Alexandru Cosmin Pantazi, Cristina Maria Mihai, Ancuta Lupu, Adriana Luminita Balasa, Tatiana Chisnoiu, Larisia Mihai, Corina Elena Frecus, Adina Ungureanu, Sergiu Ioachim Chirila, Wassan Nori, Vasile Valeriu Lupu, Ramona Mihaela Stoicescu, Ginel Baciu, Simona Claudia Cambrea
{"title":"Gut Microbiota Profile and Functional Gastrointestinal Disorders in Infants: A Longitudinal Study.","authors":"Alexandru Cosmin Pantazi, Cristina Maria Mihai, Ancuta Lupu, Adriana Luminita Balasa, Tatiana Chisnoiu, Larisia Mihai, Corina Elena Frecus, Adina Ungureanu, Sergiu Ioachim Chirila, Wassan Nori, Vasile Valeriu Lupu, Ramona Mihaela Stoicescu, Ginel Baciu, Simona Claudia Cambrea","doi":"10.3390/nu17040701","DOIUrl":null,"url":null,"abstract":"<p><strong>Background/objectives: </strong>The gut microbiota is involved in modulating gastrointestinal function and consequently contributes to the manifestation of functional gastrointestinal disorders (FGIDs). The aim of the study was to analyze the composition of the gut microbiota in infants with functional gastrointestinal disorders (infantile colic, functional constipation, gastroesophageal reflux, functional diarrhea) according to age, environmental factors, and clinical manifestations.</p><p><strong>Methods: </strong>The study involved the clinical and laboratory examination of 134 infants divided into two groups: group I (<i>n</i> = 82) with FGIDs according to Rome IV criteria, divided into four subgroups (infantile colic, functional constipation, gastroesophageal reflux, and functional diarrhea), and group II (<i>n</i> = 52) without FGIDs. To assess the composition of intestinal microbiota, a bacteriological analysis of fecal samples was performed.</p><p><strong>Results: </strong>Infants with functional gastrointestinal disorders presented an imbalance of intestinal microflora, which was characterized by a significant decrease in the main representatives of acidifying flora represented by <i>Lactobacillus</i>, <i>Bifidobacterium</i>, and <i>Enterococcus</i> and high abundance of proteolytic microorganisms from the Enterobacteriaceae family such as <i>Klebsiella</i> species and <i>Escherichia coli</i>. In infants born by cesarean section or artificially fed, the incidence of functional gastrointestinal disorders and intestinal dysbiosis was significantly higher.</p><p><strong>Conclusions: </strong>The imbalance of acidifying and proteolytic microbial composition in the gut could be the key to the occurrence of functional gastrointestinal disorders in the first year of life.</p>","PeriodicalId":19486,"journal":{"name":"Nutrients","volume":"17 4","pages":""},"PeriodicalIF":4.8000,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11857863/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrients","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3390/nu17040701","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background/objectives: The gut microbiota is involved in modulating gastrointestinal function and consequently contributes to the manifestation of functional gastrointestinal disorders (FGIDs). The aim of the study was to analyze the composition of the gut microbiota in infants with functional gastrointestinal disorders (infantile colic, functional constipation, gastroesophageal reflux, functional diarrhea) according to age, environmental factors, and clinical manifestations.
Methods: The study involved the clinical and laboratory examination of 134 infants divided into two groups: group I (n = 82) with FGIDs according to Rome IV criteria, divided into four subgroups (infantile colic, functional constipation, gastroesophageal reflux, and functional diarrhea), and group II (n = 52) without FGIDs. To assess the composition of intestinal microbiota, a bacteriological analysis of fecal samples was performed.
Results: Infants with functional gastrointestinal disorders presented an imbalance of intestinal microflora, which was characterized by a significant decrease in the main representatives of acidifying flora represented by Lactobacillus, Bifidobacterium, and Enterococcus and high abundance of proteolytic microorganisms from the Enterobacteriaceae family such as Klebsiella species and Escherichia coli. In infants born by cesarean section or artificially fed, the incidence of functional gastrointestinal disorders and intestinal dysbiosis was significantly higher.
Conclusions: The imbalance of acidifying and proteolytic microbial composition in the gut could be the key to the occurrence of functional gastrointestinal disorders in the first year of life.
期刊介绍:
Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.