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Prebiotic Lactulose in the Diet of Infants

https://doi.org/10.31550/1727-2378-2024-23-3-62-66

Abstract

Aim. To evaluate the effect of the lactulose prebiotic on the functional state of the gastrointestinal tract and the state of the intestinal microbiome of infants with constipation based on data from Russian and foreign publications.

Key points. The multiple positive effects of breastfeeding on the health of mother and child are unique. However, more than 50% of children in the Russian Federation are artificially fed, and the choice of formula for artificial feeding is fundamental and determines the further state of the baby's health. The review describes on the role of the development of the intestinal microbiota in the child's health, examines the origin and functioning of the “brain — intestine — microbiota” axis, its role in the genesis of functional gastrointestinal disorders (FGID) in children — the most common FGID in infants — functional constipation. The article discusses the use of lactulose in the dietary nutrition of infants, primarily with functional constipation.

Conclusion. The multilevel action of prebiotic lactulose allows it use it for a significant number of therapeutic indications. Lactulose-enriched formulas for the nutrition of children of the first year of life is justified. The article The article contains the Russian and foreign experience of using lactulose-enriched formulas in the nutrition of children of the first year of life.

About the Authors

E. A. Yablokova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

8 Trubetskaya Str., build. 2, Moscow, 119048



I. V. Sichinava
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

8 Trubetskaya Str., build. 2, Moscow, 119048



S. B. Krutikhina
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

8 Trubetskaya Str., build. 2, Moscow, 119048



I. V. Ozerskaia
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

8 Trubetskaya Str., build. 2, Moscow, 119048



References

1. Alayón S., Varela V., Mukuria‐Ashe A., Alvey J. et al. Exclusive breastfeeding: measurement to match the global recommendation. Matern. Child Nutr. 2022;18(4):e13409. DOI: 10.1111/mcn.13409

2. Ladodo O.B., Zhdanova S.I., Zubkov V.V., Kodentsova V.M. et al. Breastfeeding in Russia: problems and prospects. Public Health. 2023;3(1):18–32. (in Russian). DOI: 10.21045/2782-1676-2023-3-1-18-32

3. Human Microbiome Project Consortium. Structure, function and diversity of the healthy human microbiome. Nature. 2012; 486(7402):207–14. DOI: 10.1038/nature11234

4. Bäckhed F., Roswall J., Peng Y., Feng Q. et al. Dynamics and stabilization of the human gut microbiome during the first year of life. Cell Host. Microbe. 2015;17(6):852. DOI: 10.1016/j.chom.2015.05.012

5. Younge N., McCann J.R., Ballard J., Plunkett C. et. al. Fetal exposure to the maternal microbiota in humans and mice. JCI Insight. 2019;4(19):e127806. DOI: 10.1172/jci.insight.127806

6. Mshvildadze M., Neu J., Schuster J., Theriaque D. et al. Intestinal microbial ecology in premature infants assessed with non-culture-based techniques. J. Pediatr. 2010;156(1):20–5. DOI: 10.1016/j.jpeds.2009.06.063

7. DiGiulio D.B. Diversity of microbes in amniotic fluid. Semin. Fetal Neonatal Med. 2012;17(1):2–11. DOI: 10.1016/j.siny.2011.10.001

8. Robertson R.C., Manges A.R., Finlay B.B., Prendergast A.J. The human microbiome and child growth — first 1000 days and beyond. Trends Microbiol. 2019;27(2):131–47. DOI: 10.1016/j.tim.2018.09.008

9. Tamburini S., Shen N., Wu H.C., Clemente J.C. The microbiome in early life: implications for health outcomes. Nat. Med. 2016;22(7): 713–22. DOI: 10.1038/nm.4142

10. Ventura M., Milani C., Lugli G.A., van Sinderen D. Health benefits conferred by the human gut microbiota during infancy. Microb. Biotechnol. 2019;12(2):243–8. DOI: 10.1111/1751-7915.13334

11. Mercer E.M., Ramay H.R., Moossavi S., Laforest‑Lapointe I. et al. Divergent maturational patterns of the infant bacterial and fungal gut microbiome in the first year of life are associated with interkingdom community dynamics and infant nutrition. Microbiome. 2024;12(1):22. DOI: 10.1186/s40168-023-01735-3

12. Bergström A., Skov T.H., Bahl M.I., Roager H.M. et al. Establishment of intestinal microbiota during early life: a longitudinal, explorative study of a large cohort of Danish infants. Appl. Environ. Microbiol. 2014;80(9):2889–900. DOI: 10.1128/AEM.00342-14

13. Kapourchali F.R., Cresci G.A.M. Early-life gut microbiome — the importance of maternal and infant factors in its establishment. Nutr. Clin. Pract. 2020;35(3):386–405. DOI: 10.1002/ncp.10490

14. Belyaeva I.А., Bombardirova Е.P., Mitish М.D., Potekhina Т.V. et al. Ontogenesis and dysontogenesis of the gut microbiota in young children: a trigger mechanism of child health disorders. Current Pediatrics. 2017;16(1):29–38. (in Russian). DOI: 10.15690/vsp.v16i1.1692

15. Kim C.H. Complex regulatory effects of gut microbial short-chain fatty acids on immune tolerance and autoimmunity. Cell. Mol. Immunol. 2023;20(4):341–50. DOI: 10.1038/s41423-023-00987-1

16. Flint H.J., Duncan S.H., Louis P. The impact of nutrition on intestinal bacterial communities. Curr. Opin. Microbiol. 2017;38:59–65. DOI: 10.1016/j.mib.2017.04.005

17. Marano G., Mazza M., Maria Lisci F., Ciliberto M. et al. The microbiota — gut — brain axis: psychoneuroimmunological insights. Nutrients. 2023;15(6):1496. DOI: 10.3390/nu15061496

18. Thapar N., Benninga M.A., Crowell M.D., Di Lorenzo C. et al. Paediatric functional abdominal pain disorders. Nat. Rev. Dis. Primers. 2020;6(1):89. DOI: 10.1038/s41572-020-00222-5

19. Vandenplas Y., Benninga M.A., Broekaert I., Falconer J. et al. Functional gastro-intestinal disorder algorithms focus on early recognition, parental reassureance and nutritional strategies. Acta Paediatrica. 2016;105(3):244–52. DOI: 10.1111/apa.13270

20. Tran D.L., Sintusek P. Functional constipation in children: what physicians should know. World J. Gastroenterol. 2023;2(8): 1261–88. DOI: 10.3748/wjg.v29.i8.1261

21. Yilanli M., Gokarakonda S.B. Encopresis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.

22. de Geus A., Koppen I.J.N., Flint R.B., Benninga M.A. et al. An update of pharmacological management in children with functional constipation. Pediatr. Drugs. 2023;25(3):343–58. DOI: 10.1007/s40272-023-00563-0

23. Benninga M.A., Nurko S., Faure C., Hyman P.E. et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2016;150(6):1443–55. DOI: 10.1053/j.gastro.2016.02.016

24. Aydemir Y., Aydemir O., Dinleyici M., Saglik A.C. et al. Screening for functional gastrointestinal disorders in preterm infants up to 12 months of corrected age: a prospective cohort study. Eur. J. Pediatr. 2024. Online ahead of print. DOI: 10.1007/s00431-024-05451-4

25. Skórka A., Pieścik-Lech M., Kołodziej M., Szajewska H. Infant formulae supplemented with prebiotics: are they better than unsupplemented formulae? An updated systematic review. Br. J. Nutr. 2018;119(7):810–25. DOI: 10.1017/S0007114518000120

26. Indrio F., Dinleyici E.C., Canani R.B., Domellöf M. R et al. Prebiotics in the management of pediatric gastrointestinal disorders: position paper of the ESPGHAN special interest group on gut microbiota and modifications. J. Pediatr. Gastroenterol. Nutr. 2024;78(3):728–42. DOI: 10.1002/jpn3.12134

27. Sijbers A.M., Schoemaker R.J.W., Nauta A., Alkema W. Revealing new leads for the impact of galacto-oligosaccharides on gut commensals and gut health benefits through text mining. Benef. Microbes. 2020;11(3):283–302. DOI: 10.3920/BM2019.0105

28. Aït-Aissa A., Aïder M. Lactulose: production and use in functional food, medical and pharmaceutical applications. Practical and critical review. Int. J. Food Sci. Technol. 2014;49(5):1245–53. DOI: 10.1111/ijfs.12465

29. Ryabtsevа S.A., Khramtsov A.G., Budkevich R.O., Anisimov G.S. et al. Physiological effects, mechanisms of action and application of lactulose. Problems of Nutrition. 2020;89(2):5–20. (in Russian). DOI: 10.24411/0042-8833-2020-10012

30. Bulatova E.M., Kim A.V., Pirtskhelava T.A., Bogdanova N.M. et al. Efficacy of using lactulose-enriched milk formula in first-half-year children. Current Pediatrics. 2004;3(4):46–51. (in Russian)

31. Belousova T.V., Polyankina L.B., Ishalina N.Yu. Methods of functional gastro-intestinal disorders correction in infants with perinatal central nervous system impairments. Pediatric Nutrition. 2005;3(5):5–8. (in Russian)

32. Meskina E.R., Feklisova L.V., Ushakova A.Yu., Pozhalostina L.V. et al. Therapeutic opportunities of functional compound, containing lactulose, in infants under first year of life with infectional enterocolitis and intestinal disbiosis. Current Pediatrics. 2009;4(8):63–71. (in Russian)

33. Tvardovskyi V.I., Nazarenko O.N., Rogzanets A.N., Daynovich V.V. et al. Feeding experience with lactulose-enriched milk formula in children of the first year of life. Current Pediatrics. 2005;4(4):69–74. (in Russian)


Review

For citations:


Yablokova E.A., Sichinava I.V., Krutikhina S.B., Ozerskaia I.V. Prebiotic Lactulose in the Diet of Infants. Title. 2024;23(3):62-66. (In Russ.) https://doi.org/10.31550/1727-2378-2024-23-3-62-66

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ISSN 1727-2378 (Print)
ISSN 2713-2994 (Online)