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Published on: January 27, 2019
Long-Term Safety and Efficacy of Prebiotic Enriched Infant Formula-A Randomized Controlled Trial
Franka Neumer1, Orenci Urraca2, Joaquin Alonso3
1BENEO-Institute, c/o BENEO GmbH, Wormser Str. 11, 67283 Obrigheim, Germany.
Insights
Supplementing infant formula with prebiotics like Orafti®Synergy1 positively impacts gut microbiota, increasing beneficial Bifidobacterium levels and reducing infection duration in infants during their first year.
Area of Science:
- Human Nutrition and Dietetics
- Pediatrics
- Microbiology
Background:
- The infant gut microbiota plays a crucial role in immune system development and overall health.
- Early life nutrition significantly influences the establishment and composition of the gut microbiome.
- Prebiotics are recognized for their potential to modulate gut microbiota composition and associated health benefits.
Purpose of the Study:
- To evaluate the effects of an infant formula supplemented with inulin-type oligosaccharides (Orafti®Synergy1) on infant health outcomes.
- To assess the impact of prebiotic supplementation on fecal microbiota composition and immunological biomarkers.
- To determine the safety and tolerance of the prebiotic-supplemented formula during the first year of life.
Main Methods:
- A prospective, multicenter, randomized, double-blind study involving 160 healthy term infants (<4 months old).
- Infants received either prebiotic-enriched formula (0.8 g/dL Orafti®Synergy1) or control formula until 12 months.
- Health outcomes (growth, fever, infections), digestive symptoms, stool consistency, crying/sleeping patterns, and fecal microbiota were monitored.
Main Results:
- Formulae were well-tolerated; prebiotic group showed significantly lower mean duration of infections (p < 0.05).
- Higher Bifidobacterium counts and proportions were observed in the prebiotic group at 2 and 6 months (p < 0.05).
- Softer stools were noted in infants receiving prebiotic formula; a trend towards reduced crying was observed (p=0.0594).
Conclusions:
- Supplementation with inulin-type prebiotic oligosaccharides beneficially modulates infant gut microbiota, increasing Bifidobacterium levels.
- Prebiotic supplementation is associated with a reduced duration of infections in infants during the first year of life.
- The Orafti®Synergy1 supplemented formula demonstrates safety, tolerance, and positive impacts on infant gut health and infection rates.
Abstract:
The present study aims to evaluate the effects of an infant formula supplemented with a mixture of prebiotic short and long chain inulin-type oligosaccharides on health outcomes, safety and tolerance, as well as on fecal microbiota composition during the first year of life. In a prospective, multicenter, randomized, double-blind study, n = 160 healthy term infants under 4 months of age were randomized to receive either an infant formula enriched with 0.8 g/dL of Orafti®Synergy1 or an unsupplemented control formula until the age of 12 months. Growth, fever (>38 °C) and infections were regularly followed up by a pediatrician. Digestive symptoms, stool consistency as well as crying and sleeping patterns were recorded during one week each study month. Fecal microbiota and immunological biomarkers were determined from a subgroup of infants after 2, 6 and 12 months of life. The intention to treat (ITT) population consisted of n = 149 infants. Both formulae were well tolerated. Mean duration of infections was significantly lower in the prebiotic fed infants (p < 0.05). The prebiotic group showed higher Bifidobacterium counts at month 6 (p = 0.006), and higher proportions of Bifidobacterium in relation to total bacteria at month 2 and 6 (p = 0.042 and p = 0.013, respectively). Stools of infants receiving the prebiotic formula were softer (p < 0.05). Orafti®Synergy1 tended to beneficially impact total daily amount of crying (p = 0.0594). Supplementation with inulin-type prebiotic oligosaccharides during the first year of life beneficially modulates the infant gut microbiota towards higher Bifidobacterium levels at the first 6 months of life, and is associated with reduced duration of infections.
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