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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.
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.
Background:
Promoting a healthy intestinal microbiota may have positive effects on short- and long-term outcomes in very low birth weight (VLBW; BW < 1500 g) infants. Nutrient supply influences the intestinal microbiota.
Methods:
Fifty VLBW infants were randomized to an intervention group receiving enhanced nutrient supply or a control group. Fecal samples from 45 infants collected between birth and discharge were analyzed using 16S ribosomal RNA (rRNA) amplicon sequencing.
Results:
There was considerable individual variation in microbiota development. Microbial richness decreased towards discharge in the controls compared to the intervention group. In the intervention group, there was a greater increase in diversity among moderately/very preterm (MVP, gestational age ≥ 28 weeks) infants and a steeper decrease in relative Staphylococcus abundance in extremely preterm (EP, gestational age < 28 weeks) infants as compared to controls. Relative Bifidobacterium abundance tended to increase more in MVP controls compared to the intervention group. Abundance of pathogens was not increased in the intervention group. Higher relative Bifidobacterium abundance was associated with improved weight gain.
Conclusion:
Nutrition may affect richness, diversity, and microbiota composition. There was no increase in relative abundance of pathogens among infants receiving enhanced nutrient supply. Favorable microbiota development was associated with improved weight gain.
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