Lactobacillus salivarius plus fructo-oligosaccharide is superior to fructo-oligosaccharide alone for treating children with moderate to severe atopic dermatitis: a double-blind, randomized, clinical trial of efficacy and safety

被引:68
作者
Wu, K. -G. [1 ]
Li, T. -H. [1 ,4 ]
Peng, H. -J. [2 ,3 ]
机构
[1] Taipei Vet Gen Hosp, Dept Pediat, Taipei 112, Taiwan
[2] Taipei Vet Gen Hosp, Dept Med Res & Educ, Taipei 112, Taiwan
[3] Natl Yang Ming Univ, Taipei 112, Taiwan
[4] Hualien Armed Forces Gen Hosp, Dept Pediat, Hualien, Taiwan
关键词
HYGIENE HYPOTHESIS; ALLERGIC DISEASES; PROBIOTICS; PREVENTION; PREBIOTICS; MIXTURE; METAANALYSIS; SYNBIOTICS; PREVALENCE; INFANTS;
D O I
10.1111/j.1365-2133.2011.10596.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background Some probiotics can ameliorate childhood atopic dermatitis (AD). Prebiotics have also shown some efficacy, although when combined with probiotics as synbiotics, their efficacy may improve. Objective We compared the effects of Lactobacillus salivarius and fructo-oligosaccharide (synbiotic) with fructo-oligosaccharide alone (prebiotic) on children with moderate to severe AD. Methods We randomly assigned 60 children aged 2-14 years with moderate to severe AD [SCORing AD (SCORAD) > 25] to a treatment (synbiotic) or a control (prebiotic) group (30 per group). They received one capsule twice daily for 8 weeks containing either L. salivarius plus fructo-oligosaccharide (treatment) or fructo-oligosaccharide only (control). SCORAD indices were monitored at weeks 0, 4, 8 and 10 (post-treatment). Laboratory results and AD medication use were also monitored. Results Baseline demographic and clinical characteristics and SCORAD scores were similar between the two groups. At 8 weeks, the treatment group SCORAD scores (27.4 +/- 12.7) were significantly lower than for the controls (36.3 +/- 14.9) (P = 0 022); this difference remained at 10 weeks. At 8 weeks, treatment group AD intensity was significantly lower (P = 0.013); more children had mild AD in the treatment group (52%; 14 /27) than the control group (30%; 8 /27) (P = 0.024). Medication use frequency and eosinophil cationic protein levels were significantly reduced in the treatment group at 8 weeks compared with 4 weeks. Conclusion A synbiotic combination of L. salivarius plus fructo-oligosaccharide is superior to the prebiotic alone for treating moderate to severe childhood AD. However, continued follow-up will be necessary to ascertain long-term benefits.
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页码:129 / 136
页数:8
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