临床儿科杂志 ›› 2017, Vol. 35 ›› Issue (11): 826-.doi: 10.3969/j.issn.1000-3606.2017.11.007

• 综合报道 • 上一篇    下一篇

含低聚半乳糖 + 低聚果糖配方奶对婴儿粪便性状及 有益菌水平的影响

吴江 1, 蒋永江 2, 柴灵莺 3, 汤庆娅 1, 蔡威 1   

  1. 1.上海交通大学医学院附属新华医院临床营养科 上海市儿科医学研究所 上海市小儿消化与 营养重点实验室(上海 200092); 2.广西省柳州市妇幼保健院新生儿科(广西柳州 545001); 3.浙江省杭州市贝因美母婴营养研究中心(浙江杭州 310053)
  • 收稿日期:2017-11-15 出版日期:2017-11-15 发布日期:2017-11-15
  • 通讯作者: 蔡威 E-mail:caiw204@sjtu.edu.cn

Effects of a GOS+FOS supplemented formula on stool characteristics and fecal beneficial bacteria content in infants

WU Jiang1, JIANG Yongjiang2, CHAI Lingying3, TANG Qingya1, CAI Wei1   

  1. 1. Department of Clinical Nutrition, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai Institute for Pediatric Research, Shanghai Key Laboratory of Pediatric Gastroenterology and Nutrition, Shanghai 200092, China; 2.Department of Neonatology, Maternal and Child Health Hospital of Liuzhou City, Liuzhou 545001 Guangxi, China; 3. Department of Maternal and Infant Nutrition Research, Beingmate Baby and Child Food Co. Ltd, Hangzhou 310053, Zhejiang, China
  • Received:2017-11-15 Online:2017-11-15 Published:2017-11-15

摘要: 目的 探讨添加1.34 g/L低聚半乳糖+低聚果糖(GOS+FOS)益生元组合的配方奶对健康足月婴儿大便性 状及肠道有益菌水平的影响。方法 纳入出生3周内的配方奶(FF组)喂养婴儿25例和母乳喂养(BF组)儿29例,FF组在 中位日龄13 d(1~27 d)时全部使用GOS+FOS配方奶喂养。在两组婴儿6、12周龄时进行体格测量,采集粪便标本,同时 记录其大便次数和性状。应用实时荧光定量PCR技术检测粪便中乳酸杆菌、双歧杆菌及其亚种水平。结果 在6~12周龄 的随访期内,FF组婴儿的体质量增加速率为(33.56 ± 7.03)g/d,BF组为(31.18 ± 6.91)g/d ,两组间差异无统计学意义 (P>0.05)。6周龄时,FF组婴儿排便次数较少且粪便偏硬,12周龄时大便性状与BF组相似。FF组6周龄时粪便中双歧杆菌、 长双歧杆菌和短双歧杆菌水平均低于BF组,差异有统计学意义(P<0.05);12周龄时上述有益菌含量均有增加,且与BF 组差距缩小。结论 添加低剂量GOS+FOS益生元的配方奶可为健康婴儿提供合理营养,有助于软化粪便并促进肠道双歧 杆菌的生长。

Abstract: Objective To investigate the impact of an infant formula supplemented with 1.34 g/L oligosaccharides mixture (galactooligosaccharides and fructooligosaccharides, GOS+FOS) on growth, stool characteristics and fecal beneficial bacteria content in healthy infants. Methods 25 formula-fed (FF) infants and 29 breast-fed (BF) infants within 3 weeks after birth were included and followed up. FF infants were exclusively fed with GOS+FOS supplemented formula at the median age of 13d (1-27d). Body weight and head circumference at 6 and 12 weeks were measured. The frequency, consistency, and color of the infant’s stool, and occurrences of spit-up or vomiting during the study period were recorded daily by the parents. Stool samples were collected at 6 and 12 weeks of age, and then subjected to quantitative real-time polymerase chain reaction assays for the enumeration of lactobacillus, bifidobacteria, Bifidobacterium longum, Bifidobacterium breve and Bifidobacterium adolescentis. Results No difference in daily weight gain was detected between the two groups (33.56 ± 7.03g vs. 31.18 ± 6.91g, P=0.22) during the observation phase from 6 to 12 weeks. FF infants had less frequent and firmer stools at 6 weeks than BF infants, and they both had similar stool frequency, color and consistency at the end of study. FF infants had less fecal Bifidobacterium, B. longum and B. breve at 6 weeks, but those differences became less significant at 12 weeks with more increase in fecal B. longum and B. breve levels in FF infants during the follow up. Conclusions The GOS+FOS supplemented formula provides adequate nutrition for growth, and promotes soft stools and intestinal bifidogenic effects in healthy infants.