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Published on: December 31, 2017
Biotics and Children's and Adolescents' Health: A Narrative Review
Evangelia Xenopoulou1, Ioanna Kontele1, Theodoros N Sergentanis1
1Laboratory of Epidemiology, Health Determinants and Well-Being, Department of Public Health Policy, University of West Attica, 115 21 Athens, Greece.
Insights
Biotics show promise for various childhood conditions, including digestive issues and infections. Further research is needed to confirm benefits and address limitations in children and adolescents.
Area of Science:
- Microbiology
- Pediatrics
- Gastroenterology
Background:
- Growing interest in the gut microbiota-health connection.
- Children and adolescents have unique physiological characteristics impacting health.
- Biotics are being explored for their potential health benefits in pediatric populations.
Purpose of the Study:
- To review the role and limitations of biotics in pediatric conditions.
- To synthesize evidence on biotics for common childhood health issues.
Main Methods:
- A narrative review of studies published on PubMed up to October 2023.
- Focused on the administration of biotics in children and adolescents.
Main Results:
- Biotics demonstrated potential benefits in treating and preventing infectious diarrhea, antibiotic-associated diarrhea, and necrotizing enterocolitis.
- Positive outcomes were observed in functional gastrointestinal diseases (infant colic, functional abdominal pain, irritable bowel syndrome), H. pylori eradication, ulcerative colitis, pouchitis, and atopic dermatitis prevention.
- Identified limitations associated with the use of probiotics in this age group.
Conclusions:
- Biotics may offer beneficial effects for several health conditions in children and adolescents.
- Further high-quality randomized controlled trials are necessary, especially for adolescents and young adults.
Abstract:
Recently, there has been an increasing interest in the association of gut microbiota with health conditions and the potentially beneficial role of several types of biotics in several population groups, including children and adolescents. Children and adolescents comprise a unique population group due their rapid growth rates, high nutritional requirements, the immaturity of their immune system in early life, and their susceptibility to infectious diseases. The aim of the present study is to investigate the role and limitations of the administration of biotics in specific conditions affecting children and adolescents. A narrative review of related articles published on PubMed up to October 2023 was conducted. The administration of biotics has been evaluated in several health conditions among children and adolescents, such as the treatment and prevention of infectious diarrhea, the prevention of diarrhea after the use of antibiotics, the prevention of necrotizing enterocolitis, the treatment of functional gastrointestinal diseases, such as infant colic, functional abdominal pain, and irritable bowel syndrome, the eradication of H. pylori, the treatment of ulcerative colitis and pouchitis, and the prevention of atopic dermatitis, and the findings indicate improved symptoms and various beneficial health outcomes. However, some limitations have been identified regarding probiotics' use. In conclusion, biotics may have a beneficial impact in several health conditions among children and adolescents. There is a need for additional randomized, controlled clinical studies on the effects of the administration of biotics in children and particularly in adolescents and young adults.
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