Stunting and Gut Microbiota: A Literature Review
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Stunting, a condition characterized by impaired growth and development in children, remains a major public health concern worldwide. Over the past decade, emerging evidence has shed light on the potential role of gut microbiota modulation in stunting. Gut microbiota dysbiosis has been linked to impaired nutrient absorption, chronic inflammation, altered short-chain fatty acid production, and perturbed hormonal and signaling pathways, all of which may hinder optimal growth in children. This review aims to provide a comprehensive analysis of existing research exploring the bidirectional relationship between stunting and the gut microbiota. Although stunting can alter the gut microbial community, microbiota dysbiosis may exacerbate it, forming a vicious cycle that sustains the condition. The need for effective preventive and therapeutic strategies targeting the gut microbiota to combat stunting is also discussed. Nutritional interventions, probiotics, and prebiotics are among the most promising approaches to modulate the gut microbiota and potentially ameliorate stunting outcomes. Ultimately, a better understanding of the gut microbiota-stunting nexus is vital for guiding evidence-based interventions that can improve the growth and development trajectory of children worldwide, making substantial strides toward reducing the burden of stunting in vulnerable populations.
Abstract
Stunting, a condition characterized by impaired growth and development in children, remains a major public health concern worldwide. Over the past decade, emerging evidence has shed light on the potential role of gut microbiota modulation in stunting. Gut microbiota dysbiosis has been linked to impaired nutrient absorption, chronic inflammation, altered short-chain fatty acid production, and perturbed hormonal and signaling pathways, all of which may hinder optimal growth in children. This review aims to provide a comprehensive analysis of existing research exploring the bidirectional relationship between stunting and the gut microbiota. Although stunting can alter the gut microbial community, microbiota dysbiosis may exacerbate it, forming a vicious cycle that sustains the condition. The need for effective preventive and therapeutic strategies targeting the gut microbiota to combat stunting is also discussed. Nutritional interventions, probiotics, and prebiotics are among the most promising approaches to modulate the gut microbiota and potentially ameliorate stunting outcomes. Ultimately, a better understanding of the gut microbiota-stunting nexus is vital for guiding evidence-based interventions that can improve the growth and development trajectory of children worldwide, making substantial strides toward reducing the burden of stunting in vulnerable populations.
참고문헌 (37)
- Black RE, "Maternal and child undernutrition and overweight in low-income and middle-income countries", Lancet, 382, pp.427~451 (2013)
- de Onis M, "Worldwide implementation of the WHO Child Growth Standards", Public Health Nutr, 15, pp.1603~1610 (2012)
- Bhutta ZA, "Evidence-based interventions for improvement of maternal and child nutrition : what can be done and at what cost?", Lancet, 382, pp.452~477 (2013)
- Robertson RC, "The gut microbiome and early-life growth in a population with high prevalence of stunting", Nat Commun, 14, pp.654~ (2023)
- Mwaniki EW, "Nutrition status and associated factors among children in public primary schools in Dagoretti, Nairobi, Kenya", Afr Health Sci, 13, pp.39~46 (2013)
- Hoffman DJ, "Microbiome, growth retardation and metabolism : are they related?", Ann Hum Biol, 44, pp.201~207 (2017)
- "Joint child malnutrition estimates"[URL]
- Global nutrition targets 2025: stunting policy brief, "World Health Organization (WHO)", World Health Organization, ~ (2014)
- Reinhardt K, "Addressing chronic malnutrition through multi-sectoral, sustainable approaches : a review of the causes and consequences", Front Nutr, 1, pp.13~ (2014)
- "Childhood stunting: context, causes and consequences" (2016)[URL]
- Budge S, "Environmental enteric dysfunction and child stunting", Nutr Rev, 77, pp.240~253 (2019)
- Ursell LK, "Defining the human microbiome", Nutr Rev, 70(Suppl 1), pp.S38~44 (2012)
- Saeed NK, "Gut microbiota in various childhood disorders : implication and indications", World J Gastroenterol, 28, pp.1875~1901 (2022)
- den Besten G, "The role of short-chain fatty acids in the interplay between diet, gut microbiota, and host energy metabolism", J Lipid Res, 54, pp.2325~2340 (2013)
- Durda-Masny M, "The mediating role of the gut microbiota in the physical growth of children", Life(Basel), 12, pp.152~ (2022)
- Rowland I, "Gut microbiota functions : metabolism of nutrients and other food components", Eur J Nutr, 57, pp.1~24 (2018)
- Strandwitz P, "Neurotransmitter modulation by the gut microbiota", Brain Res, 1693(Pt B), pp.128~133 (2018)
- Beller L, "Successional stages in infant gut microbiota maturation", mBio, 12, pp.e0185721~ (2021)
- Robertson RC, "The human microbiome and child growth-first 1000 days and beyond", Trends Microbiol, 27, pp.131~147 (2019)
- Subramanian S, "Persistent gut microbiota immaturity in malnourished Bangladeshi children", Nature, 510, pp.417~421 (2014)
- Solano-Aguilar G, "Characterization of fecal microbiota of children with diarrhea in 2 locations in Colombia", J Pediatr Gastroenterol Nutr, 56, pp.503~511 (2013)
- Talbert A, "Diarrhoea complicating severe acute malnutrition in Kenyan children : a prospective descriptive study of risk factors and outcome", PLoS One, 7, pp.e38321~ (2012)
- Iddrisu I, "Malnutrition and gut microbiota in children", Nutrients, 13, pp.2727~ (2021)
- Mitchell CM, "Delivery mode affects stability of early infant gut microbiota", Cell Rep Med, 1, pp.1~9 (2020)
- Dinh DM, "Longitudinal analysis of the intestinal microbiota in persistently stunted young children in south India", PLoS One, 11, pp.e0155405~ (2016)
- Balasubramaniam C, "Gut bacterial profile in Indian children of varying nutritional status : a comparative pilot study", Eur J Nutr, 60, pp.3971~3985 (2021)
- Gough EK, "Linear growth faltering in infants is associated with Acidaminococcus sp. and community-level changes in the gut microbiota", Microbiome, 3, pp.24~ (2015)
- Surono IS, "Gut microbiota profile of Indonesian stunted children and children with normal nutritional status", PLoS One, 16, pp.e0245399~ (2021)
- Smith MI, "Gut microbiomes of Malawian twin pairs discordant for kwashiorkor", Science, 339, pp.548~554 (2013)
- Heuven LA, "Gut microbiota-targeted nutritional interventions improving child growth in low-and middle-income countries : a systematic review", Curr Dev Nutr, 5, pp.nzab124~ (2021)
- Kara SS, "Lactobacillus rhamnosus GG can protect malnourished children", Benef Microbes, 10, pp.237~244 (2019)
- Mai TT, "Efficacy of probiotics on digestive disorders and acute respiratory infections : a controlled clinical trial in young Vietnamese children", Eur J Clin Nutr, 75, pp.513~520 (2021)
- Saran S, "Use of fermented foods to combat stunting and failure to thrive", Nutrition, 18, pp.393~396 (2002)
- Kamil RZ, "Gut microbiota modulation of moderate undernutrition in infants through gummy Lactobacillus plantarum Dad-13 consumption : a randomized double-blind controlled trial", Nutrients, 14, pp.1049~ (2022)
- Toe LC, "A prebiotic-enhanced lipid-based nutrient supplement(LNSp)increases Bifidobacterium relative abundance and enhances short-chain fatty acid production in simulated colonic microbiota from undernourished infants", FEMS Microbiol Ecol, 96, pp.fiaa105~ (2020)
- Nuzhat S, "Effects of probiotic and synbiotic supplementation on ponderal and linear growth in severely malnourished young infants in a randomized clinical trial", Sci Rep, 13, pp.1845~ (2023)
- Barratt MJ, "Bifidobacterium infantis treatment promotes weight gain in Bangladeshi infants with severe acute malnutrition", Sci Transl Med, 14, pp.eabk1107~ (2022)
