Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
234 participants
INTERVENTIONAL
2010-04-30
2012-08-31
Brief Summary
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Detailed Description
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In that respect, an appropriate maternal diet must provide sufficient energy and nutrients to meet the mother's usual requirements and promote health status, as well as the needs of the growing fetus and beyond for the neonate.
Key organogenesis steps take place during fetal life and many functional features of the immune system are already coded in the genetic asset of the individual. However, at birth the immune system remains fairly immature. An epigenetic, postnatal instruction seems to be extremely important for the maturation of the immune system allowing its full functionality.
The cross-talk between the mother and her baby is, indeed, crucial for the optimal development of the foetus and subsequently for the full and functional maturation of the neonate.
The newborn relies for his protection almost exclusively on his innate immune system that is initially instructed and educated early in life by factors derived from his mother as well as post-natal environmental factors such as early life colonization with micro-organisms that activates the innate immunity and enhance Th1-cell polarization thereby potentially reducing atopic dermatitis with respect to the hygiene hypothesis.
A large part of this immune education is provided by factors transmitted from the mother pre-natally through the placenta or post-natally via the breast milk. Breast milk contains a number of nutrients and bioactive components, including immune cells, maternal antibodies (mainly secretory IgA), cytokines, growth factors, lactoferrin, nucleotides, triacylglycerols, fatty acids, oligosaccharides, and vitamins. All together, these components beneficially impact the health status of the newborn, conferring, among other functions, immune education and early protection.
A typical example of such transfer of immune competence is the TGF-β that could be transmitted in active from either through the placenta or absorbed by the neonates through the milk. This TGF-β is an important IgA switch factor and this is likely to be responsible, in part, for the capacity of breast-fed infant to produce higher levels of mucosal SIgA compared to non-breast fed infants. Moreover, milk soluble CD14 transmitted to the newborn contributes to prime the neonatal gut to modulate the microbial recognition and establishment of endogenous microbiota.
Diarrhea episodes are major manifestation of common infant infections of viral or bacterial aetiology and are a key health concern in paediatrics. As mentioned above there are evidences that some probiotic strains significantly improve diarrheal outcomes in infants, particularly rotavirus diarrhea. In that respect diarrhea occurrence was selected as the primary outcome in the present trial.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
QUADRUPLE
Study Groups
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oral supplement1
Oral supplement for pregnant and lactating mothers
milk supplement 1
milk supplement with probiotics
oral supplement 2
Oral supplement for pregnant and lactating mothers
milk supplement 2
milk supplement without probiotics
Reference
No oral supplementation during pregnancy and lactating.
No interventions assigned to this group
Interventions
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milk supplement 1
milk supplement with probiotics
milk supplement 2
milk supplement without probiotics
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Willing to consume 2 x 200 ml of test product daily
* Willing to exclusively breastfeed until the baby is at least 2-month old
* Having signed the informed consent
Exclusion Criteria
* Subjects previously diagnosed HIV(+) and Hepatitis B (+)
* Multiple pregnancy
* High risk pregnancy (pre-eclampsia, diabetes, etc)
* Currently participating or having participated in another clinical trial during the last 3 months
* Subjects who consumed pro- and /or prebiotics-containing food/supplement\* in the month before inclusion
FEMALE
Yes
Sponsors
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University of the Philippines
OTHER
Société des Produits Nestlé (SPN)
INDUSTRY
Responsible Party
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Principal Investigators
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Dr. Valerie Guinto, MD
Role: PRINCIPAL_INVESTIGATOR
University of the Philippines
Dr. Jacinto Mantaring, MD
Role: PRINCIPAL_INVESTIGATOR
University of the Philippines
Locations
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Ospital Ng Muntinlupa
Manila, , Philippines
Countries
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References
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Mantaring J, Benyacoub J, Destura R, Pecquet S, Vidal K, Volger S, Guinto V. Effect of maternal supplement beverage with and without probiotics during pregnancy and lactation on maternal and infant health: a randomized controlled trial in the Philippines. BMC Pregnancy Childbirth. 2018 May 31;18(1):193. doi: 10.1186/s12884-018-1828-8.
Other Identifiers
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08.10 INF
Identifier Type: -
Identifier Source: org_study_id