4.4 Article

Effect of multifibre mixture with prebiotic components on bifidobacteria and stool pH in tube-fed children

Journal

BRITISH JOURNAL OF NUTRITION
Volume 104, Issue 10, Pages 1514-1522

Publisher

CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0007114510002461

Keywords

Enteral nutrition; Fibre; Children; Gut microbiota

Funding

  1. Nutricia Advanced Medical Nutrition, Danone Research, Centre for Specialised Nutrition (The Netherlands)

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The objective of the present study was to evaluate the effect of a paediatric tube feed supplemented with a multifibre mixture on the gut microbiota and nutritional and micronutrient status of children on long-term enteral nutrition (EN). A randomised, controlled, double-blind, cross-over trial (2 x 3 months) with a washout period of 1 month was carried out. Twenty-seven children (80% neurologically impaired) aged 11.9 (SD 3.9) years, on long-term EN (4.8 (SD 3.9) years) were recruited. The analyses of the children's faecal pH, microbiota along with anthropometric measures, bowel movements and markers of blood micronutrient status were made. Twenty children completed the study. A significant increase in the proportion of stool bifidobacteria (+ 16 .6 %, P<0.05) was observed during the multifibre period than during the fibre-free period, together with a significant reduction in stool pH (P<0.001). Stool frequency and consistency as well as growth did not differ between the two periods. There was a significant increase (P<0.05) in plasma ferritin at the end of the fibre-free period, but plasma ferritin levels remained within normal ranges during both periods. No diet effects on other blood parameters were observed. In conclusion, addition of a multifibre mixture with prebiotic components to paediatric EN is well tolerated, promotes bifidobacteria and reduces stool pH, indicating an improved gut health. British Journal of Nutrition

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