Evidence map›Paper›PMID 42056537›Full record

ArticlePediatric research2026

Effects of Bifidobacterium infantis M-63 on gut environment and bowel function during weaning: RCT.

Satoshi Arai, Akari Hiraku, Setsuko Nakata, Kazuya Toda, Atsuyuki Odani, Eri Mitsuyama, Riko Mishima, Toshitaka Odamaki, Noriyuki Iwabuchi, Miyuki Tanaka

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Satoshi AraiBiotics Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan. s-arai@morinagamilk.co.jp.
Akari HirakuBiotics Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan.
Setsuko NakataDepartment of Pediatrics, Matsumoto City Hospital, Matsumoto, Japan.
Kazuya TodaFood Function Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan.
Atsuyuki OdaniFood Function Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan.
Eri MitsuyamaBiotics Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan.
Riko MishimaBiotics Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan.
Toshitaka OdamakiBiotics Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan.
Noriyuki IwabuchiBiotics Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan.
Miyuki TanakaFood Function Research Institute, R&D Division, Morinaga Milk Industry Co. Ltd., Zama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeaning involves rapid shifts in the gut microbiota, bowel irregularities, and increased infection risks. This exploratory, hypothesis-generating study examined whether daily supplementation with Bifidobacterium longum subsp. infantis M-63 (M-63) may influence bowel function, the gut environment, and general health during weaning.

methodsIn a randomized, double-blind, placebo-controlled trial, 100 healthy infants and toddlers (5 months to under 3 years) received M-63 (5 billion CFU) or placebo for eight weeks. Stool habits, fecal microbiota, and short-chain fatty acids (SCFAs) were assessed. Cold-like symptoms and medication use were recorded. Exploratory subgroup analyses considered breastfeeding status, age (<1.5 years), and the presence of siblings.

resultsM-63 supplementation was associated with more days of normal stools and a trend toward fewer diarrhea episodes. Subgroup analyses revealed that breastfed children showed increased B. infantis abundance. In contrast, non-breastfed children exhibited higher fecal SCFA levels. Children <1.5 years and those with siblings showed trends toward fewer cold-like symptoms and reduced antibiotic use. No intervention-related adverse events occurred.

conclusionsThis exploratory trial suggests M-63 may be associated with modest improvements in gastrointestinal outcomes and selected systemic health-related measures during weaning. These findings should be interpreted cautiously and require confirmation in adequately powered trials. IMPACT: Daily administration of B. infantis M-63 was associated with potential improvements in bowel habits among infants. In breastfed children, supplementation with B. infantis M-63 was associated with an observed increase in the relative abundance of B. infantis, alongside a trend toward greater bifidobacterial diversity. In non-breastfed children, B. infantis M-63 was associated with modestly elevated levels of fecal metabolites, including short-chain fatty acids. Exploratory findings suggest that supplementation with B. infantis M-63 during weaning may modulate the gut environment and may be associated with immune-related measures, but confirmation in larger, rigorously designed trials is needed.

Identifiers

PMID42056537

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.