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Probiotic Lactobacilli in Breast Milk and Infant Stool in Relation to Oral Intake During the First Year of Life
Malmö högskola, Faculty of Health and Society (HS).
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2009 (English)In: Journal of Pediatric Gastroenterology and Nutrition - JPGN, ISSN 0277-2116, E-ISSN 1536-4801, Vol. 49, no 3, p. 349-354Article in journal (Refereed) Published
Abstract [en]

Objectives: This is to identify factors affecting the prevalence of Lactobacillus reuteri in maternal faeces and breast milk and infant faeces after oral supplementation with L. reuteri and to assess the influence on microbial ecology, particularly Clostridium difficile and Bifidobacterium colonization. Materials and Methods: In this double-blind trial, 232 mothers with a family history of atopic disease were randomized to a daily intake of either L. reuteri American-type culture collection (ATCC) 55730 (1 x 108 colony forming units (CFU)) or placebo for the last 4 weeks of pregnancy. Their babies then continued with tha same study product daily from birth until 12 months of age. Bacterial counts and prevalence were assessed in maternal breast milk and faeces and infant faeces, using conventional cultivation methods. Results: The prevalence of L. reuteri was higher during the first year of life in the stool samples from infants in the active as compared with the placebo-treated group. The highest prevalence was recorded at 5 to 6 days of age (82% in the treated vs 20% in the placebo group, P < 0.001). Lactobacillus reuteri was isolated from 12% and 2%, respectively, in the colostrum samples (P < 0.05). Breast-feeding seemed to reduce faecal L. reuteri counts, although antibiotics did not influence the levels of L. reuteri. The administration of L. reuteri did not affect bifidobacteria or C. difficile colonization. Conclusion: Lactobacillus reuteri may be detected in breats milk after oral supplementation to the mother and in almost all infants after oral supplementation during the first year of life, as well as occasionally in many untreated infants.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2009. Vol. 49, no 3, p. 349-354
Keywords [en]
Bifidobacteria, Clostridium, Faeces, Probiotics, Lactobacillus reuteri
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-3942DOI: 10.1097/MPG.0b013e31818f091bISI: 000269397400014PubMedID: 19525871Scopus ID: 2-s2.0-70349106871Local ID: 8550OAI: oai:DiVA.org:mau-3942DiVA, id: diva2:1400765
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
In thesis
1. Lactobacillus reuteri in health and disease
Open this publication in new window or tab >>Lactobacillus reuteri in health and disease
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

People have exploited fermentation by lactobacilli for centuries as a means of preparing and preserving foods. Several different bacterial species are today used as probiotic bacteria in different products both for human and animal applications. By definition probiotic bacteria are “live microorganisms which when administered in adequate amounts confer a health benefit on the host”. The most commonly used bacteria for the probiotic concept are found within the lactic acid bacteria (LAB) group. One of several genera included in the LAB group is Lactobacillus. One species of Lactobacillus, Lactobacillus reuteri has been studied extensively and certain strains have been shown to be probiotic i.e. health promoting with diverse beneficial effects, and thus it was interesting to further investigate the properties of these bacteria. To put this thesis work into context, the field of probiotic research is described and examples of proven probiotic effects are discussed. The overall aim was to investigate L. reuteri and its microbial action in the microbiota of humans and its relationship to health and disease. L. reuteri was shown to be a natural component of human milk. It was found in approximately one in seven nursing mothers living in geographically widely separated countries. Breast milk may be considered as a natural synbiotic and evidence from these results suggest that L. reuteri is one of the beneficial components in this regard. L. reuteri was also proven to be effective in reducing both gingivitis and dental plaque in patients with moderate to severe gingivitis, suggesting an improvement in periodontal health. Bacterial antagonism through the probiotic administration in the oral cavity might have contributed to the observed alleviation of symptoms and clinical manifestations of periodontal disease. It was shown that L. reuteri supplementation of pregnant mothers and their offspring during the first year of life resulted in detection of L. reuteri in breast milk and infant stool. Administration of L. reuteri resulted in the presence of L. reuteri in saliva, but no significant effect on supra- or subgingival microbiota was observed. The significant increase in plaque index in the control group with no significant change in the test group may however indicate a probiotic effect of L. reuteri in this study population of healthy individuals.

Place, publisher, year, edition, pages
Malmö University, 2010
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383 ; 2010:3
Keywords
breast milk, lactobacilli, Lactobacillus reuteri, probiotics, Bifidobacteria, clostridium, faeces, Gingivitis, oral health
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-7368 (URN)10570 (Local ID)978-91-7104-241-5 (ISBN)10570 (Archive number)10570 (OAI)
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Note: The papers are not included in the fulltext online

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-04Bibliographically approved

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Sinkiewicz, Gabriela

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