Comparative Effect of Breast Milk and Infant Formulae on Neonatal Gut Microbiome within Katsina Metropolis
DOI:
https://doi.org/10.47430/ujmr.2493.004Keywords:
Breastfeeding, Formula-feeding, Fecal sample, Bacterial loadAbstract
Numerous studies conducted in recent years have highlighted the intricate nature of the neonatal gut microbiome, influenced by various intrinsic and extrinsic factors. One significant factor in this regard is the type of feeding, which has a substantial impact on the development of intestinal microbiota in early infancy. This study aimed to compare the effects of breast milk and infant formulae on the gut microbiota of newborns in Katsina metropolis. Faecal samples were obtained from 46 neonates (33 exclusively breastfed, 10 formula-fed, and 3 mix-fed) and analyzed using a culture-dependent method. Colony enumerations and pH measurements were conducted for comparison between the groups. The mean weight of the participants was 2.88±0.1 kg, with exclusively breastfed infants (BFI) weighing significantly more (p = 0.03) than formula-fed infants (FFI). The bacteria selected for analysis (Bifidobacterium spp., Staphylococcus spp., Escherichia spp., and Lactobacillus spp.) were present in all feeding groups. Among BFI, similar levels of Escherichia spp. and Bifidobacterium spp. (61.17 CFU/g and 61.38 CFU/g respectively) were observed. Staphylococcus spp. constituted the majority of the bacterial load (32%) in both BFI and FFI groups. Apart from Escherichia spp. (p = 0.01), no significant differences were noted in the levels of all cultured bacteria across the feeding groups. The disparity in Escherichia spp. load was evident between BFI and MFI (p = 0.01), as well as FFI and MFI (p = 0.02) only. There was no overall significant correlation between bacterial load and mode of delivery within the feeding groups (p = 0.6). The average faecal pH of breastfed infants (5.09±01) was significantly lower (p = <0.001) compared to the formula-fed group (5.9±0.1). Despite advancements in enriching infant formulae with probiotics and other bifidogenic substances, subtle differences in fecal bacterial load compared to breast milk persist, highlighting the significant influence of both feeding methods on the composition and functionality of the neonatal gut microbiome.
References
Akagawa, S., Tsuji, S., Onuma, C., Akagawa, Y., Yamaguchi, T., Yamagishi, M., Yamanouchi, S., Kimata, T., Sekiya, S. I., Ohashi, A., Hashiyada, M., Akane, A., & Kaneko, K. (2019). Effect of delivery mode and nutrition on gut microbiota in Neonates. Annals of Nutrition and Metabolism, 74(2), 132–139.
Bäckhed, F., Roswall, J., Peng, Y., Feng, Q., Jia, H., Kovatcheva-Datchary, P., Li, Y., Xia, Y., Xie, H., Zhong, H., Khan, M. T., Zhang, J., Li, J., Xiao, L., Al-Aama, J., Zhang, D., Lee, Y. S., Kotowska, D., Colding, C., … Jun, W. (2015). Dynamics and stabilization of the human gut microbiome during the first year of life. Cell Host and Microbe.
Cooke, G., Behan, J., Clarke, N., Gorman, W., & Costello, M. (2005). Comparing the gut flora of Irish breastfed and formula-fed neonates aged between birth and 6 weeks old. Microbial Ecology in Health and Disease, 17(3), 163–168.
Duar, R. M., Kyle, D., & Casaburi, G. (2020). Colonization resistance in the infant gut: The role of b. infantis in reducing pH and preventing pathogen growth. High-Throughput, 9(2).
Ervin, J. S., Russell, T. L., Layton, B. A., Yamahara, K. M., Wang, D., Sassoubre, L. M., Cao, Y., Kelty, C. A., Sivaganesan, M., Boehm, A. B., Holden, P. A., Weisberg, S. B., & Shanks, O. C. (2013). Characterization of fecal concentrations in human and other animal sources by physical, culture-based, and quantitative real-time PCR methods. Water Research.
Fayehun, O., & Asa, S. (2020). Abnormal birth weight in urban Nigeria: An examination of related factors. PLoS ONE, 15(11 November).
Fewtrell, M., Wilson, D. C., Booth, I., & Lucas, A. (2011). Six months of exclusive breast feeding: how good is the evidence? BMJ (Clinical Research Ed.).
Fjalstad, J. W., Esaiassen, E., Juvet, L. K., van den Anker, J. N., & Klingenberg, C. (2018). Antibiotic therapy in neonates and impact on gut microbiota and antibiotic resistance development: A systematic review. In Journal of Antimicrobial Chemotherapy.
Griffiths, L. J., Smeeth, L., Sherburne Hawkins, S., Cole, T. J., & Dezateux, C. (2009). Effects of infant feeding practice on weight gain from birth to 3 years. Archives of Disease in Childhood, 94(8), 577–582.
Guaraldi, F., & Salvatori, G. (2012). Effect of breast and formula feeding on gut microbiota shaping in newborns. Frontiers in Cellular and Infection Microbiology.
Indrio, F., Ladisa, G., Mautone, A., & Montagna, O. (2007). Effect of a fermented formula on thymus size and stool pH in healthy term infants. Pediatric Research.
Kent, G. (2015). Global infant formula: Monitoring and regulating the impacts to protect human health. International Breastfeeding Journal.
Kozhimannil, K. B., Jou, J., Attanasio, L. B., Joarnt, L. K., & McGovern, P. (2014). Medically complex pregnancies and early breastfeeding behaviors: A retrospective analysis. PLoS ONE.
Ma, J., Li, Z., Zhang, W., Zhang, C., Zhang, Y., Mei, H., Zhuo, N., Wang, H., Wang, L., & Wu, D. (2020). Comparison of gut microbiota in exclusively breast-fed and formula-fed babies: a study of 91 term infants. Scientific Reports, 10(1).
Marques, R. F. S. V., Lopez, F. A., & Braga, J. A. P. (2004). Growth of exclusively breastfed infants in the first 6 months of life. Jornal de Pediatria, 80(2), 99–105.
Olayemi, O., Williams, A., Adekugbe, O., Odubanjo, M., Fayehun, O., Uneke, J., Ogala, W., & Omotade, O. (2015). Factors Influencing The Practice Of Exclusive Breastfeeding In Three Regions Of Nigeria. Journal of Community Medicine and Primary Health Care, 26(1), 30–43.
Otaigbe, B. E., Alikor, E. A., & Nkanginieme, K. E. (2008). Growth pattern of exclusively breastfed infants in the first six months of life: a study of babies delivered at the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria. Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria, 17(3), 317–323.
Sánchez, B., Delgado, S., Blanco-Míguez, A., Lourenço, A., Gueimonde, M., & Margolles, A. (2017). Probiotics, gut microbiota, and their influence on host health and disease. In Molecular Nutrition and Food Research.
Ssd, M. (2020). Bacterial Contamination of Operating Theatres: a Case Study of a Hospital in Northern Nigeria. Science World Journal, 15(2), 2020.
Tanaka, M., & Nakayama, J. (2017). Development of the gut microbiota in infancy and its impact on health in later life. In Allergology International.
U.S Food and Drug Administration, F. (2014). Guidance for Industry: Demonstration of the Quality Factor Requirements Under 21 CFR 106.96(i) for. U.S Food and Drug Administration, FDA.
Wang, Z., Neupane, A., Vo, R., White, J., Wang, X., & Marzano, S. Y. L. (2020). Comparing Gut Microbiome in Mothers’ Own Breast Milk- and Formula-Fed Moderate-Late Preterm Infants. Frontiers in Microbiology, 11.
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