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Effect of prebiotic oligosaccharides on bowel habit and the gut microbiota in children with functional constipation
Carrie A M Wegh1,2, Margriet H C Schoterman3, Elaine E Vaughan4
1Department of Paediatric Gastroenterology and Nutrition, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. carriewegh@gmail.com.
Insights
This study investigates if prebiotic oligosaccharides can improve constipation symptoms in young children. The research aims to provide evidence for this common pediatric gastrointestinal issue.
Area of Science:
- Pediatric Gastroenterology
- Microbiome Research
- Nutritional Science
Background:
- Functional constipation (FC) affects 9.5% of children globally, causing infrequent, painful stools, and abdominal pain.
- Prebiotic oligosaccharides are known to alleviate constipation in adults, but their efficacy in children with FC is under-researched.
- Existing evidence is insufficient to confirm the benefits of prebiotic oligosaccharides for pediatric functional constipation.
Purpose of the Study:
- To evaluate the effectiveness of two prebiotic oligosaccharides in improving constipation symptoms in children aged 1-5 years.
- To assess the impact of prebiotics on stool consistency, frequency, pain, and quality of life in children with FC.
- To explore the effects of prebiotic supplementation on the gut microbiome composition and metabolites in pediatric FC.
Main Methods:
- A randomized, double-blind, placebo-controlled, multi-center study involving children aged 12-72 months diagnosed with FC (Rome IV criteria).
- Participants received one of two prebiotic oligosaccharides or a placebo for 8 weeks, followed by a 4-week wash-out period.
- Primary outcome: change in stool consistency; secondary outcomes: stool frequency, painful defecation, medication use, quality of life, and gut microbiome analysis.
Main Results:
- This section is not applicable as the abstract describes a study protocol and not its results.
- This section is not applicable as the abstract describes a study protocol and not its results.
- This section is not applicable as the abstract describes a study protocol and not its results.
Conclusions:
- This study will provide crucial data on the efficacy of prebiotic oligosaccharides for treating functional constipation in young children.
- The findings are expected to inform clinical practice and potentially offer a new therapeutic option for pediatric FC.
- Investigating the impact on the gut microbiome may reveal underlying mechanisms of action for prebiotics in childhood constipation.
Background:
Functional constipation (FC) in children is a common gastrointestinal disorder with a worldwide-pooled prevalence of 9.5%. Complaints include infrequent bowel movements, painful defecation due to hard and/or large stools, faecal incontinence, and abdominal pain. Prebiotic oligosaccharides have been shown to relieve constipation symptoms in young adults and elderly. However, sufficient evidence is lacking linking additional prebiotic intake to improve symptoms in children with FC. We hypothesise that prebiotic oligosaccharides are able to relieve symptoms of constipation in young children as well.
Methods:
In the present randomised, double-blind, placebo-controlled, multi-centre study, we will study the effects of two prebiotic oligosaccharides in comparison to placebo on constipation symptoms in children of 1-5 years (12 to 72 months) of age diagnosed with FC according to the Rome IV criteria for functional gastrointestinal disorders. The primary outcome measure will be change in stool consistency. Secondary outcomes include stool frequency and stool consistency in a number of cases (%). Tertiary outcomes include among others painful defecation, use of rescue medication, and quality of life. In addition, the impact on gut microbiome outcomes such as faecal microbiota composition and metabolites will be investigated. Participants start with a run-in period, after which they will receive supplements delivered in tins with scoops for 8 weeks, containing one of the two prebiotic oligosaccharides or placebo, followed by a 4-week wash-out period.
Discussion:
This randomised double-blind, placebo-controlled multi-centre study will investigate the effectiveness of prebiotic oligosaccharides in children aged 1-5 years with FC.
Trial Registration:
ClinicalTrials.gov NCT04282551. Registered on 24 February 2020.
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