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Increase of faecal bifidobacteria due to dietary oligosaccharides induces a reduction of clinically relevant pathogen germs in the faeces of formula-fed preterm infants. 饮食中低聚糖引起的粪便双歧杆菌的增加导致配方奶喂养的早产儿粪便中临床相关病原体的减少。
Pub Date : 2005-10-01 DOI: 10.1080/08035320510043529
J. Knol, G. Boehm, M. Lidestri, F. Negretti, J. Jelinek, M. Agosti, B. Stahl, A. Marini, F. Mosca
UNLABELLEDIn a previous study on formula-fed preterm infants, we were able to demonstrate that dietary oligosaccharides (a mixture of 90% galacto-oligosaccharides and 10% fructo-oligosaccharides in a concentration of 1 g/dl) stimulate the growth of faecal bifidobacteria. In the present explorative analysis of this study, we focus on the effect of the dominance of bifidobacteria on the presence of clinically relevant pathogens (Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus haemolyticus, Pseudomonas aeruginosa, Enterobacter, Klebsiella, Proteus, Streptococcus group B, Clostridium difficile, Bacillus subtilis and Acinetobacter).CONCLUSIONThe data demonstrate that stimulation of bifidobacteria by prebiotic oligosaccharides reduces the presence of clinically relevant pathogens in the faecal flora, indicating that prebiotic substances might have the capacity to protect against enteral infections.
在之前对配方奶粉喂养的早产儿进行的一项研究中,我们能够证明饮食中的低聚糖(90%半乳糖低聚糖和10%果糖低聚糖的混合物,浓度为1克/分升)刺激粪便双歧杆菌的生长。在本研究的探索性分析中,我们关注双歧杆菌的优势对临床相关病原体(金黄色葡萄球菌、表皮葡萄球菌、溶血葡萄球菌、铜绿假单胞菌、肠杆菌、克雷伯氏菌、变形杆菌、B群链球菌、艰难梭菌、枯草芽孢杆菌和不动杆菌)存在的影响。结论益生元寡糖刺激双歧杆菌可减少粪便菌群中临床相关病原体的存在,提示益生元物质可能具有预防肠道感染的能力。
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引用次数: 153
Dietitians and exercise professionals in a childhood obesity treatment team. 儿童肥胖治疗小组的营养师和运动专家。
Pub Date : 2005-06-01 DOI: 10.1080/08035320510035537
P. Nowicka
UNLABELLEDThere has been a remarkable increase in the prevalence of childhood obesity in most countries in recent years, which indicates that modern lifestyle is the triggering factor for genetic susceptibility. This report focuses on the two main environmental factors, nutrition and physical activity, that could influence paediatric obesity development, and how health professionals can address these aspects in the management of childhood obesity in a multidisciplinary treatment team. First, the role of a nutrition expert in the multidisciplinary obesity team is discussed and then the importance of physical activity in the treatment of paediatric obesity. The part on nutrition highlights some interesting areas in this field, namely glycaemic index, high-protein diet, fast foods, portion sizes and soft-drink consumption. Dietary treatment in childhood obesity should be combined with changes in physical activity to promote long-term weight loss. Research on the physical activity of children and adolescents indicates some significant changes over the last decades, which are also reviewed. Factors such as sports club participation and television viewing are discussed. The appropriate physical activity level and effective physical activity programmes are also presented. Physical activity can be promoted in childhood obesity treatment in many ways. Practical advice regarding physical activity programme and the role of exercise professionals in childhood obesity treatment team is given.CONCLUSIONFor successful obesity management, the child should be assessed and treated by a multidisciplinary team, including a physician, dietitian, exercise expert, nurse and behavioural therapist.
近年来,大多数国家的儿童肥胖率都有显著的上升,这表明现代生活方式是遗传易感性的触发因素。本报告侧重于可能影响儿童肥胖发展的两个主要环境因素,即营养和身体活动,以及卫生专业人员如何在多学科治疗团队中处理儿童肥胖管理中的这些方面。首先,讨论了营养专家在多学科肥胖团队中的作用,然后讨论了体育活动在儿科肥胖治疗中的重要性。关于营养的部分强调了这个领域的一些有趣的领域,即血糖指数,高蛋白饮食,快餐,份量和软饮料的消费。儿童肥胖的饮食治疗应与体育活动的改变相结合,以促进长期体重减轻。关于儿童和青少年身体活动的研究表明,在过去的几十年里发生了一些重大变化,并对这些变化进行了回顾。讨论了体育俱乐部参与和电视观看等因素。本文还介绍了适当的身体活动水平和有效的身体活动方案。体育活动可以通过多种方式促进儿童肥胖治疗。就体育活动计划和运动专业人员在儿童肥胖治疗团队中的作用提出了切实可行的建议。结论要成功控制肥胖,儿童应由多学科团队进行评估和治疗,包括医生、营养师、运动专家、护士和行为治疗师。
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引用次数: 26
Reproducing the bifidogenic effect of human milk in formula-fed infants: why and how? 在配方奶喂养的婴儿中再现母乳的双歧效应:为什么和如何?
Pub Date : 2005-01-01 DOI: 10.1080/08035320510043501
G. Moro, S. Arslanoğlu
Awareness of the key role of the intestinal microflora in the generation of the immunophysiological regulation and in the defence against pathogenic agents has attracted our interest in ways of manipulating the microbiota to improve health. Dietary modulation of the intestinal microflora is today one of the main topics of interest in the nutritional sciences. Performing this modulation in the neonatal or early infancy period, when immunological programming takes place, is a relatively new concept. Fructo-oligosaccharides (FOS) and galacto-oligosaccharides (GOS) are prebiotics whose bifidogenic activity has been proven in adults. However, only recently have they been combined in infant formulas to reproduce the prebiotic effect of human milk oligosaccharides. In two consecutive trials, it has been demonstrated that supplementation of infant formulas with a mixture of GOS and FOS modified the fecal flora of term and preterm infants, stimulating the growth of Bifidobacteria. In the trial with term infants, the bifidogenic effect of the prebiotic mixture was dose dependent and there was also a significant increase in the number of Lactobacilli in the supplemented group. These findings offer a promising horizon for the early prevention of allergy and infections in infants.
肠道菌群在产生免疫生理调节和防御病原体方面的关键作用的认识吸引了我们对操纵微生物群以改善健康的方式的兴趣。肠道菌群的饮食调节是当今营养科学感兴趣的主要话题之一。在新生儿或婴儿期早期进行这种调节,当免疫编程发生时,是一个相对较新的概念。低聚果糖(FOS)和半乳糖低聚糖(GOS)是在成人中已被证实具有双歧性活性的益生元。然而,直到最近才将它们结合在婴儿配方奶粉中,以重现母乳低聚糖的益生元效应。在两个连续的试验中,已经证明,添加GOS和FOS混合物的婴儿配方奶粉改变了足月和早产儿的粪便菌群,刺激了双歧杆菌的生长。在对足月婴儿的试验中,益生元混合物的双歧效应是剂量依赖的,并且在补充组中乳酸杆菌的数量也显著增加。这些发现为早期预防婴儿过敏和感染提供了一个有希望的前景。
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引用次数: 14
Advances in the management of digestive problems during the first months of life. 生命最初几个月消化问题管理的进展。
Pub Date : 2005-01-01 DOI: 10.1080/08035320510043673
F. Savino, S. Maccario, E. Castagno, F. Cresi, F. Cavallo, P. Dalmasso, S. Fanaro, R. Oggero, L. Silvestro
UNLABELLED A study was carried out on 168 full-term infants with digestive problems such as regurgitation and/or constipation to evaluate the efficacy of new infant formulas containing partially hydrolysed whey protein, modified vegetable oil with a high beta-palmitic acid content, prebiotic oligosaccharides and starch. Infants receiving the new formulas had an increase in stool frequency of 0.60 between day 1 and day 7 (95% CI 0.19-1.01; p=0.004) and 0.53 (95% CI 0.11-0.90; p=0.015) between day 7 and day 14. A reduction of 1.06 in the number of regurgitation episodes was reported between day 1 and day 7 (95% CI 0.24-1.88; p=0.012) and 1.31 (95% CI 0.42-2.21; p=0.005) between day 7 and day 14. CONCLUSION A prebiotic mixture of galacto-/fructo-oligosaccharides with a high beta-palmitic acid content may reduce digestive problems and improve intestinal tolerance in infants during the first months of life.
UNLABELLEDA研究对168名患有反流和/或便秘等消化问题的足月婴儿进行了研究,以评估含有部分水解乳清蛋白、高-棕榈酸含量的改性植物油、益生元低聚糖和淀粉的新型婴儿配方奶粉的功效。接受新配方奶粉的婴儿在第1天和第7天大便频率增加了0.60 (95% CI 0.19-1.01;p=0.004)和0.53 (95% CI 0.11-0.90;P =0.015)。据报道,第1天至第7天的反流次数减少了1.06次(95% CI 0.24-1.88;p=0.012)和1.31 (95% CI 0.42-2.21;P =0.005)。结论高-棕榈酸含量的半乳/果寡糖混合益生元可减少婴儿出生头几个月的消化问题,提高肠道耐受性。
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引用次数: 16
Prebiotic carbohydrates in human milk and formulas. 人奶和配方奶中的益生元碳水化合物。
Pub Date : 2005-01-01 DOI: 10.1080/08035320510043493
G. Boehm, B. Stahl, J. Jelinek, J. Knol, V. Miniello, G. Moro
Human milk oligosaccharides play an important role, as prebiotic soluble fibres, in the postnatal development of the intestinal flora. Infant formulas are virtually free of prebiotic oligosaccharides. As a consequence, formula-fed infants develop an intestinal flora significantly different to the flora of breastfed infants. Due to the complexity of human milk oligosaccharides, it is necessary to use alternative sources of prebiotic ingredients as components of infant formulas. The present review summarizes the data of experimental research and clinical studies with a prebiotic mixture containing 90% short-chain galacto-oligosaccharides and 10% long-chain fructo-oligosacchrides are summarized. The data demonstrate that, with this prebiotic mixture, the growth of bifidobacteria and lactobacilli can be stimulated, the faecal pH can be decreased, and the presence of pathogens can be reduced to levels similar to those of breastfed infants. Thus, prebiotic oligosaccharides such as the studied mixture provide beneficial effects for formula-fed infants.
母乳低聚糖作为益生元可溶性纤维,在出生后肠道菌群的发育中起着重要作用。婴儿配方奶粉几乎不含益生元低聚糖。因此,配方奶喂养的婴儿肠道菌群与母乳喂养的婴儿明显不同。由于母乳低聚糖的复杂性,有必要使用替代来源的益生元成分作为婴儿配方奶粉的组成部分。本文综述了含90%短链低聚半乳糖和10%长链低聚果糖的益生元混合物的实验研究和临床研究数据。数据表明,使用这种益生元混合物,可以刺激双歧杆菌和乳酸杆菌的生长,降低粪便pH值,并将病原体的存在降低到与母乳喂养婴儿相似的水平。因此,像所研究的混合物这样的益生元低聚糖为配方奶喂养的婴儿提供了有益的效果。
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引用次数: 66
A prospective 10-year study on children who had severe infantile colic. 一项针对患有严重婴儿绞痛的儿童的10年前瞻性研究。
Pub Date : 2005-01-01 DOI: 10.1080/08035320510043691
F. Savino, E. Castagno, R. Bretto, C. Brondello, E. Palumeri, R. Oggero
AIM To evaluate the association between infantile colic and gastrointestinal, allergic and psychological disorders in childhood. METHODS A prospective study was conducted on 103 infants aged 31-87 d. After 10 y, between 2001 and 2003, the children were recalled and a paediatrician evaluated the selected disorders by anamnesis, medical examination, laboratory tests and parent interviews. RESULTS Of the 103 infants enrolled, 96 completed the study. There was an association between infantile colic and recurrent abdominal pain (p=0.001) and allergic disorders: allergic rhinitis, conjunctivitis, asthmatic bronchitis, pollenosis, atopic eczema and food allergy (p<0.05). Sleep disorders, fussiness, aggressiveness and feelings of supremacy are more frequent in children who suffered from colic during early infancy (p<0.05). A family history of gastrointestinal diseases and atopic diseases was significantly higher in infants with colic than in controls (p<0.05). CONCLUSION Susceptibility to recurrent abdominal pain, allergic and psychological disorders in childhood may be increased by infantile colic. Our findings confirm that severe infantile colic might be the early expression of some of the most common disorders in childhood.
目的探讨小儿绞痛与胃肠、过敏及心理障碍的关系。方法对103例31 ~ 87天的婴儿进行前瞻性研究。在2001 ~ 2003年10岁后,由儿科医生通过记忆、医学检查、实验室检查和家长访谈对所选疾病进行评估。结果在103名入组婴儿中,96名完成了研究。婴儿绞痛和反复腹痛(p=0.001)与变应性疾病:变应性鼻炎、结膜炎、喘息性支气管炎、花粉症、特应性湿疹和食物过敏相关(p<0.05)。在婴儿期早期发生肠绞痛的儿童中,睡眠障碍、烦躁、攻击性和优越感更为常见(p<0.05)。肠绞痛患儿胃肠道疾病和特应性疾病家族史明显高于对照组(p<0.05)。结论小儿绞痛可增加儿童期反复腹痛、过敏及心理障碍的易感性。我们的研究结果证实,严重的婴儿绞痛可能是儿童时期一些最常见疾病的早期表现。
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引用次数: 70
Post-discharge nutrition for the preterm infant. 早产儿出院后的营养。
Pub Date : 2005-01-01 DOI: 10.1080/08035320510043583
R. Schanler
Newly designed, 'enriched,' formulas are now available for the formula feeding premature infant after hospital discharge. These new formulations add to the array of milks from which to choose when the discharge of the premature infant is approaching. However, the data to support optimal or reference nutrient intakes to use for the premature infant in the post-discharge are lacking. Breastfeeding should be encouraged as its beneficial effects may be related to the duration in which it is fed. Infants at risk for growth failure in the post-discharge period, such as infants unable to consume ad libitum intakes of milk, and who already have growth faltering or abnormal nutritional indices, may benefit for the addition of enriched formula. This review summarizes the recent data and comments on recommendations on post-discharge nutrition for premature infants.
新设计的“浓缩”配方现在可用于出院后的早产儿配方喂养。当早产婴儿即将出院时,这些新的配方增加了可供选择的牛奶种类。然而,支持早产儿在出院后使用的最佳或参考营养摄入量的数据缺乏。应鼓励母乳喂养,因为母乳喂养的有益效果可能与喂养的持续时间有关。在出院后有生长衰竭风险的婴儿,例如无法随意摄入牛奶的婴儿,以及已经出现生长迟缓或营养指标异常的婴儿,可能会从添加强化配方奶粉中受益。这篇综述总结了最近的数据和对早产儿出院后营养建议的评论。
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引用次数: 14
Human milk supplementation for preterm infants. 早产儿的母乳补充。
Pub Date : 2005-01-01 DOI: 10.1080/08035320510043574
R. Schanler
Nutrition support of the premature infant must be designed to compensate for metabolic and gastrointestinal immaturity, immunologic compromise, and associated medical conditions. The beneficial effects of human milk extend to the feeding of premature infants. However, nutritional concerns arise because the quantity of nutrients in human milk may not meet the great nutrient needs of the premature infant born weighing less than 1500 g. Human milk fortifiers are available to provide optimum nutrition. This review summarizes the benefits and limitations of human milk for the premature infant.
早产儿的营养支持必须设计为补偿代谢和胃肠道不成熟,免疫妥协,以及相关的医疗条件。母乳的有益作用延伸到早产儿的喂养。然而,营养方面的问题出现了,因为母乳中的营养素数量可能无法满足体重低于1500克的早产儿的巨大营养需求。人乳强化剂可提供最佳营养。本文综述了母乳对早产儿的益处和局限性。
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引用次数: 13
Hydrolysed milk in preterm infants: an open problem. 早产儿的水解乳:一个悬而未决的问题。
Pub Date : 2005-01-01 DOI: 10.1080/08035320510043600
A. Zuppa, F. Visintini, F. Cota, L. Maggio, C. Romagnoli, G. Tortorolo
AIM To review knowledge about the role, indications and nutritional adequacy of protein hydrolysate formulas (HF) in the preterm newborn. METHODS A review of the available literature was carried out. RESULTS No data support the use of HF for atopy prevention. HF could have a positive role in the early feeding of very-low-birthweight infants, but several concerns exist about their nutritional adequacy. CONCLUSION Further investigations addressing protein and mineral metabolism as well as long-term effects, including neurodevelopment, are needed.
目的回顾有关蛋白水解物配方在早产儿中的作用、适应症和营养充分性的知识。方法对现有文献进行复习。结果没有数据支持氟尿嘧啶用于特应性预防。心衰可能对极低出生体重儿的早期喂养有积极作用,但对其营养充足性存在一些担忧。结论需要进一步研究蛋白质和矿物质代谢以及包括神经发育在内的长期影响。
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引用次数: 10
Nutritional requirements of the very preterm infant. 非常早产儿的营养需求。
Pub Date : 2005-01-01 DOI: 10.1080/08035320510043547
W. Hay
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引用次数: 9
期刊
Acta paediatrica (Oslo, Norway : 1992). Supplement
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