Effects of a synbiotic formula on functional bowel disorders and gut microbiota profile during long-term home enteral nutrition (LTHEN): a pilot study

Autor: Federica Del Chierico, Paola Belci, Maria Carmine Scigliano, Filippo Fassio, Rosalba Galletti, Fabio Guagnini, Valentina D'Onofrio, Antonella De Francesco, Andrea Quagliariello, Lorenza Putignani, Pamela Vernocchi, Maria Vittoria Mancino, Maurizio Fadda, Roberta Morelli, Sofia Reddel, Giorgia Conta
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
Male
Constipation
Synbiotics
Volatile
Pilot Projects
long-term home enteral nutrition (LTHEN)
Gut flora
Enteral administration
Gastroenterology
Irritable Bowel Syndrome
Feces
0302 clinical medicine
Surveys and Questionnaires
Medicine
Nutrition and Dietetics
biology
bedridden patients
Fatty Acids
Biodiversity
dysbiosis
Methanobrevibacter
Italy
Biomarker (medicine)
030211 gastroenterology & hepatology
Female
medicine.symptom
lcsh:Nutrition. Foods and food supply
medicine.medical_specialty
Formulated
lcsh:TX341-641
Bedridden patients
Diarrhoea
Dysbiosis
Gut microbiota
Long-term home enteral nutrition (LTHEN)
synbiotics

Aged
Fatty Acids
Volatile

Humans
Prebiotics
Probiotics
Enteral Nutrition
Food
Formulated

Gastrointestinal Microbiome
Article
03 medical and health sciences
Internal medicine
synbiotics
gut microbiota
business.industry
constipation
biology.organism_classification
medicine.disease
diarrhoea
030104 developmental biology
Parenteral nutrition
Food
long-term home enteral nutrition (LTHEN)
synbiotics

business
Food Science
Zdroj: Nutrients
Volume 13
Issue 1
Nutrients, Vol 13, Iss 87, p 87 (2021)
Popis: Long-term enteral nutrition (LTEN) can induce gut microbiota (GM) dysbiosis and gastrointestinalrelated symptoms, such as constipation or diarrhoea. To date, the treatment of constipationis based on the use of laxatives and prebiotics. Only recently have probiotics and synbiotics beenconsidered, the latter modulating the GM and regulating intestinal functions. This randomized open-label intervention study evaluated the effects of synbiotic treatment on the GM profile, itsfunctional activity and on intestinal functions in long-term home EN (LTHEN) patients. TwentyLTHEN patients were recruited to take enteral formula plus one sachet/day of synbiotic (interventiongroup, IG) or enteral formula (control group, CG) for four months and evaluated for constipation, stool consistency, and GM and metabolite profiles. In IG patients, statistically significant reduction ofconstipation and increase of stool consistency were observed after four months (T1), compared toCG subjects. GM ecology analyses revealed a decrease in the microbial diversity of both IC and CGgroups. Biodiversity increased at T1 for 5/11 IG patients and Methanobrevibacter was identified asthe biomarker correlated to the richness increase. Moreover, the increase of short chain fatty acidsand the reduction of harmful molecules have been correlated to synbiotic administration. Synbioticsimprove constipation symptoms and influences Methanobrevibacter growth in LTHEN patients.
Databáze: OpenAIRE