期刊论文详细信息
BMC Research Notes
Application of evidence on probiotics, prebiotics and synbiotics by food industry: a descriptive study
Reneé Blaauw1  Taryn Young2  Mary N Mugambi1 
[1] Division of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa;Centre for Evidence-Based Health Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
关键词: Synbiotics;    Prebiotics;    Probiotics;    Evidence;    Infant formula;    Food industry;   
Others  :  1125826
DOI  :  10.1186/1756-0500-7-754
 received in 2013-10-11, accepted in 2014-10-14,  发布年份 2014
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【 摘 要 】

Background

This study assessed how the food industry applies the knowledge and evidence gained from synbiotics, probiotics or prebiotics research in infants, on the general paediatric population. This study also explored: what happens after the clinical trials using infant formula are completed, data is published or remains unpublished; the effectiveness and type of medium the formula manufacturers use to educate consumers on probiotic, prebiotic or synbiotic infant formula.

Findings

This was a descriptive study (a survey) that used a structured questionnaire. All listed companies that manufacture and / or market food products with added probiotics, prebiotics or synbiotics for infants were identified and invited to participate. People responsible for research and development were invited to participate in the survey. A letter of invitation was sent to selected participants and if they expressed willingness to take part in the study, a questionnaire with a written consent form was sent. Descriptive statistics and associations between categorical variables were to be tested using a Chi-square test, a p < 0.05 was statistically significant.

A total of 25 major infant formulas, baby food manufacturers were identified, invited to participate in the survey. No company was willing to participate in the survey for different reasons: failure to take any action 5 (20%), decision to participate indefinitely delayed 2 (8%), sensitivity of requested information 3 (12%), company does not conduct clinical trials 1 (4%), company declined without further information 4 (16%), erroneous contact information 6 (24%), refusal by receptionists to forward telephone calls to appropriate staff 3 (12%), language barrier 3 (12%), company no longer agrees to market research 1 (4%).

Conclusion

Due to a poor response rate in this study, no conclusion could be drawn on how the food industry applies evidence gained through probiotics, prebiotics or synbiotics research on infants for the benefit of the general paediatric population. More information and greater transparency is needed from the infant formula manufacturers on how they apply the evidence gained from the research on probiotics, prebiotics and synbiotics on infants.

【 授权许可】

   
2014 Mugambi et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]World Health Organization: Essential nutrition Actions: Improving maternal, newborn, infant and young child health and Nutrition. 2013. http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/index.html webcite. Accessed 2014-10-29
  • [2]UNICEF: Facts of life. Fourth Edition. 2010. http://www.who.int/nutrition/publications/infantfeeding/factsoflife/en/index.html webcite. Accessed 2014-10-29
  • [3]Allain A, Kean YJ: The youngest market. Baby food peddlers undermine breastfeeding. 2008. [Multinational Monitor. July- August 2008, 17 – 22]
  • [4]Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS, The Bellagio Child Survival Group: How many deaths can we prevent this year? Lancet 2003, 362:65-71.
  • [5]World Health Organization: Infant and young child feeding. Model chapter for textbooks for medical students and allied health professionals. 2009. http://whqlibdoc.who.int/publications/2009/9789241597494_eng.pdf webcite. Accessed 2014-10-29
  • [6]Rai D, Larson B: Driving research in infant and children’s nutrition: a perspective on industry. Am J Clin Nutr 2009, 89:1530S-1532S.
  • [7]Adiv OE, Berant M, Shamir R: New supplements to infant formulas. Pediatr Endocrinol Rev 2004, 2:216-224.
  • [8]Barile D, Guinard J, Meyrand M, Bruce German J: Examining bioactive components of milk. complex oligosaccharides (part 1). Agro Food Ind Hi Tech 2011, 22:34-36.
  • [9]Vandenplas Y, De Greef E, Devreker T, Veereman-Wauters G, Hauser B: Probiotics and prebiotics in infants and children. Curr Infect Dis Rep 2013, 15(3):251-262.
  • [10]Gourbeyre P, Denery S, Bodinier M: Probiotics, prebiotics, and synbiotics: Impact on the gut immune system and allergic reactions. J Leukoc Biol 2011, 89(5):685-695.
  • [11]Parvez S, Malik KA, Kang SA, Kim HY: Probiotics and their fermented food products are beneficial for health. J Appl Microbiol 2006, 100:1171-1185.
  • [12]Underwood MA, Salzman NH, Bennett SH, Barman M, Mills DA, Marcobal A, Tancredi DJ, Bevins CL, Sherman MP: A randomized placebo-controlled comparison of 2 prebiotic/probiotic combinations in preterm infants: Impact on weight gain, intestinal microbiota, and fecal short-chain fatty acids. J Pediatr Gastroenterol Nutr 2009, 48(2):216-225.
  • [13]Rampelli S, Candela M, Severgnini M, Biagi E, Turroni S, Roselli M, Carnevali P, Donini L, Brigidi P: A probiotics-containing biscuit modulates the intestinal microbiota in the elderly. J Nutr Health Aging 2013, 17:166-172.
  • [14]Rouhi M, Sohrabvandi S, Mortazavian AM: Probiotic fermented sausage: viability of probiotic microorganisms and sensory characteristics. Crit Rev Food Sci Nutr 2013, 53:331-348.
  • [15]Gawkowski D, Chikindas ML: Non-dairy probiotic beverages: the next step into human health. Benef Microbes 2013, 4:127-142.
  • [16]Nagpal R, Kumar A, Kumar M, Behare PV, Jain S, Yadav H: Probiotics, their health benefits and applications for developing healthier foods: a review. FEMS Microbiol Lett 2012, 334:1-15.
  • [17]Macfarlane GT, Steed H, Macfarlane S: Bacterial metabolism and health related effects of galactooligosaccharides and other prebiotics. J Appl Microbiol 2008, 104:305-344.
  • [18]Cherbut C, Michel C, Raison V, Kravtchenko T, Severine M: Acacia gum is a bifidogenic dietary fibre with high digestive tolerance in healthy humans. Microb Ecol health dis 2003, 15(1):43-50.
  • [19]Schlee M, Harder J, Köten B, Stange EF, Wehkamp J, Fellermann K: Probiotic lactobacilli and VSL#3 induce enterocyte beta -defensin 2. Clin Exp Immunol 2008, 151(3):528-535.
  • [20]Shah NP: Functional cultures and health benefits. Int Dairy J 2007, 17(11):1262-1277.
  • [21]Boirivant M, Strober W: The mechanism of action of probiotics. Curr Opin Gastroenterol 2007, 23:670-692.
  • [22]Mugambi MN, Musekiwa A, Lombard M, Young T, Blaauw R: Synbiotics, probiotics or prebiotics in infant formula for full term infants: A systematic review. Nutr J 2012, 11:81. doi:10.1186/1475-2891-11-81 BioMed Central Full Text
  • [23]Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, Moschetti I, Phillips B, Thornton H: The 2011 Oxford CEBM Evidence Levels of Evidence (Introductory Document). Oxford Centre for Evidence-Based Medicine; http://www.cebm.net/index.aspx?o=5653 webcite. Accessed 2014-10-29
  • [24]Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, Moschetti I, Phillips B, Thornton H: Explanation of the 2011 Oxford Centre for Evidence-Based Medicine (OCEBM) Levels of Evidence (Background Document). Oxford Centre for Evidence-Based Medicine; http://www.cebm.net/index.aspx?o=5653 webcite. Accessed 2014-10-29
  • [25]Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, Moschetti I, Phillips B, Thornton H, Goddard O, Hodgkinson M, OCEBM Levels of Evidence Working Group: The Oxford 2011 Levels of Evidence. Oxford Centre for Evidence-Based Medicine; http://www.cebm.net/index.aspx?o=5653 webcite. Accessed 2014-10-29
  • [26]Braegger C, Chmielewska A, Decsi T, Kolacek S, Mihatsch W, Moreno L, Pieścik M, Puntis J, Shamir R, Szajewska H, Turck D, Van Goudoever J: Supplementation of infant formula with probiotics and/or prebiotics: A systematic review and comment by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr 2011, 52(2):238-250.
  • [27]Al Faleh KM, Bassler D: Probiotics for prevention of necrotizing enterocolitis in preterm infants. Cochrane Database Syst Rev 2008. Issue 1. Art. No.: CD005496. doi:10.1002/14651858.CD005496.pub2
  • [28]Satoh T, Odamaki T, Namura M, Shimizu T, Iwatsuki K, Nishimoto M, Kitaoka M, Xiao J-Z: In vitro comparative evaluation of the impact of lacto-N-biose I, a major building block of human milk oligosaccharides, on the fecal microbiota of infants. Anaerobe 2013, 19(1):50-57.
  • [29]Holscher HD, Faust KL, Czerkies LA, Litov R, Ziegler EE, Lessin H, Hatch T, Sun S, Tappenden KA: Effects of prebiotic-containing infant formula on gastrointestinal tolerance and fecal microbiota in a randomized controlled trial. J Parenter Enteral Nutr 2012, 36(Suppl 1):95S-105S.
  • [30]Guarner F: Studies with Inulin-type fructans on intestinal infections, permeability and inflammation. J Nutr 2007, 137:2568S-2571S.
  • [31]Gibson GR, Nathalie D: Inulin and Oligofructose. New Scientific Developments. Nutr Today 2008, 43:54-59.
  • [32]Buttriss JL: Translating complex science into life-course health promoting strategies. Proc Nutr Soc 2011, 70:38-46.
  • [33]Goldberg JP, Sliwa SA: Communicating actionable nutrition messages: challenges and opportunities. Proc Nutr Soc 2011, 70:26-37.
  • [34]Collier R: Squabble over risks of probiotic infant formula. CMAJ 2009, 181:E46-E47.
  • [35]Cooper PA, Bolton KD, Mokhachane M, Velaphi SC, Mphahlele RM, Bomela HN, Monaheng L, Roux P, Haschke-Becher E: Growth of infants born to HIV-positive mothers fed a whey-adapted acidifed starter formula with prebiotics and nucleotides. South Afr J Clin Nutr 2010, 23:90-95.
  • [36]Velaphi SC, Cooper PA, Bolton KD, Mokhachane M, Mphahlele RM, Beckh-Arnold E, Monaheng L, Haschke-Becher E: Growth and metabolism of infants born to women infected with human immunodeficiency virus and fed acidified whey-adapted starter formulas. Nutrition 2008, 24:203-211.
  • [37]World Health Organisation: Safe preparation, storage and handling of powdered infant formula guidelines. 2007. http://www.who.int/foodsafety/publications/powdered-infant-formula/en/ webcite. Accessed 2014-10-29
  • [38]Agostoni C, Axelsson I, Braegger C, Goulet O, Koletzko B, Michaelsen KF, Rigo J, Shamir R, Szajewska H, Turck D, Weaver LT: Probiotic bacteria in dietetic products for infants: A commentary by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr 2004, 38(4):365-374.
  • [39]Song F, Parekh S, Hooper L, Loke YK, Ryder J, Sutton AJ, Hing C, Kwok CS, Pang C, Harvey I: Dissemination and publication of research findings: an updated review of related biases. Health Technol Assess 2010, 14:1-5. 39–50
  • [40]Gunter B, Dickinson R, Matthews J, Cole J: Formula manufacturers’ web sites: Are they really non-compliant advertisements? Health Educ 2013, 113:18-27.
  • [41]Hu Y, Sundar SS: Effects of online health sources on credibility and behavioral intentions. Comm Res 2010, 37:105-132.
  • [42]Khoo K, Bolt P, Babl FE, Jury S, Goldman RD: Health information seeking by parents in the internet age. J Paediatr Child Health 2008, 44:419-423.
  • [43]South African Government Notice R9912: Regulations relating to foodstuffs for infants and young children. 2012. http://www.greengazette.co.za/notices/foodstuffs-cosmetics-and-disinfectants-act-54-1972-regulations-relating-to-foodstuffs-for-infants-and-young-children_20121206-GGR-35941-00991 webcite
  • [44]Turck D: Safety aspects in preparation and handling of infant food. Ann Nutr Metabol 2012, 60:211-214.
  • [45]Davanzo R, Giurici N, Demarini S: Hot water and preparation of infant formula: How hot does it have to be to be safe? J Pediatr Gastroentrol Nutr 2010, 50:352-353.
  • [46]Iversen C, Forsythe S: Isolation of enterobacter sakazakii and other enterobacteriaceae from powdered infant formula milk and related products. Food Microbiol 2004, 21:771-777.
  • [47]Abe F, Miyauchi H, Uchijima A, Yaeshima T, Iwatsuki K: Stability of bifidobacteria in powdered formula. Int J Food Sci Technol 2009, 44:718-724.
  • [48]Abe F, Miyauchi H, Uchijima A, Yaeshima T, Iwatsuki K: Effects of storage temperature and water activity on the survival of bifidobacteria in powder form. Int J Dairy Technol 2009, 62:234-239.
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