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Probiotic supplementation in well children: A scoping review
Nicola Irwin1,2, Deborah Davis2, Marian Currie2
1Department of Paediatrics, Centenary Hospital for Women and Children, Canberra, Australia.
Insights
Probiotic use in healthy children varies widely, from 4% to 51%. Parental factors like their own use, education, and income influence this usage, but research on reasons and effectiveness is limited.
Area of Science:
- Pediatric Health
- Microbiome Research
- Public Health
Background:
- Probiotic supplements are increasingly considered for various pediatric health issues.
- Understanding the prevalence of probiotic use in well children is crucial for public health insights.
Purpose of the Study:
- To map the existing literature on probiotic use in healthy children.
- To determine the prevalence of probiotic consumption among this population.
- To identify factors associated with probiotic use in children.
Main Methods:
- A scoping review methodology was employed, searching multiple databases (MEDLINE, CINAHL, HealthSource, SAGE) and grey literature sources.
- The PRISMA extension for scoping reviews guided the process, with quality assessed using the Crowe Critical Appraisal Tool.
- Seven studies encompassing 24,742 children were included in the analysis.
Main Results:
- The prevalence of probiotic use in healthy children ranged significantly, from 4% to 51%.
- Key predictors for probiotic use included parental probiotic consumption, higher maternal education, and increased household income.
- Limited information was available on specific probiotic strains used, reasons for administration, or perceived parental efficacy.
Conclusions:
- Despite widespread reported use, there is a scarcity of high-quality studies detailing probiotic prevalence in healthy children.
- Inadequate data exists regarding specific strains, usage rationales, and perceived effectiveness, highlighting a need for further research.
- Parental information sources for probiotics are predominantly the internet and personal networks.
Abstract:
Probiotic supplements have been suggested as therapy for a range of health problems in children. This article aims to map the literature around probiotic use in well children, with a focus on prevalence. Using a scoping review methodology, we searched MEDLINE, CINAHL, HealthSource and SAGE, as well as Google and MedNar for grey literature, in July 2018. We followed the PRISMA extension for scoping reviews and used the Crowe Critical Appraisal Tool to assess articles for quality. Seven studies including a total of 24,742 children were identified. The prevalence of probiotic use ranged from 4% to 51%. The most common predictors of use were parental probiotic use, and higher maternal education and income. Only one small study reported the strains of probiotics used. Neither the reasons for using probiotics, nor parental perceptions of efficacy were adequately explored. Most parents obtained their information about probiotics from the Internet or family members. Despite the number of children in the community reported to have used probiotics, there are few well-designed and/or well-reported studies of prevalence, and inadequate data concerning the strains of probiotics used, reasons for their use and their perceived efficacy.
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