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[益生元低聚糖对健康婴儿肠道菌群影响的随机安慰剂对照双盲研究]

[Randomised placebo controlled double blind study on the effect of prebiotic oligosaccharides on intestinal flora in healthy infants].

作者信息

Decsi Tamás, Arató András, Balogh Márta, Dolinay Tamás, Kanjo Abdul Hamid, Szabó Eva, Várkonyi Agnes

机构信息

Pécsi Tudományegyetem, Gyermekgyógyászati Klinika, Pécs.

出版信息

Orv Hetil. 2005 Nov 27;146(48):2445-50.

Abstract

AIM

Effects of supplementing prebiotic oligosaccharides to formula for healthy infants were studied in this placebo controlled, randomised, double blind study.

METHODS

Ninety-seven infants were included into the study; among them 42 breast-fed infants, 14 infants fed formula supplemented with 0.4 g/100ml oligosaccharides (9 to 1 mixture of galacto- and fructooligosaccharides) and 13 infants fed control formula were followed-up throughout the 12-week-long study period. The groups receiving formula were compared with statistical methods, whereas data of breast-fed infants served as reference values.

RESULTS

Infants fed the two formulae did not differ in nutrient intakes, growth, occurrence rate of feeding difficulties and atopic manifestations, or in calcium excretion. The intestinal flora did not differ between the two formula fed groups at the beginning of the study. In contrast, numbers of Bifidobacteriae were significantly higher in infants receiving the formula supplemented with prebiotic oligosaccharides both at the 14th day (9 x 1011 versus 5 x 1010, colony forming units/g faeces, median, p < 0.05) and 28th day (9 x 1012 versus 5 x 1010, p < 0.05) of the study.

CONCLUSION

In this study, supplementation of infant formula with prebiotic oligosaccharides resulted in ameliorating the difference in intestinal flora between formula fed and breast-fed healthy infants.

摘要

目的

在这项安慰剂对照、随机、双盲研究中,研究了在健康婴儿配方奶粉中添加益生元低聚糖的效果。

方法

97名婴儿纳入研究;其中42名母乳喂养婴儿,14名婴儿喂食添加0.4g/100ml低聚糖(半乳糖低聚糖和低聚果糖9:1混合物)的配方奶粉,13名婴儿喂食对照配方奶粉,在长达12周的研究期间进行随访。用统计方法比较接受配方奶粉的组,而母乳喂养婴儿的数据作为参考值。

结果

喂食两种配方奶粉的婴儿在营养摄入、生长、喂养困难发生率和特应性表现或钙排泄方面没有差异。研究开始时,两个喂食配方奶粉组的肠道菌群没有差异。相比之下,在研究的第14天(9×10¹¹对5×10¹⁰,菌落形成单位/g粪便,中位数,p<0.05)和第28天(9×10¹²对5×10¹⁰,p<0.05),接受添加益生元低聚糖配方奶粉的婴儿双歧杆菌数量显著更高。

结论

在本研究中,在婴儿配方奶粉中添加益生元低聚糖可改善喂食配方奶粉和母乳喂养的健康婴儿之间肠道菌群的差异。

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