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Reduced occurrence of early atopic dermatitis because of immunoactive prebiotics among low-atopy-risk infants

Background Most infants developing atopic dermatitis have a low risk for atopy. Primary prevention of atopic dermatitis is difficult. Objective To assess the effect of supplementation of an infant and follow-on formula with prebiotic and immunoactive oligosaccharides on the occurrence of atopic derm... Full description

Journal Title: Journal of allergy and clinical immunology 2010, Vol.126 (4), p.791-797
Main Author: Grüber, Christoph, MD, PhD
Other Authors: van Stuijvenberg, Margriet, MD, MPH , Mosca, Fabio, MD, PhD, NICU , Moro, Guido, MD, PhD , Chirico, Gaetano, MD, PhD , Braegger, Christian P., MD , Riedler, Josef, MD, PhD , Boehm, Günther, MD, PhD , Wahn, Ulrich, MD, PhD
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Quelle: Alma/SFX Local Collection
Publisher: New York, NY: Mosby, Inc
ID: ISSN: 0091-6749
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title: Reduced occurrence of early atopic dermatitis because of immunoactive prebiotics among low-atopy-risk infants
format: Article
creator:
  • Grüber, Christoph, MD, PhD
  • van Stuijvenberg, Margriet, MD, MPH
  • Mosca, Fabio, MD, PhD, NICU
  • Moro, Guido, MD, PhD
  • Chirico, Gaetano, MD, PhD
  • Braegger, Christian P., MD
  • Riedler, Josef, MD, PhD
  • Boehm, Günther, MD, PhD
  • Wahn, Ulrich, MD, PhD
subjects:
  • 1ST 6 MONTHS
  • 610 Medicine & health
  • Abridged Index Medicus
  • ACIDIC OLIGOSACCHARIDES
  • ACTIVATION-REGULATED CHEMOKINE
  • Age
  • Allergic diseases
  • Allergies
  • Allergy and Immunology
  • Analysis
  • Atopic dermatitis
  • Biological and medical sciences
  • BIRTH-COHORT
  • Breast Feeding
  • Dermatitis, Atopic - epidemiology
  • Dermatitis, Atopic - immunology
  • Dermatitis, Atopic - prevention & control
  • Dietary Supplements
  • DISEASE
  • Disease prevention
  • DOUBLE-BLIND
  • Double-Blind Method
  • Europe
  • Families & family life
  • Family medical history
  • Female
  • Fever
  • Food and nutrition
  • Fundamental and applied biological sciences. Psychology
  • Fundamental immunology
  • Higher education
  • Humans
  • HYDROLYZED FORMULAS
  • Immunopathology
  • Incidence
  • Infant
  • Infant Formula
  • Infant, Newborn
  • Infants
  • Male
  • Medical Clinic
  • Medical sciences
  • Mothers
  • Nutrition research
  • Oligosaccharides
  • Oligosaccharides - administration & dosage
  • PLACEBO-CONTROLLED TRIAL
  • Prebiotics
  • primary prevention
  • Primary Prevention - methods
  • Probiotics
  • Prospective Studies
  • Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
  • SERUM THYMUS
  • Skin allergic diseases. Stinging insect allergies
  • Treatment Outcome
  • Universities and colleges
ispartof: Journal of allergy and clinical immunology, 2010, Vol.126 (4), p.791-797
description: Background Most infants developing atopic dermatitis have a low risk for atopy. Primary prevention of atopic dermatitis is difficult. Objective To assess the effect of supplementation of an infant and follow-on formula with prebiotic and immunoactive oligosaccharides on the occurrence of atopic dermatitis in the first year of life. Methods Healthy term infants from 5 European countries with low atopy risk were recruited before the age of 8 weeks, either having started with formula feeding or being on full breast-feeding (breast-feeding group). Formula-fed infants were randomized to feeding with a regular formula containing a specific mixture of neutral oligosaccharides and pectin-derived acidic oligosaccharides (prebiotic formula group) or regular formula without oligosaccharides (control formula group). Results A total of 414 infants were randomized to the prebiotic group and 416 infants to the control group. A total of 300 infants were followed in the breast-feeding group. Up to the first birthday, atopic dermatitis occurred in significantly fewer infants from the prebiotic group (5.7%) than from the control group (9.7%; P  = .04). The cumulative incidence of atopic dermatitis in the prebiotic group was in the low range of the breast-feeding group (7.3%). In a Cox regression model, the rate of atopic dermatitis was significantly lower by 44% in the prebiotic group versus the control group ( P  = .04). The number needed to prevent 1 case of atopic dermatitis by supplementation of prebiotics was 25 infants. Conclusion Formula supplementation with a specific mixture of oligosaccharides was effective as primary prevention of atopic dermatitis in low atopy risk infants.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0091-6749
fulltext: fulltext
issn:
  • 0091-6749
  • 1097-6825
url: Link


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titleReduced occurrence of early atopic dermatitis because of immunoactive prebiotics among low-atopy-risk infants
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creatorGrüber, Christoph, MD, PhD ; van Stuijvenberg, Margriet, MD, MPH ; Mosca, Fabio, MD, PhD, NICU ; Moro, Guido, MD, PhD ; Chirico, Gaetano, MD, PhD ; Braegger, Christian P., MD ; Riedler, Josef, MD, PhD ; Boehm, Günther, MD, PhD ; Wahn, Ulrich, MD, PhD
creatorcontribGrüber, Christoph, MD, PhD ; van Stuijvenberg, Margriet, MD, MPH ; Mosca, Fabio, MD, PhD, NICU ; Moro, Guido, MD, PhD ; Chirico, Gaetano, MD, PhD ; Braegger, Christian P., MD ; Riedler, Josef, MD, PhD ; Boehm, Günther, MD, PhD ; Wahn, Ulrich, MD, PhD ; MIPS 1 Working Group
descriptionBackground Most infants developing atopic dermatitis have a low risk for atopy. Primary prevention of atopic dermatitis is difficult. Objective To assess the effect of supplementation of an infant and follow-on formula with prebiotic and immunoactive oligosaccharides on the occurrence of atopic dermatitis in the first year of life. Methods Healthy term infants from 5 European countries with low atopy risk were recruited before the age of 8 weeks, either having started with formula feeding or being on full breast-feeding (breast-feeding group). Formula-fed infants were randomized to feeding with a regular formula containing a specific mixture of neutral oligosaccharides and pectin-derived acidic oligosaccharides (prebiotic formula group) or regular formula without oligosaccharides (control formula group). Results A total of 414 infants were randomized to the prebiotic group and 416 infants to the control group. A total of 300 infants were followed in the breast-feeding group. Up to the first birthday, atopic dermatitis occurred in significantly fewer infants from the prebiotic group (5.7%) than from the control group (9.7%; P  = .04). The cumulative incidence of atopic dermatitis in the prebiotic group was in the low range of the breast-feeding group (7.3%). In a Cox regression model, the rate of atopic dermatitis was significantly lower by 44% in the prebiotic group versus the control group ( P  = .04). The number needed to prevent 1 case of atopic dermatitis by supplementation of prebiotics was 25 infants. Conclusion Formula supplementation with a specific mixture of oligosaccharides was effective as primary prevention of atopic dermatitis in low atopy risk infants.
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3PMID: 20832848
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languageeng
publisherNew York, NY: Mosby, Inc
subject1ST 6 MONTHS ; 610 Medicine & health ; Abridged Index Medicus ; ACIDIC OLIGOSACCHARIDES ; ACTIVATION-REGULATED CHEMOKINE ; Age ; Allergic diseases ; Allergies ; Allergy and Immunology ; Analysis ; Atopic dermatitis ; Biological and medical sciences ; BIRTH-COHORT ; Breast Feeding ; Dermatitis, Atopic - epidemiology ; Dermatitis, Atopic - immunology ; Dermatitis, Atopic - prevention & control ; Dietary Supplements ; DISEASE ; Disease prevention ; DOUBLE-BLIND ; Double-Blind Method ; Europe ; Families & family life ; Family medical history ; Female ; Fever ; Food and nutrition ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Higher education ; Humans ; HYDROLYZED FORMULAS ; Immunopathology ; Incidence ; Infant ; Infant Formula ; Infant, Newborn ; Infants ; Male ; Medical Clinic ; Medical sciences ; Mothers ; Nutrition research ; Oligosaccharides ; Oligosaccharides - administration & dosage ; PLACEBO-CONTROLLED TRIAL ; Prebiotics ; primary prevention ; Primary Prevention - methods ; Probiotics ; Prospective Studies ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; SERUM THYMUS ; Skin allergic diseases. Stinging insect allergies ; Treatment Outcome ; Universities and colleges
ispartofJournal of allergy and clinical immunology, 2010, Vol.126 (4), p.791-797
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4Copyright © 2010 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.
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1van Stuijvenberg, Margriet, MD, MPH
2Mosca, Fabio, MD, PhD, NICU
3Moro, Guido, MD, PhD
4Chirico, Gaetano, MD, PhD
5Braegger, Christian P., MD
6Riedler, Josef, MD, PhD
7Boehm, Günther, MD, PhD
8Wahn, Ulrich, MD, PhD
9MIPS 1 Working Group
title
0Reduced occurrence of early atopic dermatitis because of immunoactive prebiotics among low-atopy-risk infants
1Journal of allergy and clinical immunology
addtitleJ Allergy Clin Immunol
descriptionBackground Most infants developing atopic dermatitis have a low risk for atopy. Primary prevention of atopic dermatitis is difficult. Objective To assess the effect of supplementation of an infant and follow-on formula with prebiotic and immunoactive oligosaccharides on the occurrence of atopic dermatitis in the first year of life. Methods Healthy term infants from 5 European countries with low atopy risk were recruited before the age of 8 weeks, either having started with formula feeding or being on full breast-feeding (breast-feeding group). Formula-fed infants were randomized to feeding with a regular formula containing a specific mixture of neutral oligosaccharides and pectin-derived acidic oligosaccharides (prebiotic formula group) or regular formula without oligosaccharides (control formula group). Results A total of 414 infants were randomized to the prebiotic group and 416 infants to the control group. A total of 300 infants were followed in the breast-feeding group. Up to the first birthday, atopic dermatitis occurred in significantly fewer infants from the prebiotic group (5.7%) than from the control group (9.7%; P  = .04). The cumulative incidence of atopic dermatitis in the prebiotic group was in the low range of the breast-feeding group (7.3%). In a Cox regression model, the rate of atopic dermatitis was significantly lower by 44% in the prebiotic group versus the control group ( P  = .04). The number needed to prevent 1 case of atopic dermatitis by supplementation of prebiotics was 25 infants. Conclusion Formula supplementation with a specific mixture of oligosaccharides was effective as primary prevention of atopic dermatitis in low atopy risk infants.
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10Atopic dermatitis
11Biological and medical sciences
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13Breast Feeding
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15Dermatitis, Atopic - immunology
16Dermatitis, Atopic - prevention & control
17Dietary Supplements
18DISEASE
19Disease prevention
20DOUBLE-BLIND
21Double-Blind Method
22Europe
23Families & family life
24Family medical history
25Female
26Fever
27Food and nutrition
28Fundamental and applied biological sciences. Psychology
29Fundamental immunology
30Higher education
31Humans
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33Immunopathology
34Incidence
35Infant
36Infant Formula
37Infant, Newborn
38Infants
39Male
40Medical Clinic
41Medical sciences
42Mothers
43Nutrition research
44Oligosaccharides
45Oligosaccharides - administration & dosage
46PLACEBO-CONTROLLED TRIAL
47Prebiotics
48primary prevention
49Primary Prevention - methods
50Probiotics
51Prospective Studies
52Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
53SERUM THYMUS
54Skin allergic diseases. Stinging insect allergies
55Treatment Outcome
56Universities and colleges
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4Chirico, Gaetano, MD, PhD
5Braegger, Christian P., MD
6Riedler, Josef, MD, PhD
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titleReduced occurrence of early atopic dermatitis because of immunoactive prebiotics among low-atopy-risk infants
authorGrüber, Christoph, MD, PhD ; van Stuijvenberg, Margriet, MD, MPH ; Mosca, Fabio, MD, PhD, NICU ; Moro, Guido, MD, PhD ; Chirico, Gaetano, MD, PhD ; Braegger, Christian P., MD ; Riedler, Josef, MD, PhD ; Boehm, Günther, MD, PhD ; Wahn, Ulrich, MD, PhD
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1610 Medicine & health
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3ACIDIC OLIGOSACCHARIDES
4ACTIVATION-REGULATED CHEMOKINE
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6Allergic diseases
7Allergies
8Allergy and Immunology
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11Biological and medical sciences
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14Dermatitis, Atopic - epidemiology
15Dermatitis, Atopic - immunology
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51Prospective Studies
52Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
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55Treatment Outcome
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abstractBackground Most infants developing atopic dermatitis have a low risk for atopy. Primary prevention of atopic dermatitis is difficult. Objective To assess the effect of supplementation of an infant and follow-on formula with prebiotic and immunoactive oligosaccharides on the occurrence of atopic dermatitis in the first year of life. Methods Healthy term infants from 5 European countries with low atopy risk were recruited before the age of 8 weeks, either having started with formula feeding or being on full breast-feeding (breast-feeding group). Formula-fed infants were randomized to feeding with a regular formula containing a specific mixture of neutral oligosaccharides and pectin-derived acidic oligosaccharides (prebiotic formula group) or regular formula without oligosaccharides (control formula group). Results A total of 414 infants were randomized to the prebiotic group and 416 infants to the control group. A total of 300 infants were followed in the breast-feeding group. Up to the first birthday, atopic dermatitis occurred in significantly fewer infants from the prebiotic group (5.7%) than from the control group (9.7%; P  = .04). The cumulative incidence of atopic dermatitis in the prebiotic group was in the low range of the breast-feeding group (7.3%). In a Cox regression model, the rate of atopic dermatitis was significantly lower by 44% in the prebiotic group versus the control group ( P  = .04). The number needed to prevent 1 case of atopic dermatitis by supplementation of prebiotics was 25 infants. Conclusion Formula supplementation with a specific mixture of oligosaccharides was effective as primary prevention of atopic dermatitis in low atopy risk infants.
copNew York, NY
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doi10.1016/j.jaci.2010.07.022