Evidence map›Paper›PMID 33167908›Full record

Trial reportBMC microbiology2020

Stool microbiome, pH and short/branched chain fatty acids in infants receiving extensively hydrolyzed formula, amino acid formula, or human milk through two months of age.

Car Reen Kok, Bradford Brabec, Maciej Chichlowski, Cheryl L Harris, Nancy Moore, Jennifer L Wampler, Jon Vanderhoof, Devin Rose, Robert Hutkins

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02500563 (Exploratory/Proof of Principle Microbiota Study), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02500563 nacompletednot on this map

Exploratory/Proof of Principle Microbiota Study

TypeinterventionalSponsorMead Johnson NutritionRan2015 to 2017Enrolled78ConditionsFecal MicrobiotaArmsAmino acid based infant formula, Extensively hydrolyzed casein infant formula, Mother's own breast milk
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Supplementation of Heat-TreatedJournal of nutrition and metabolism · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

9 authors.

Car Reen KokDepartment of Food Science and Technology, University of Nebraska-Lincoln, Lincoln, NE, 68588, USA.
Bradford BrabecMidwest Children's Health Research Institute, LLC, 3262 Salt Creek Circle, Lincoln, NE, 68504, USA.
Maciej ChichlowskiGlobal Nutrition Science, Mead Johnson Nutrition, Evansville, IN, 47721, USA.
Cheryl L HarrisClinical Research, Department of Medical Affairs, Mead Johnson Nutrition, Evansville, IN, 47721, USA.
Nancy MooreClinical Research, Department of Medical Affairs, Mead Johnson Nutrition, Evansville, IN, 47721, USA.
Jennifer L WamplerClinical Research, Department of Medical Affairs, Mead Johnson Nutrition, Evansville, IN, 47721, USA.
Jon VanderhoofBoston Children's Hospital, Gastroenterology, 300 Longwood Avenue, Boston, MA, 02115, USA.
Devin RoseDepartment of Food Science and Technology, University of Nebraska, 268 Food Innovation Center, Lincoln, NE, 68588-6205, USA.
Robert HutkinsDepartment of Food Science and Technology, University of Nebraska, 258 Food Innovation Center, Lincoln, NE, 68588-6205, USA. rhutkins1@unl.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly infant feeding with intact or extensively hydrolyzed (EH) proteins or free amino acids (AA) may differentially affect intestinal microbiota composition and immune reactivity. This multicenter, double-blind, controlled, parallel-group, pilot study compared stool microbiota from Baseline (1-7 days of age) up to 60 days of age in healthy term infants who received mother's own milk (assigned to human milk [HM] reference group) (n = 25) or were randomized to receive one of two infant formulas: AA-based (AAF; n = 25) or EH cow's milk protein (EHF; n = 28). Stool samples were collected (Baseline, Day 30, Day 60) and 16S rRNA genes were sequenced. Alpha (Shannon, Simpson, Chao1) and beta diversity (Bray Curtis) were analyzed. Relative taxonomic enrichment and fold changes were analyzed (Wilcoxon, DESEq2). Short/branched chain fatty acids (S/BCFA) were quantified by gas chromatography. Mean S/BCFA and pH were analyzed (repeated measures ANOVA).

resultsAt baseline, alpha diversity measures were similar among all groups; however, both study formula groups were significantly higher versus the HM group by Day 60. Significant group differences in beta diversity at Day 60 were also detected, and study formula groups were compositionally more similar compared to HM. The relative abundance of Bifidobacterium increased over time and was significantly enriched at Day 60 in the HM group. In contrast, a significant increase in members of Firmicutes for study formula groups were detected at Day 60 along with butyrate-producing species in the EHF group. Stool pH was significantly higher in the AAF group at Days 30 and 60. Butyrate increased significantly from Baseline to Day 60 in the EHF group and was significantly higher in study formula groups vs HM at Day 60. Propionate was also significantly higher for EHF and AAF at Day 30 and AAF at Day 60 vs HM. Total and individual BCFA were higher for AAF and EHF groups vs HM through Day 60.

conclusionsDistinct patterns of early neonatal microbiome, pH, and microbial metabolites were demonstrated for infants receiving mother's own milk compared to AA-based or extensively hydrolyzed protein formula. Providing different sources of dietary protein early in life may influence gut microbiota and metabolites.

trial registrationClinicalTrials.gov Identifier: NCT02500563 . Registered July 28, 2015.

Indexed as

Gastrointestinal MicrobiomeAmino AcidsBacteriaDietary ProteinsDouble-Blind MethodFatty Acids, VolatileFecesHumansHydrogen-Ion ConcentrationInfantInfant FormulaInfant, NewbornInfant Nutritional Physiological PhenomenaMilk, HumanPilot ProjectsRNA, Ribosomal, 16SAmino AcidsDietary ProteinsFatty Acids, VolatileRNA, Ribosomal, 16SBifidobacteriumInfant formulaInfant microbiotaShort chain fatty acids

Identifiers

PMID33167908
PMCPMC7650147

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.