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This observational prospective study evaluates the safety, tolerability and efficacy of a probiotic formula in infants with functional gastrointestinal disorders (FGDI)
Functional gastrointestinal disorders (FGDIs) affect one out of two infants during the fist six months of life and do not have an organic cause. Infant colic, so-called excessive crying syndrome, and functional constipation are among the most common paediatric FGDIs.
FGDIs pathophysiology is multifactorial and may include phycological factors and alterations of the gut physiology including gut microbiota dysbiosis.
Probiotics are proposed as a potential treatment for FGDIs. However, evidence is limited.
A probiotic formula composed of strains Bifidobacerium longum CECT 7894 and Pediococcus pentosaceus CECT 8330 is tested in this study.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Probiotic | Dietary Supplement | Probiotic in liquid format (oil suspension) administered 10 drops once daily for 2 weeks (2x10^9 cfu/day) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in total FGDI severity | FGDI severity measured as summatory of excessive crying score (5-point Likert scale (0: no symptoms, to 4: extremely severe symptoms) + constipation score (5-point Likert scales (0: no symptoms, to 4: extremely severe symptoms) | Day 1 and day 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in excessive crying severity | Excessive crying score measured using 5-point Likert scales (0: no symptoms, to 4: extremely severe symptoms) | Day 1 and day 14 |
| Change in constipation severity |
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Inclusion Criteria:
Exclusion Criteria:
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Population selected from primary care clinic.
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| Name | Affiliation | Role |
|---|---|---|
| Maura Sticco, MD | Azienda Sanitaria Locale Napoli | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda Sanitaria Locale Napoli | Naples | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16717171 | Background | Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092. | |
| 27144631 | Background | Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S. Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology. 2016 Feb 15:S0016-5085(16)00182-7. doi: 10.1053/j.gastro.2016.02.016. Online ahead of print. |
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| ID | Term |
|---|---|
| D005767 | Gastrointestinal Diseases |
| D003085 | Colic |
| ID | Term |
|---|---|
| D004066 | Digestive System Diseases |
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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| ID | Term |
|---|---|
| D019936 | Probiotics |
| ID | Term |
|---|---|
| D019587 | Dietary Supplements |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
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Constipation score measured using 5-point Likert scales (0: no symptoms, to 4: extremely severe symptoms)
| Day 1 and day 14 |
| Change in parental anxiety | Recorded through the validated Generalized Anxiety Disorder (GAD) 7-item scale (GAD-7). | Day 1 and day 14 |
| Tolerability and safety | Any adverse events experienced throughout study period | Daily from day 1 to day 14 |
| Parental satisfaction with the product | Measured with a 5-point Likert scale (0: very dissatisfied, to 4: very satisfied) | Day 14 |
| 35095783 | Derived | Asto E, Huedo P, Altadill T, Aguilo Garcia M, Sticco M, Perez M, Espadaler-Mazo J. Probiotic Properties of Bifidobacterium longum KABP042 and Pediococcus pentosaceus KABP041 Show Potential to Counteract Functional Gastrointestinal Disorders in an Observational Pilot Trial in Infants. Front Microbiol. 2022 Jan 12;12:741391. doi: 10.3389/fmicb.2021.741391. eCollection 2021. |
| D019602 |
| Food and Beverages |