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Updated: Dec 17, 2025

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Published on: January 27, 2019
Does entry to center-based childcare affect gut microbial colonization in young infants?
Gerben D A Hermes1, Henrik A Eckermann2, Willem M de Vos1,3
1Laboratory of Microbiology, Wageningen University, Wageningen, The Netherlands.
Insights
Center-based childcare (CC) entry at three months did not uniformly alter infant gut microbiota composition. Known factors like breastfeeding and age significantly influenced microbial communities.
Area of Science:
- Microbiology
- Pediatrics
- Developmental Psychology
Background:
- Early life stress from center-based childcare (CC) may impact infant gut microbiota.
- Childcare environments involve significant stressors like maternal separation and changing caregivers.
- Gut microbiota alterations have potential implications for long-term infant health.
Purpose of the Study:
- To investigate the impact of center-based childcare (CC) entry on infant gut microbiota composition.
- To compare microbiota changes in infants entering CC versus those cared for at home.
- To account for known covariates influencing infant gut microbiota.
Main Methods:
- Longitudinal study design with stool sample collection before and after CC entry.
- Comparison between infants entering CC (n=49) and home-cared controls (n=49).
- Statistical analyses included Redundancy analysis, Random Forests, and Bayesian linear models.
Main Results:
- Infant gut microbiota composition was not uniformly affected by entry into center-based childcare.
- Breastfeeding, mode of birth, infant age, and presence of siblings significantly impacted microbial composition.
- No significant uniform alteration in gut microbiota was observed solely due to CC entry within four weeks.
Conclusions:
- Entry into center-based childcare does not necessarily lead to uniform changes in infant gut microbiota composition.
- Established factors like breastfeeding and infant age remain dominant influencers of gut microbial communities.
- Further research may explore longer-term effects or specific microbial shifts in response to childcare environments.
Abstract:
Entry to center-based childcare (CC) at three months of life can be an important challenge for infants as it includes major stressors such as long maternal separations and frequently changing caregivers. Stress and the new environment may in turn alter the composition of the gut microbiota with possible implications for future health outcomes. As part of an ongoing longitudinal study, we investigated whether CC, as compared to being cared for by the parents at home, alters the composition of the gut microbiota, while accounting for known covariates of the infant gut microbiota. Stool samples of infants who entered CC (n = 49) and control infants (n = 49) were obtained before and four weeks after CC entrance. Using Redundancy analysis, Random Forests and Bayesian linear models we found that infant gut microbiota was not affected in a uniform way by entry to CC. In line with the literature, breastfeeding, birth mode, age, and the presence of siblings were shown to significantly impact the microbial composition.
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