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Probiotics Along With Breast Milk Provide Microbiome Boost in Premature Babies, Researchers Find

MD News Daily - Probiotics Along With Breast Milk Provide Microbiome Boost in Premature Babies, Researchers Find
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A new study recently found that probiotics can help improve the microbiome in premature babies.

A new study recently found that probiotics can help improve the microbiome in premature babies. The said research from the Quadram Institute and two other universities which were published early today present how specific probiotic strains are known as "Bifidobacterium" and "Lactobacillus" bacteria provided to premature babies "along with breast milk" contributes to the shaping of their bacterial populations and gut health to match infants at full-term.

The result helps them prevent probable infections, develop the comprehensive benefits from the digestion of breast milk, and could help these susceptible babies survive and start living healthily.

Specifically, the gut microbiome is a multifaceted "community of trillions of microbes" and other bacteria residing in the digestive system.

According to the study, in collaboration with the University of East Anglia and the Norfolk and Norwich University Hospital, a healthy microbiome contributes to the digestion of food and stops disease-causing germs inhabiting. It also provides other health benefits that science has started to understand.

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What Preterm Babies are Missing

Microbes naturally colonize humans from their mothers at birth. Nonetheless, according to study, in every nine babies born prematurely, one may not develop this "healthy early microbiome."

Premature babies are more likely to be born through the cesarean procedure. As such, they tend to miss out on getting beneficial microorganisms that their mother has. This is an issue perplexed by extensive spells in NICU or neonatal intensive care units.

Essentially, all preterm babies get at least a single course of antibiotics. Some, though, are given more than just one course. These may be essential when it comes to saving lives. Nonetheless, it will also impair the "vulnerable 'good' microbes."

Probiotic Supplementation

Probiotics supplementation with proper microbial strains "is one way of achieving this." Previous research by a group of researchers from Norwich presented that regular supplementation of probiotic was linked to splitting the sepsis and NEC or necrotizing enterocolitis rates.

Some NICUs are now routinely supplementing premature babies with prebiotics, although presently, most of them don't, partly due to the fact that there has not been extensive, long-term research into such benefits, which include the manner "microbiota may change."

To address the issue, Quadram Institute's research team led by Dr. Lindsay Hall, collaborated with Professor Paul Clarke from the NNUH and UAE to introduce the BAMBI or Baby-Associated MicroBiota of the Intestine Study.

According to Prof. Clarke, while the NICU at NNUH has been routinely providing probiotics to protect premature babies since 2013, this project provides them "a much better understanding of the mechanisms" by which they are benefitting the placing of billions of live microbes into the immature gut every day.

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Bifidobacterium and Lactobacillus

In this study, the authors indicated that the two bacteria linked to a "healthy term infant gut" are the Bifidobacterium and Lactobacillus.

In their observational research, scientists compared over a hundred infants supplemented with particular strains of the "Bifidobacterium bifidum and Lactobacillus acidophilus" orally in the NNUH NICU with over 130 babies in other NICUs not presently giving probiotic supplementation to babies born prematurely.

Through their work, published in the Cell Reports Medicine Journal, the study authors presented apparent differences in microbiota profiles between two groups.

The babies provided with probiotic supplementation had microbiota with the domination of Bifidobacterium. Meanwhile, preterm babies not supplemented, on the other hand, had a range of microbes, which include possibly disease-causing "Staphylococcus, Escherichia, and Klebsiella."

The difference in the profile is more typical of the gut of a premature baby, and the study authors proposed, such a difference shows that oral supplementation can efficiently displace the microbes.

Advantage of the Bifidobacterium

The advantage of Bifidobacterium when it comes to colonizing the infant's gut is its capacity to flourish on human breast milk.

It contains sugars, also known as the human milk oligosaccharides or HMOs, that infants cannot digest by themselves but rather function as prebiotics or nutrients for bacteria. 

The scientists validated that the Bifidobacterium strain used in their research consisted of genes that allow it to digest certain HMOs.

Examination of the samples presented that there were lower HMO levels which the supplemented babies exerted. However, researchers specified that their breakdown products' higher levels, "acetate and lactate.

These compounds have beneficial impacts by enhancing the defense in which cells lining provide the gut and linked to the immune system.

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