Document Detail


Effect of probiotic mix (Bifidobacterium bifidum, Bifidobacterium lactis, Lactobacillus acidophilus) in the primary prevention of eczema: a double-blind, randomized, placebo-controlled trial.
MedLine Citation:
PMID:  19840300     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Controversy exists regarding the preventive effect of probiotics on the development of eczema or atopic dermatitis. We investigated whether supplementation of probiotics prevents the development of eczema in infants at high risk. In a randomized, double-blind, placebo-controlled trial, 112 pregnant women with a family history of allergic diseases received a once-daily supplement, either a mixture of Bifidobacterium bifidum BGN4, B. lactis AD011, and Lactobacillus acidophilus AD031, or placebo, starting at 4-8 wks before delivery and continuing until 6 months after delivery. Infants were exclusively breast-fed during the first 3 months, and were subsequently fed with breastmilk or cow's milk formula from 4 to 6 months of age. Clinical symptoms of the infants were monitored until 1 yr of age, when the total and specific IgE against common food allergens were measured. A total of 68 infants completed the study. The prevalence of eczema at 1 yr in the probiotic group was significantly lower than in the placebo group (18.2% vs. 40.0%, p=0.048). The cumulative incidence of eczema during the first 12 months was reduced significantly in probiotic group (36.4% vs. 62.9%, p=0.029); however, there was no difference in serum total IgE level or the sensitization against food allergens between the two groups. Prenatal and postnatal supplementation with a mixture of B. bifidum BGN4, B. lactis AD011, and L. acidophilus AD031 is an effective approach in preventing the development of eczema in infants at high risk of allergy during the first year of life.
Authors:
Ji Yeun Kim; Jung Hyun Kwon; So Hyun Ahn; Sang Il Lee; Young Shin Han; Young Ok Choi; Soo Young Lee; Kang Mo Ahn; Geun Eog Ji
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2009-10-14
Journal Detail:
Title:  Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology     Volume:  21     ISSN:  1399-3038     ISO Abbreviation:  Pediatr Allergy Immunol     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-05-06     Completed Date:  2010-08-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106718     Medline TA:  Pediatr Allergy Immunol     Country:  England    
Other Details:
Languages:  eng     Pagination:  e386-93     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 John Wiley & Sons A/S
Affiliation:
Department of Food and Nutrition, College of Human Ecology, Seoul National University, San 56-1, Shinlimdong, Kwanakku, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Bifidobacterium / classification,  immunology*
Breast Feeding
Dermatitis, Atopic / epidemiology,  immunology,  prevention & control
Double-Blind Method
Eczema / epidemiology*,  immunology,  prevention & control
Female
Food Hypersensitivity / prevention & control
Humans
Immunoglobulin E / blood
Incidence
Infant
Infant, Newborn
Lactobacillus acidophilus / immunology*
Postnatal Care
Pregnancy
Prenatal Care
Prevalence
Probiotics / administration & dosage*
Treatment Outcome
Chemical
Reg. No./Substance:
37341-29-0/Immunoglobulin E

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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