Enhanced nutrient supply and intestinal microbiota development in very low birth weight infants

Elin W Blakstad1,2, Katri Korpela3, Sindre Lee4

  • 1Department of Pediatric and Adolescent Medicine, Akershus University Hospital and Institute for Clinical Medicine, University of Oslo, Campus Ahus, Nordbyhagen, Norway. e.w.blakstad@medisin.uio.no.

Pediatric Research
|May 16, 2019
PubMed

Insights

Enhanced nutrient supply positively impacts intestinal microbiota in very low birth weight (VLBW) infants, increasing microbial richness and diversity. This favorable gut microbiome development is linked to improved infant weight gain.

Area of Science:

  • Neonatal research
  • Microbiome science
  • Infant nutrition

Background:

  • A healthy gut microbiota is crucial for infant outcomes.
  • Nutrient availability significantly shapes the intestinal microbiota composition.
  • Very low birth weight (VLBW) infants (<1500g) are particularly susceptible to gut dysbiosis.

Purpose of the Study:

  • To investigate the effect of enhanced nutrient supply on the intestinal microbiota of VLBW infants.
  • To determine if nutritional interventions can promote a healthier gut microbiome in preterm infants.
  • To explore the association between microbiota development and infant growth.

Main Methods:

  • Randomized controlled trial involving 50 VLBW infants.
  • Intervention group received enhanced nutrient supply; control group received standard care.
  • Fecal samples analyzed using 16S rRNA sequencing to assess microbiota composition.

Main Results:

  • Microbial richness decreased in controls but not in the intervention group.
  • Enhanced nutrition increased microbial diversity in moderately/very preterm infants.
  • Staphylococcus abundance decreased in extremely preterm infants with enhanced nutrition.
  • Higher Bifidobacterium abundance correlated with improved infant weight gain.

Conclusions:

  • Nutritional strategies can modulate gut microbiota richness, diversity, and composition in VLBW infants.
  • Enhanced nutrient supply did not increase pathogen abundance.
  • Favorable gut microbiota development, particularly increased Bifidobacterium, is associated with better infant weight gain.
Abstract

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