Stunting and Gut Microbiota: A Literature Review.

IF 1.3 Q3 PEDIATRICS Pediatric Gastroenterology, Hepatology & Nutrition Pub Date : 2024-05-01 Epub Date: 2024-05-07 DOI:10.5223/pghn.2024.27.3.137
Jessy Hardjo, Nathasha Brigitta Selene
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Abstract

Stunting, a condition characterized by impaired growth and development in children, remains a major public health concern worldwide. Over the past decade, emerging evidence has shed light on the potential role of gut microbiota modulation in stunting. Gut microbiota dysbiosis has been linked to impaired nutrient absorption, chronic inflammation, altered short-chain fatty acid production, and perturbed hormonal and signaling pathways, all of which may hinder optimal growth in children. This review aims to provide a comprehensive analysis of existing research exploring the bidirectional relationship between stunting and the gut microbiota. Although stunting can alter the gut microbial community, microbiota dysbiosis may exacerbate it, forming a vicious cycle that sustains the condition. The need for effective preventive and therapeutic strategies targeting the gut microbiota to combat stunting is also discussed. Nutritional interventions, probiotics, and prebiotics are among the most promising approaches to modulate the gut microbiota and potentially ameliorate stunting outcomes. Ultimately, a better understanding of the gut microbiota-stunting nexus is vital for guiding evidence-based interventions that can improve the growth and development trajectory of children worldwide, making substantial strides toward reducing the burden of stunting in vulnerable populations.

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发育迟缓与肠道微生物群:文献综述。
发育迟缓是一种以儿童生长发育受阻为特征的疾病,仍然是全球关注的主要公共卫生问题。在过去十年中,新出现的证据揭示了肠道微生物群调节在发育迟缓中的潜在作用。肠道微生物群失调与营养吸收受损、慢性炎症、短链脂肪酸生成改变以及激素和信号通路紊乱有关,所有这些因素都可能阻碍儿童的最佳生长。本综述旨在全面分析探索发育迟缓与肠道微生物群之间双向关系的现有研究。虽然发育迟缓会改变肠道微生物群落,但微生物群落失调可能会加剧发育迟缓,形成恶性循环,使病情持续恶化。此外,还讨论了针对肠道微生物群采取有效预防和治疗策略以应对发育迟缓问题的必要性。营养干预、益生菌和益生元是调节肠道微生物群并有可能改善发育迟缓结果的最有前途的方法。最终,更好地了解肠道微生物群与发育迟缓之间的关系对于指导循证干预措施至关重要,这些干预措施可以改善全世界儿童的生长发育轨迹,在减轻弱势群体发育迟缓负担方面取得重大进展。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
43
期刊介绍: Pediatric Gastroenterology, Hepatology and Nutrition (Pediatr Gastroenterol Hepatol Nutr), an official journal of The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition, is issued bimonthly and published in English. The aim of Pediatr Gastroenterol Hepatol Nutr is to advance scientific knowledge and promote child healthcare by publishing high-quality empirical and theoretical studies and providing a recently updated knowledge to those practitioners and scholars in the field of pediatric gastroenterology, hepatology and nutrition. Pediatr Gastroenterol Hepatol Nutr publishes review articles, original articles, and case reports. All of the submitted papers are peer-reviewed. The journal covers basic and clinical researches on molecular and cellular biology, pathophysiology, epidemiology, diagnosis, and treatment of all aspects of pediatric gastrointestinal diseases and nutritional health problems.
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