1
|
Cruchet Muñoz S, Verbeke Palma S, Lera Marqués L, Espinosa Pizarro MN, Malig Mechasqui J, Sorensen K. Effects of Bifidobacterium longum 35624 in Children and Adolescents with Irritable Bowel Syndrome. Nutrients 2024; 16:1967. [PMID: 38931319 PMCID: PMC11206369 DOI: 10.3390/nu16121967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 06/14/2024] [Accepted: 06/17/2024] [Indexed: 06/28/2024] Open
Abstract
Irritable bowel syndrome (IBS) and vitamin D deficiency are common among children in Latin America. Previous studies show that Bifidobacterium longum35624TM improves IBS symptoms in adults. This real-world, single-arm, open-label study conducted in Chile investigated the effects of B. longum 35624 (1 × 109 colony-forming units, 12 weeks) on gastrointestinal symptoms (adapted IBS severity scoring system [IBS-SSS]; adapted Questionnaire on Pediatric Gastrointestinal Symptoms [QPGS], and Bristol Stool Form Scale) in 64 children and adolescents (8-18 years) and explored the relationship with baseline vitamin D status. Improvements in all IBS-SSS domains and composite score were observed at week 6 and 12 (p < 0.0007 versus baseline), with 98.3% of participants experiencing numerical improvements in ≥3 domains. Clinically meaningful improvement was seen in 96.6% of participants. The distribution of IBS-SSS severity categories shifted from moderate/severe at baseline to mild/remission (p < 0.0001). Improvements were not maintained during the two-week washout. Low baseline serum vitamin D levels did not correlate to IBS severity or probiotic response. QPGS significantly decreased from baseline to week 6 (p = 0.0005) and 12 (p = 0.02). B. longum 35624 may improve IBS symptoms in children and adolescents, even those with vitamin D deficiency. A confirmatory randomized controlled trial and further exploration of probiotic response and vitamin D status are needed.
Collapse
Affiliation(s)
- Sylvia Cruchet Muñoz
- Instituto de Nutrición y Tecnología de los Alimentos “Dr. Fernando Monckeberg”, Área Nutrición Humana, Universidad de Chile, El Líbano 5524, Macul, Santiago 7830490, Chile;
| | - Sandra Verbeke Palma
- Escuela de Tecnología Médica, Facultad de Salud, Universidad Santo Tomás, Campus Santiago, Chile. Av. Ejército 146, Santiago 8370003, Chile
| | - Lydia Lera Marqués
- Faculty of Graduate Business and Education Programs, Keiser University eCampus, 1900 West Commercial Boulevard. Ste 100, Ft. Lauderdale, FL 33309, USA;
| | - María Nelly Espinosa Pizarro
- Facultad de Medicina, Universidad de los Andes, Monseñor Álvaro del Portillo 12455, Las Condes, Santiago 7620001, Chile;
- Hospital Militar de Santiago, Av. Fernando Castillo Velasco 9100, La Reina, Santiago 7880047, Chile
| | | | - Katy Sorensen
- Medical Affairs, Novozymes A/S, Krogshøjvej 36, 2880 Bagsvaerd, Denmark;
| |
Collapse
|
2
|
Iriani A, Rachman A, Fatina MK, Gemilang RK, Trisnandi A, Muskananfola FV, Nugraha MFI. Vitamin D status, vitamin D receptor, CYP2R1, and CYP24A1 profiles in children. Front Nutr 2024; 11:1394367. [PMID: 38912300 PMCID: PMC11190155 DOI: 10.3389/fnut.2024.1394367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 05/20/2024] [Indexed: 06/25/2024] Open
Abstract
Introduction Vitamin D plays a major role in the musculoskeletal and immune system. Understanding the comprehensive mechanism of vitamin D receptors and the enzyme of vitamin D induction (CYP2R1) and inhibition (CYP24A1) in its metabolism is interesting. This study aims to understand vitamin D metabolism in Indonesian pediatrics, specifically in Jakarta, which has abundant sun exposure. Methodology A cross-sectional study with comparative, correlative, and multivariate analysis on vitamin D, vitamin D receptor, CYP2R1, and CYP24A1 levels was conducted on 46 children with no known morbidity. Result Subjects were mostly male (52.2%), age group of 2-6 years (34.8%), and had sufficient vitamin D status (43.5%, median 27.55 ng/mL). Age was found to have a negative correlation with vitamin D levels (p < 0.001; r = -0.625) and CYP2R1 (p = 0.035; r = -0.311). Significant positive associations were found between CYP24A1 and CYP2R1 (p = 0.046; r = 0.296). Participants aged 0-2 are more likely to have a higher level of vitamin D status compared to those aged >2 years (OR 42.092, 95% CI [4.532-390.914], p = 0.001). VDR levels were significantly lower in insufficient vitamin D levels than in the sufficient group (p = 0.018). VDR and vitamin D status had a positive relation (OR 7.023, 95% CI [1.864-26.453], p = 0.004). Conclusion Vitamin D levels decrease with the increase in age. Vitamin D receptor level has an inline-level progression with vitamin D level. CYP2R1 and CYP24A1 suggest a directly proportional relationship. Vitamin D screening and supplementation in children older than 2 years old are suggested.
Collapse
Affiliation(s)
- Anggraini Iriani
- Department of Clinical Pathology, Faculty of Medicine Yarsi University-Yarsi Hospital, Jakarta, Indonesia
| | - Andhika Rachman
- Department of Hematology Oncology, Cipto Manguskusumo Hospital, Jakarta, Indonesia
| | | | | | | | | | - Media Fitri Isma Nugraha
- Research Center for Pharmaceutical Ingredients and Traditional Medicine – National Research and Innovation Agency, Cibinong, Indonesia
| |
Collapse
|
3
|
Liu Z, Huang S, Yuan X, Wang Y, Liu Y, Zhou J. The role of vitamin D deficiency in the development of paediatric diseases. Ann Med 2023; 55:127-135. [PMID: 36495273 PMCID: PMC9744225 DOI: 10.1080/07853890.2022.2154381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Children's Vitamin D (VitD) fortification and supplementation are diminishing due to less outdoor exercise and insufficient VitD intake (low exogenous intake and endogenous malabsorption induced by gastrointestinal disease). Consequently, children in many developed countries suffer from VitD deficiency, which may contribute to many paediatric disorders. Our review briefly introduced the metabolic process of VitD, summarized the role of VitD in paediatric diseases such as autism, obesity, rickets and asthma. We sought to identify the link between VitD deficiency and these diseases.
Collapse
Affiliation(s)
- Zhu Liu
- Department of Nursing, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Shiming Huang
- Department of Nursing, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Xiaoli Yuan
- Department of Nursing, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Yan Wang
- Department of Burn and Plastic Surgery Ward, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Yannan Liu
- Nursing School, Hunan University of Medicine, Huaihua, China
| | - Jing Zhou
- Department of Nursing, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China
| |
Collapse
|
4
|
Tabanli FP, Yalçin SS, Ramoğlu S, Kiykaç Altinbaş Ş, Yirün A, Balci Özyurt A, Güçel F, Erkekoğlu P, Yurdakök K. Association of bisphenol A with 25(OH)D, 1,25(OH) 2D levels and 1,25(OH)2D/25(OH)D ratio in cord blood. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:100391-100402. [PMID: 37626198 DOI: 10.1007/s11356-023-29288-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Accepted: 08/08/2023] [Indexed: 08/27/2023]
Abstract
The aim was to investigate the association between bisphenol A (BPA), 25-hydroxy vitamin D [25(OH)D], and 1α,25 dihydroxy vitamin D [1,25(OH)2D] levels in the cord blood of newborn babies. BPA was measured by high pressure liquid chromatography (HPLC) and vitamin D levels by commercial ELISA or ECLIA kits. BPA and Vitamin D levels were grouped according to tertile values. In the cord blood, the median 25(OH)D level was 14.9 ng/mL (IQR: 8.5-20.8) and median 1,25(OH)2D level was 53.3 pg/dL (IQR: 42.3-98.4). 25(OH)D levels were < 20 ng/mL in 76.5% of the babies. BPA was detectable in 72.4% of the cord blood samples; median BPA level was 1.57 ng/mL (IQR: < DL-4.05 ng/mL). Frequencies of vitamin D deficiency and frequencies of cases having the highest tertile active vitamin D levels were similar in groups of BPA tertiles in both univariate and multivariate analysis. In conclusion, both BPA exposure and insufficient vitamin D transfer via cord blood are common in newborns. Bisphenol A levels were not correlated with vitamin D levels in cord blood of healthy mother-fetus pairs.
Collapse
Affiliation(s)
- Fatma Pınar Tabanli
- Department of Pediatrics, Etlik Zübeyde Hanım Women's Health Teaching and Research Hospital, Ankara, Turkey
- Department of Social Pediatrics, Institute of Child Health, Hacettepe University, Ankara, Turkey
| | - Sıddika Songül Yalçin
- Department of Social Pediatrics, Institute of Child Health, Hacettepe University, Ankara, Turkey.
- Department of Pediatrics, Social Pediatrics Unit, Hacettepe University Faculty of Medicine, Ankara, Turkey.
| | - Sedef Ramoğlu
- Department of Gynecology and Obstetrics, Guven Hospital, Ankara, Turkey
| | | | - Anıl Yirün
- Department of Pharmaceutical Toxicology, Hacettepe University Faculty of Pharmacy, Ankara, Turkey
- Department of Pharmaceutical Toxicology, Çukurova University Faculty of Pharmacy, Adana, Turkey
| | - Aylin Balci Özyurt
- Department of Pharmaceutical Toxicology, Bahçeşehir University School of Pharmacy, Istanbul, Turkey
| | - Funda Güçel
- Department of Biochemistry, Etlik Zübeyde Hanım Women's Health Teaching and Research Hospital, Ankara, Turkey
| | - Pınar Erkekoğlu
- Department of Pharmaceutical Toxicology, Hacettepe University Faculty of Pharmacy, Ankara, Turkey
| | - Kadriye Yurdakök
- Department of Social Pediatrics, Institute of Child Health, Hacettepe University, Ankara, Turkey
- Department of Pediatrics, Social Pediatrics Unit, Hacettepe University Faculty of Medicine, Ankara, Turkey
| |
Collapse
|
5
|
Dos Santos EA, Cavalheiro LAM, Rodrigues D, Machado-Rodrigues A, Silva MR, Nogueira H, Padez C. Is more prolonged sun exposure associated with healthier life habits and obesity indicators in Portuguese children? Am J Hum Biol 2023; 35:e23918. [PMID: 37228007 DOI: 10.1002/ajhb.23918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 04/12/2023] [Accepted: 05/08/2023] [Indexed: 05/27/2023] Open
Abstract
OBJECTIVES Sun exposure seems to have an indirect effect on the development of obesity through vitamin D synthesis in the skin, the primary source of this vitamin. The present study aimed to investigate associations among sun exposure time, obesity indicators, and lifestyle habits in children. METHODS A total of 4755 children (3-10 years; 49.86% boys) from the north, center and south-central Portugal were included in the present study. During 2016/2017 children's sun exposure time, screen time, time devoted to the practice of physical activity and active play were collected through standard questionnaires answered by parents. Statistical analyses were conducted to investigate differences among sun exposure time according to the sex, age, obesity indicators and lifestyle habits. RESULTS Linear regression analysis showed that sun exposure time presented a negative association with Body Mass Index (β = -0.09, 95% CI: -0.18; -0.003; p = .042), body fat % (β = -0.31, 95%; CI: -0.54; -0.07; p = .010), computer time (β = -0.08, 95% CI: -0.12; - 0.05; p < .0001) and a positive association with active play time (β = 0.22, 95% CI: 0.17; 0.27; p < .0001) and total time of physical activity practice (β = 10.01, 95% CI: 4.52; 15.20; p < .0001). CONCLUSIONS The results reinforce the need for future guidance on the ideal sun exposure time, especially in children, who are at risk for vitamin D deficiency. Standardization of criteria for classifying optimal sun exposure time in this age group, considering the parameters that affect vitamin D status, such as age and seasonality, should be considered when planning future guidelines.
Collapse
Affiliation(s)
- Elizabete A Dos Santos
- Nutrition Department, School of Public Health, University of São Paulo, São Paulo, Brazil
| | | | - Daniela Rodrigues
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | | | - Maria-Raquel Silva
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
- Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
- Comprehensive Health Research Centre-Group of Sleep, Chronobiology and Sleep Disorders-Nova Medical School, University of Lisbon, Lisbon, Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health, Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Cristina Padez
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| |
Collapse
|
6
|
Rojas-Agurto E, Leal-Witt MJ, Arias C, Cabello JF, Bunout D, Cornejo V. Muscle and Bone Health in Young Chilean Adults with Phenylketonuria and Different Degrees of Compliance with the Phenylalanine Restricted Diet. Nutrients 2023; 15:2939. [PMID: 37447265 DOI: 10.3390/nu15132939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 06/23/2023] [Accepted: 06/25/2023] [Indexed: 07/15/2023] Open
Abstract
There are concerns about muscle and bone health in patients with Phenylketonuria (PKU). Our aim was to compare muscle mass, function, and bone health among young adults with PKU who maintained or suspended dietary treatment. METHODS Three groups were considered-PKU-1: 10 patients who used a protein substitute (PS) without phenylalanine (Phe); PKU-2: 14 patients who used the PS without Phe until eighteen years old and then practiced mostly a vegan diet; and 24 matched healthy controls. A 24 h recall survey, blood parameters, body composition and bone mineral density through DEXA, rectus femoris thickness by ultrasound, hand grip strength, submaximal exercise test, and walking speed were assessed. RESULTS PKU-1 patients had lower hand grip strength than their matched controls, but no other differences. Compared to controls, the PKU-2 group had lower fat-free mass (p = 0.01), less spine and femoral bone mineral density (p = 0.04 and p < 0.01, respectively), and peak workload on the incremental test (p = 0.03). When comparing PKU groups, blood Phe levels were significantly lower in the PKU-1 group (p = 0.02). CONCLUSIONS Among PKU patients, abandoning the dietary treatment and maintaining high blood Phe concentrations could be deleterious for muscles and bones. However, we cannot discard other causes of bone and muscle damage in these patients.
Collapse
Affiliation(s)
- Eugenia Rojas-Agurto
- Instituto de Nutrición y Tecnología de Alimentos INTA, Universidad de Chile, Santiago 7830490, Chile
| | - María Jesús Leal-Witt
- Instituto de Nutrición y Tecnología de Alimentos INTA, Universidad de Chile, Santiago 7830490, Chile
| | - Carolina Arias
- Instituto de Nutrición y Tecnología de Alimentos INTA, Universidad de Chile, Santiago 7830490, Chile
| | - Juan Francisco Cabello
- Instituto de Nutrición y Tecnología de Alimentos INTA, Universidad de Chile, Santiago 7830490, Chile
| | - Daniel Bunout
- Instituto de Nutrición y Tecnología de Alimentos INTA, Universidad de Chile, Santiago 7830490, Chile
| | - Verónica Cornejo
- Instituto de Nutrición y Tecnología de Alimentos INTA, Universidad de Chile, Santiago 7830490, Chile
| |
Collapse
|
7
|
Zhai LL, Chen CX, Zhan CH, You GW, Chen QL, Tang ZG. Analysis of serum 25-hydroxyvitamin D levels involves taking into account several confounding factors. Eur J Clin Nutr 2022; 76:1349-1350. [PMID: 35149832 DOI: 10.1038/s41430-022-01098-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 02/02/2022] [Accepted: 02/04/2022] [Indexed: 11/09/2022]
Affiliation(s)
- Lu-Lu Zhai
- Department of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China
| | - Chun-Xi Chen
- Department of Pediatrics, Xishui People's Hospital, Huanggang, China
| | - Chun-Hua Zhan
- Department of Infectious Diseases, Xishui People's Hospital, Huanggang, China
| | - Guo-Wen You
- Department of Infectious Diseases, Xishui Maternal and Child Health Hospital, Huanggang, China
| | - Qing-Lin Chen
- Department of Gastroenterology, Xishui Maternal and Child Health Hospital, Huanggang, China
| | - Zhi-Gang Tang
- Department of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
| |
Collapse
|