Abstract

An unhealthy gut microbial community may act as a barrier to improvement in growth and health outcomes in response to nutritional interventions. The objective of this analysis was to determine whether the infant microbiota modified the effects of a randomized controlled trial of lipid-based nutrient supplements (LNS) in Malawi on growth and inflammation at 12 and 18 months, respectively. We characterized baseline microbiota composition of fecal samples at 6 months of age (n = 506, prior to infant supplementation, which extended to 18 months) using 16S rRNA gene sequencing of the V4 region. Features of the gut microbiota previously identified as being involved in fatty acid or micronutrient metabolism or in outcomes relating to growth and inflammation, especially in children, were investigated. Prior to correction for multiple hypothesis testing, the effects of LNS on growth appeared to be modified by Clostridium (p-for-interaction = 0.02), Ruminococcus (p-for-interaction = 0.007), and Firmicutes (p-for-interaction = 0.04) and effects on inflammation appeared to be modified by Faecalibacterium (p-for-interaction = 0.03) and Streptococcus (p-for-interaction = 0.004). However, after correction for multiple hypothesis testing these findings were not statistically significant, suggesting that the gut microbiota did not alter the effect of LNS on infant growth and inflammation in this cohort.

Details

Title
Infant gut microbiota characteristics generally do not modify effects of lipid-based nutrient supplementation on growth or inflammation: secondary analysis of a randomized controlled trial in Malawi
Author
Hughes, Riley L 1 ; Arnold, Charles D 1 ; Young, Rebecca R 1 ; Ashorn Per 2 ; Maleta Ken 3 ; Yue-Mei, Fan 4 ; Ashorn Ulla 4 ; Chaima, David 5 ; Malamba-Banda Chikondi 5 ; Kable, Mary E 6 ; Dewey, Kathryn G 1 

 University of California, Department of Nutrition, Davis, USA (GRID:grid.27860.3b) (ISNI:0000 0004 1936 9684) 
 Tampere University, Center for Child Health Research, Faculty of Medicine and Health Technology, Tampere, Finland (GRID:grid.502801.e) (ISNI:0000 0001 2314 6254); Tampere University Hospital, Department of Pediatrics, Tampere, Finland (GRID:grid.412330.7) (ISNI:0000 0004 0628 2985) 
 University of Malawi, College of Medicine, Blantyre 3, Malawi (GRID:grid.10595.38) (ISNI:0000 0001 2113 2211) 
 Tampere University, Center for Child Health Research, Faculty of Medicine and Health Technology, Tampere, Finland (GRID:grid.502801.e) (ISNI:0000 0001 2314 6254) 
 University of Malawi College of Medicine, School of Public Health and Family Medicine, Blantyre, Malawi (GRID:grid.10595.38) (ISNI:0000 0001 2113 2211) 
 Agricultural Research Service, USDA, Immunity and Disease Prevention, Western Human Nutrition Research Center, Davis, USA (GRID:grid.463419.d) (ISNI:0000 0001 0946 3608) 
Publication year
2020
Publication date
2020
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
1961045385
Copyright
© The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.