Xinias Ioannis, Analitis A, Mavroudi Antigoni, Roilides Ioannis, Lykogeorgou Maria, Delivoria Varvara, Milingos Vasilis, Mylonopoulou Mayra, Vandenplas Yvan
3rd Pediatric Department, Hippocration Hospital, Thessaloniki, Greece.
Department of Hygiene, Epidemiology and Medical Statistics, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Pediatr Gastroenterol Hepatol Nutr. 2017 Jun;20(2):100-106. doi: 10.5223/pghn.2017.20.2.100. Epub 2017 Jun 28.
The purpose of this paper is to evaluate the efficacy of a lactose- reduced synbiotic partial whey hydrolysate in formula fed infants presenting with colic and the impact of this dietary intervention in mean crying time and quality of life.
Forty infants with infantile colic were treated during one month with parental reassurance and the intervention formula (partial whey hydrolysate, reduced lactose, BB12 and galacto-oligosaccharides) and were compared to a control group of 20 infants with infantile colic treated with parental reassurance and a standard infant formula. Parents completed a quality of life (QoL) questionnaire assessing the burden of infantile colic. Wilcoxon test, t-test and Mann-Whitney test were used to compare QoL scores before and after intervention as well as between the intervention and control group.
At inclusion, duration of crying did not differ between both groups. Crying duration decreased with 2.7 hours (from 3.2 to 0.5 hours) in the intervention group while duration of crying decreased only with 1.2 hours in the control group (<0.001). Stool composition became looser in the intervention group, but defecation frequency did not change. The median scores of the QoL questionnaire improved significantly in the intervention group for all parameters. In the control group, parameters improved significantly also but not for the parent-child and social interaction. The score changes were significantly greater in the intervention than in the control group.
The intervention formula (partial whey hydrolysate, synbiotic, reduced lactose) significantly reduced the duration of crying and improved QoL of the parents and infants.
本文旨在评估一种低乳糖合生元部分乳清水解配方奶粉对患有腹绞痛的配方奶喂养婴儿的疗效,以及这种饮食干预对平均哭闹时间和生活质量的影响。
40名患有婴儿腹绞痛的婴儿在一个月内接受了家长安抚和干预配方奶粉(部分乳清水解物、低乳糖、BB12和低聚半乳糖)治疗,并与20名接受家长安抚和标准婴儿配方奶粉治疗的婴儿腹绞痛对照组进行比较。家长完成了一份生活质量(QoL)问卷,评估婴儿腹绞痛的负担。使用Wilcoxon检验、t检验和Mann-Whitney检验来比较干预前后以及干预组和对照组之间的QoL评分。
纳入时,两组的哭闹持续时间没有差异。干预组的哭闹持续时间减少了2.7小时(从3.2小时降至0.5小时),而对照组的哭闹持续时间仅减少了1.2小时(<0.001)。干预组的粪便成分变得更稀,但排便频率没有变化。干预组QoL问卷的所有参数中位数评分均显著改善。在对照组中,参数也有显著改善,但亲子和社交互动方面没有改善。干预组的评分变化显著大于对照组。
干预配方奶粉(部分乳清水解物、合生元、低乳糖)显著减少了哭闹持续时间,改善了家长和婴儿的生活质量。