Postnatal probiotics administration does not prevent asthma in children, but using prebiotics or synbiotics may be

Ewelina Wawryk-Gawda1, Ewa Markut-Miotła2, Andrzej Emeryk2

  • 1Department of Paediatric Pulmonology and Rheumatology, Medical University of Lublin, Lublin, Poland; ewelina.wawryk-gawda@umlub.pl.

Insights

Probiotics supplementation in infancy did not prevent asthma in high-risk children. However, prebiotics and synbiotics show potential in reducing asthma incidence in early childhood.

Area of Science:

  • Pediatrics
  • Immunology
  • Microbiome research

Background:

  • The role of probiotics, prebiotics, and synbiotics in preventing allergic diseases is under investigation.
  • Conflicting results exist regarding their effect on asthma and allergic rhinitis incidence when supplemented during infancy.

Purpose of the Study:

  • To investigate the potential effects of pro-, pre-, and synbiotics supplementation in early childhood.
  • To determine their impact on the future occurrence of allergic diseases, specifically asthma.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs).
  • Search conducted across multiple medical databases.
  • Study selection and risk-of-bias assessment followed PRISMA guidelines.

Main Results:

  • Eleven RCTs involving 1659 children were analyzed.
  • No significant difference in asthma risk was found between probiotic and placebo groups.
  • Children receiving prebiotics and synbiotics showed a lower risk of asthma compared to control groups.

Conclusions:

  • Infant probiotic supplementation does not appear to decrease asthma risk in high-risk children.
  • Prebiotics and synbiotics may serve as potential preventive factors against childhood asthma development.
Abstract

Related Concept Videos

Antiasthma Drugs: Leukotriene Modifiers01:19

Antiasthma Drugs: Leukotriene Modifiers

Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
Leukotriene modifiers work through two distinct mechanisms:
1.1K
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.9K
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
885
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs

Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
1.1K
Antiasthma Drugs: β2-Adrenoceptor Agonists01:25

Antiasthma Drugs: β2-Adrenoceptor Agonists

Bronchodilators are critical in managing asthma, a chronic respiratory condition characterized by airway constriction due to inflammation and hyper-reactivity. Specifically, bronchodilators ease this constriction by relaxing the bronchial muscles, facilitating easier breathing.
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
1.1K
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
3.4K