Evidence map›Paper›PMID 17463144›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition

Lactulose feeding lowers cecal densities of clostridia in piglets.

C Lawrence Kien, Ruth Blauwiekel, Carol H Williams, Janice Yanushka Bunn, Randal K Buddington

Open access · greenAbstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

C Lawrence KienDepartment of Pediatrics, College of Medicine, University of Vermont, Burlington, Vermont, USA. cl.kien@uvm.edu
Ruth Blauwiekel
Carol H Williams
Janice Yanushka Bunn
Randal K Buddington
University of Vermont · USMississippi State University · US

Funding

Colonic Bacterial Synthesis of Butyric AcidR01DK061775 · NIDDK · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI KIEN, CRAIG LAWRENCE · 2001 to 2004
$1.3M
NIDA NIH HHS DA61775NIDDK NIH HHS R01 DK061775
6 · The paper itself

Abstract

backgroundIn order to understand the consequences of persistent enteral feeding in patients with carbohydrate malabsorption, we fed piglets lactulose in sufficient dosage to produce osmotic diarrhea or inulin, using a conventional dose, to determine if this prebiotic can modulate the effects of lactulose. Feeding lactulose increases cecal luminal synthesis of butyrate, with inulin having an intermediate effect. Because clostridia may be a major source of colonic butyrate production, we hypothesized that feeding piglets lactulose or inulin would increase cecal densities of clostridia.

methodsPiglets were assigned to 3 formula study groups for 6 days: (1) control, fed only sow milk replacer (n = 12); (2) inulin, inulin supplement (3 g/L; n = 11); and (3) lactulose, lactulose supplement (66.7 g/L; n = 6). Cecal fluid for bacteriological studies was sampled intraoperatively.

resultsThe wet/dry ratio of the cecal contents (mean +/- SEM) was 8.2 +/- 0.5, 6.2 +/- 0.5, and 18.8 +/- 5.5, respectively, in the control, inulin, and lactulose groups (p = .049, Kruskal-Wallis). There were no differences among the diet groups for cecal densities (10(6) colony-forming units [CFU]/g dry wt cecal contents) of total anaerobes, total aerobes, bifidobacteria, or lactobacilli. Densities of clostridia were markedly reduced in the lactulose group (1.14 +/- 0.41) vs the control (18.39 +/- 4.44; p = .001) or inulin groups (8.87 +/- 2.20; p = .04).

conclusionsIn piglets, feeding lactulose at a dose known to cause diarrhea reduces cecal densities of clostridia.

Indexed as

Enteral NutritionAnimalsAnimals, NewbornButyratesCecumClostridiumColony Count, MicrobialDiarrheaGastrointestinal AgentsInulinLactuloseMalabsorption SyndromesOrgan SizeProbioticsRandom AllocationStatistics, NonparametricButyratesGastrointestinal AgentsInulinLactulose

Identifiers

PMID17463144
PMCPMC1942045
OpenAlexW2126806200

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.