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Published on: January 27, 2019
Effects of Fortified Formula Milk Supplementation on Neurocognitive Development and the Microbiota-Gut-Brain Axis in
Yifan Gong1,2, Xingwen Zhao3, Qi Zhang2
1College of Food Science and Engineering, Gansu Agricultural University, Lanzhou 730070, China.
Insights
Fortified formula milk enhanced processing speed in preschoolers, linked to gut bacteria changes and improved propanoate metabolism. This suggests a role for the microbiota-gut-brain axis in early childhood cognitive development.
Area of Science:
- Neuroscience
- Microbiology
- Nutritional Science
Background:
- Preschool neurodevelopment is crucial, but research on fortified formula's impact and microbiota-gut-brain axis mechanisms is limited.
- Understanding how nutrition influences cognitive development in early childhood is essential.
Purpose of the Study:
- To evaluate the effect of multi-nutrient fortified formula on neurodevelopment in preschool children.
- To explore potential microbiota-gut-brain axis mechanisms underlying these effects.
Main Methods:
- A 9-month cluster-randomized, double-blind, controlled trial involving 120 healthy children aged 3-6 years.
- Neurocognitive function assessed using WPPSI-IV; gut microbiota and fecal metabolomes analyzed.
- Safety evaluated via anthropometry and blood biochemistry.
Main Results:
- No significant difference in Full Scale Intelligence Quotient, but significant improvement in Processing Speed Index (PSI) in the intervention group.
- Increased gut microbial alpha diversity and Bifidobacterium abundance observed.
- Elevated fecal 2-hydroxybutyric acid (2-HB) linked to propanoate metabolism; both Bifidobacterium and 2-HB positively associated with PSI improvement.
Conclusions:
- Fortified formula milk improved processing speed in preschoolers.
- This improvement is associated with gut ecosystem modulation, including Bifidobacterium enrichment and altered propanoate metabolism.
- Preliminary evidence supports the microbiota-gut-brain axis role in nutritional cognitive programming in early childhood.
Background/Objectives:
The preschool period is critical for neurodevelopment, yet evidence investigating fortified formula's effect and potential microbiota-gut-brain axis mechanisms in this age group is limited. To evaluate fortified formula milk's effect on neurodevelopment and explore potential microbiota-gut-brain axis mechanisms in preschool children.
Methods:
In this 9-month cluster-randomized, double-blind, controlled trial, 120 healthy children aged 3-6 years from four kindergarten classes were stratified by grade and randomly allocated (1:1) to receive either multi-nutrient fortified formula (intervention, n = 60) or standard control milk (n = 60). Neurocognitive function was assessed using the Wechsler Preschool and Primary Scale of Intelligence, Fourth Edition (WPPSI-IV). Safety was evaluated through anthropometry and blood biochemistry. Gut microbiota (16S rRNA sequencing) and fecal metabolomes (untargeted LC-MS) were analyzed at baseline and 9 months.
Results:
The intention-to-treat (ITT) analysis showed no significant difference in Full Scale Intelligence Quotient (adjusted mean difference: 1.05 points; 95% CI: -1.42, 3.52; p = 0.400). However, the intervention group significantly improved the Processing Speed Index (adjusted mean difference: 5.91 points; 95% CI: 1.88, 9.93; p = 0.004), increased gut microbial alpha diversity (Shannon index) and Bifidobacterium abundance. Metabolomic analysis revealed elevated fecal 2-hydroxybutyric acid (2-HB), a marker of propanoate metabolism. Increases in both Bifidobacterium and 2-HB levels showed a positive association with PSI improvement (both p < 0.05). All children maintained normal growth and safety parameters.
Conclusions:
Fortified formula milk improved processing speed in preschoolers, a benefit associated with gut ecosystem modulation characterized by Bifidobacterium enrichment and upregulated microbial propanoate metabolism. These results offer preliminary evidence for the role of the microbiota-gut-brain axis in nutritional cognitive programming during early childhood. (Clinical Trial Registry: ChiCTR2400084211).
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