B. Five drops of intervention preparation were received by all the infants before each feed for two weeks. Confidentiality of active agent and placebo was maintained through drug codes. The duration of crying was recorded at baseline then after first and second weeks of intervention. The two groups were compared with level of significance set at p<0.05.
Results:
There were 104 subjects with 52(50%) in each of the two groups Overall, 50(48.1%) were boys. At baseline, all (100%) the subjects had infant colic or excessive crying. After two-week intervention, significant improvement was seen in the duration of crying in group A 45(86.5%) compared to group B 31(59.6%) (p<0.05).
Conclusions:
Significant improvement was seen in the duration of crying in infants who received lactase enzyme supplement..
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