Publication
Title
Probiotics in cystic fibrosis patients : a double blind crossover placebo controlled study Pilot study from the ESPGHAN Working Group on Pancreas/CF
Author
Abstract
Background: A potential positive effect of probiotics in cystic fibrosis (CF) on fecal calprotectin (FCP), pulmonary exacerbations and weight has been described in small controlled trials. Methods: A double-blind multicenter cross-over study (2 x 4 m) was performed looking at abdominal pain, nutritional status, pulmonary function, pulmonary exacerbation, FCP and lactulose/mannitol gut permeability test. Patients kept a diary with daily scoring of abdominal pain, stool frequency and consistency as well as treatment changes. Results: 31 CF patients entered the study of which 25 finished it. At start patients aged 9.3yrs (6.9-12.2), had a median BMI z-score of - 0.5 (- 1.5-0.08), height z-score of - 0.4 (- 1.1-0.05) and FEV1% of 100% (87.2-106.6). Median FCP at start was 61 mg/g (17-108) and gut permeability 0.079 (0.051-0.122). No significant changes were observed in the clinical parameters (BMI, FEV1%, abdominal pain, exacerbations). Despite being frequently abnormal (17/28 (61%) > 50 mg/kg), FCP did not change significantly with probiotics. The proportion of patients with normal permeability was 8% during placebo and 32% during probiotic treatment (p = 0.031). FCP correlated to BMI z-score (p = 0.043) and gut permeability to abdominal pain (p = 0.015). The microbiome revealed a high predominance of Actinobacteria and Proteobacteriae. Probiotic supplementation did not result in a shift at the phylum nor at phylogenetic level. Conclusion: Normalization of gut permeability was observed in 13% of patients during probiotic treatment. However, none of the previously described effects could be confirmed. (c) 2018 Published by Elsevier Ltd on behalf of European Society for Clinical Nutrition and Metabolism.
Language
English
Source (journal)
Clinical nutrition ESPEN. - [Oxford], 2015, currens
Publication
[Oxford] : Elsevier Ltd , 2018
ISSN
2405-4577
Volume/pages
27 (2018) , p. 59-65
ISI
000444148600010
Pubmed ID
30144894
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 08.10.2018
Last edited 03.09.2021
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