Evidence map›Paper›PMID 36207675›Full record

Trial reportBMC pediatrics2022

Infant behavioral state and stool microbiome in infants receiving Lactocaseibacillus rhamnosus GG in formula: randomized controlled trial.

Robert J Shulman, Maciej Chichlowski, Fabiola Gutierrez Orozco, Cheryl L Harris, Jennifer L Wampler, Nicholas A Bokulich, Carol Lynn Berseth

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02340143 (Assessing Early Behavioral Indicators of Formula Tolerance), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.5field-weighted citation impact, top 8% 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.

NCT02340143 nacompletednot on this map

Assessing Early Behavioral Indicators of Formula Tolerance

TypeinterventionalSponsorMead Johnson NutritionRan2015 to 2016Enrolled71ConditionsToleranceArmsControl, Investigational
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. The effectiveness ofTranslational pediatrics · 2024
    Article
  4. Article
  5. Infant formula with addedFrontiers in pediatrics · 2024
    Article
  6. 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

7 authors at 3 institutions in 2 countries.

Robert J ShulmanBaylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA. rshulman@bcm.edu.
Maciej ChichlowskiMedical and Scientific Affairs, Reckitt | Mead Johnson Nutrition Institute, Evansville, IN, 47721, USA.
Fabiola Gutierrez OrozcoMedical and Scientific Affairs, Reckitt | Mead Johnson Nutrition Institute, Evansville, IN, 47721, USA.
Cheryl L HarrisMedical and Scientific Affairs, Reckitt | Mead Johnson Nutrition Institute, Evansville, IN, 47721, USA.
Jennifer L WamplerMedical and Scientific Affairs, Reckitt | Mead Johnson Nutrition Institute, Evansville, IN, 47721, USA.
Nicholas A BokulichLaboratory of Food Systems Biotechnology, Institute of Food, Nutrition, and Health, ETH Zurich, Zurich, Switzerland.
Carol Lynn BersethMedical and Scientific Affairs, Reckitt | Mead Johnson Nutrition Institute, Evansville, IN, 47721, USA.
Mead Johnson (United States) · USBaylor College of Medicine · USETH Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur aim was to evaluate infant behavioral state, stool microbiome profile and calprotectin in infants with infantile colic receiving a partially hydrolyzed protein formula with or without added Lacticaseibacillus (formerly Lactobacillus) rhamnosus GG (LGG).

methodsIn this single-center, double-blind, controlled, parallel, prospective study, term infants (14-28 days of age) identified with colic (using modified Wessel's criteria: cried and/or fussed ≥ 3 h/day for ≥ 3 days/week, in a one-week period) were randomized to receive one of two formulas over a three-week feeding period: marketed partially hydrolyzed cow's milk-based infant formula (PHF, n = 35) or a similar formula with added LGG (PHF-LGG, n = 36). Parent-reported infant behavior was recorded at three time points (Study Days 2-4, 10-12, and 18-20). Duration (hours/day) of crying/fussing (averaged over each three-day period) was the primary outcome. Stool samples were collected at Baseline and Study End (Days 19-21) to determine stool LGG colonization (by qPCR) and microbial abundance (using 16S rRNA gene sequencing) and calprotectin (μg/g).

resultsDuration of crying/fussing (mean ± SE) decreased and awake/content behavior increased over time with no significant group differences over the course of the study. There were no group differences in the percentage of infants who experienced colic by study end. Colic decreased by Study End vs Baseline in both groups. Change in fecal calprotectin also was similar between groups. Comparing Study End vs Baseline, LGG abundance was greater in the PHF-LGG group (P < 0.001) whereas alpha diversity was greater in the PHF group (P = 0.022). Beta diversity was significantly different between PHF and PHF-LGG at Study End (P = 0.05). By study end, relative abundance of L. rhamnosus was higher in the PHF-LGG vs PHF group and vs Baseline.

conclusionsIn this pilot study of infants with colic, both study formulas were well tolerated. Crying/fussing decreased and awake/content behavior increased in both study groups over the course of the study. Study results demonstrate a successful introduction of the probiotic to the microbiome. The partially hydrolyzed protein formula with added LGG was associated with significant changes in the gut microbiome.

trial registrationClinicalTrials.gov, ClinicalTrials.gov Identifier: NCT02340143 . Registered 16/01/2015.

Indexed as

ColicGastrointestinal MicrobiomeLacticaseibacillus rhamnosusProbioticsAnimalsCattleDouble-Blind MethodFemaleHumansInfant FormulaInfant, NewbornLeukocyte L1 Antigen ComplexPilot ProjectsProspective StudiesRNA, Ribosomal, 16SLeukocyte L1 Antigen ComplexRNA, Ribosomal, 16SBrain-gut axisCalprotectinColicInfantInfant formulaLactocaseibacillus rhamnosus GGMicrobiomePartially hydrolyzed proteinProbiotics

Identifiers

PMID36207675
PMCPMC9541012
OpenAlexW4303615244

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.