Impact of Probiotics on the Prevention and Treatment of Gastrointestinal Diseases in the Pediatric Population

Despite the high prevalence of gastrointestinal disorders (GIDs) in infants and children, especially those categorized as functional GIDs (FGIDs), insufficient knowledge about their pathophysiology has limited both symptomatic diagnosis and the development of optimal therapies. Recent advances in the field of probiotics have made their potential use as an interesting therapeutic and preventive strategy against these disorders possible, but further efforts are still needed. In fact, there is great controversy surrounding this topic, generated by the high variety of potential probiotics strains with plausible therapeutic utility, the lack of consensus in their use as well as the few comparative studies available on probiotics that record their efficacy. Taking into account these limitations, and in the absence of clear guidelines about the dose and timeframe for successful probiotic therapy, our review aimed to evaluate current studies on potential use of probiotics for the prevention and treatment of the most common FGIDs and GIDs in the pediatric population. Furthermore, matters referring to know major action pathways and key safety recommendations for probiotic administration proposed by major pediatric health agencies shall also be discussed

Association study between hypothalamic functional connectivity, early nutrition, and glucose levels in healthy children aged 6 years: The COGNIS study follow-up

Breastfeeding (BF) is the gold standard in infant nutrition; knowing how it influences brain connectivity would help understand the mechanisms involved, which would help close the nutritional gap between infant formulas and breast milk. We analyzed potential long-term differences depending on the diet with an experimental infant formula (EF), compared to a standard infant formula (SF) or breastfeeding (BF) during the first 18 months of life on children's hypothalamic functional connectivity (FC) assessed at 6 years old. A total of 62 children participating in the COGNIS randomized clinical trial (Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT02094547) were included in this study. They were randomized to receive an SF (n = 22) or a bioactive nutrient-enriched EF (n = 20). BF children were also included as a control study group (BF: n = 20). Brain function was evaluated using functional magnetic resonance imaging (fMRI) and mean glucose levels were collected through a 24-h continuous glucose monitoring (CGM) device at 6 years old. Furthermore, nutrient intake was also analyzed during the first 18 months of life and at 6 years old through 3-day dietary intake records. Groups fed with EF and BF showed lower FC between the medial hypothalamus (MH) and the anterior cingulate cortex (ACC) in comparison with SF-fed children. Moreover, the BF children group showed lower FC between the MH and the left putamen extending to the middle insula, and higher FC between the MH and the inferior frontal gyrus (IFG) compared to the EF-fed children group. These areas are key regions within the salience network, which is involved in processing salience stimuli, eating motivation, and hedonic-driven desire to consume food. Indeed, current higher connectivity found on the MH-IFG network in the BF group was associated with lower simple sugars acceptable macronutrient distribution ranges (AMDRs) at 6 months of age. Regarding linoleic acid intake at 12 months old, a negative association with this network (MH-IFG) only in the BF group was found. In addition, BF children showed lower mean glucose levels compared to SF-fed children at 6 years old. Our results may point out a possible relationship between diet during the first 18 months of life and inclined proclivity for hedonic eating later in life.Randox LaboratoriesS.L. Contract University of Granada General FoundationSpanish Government 3349Contract University of Granada General Foundation 3349European Commission CIEN-IDI-20141206Junta de Andalucia Consejeria de Transformacion Economica, Industria, Conocimiento y Universidades 4003Fundacion Carolina, Madrid, Spain 633595 40

Base de datos de clima marítimo en España

[ES] Desde tiempo atrás, y por varias instituciones, se instalaron en España diversos instrumentos de medida oceanográfica, que sin embargo no se mantuvieron de forma sistemática ni se incorporaron a bases de datos. Hay constancia de campañas de medida del Instituto Español de Oceanografia, y tenemos registrados datos de boyas de oleaje desde 1973, así como registros de mareógrafos sobre papel desde principios de siglo, de los cuales, algunos corresponden a instrumentos que han cambiado de localización o han sido abandonados. Estos datos antiguos son de escasa utilidad para la comunidad científica y técnica al no estar fácilmente accesibles. El Programa de Clima Marítimo y Banco de Datos Oceanográficos se creó en 1983 en la Dirección General de Puertos y Costas para tratar de corregir esa situación y establecer un banco de datos de acceso público y sencillo. Hoy aquel Programa se ha convertido en el Departamento de I+D de Puertos del Estado, con el nombre de Clima Marítimo. El Departamento de Clima Marítimo, de Puertos del Estado (Ente Público incluido en el MOPTMA) se estructura en 5 secciones. Dos de ellas se encargan de desarrollar modelos de interacción viento-oleaje, y modelos oceanográficos de mareas y corrientes en 3-D. Otra tiene como responsabilidad el tratamiento estadístico de los datos de los instrumentos oceanográficos de Puertos del Estado y el diseño de nuevas instalaciones instrumentales. La cuarta se ocupa de todas las cuestiones referentes a la base de datos oceanográfica, mientras que existe una quinta sección dedicada al apoyo informático. Objetivo prioritario de Clima Marítimo es el mantenimiento de una Base de Datos de estructura abierta en la que se almacenen todos los datos de interés oceanográfico al que el Departamento pueda tener acceso, mediante instrumentos propios de las Redes de Medida de Puertos del Estado, mediante intercambio o mediante compra.Ruiz, A.; Nistal, A.; Pérez, B.; Huerta, M.; Ruiz, MI.; Nieto, JC.; Serrano, O. (1995). Base de datos de clima marítimo en España. Ingeniería del Agua. 2(1 Extraordinario):75-88. https://doi.org/10.4995/ia.1995.2661SWORD758821 Extraordinari

Influence of eating schedule on the postprandial response : Gender differences

This work was supported in part by the Spanish Ministry of Economy and Competitiveness. Ciberehd is funded by the Instituto de Salud Carlos III. The research leading to these results has received funding from the People Programme of the EU's 7th Framework Programme under REA grant agreement no. 607652 (ITN NeuroGut). Dr Monrroy was supported by a grant from Pontificia Universidad Católica de Chile.Ingestion of a meal induces conscious sensations depending of the characteristics of the meal and the predisposition of the eater. We hypothesized that the eating schedule plays a conditioning role, specifically, that an extemporaneous meal is less rewarding than when eaten at the habitual schedule. We conducted a randomized parallel trial in 10 women and 10 men comparing the responses to a consistent savoury lunch-type meal (stewed beans) eaten at the habitual afternoon schedule or at an unconventional time in the morning. Schedule and gender differences were analyzed by repeated measures analysis of covariance. In women, the sensory experience induced by the probe meal, particularly postprandial satisfaction, was weaker when eaten at an unconventional time for breakfast. Men were resilient to the schedule effect and experienced the same sensations regardless of the timing of ingestion; the effect of the eating schedule was significantly more pronounced in women for fullness (F(1,55) = 14.9; p < 0.001), digestive well-being (F(1,36.8) = 22.3; p < 0.001), mood (F(1,12.4) = 13.8; p < 0.001), and anxiety (F(1,11.9) = 10.9; p = 0.001). No differences in the physiological responses induced by the afternoon and morning meals were detected either in women or men. Our data indicate that women are more susceptible to changes in meal schedule than men

Meal enjoyment and tolerance in women and men

Various conditioning factors influence the sensory response to a meal (inducible factors). We hypothesized that inherent characteristics of the eater (constitutive factors) also play a role. The aim of this proof-of-concept study was to determine the role of gender, as an individual constitutive factor, on the meal-related experience. Randomized parallel trial in 10 women and 10 men, comparing the sensations before, during, and after stepwise ingestion of a comfort meal up to full satiation. Comparisons were performed by repeated Analysis of Covariance (ANCOVA) measures. During stepwise ingestion, satisfaction initially increased up to a peak, and later decreased down to a nadir at the point of full satiation. Interestingly, the amount of food consumed at the well-being peak was lower, and induced significantly less fullness in women than in men. Hence, men required a larger meal load and stronger homeostatic sensations to achieve satisfaction. The same pattern was observed at the level of full satiation: men ate more and still experienced positive well-being, whereas in women, well-being scores dropped below pre-meal level. The effect of gender on the ingestion experience suggests that other constitutive factors of the eater may also influence responses to meals

Maternal weight, gut microbiota, and the association with early childhood behavior: the PREOBE follow-up study

Background and aim Maternal overweight and breastfeeding seem to have a significant impact on the gut microbiota colonization process, which co-occurs simultaneously with brain development and the establishment of the “microbiota-gut-brain axis”, which potentially may affect behavior later in life. This study aimed to examine the influence of maternal overweight, obesity and/or gestational diabetes on the offspring behavior at 3.5 years of age and its association with the gut microbiota already established at 18 months of life. Methods 156 children born to overweight (OV, n = 45), obese (OB, n = 40) and normoweight (NW, n = 71) pregnant women participating in the PREOBE study were included in the current analysis. Stool samples were collected at 18 months of life and gut microbiome was obtained by 16S rRNA gene sequencing. Behavioral problems were evaluated at 3.5 years by using the Child Behavior Checklist (CBCL). ANOVA, Chi-Square Test, ANCOVA, Spearman’s correlation, logistic regression model and generalized linear model (GLM) were performed. Results At 3.5 years of age, Children born to OV/OB mothers showed higher scores in behavioral problems than those born to NW mothers. Additionally, offspring born to OB mothers who developed gestational diabetes mellitus (GDM) presented higher scores in attention/deficit hyperactivity and externalizing problems than those born to GDM OV/NW mothers. Fusicatenibacter abundance found at 18 months of age was associated to lower scores in total, internalizing and pervasive developmental problems, while an unidentified genus within Clostridiales and Flavonifractor families abundance showed a positive correlation with anxiety/depression and somatic complaints, respectively. On the other hand, children born to mothers with higher BMI who were breastfed presented elevated anxiety, internalizing problems, externalizing problems and total problems scores; likewise, their gut microbiota composition at 18 months of age showed positive correlation with behavioral problems at 3.5 years: Actinobacteria abundance and somatic complaints and between Fusobacteria abundance and withdrawn behavior and pervasive developmental problems. Conclusions Our findings suggests that OV/OB and/or GDM during pregnancy is associated with higher behavioral problems scores in children at 3.5 years old. Additionally, associations between early life gut microbiota composition and later mental health in children was also found.Andalusian Government, Economy, Science and Innovation Ministry P06-CTS-02341Spanish Government SB2010-0025EU Project FP7 MyNewGut KBBE-2013-7 613979Ministry of Economic Transformation, Industry, Knowledge, and University of the Junta de Andalucia (Andalusian Plan for Research, Development and Innovation, PAIDI 2020)Institute of Health Carlos III (ISCIII) CD21/0018

Potential release and bioaccessibility of metal/loids from mine wastes deposited in historical abandoned sulfide mines

This study deals with the potential release of metal/loids from sulfide mine wastes upon weathering and the health risks associated with their accidental ingestion. To address this, a complete chemical and mineralogical characterization of a variety of sulfide mine wastes was performed alongside a determination of metal/loid bioaccessibility through leaching tests simulating human digestive and lung fluids. The mine wastes consisted predominantly of Fe (35–55% of Fe2O3) and exhibited high concentrations of trace metalloids such as As (382–4310 mg/kg), Pb (205–15,974 mg/kg), Cu (78–1083 mg/kg), Zn (274–1863 mg/kg), or Sb (520–1816 mg/ kg). Most wastes with high concentrations of soluble compounds are considered hazardous according to the European regulations due to the exceedance of threshold values for As, Pb, Cr, Cu, Sb, sulfates, and Zn determined by standardized tests. In general terms, the absorption of waste-hosted metals through both digestive and respiratory routes was low compared to the total metal contents of the wastes, with values below 8% of the total concentration in wastes for most metal/loids including Cu, Zn, As, Cd, Tl, or U. However, some metals exhibited a significantly higher absorption potential, especially through the respiratory route, reaching values of up to 17% for Cr and 75% for Pb, highlighting the strong bioaccessibility of Pb in certain sulfide wastes. Despite the high metal/loid concentrations observed in the studied wastes, a health risk assessment indicated that some noncarcinogenic effects could be observed in children only following the accidental digestion of Pb.This work was supported by the Spanish Ministry of Economy and Competitiveness under the research project TRAMPA (MINECO; PID2020-119196RB-C21). C.R C´anovas thanks the Spanish Ministry of Science and Innovation for the Postdoctoral Fellowship granted under application reference RYC2019-027949-I. BCL, AAB and TGB were supported by projects PG2018-096608-B-C21 from the Spanish Ministry of Science and innovation (MINECO) and P20-00366 (Ministry of Economy, Knowledge, Business and Universities, Regional Government of Andalusia, Spain). We would also like to thank to the Editor Dr. Hefa Cheng and five anonymous reviewers for the support and comments that notably improved the quality of the original paper. Funding for open access charge: Universidad de Huelva / CBUA

Infant Formula Supplemented With Milk Fat Globule Membrane, Long-Chain Polyunsaturated Fatty Acids, and Synbiotics Is Associated With Neurocognitive Function and Brain Structure of Healthy Children Aged 6 Years: The COGNIS Study

This project has been funded by Laboratorios Ordesa, S.L. Contract University of Granada General Foundation, No. 3349 and SMARTFOODS (CIEN) Contract University of Granada General Foundation, No. 4003, Spanish Ministry of Economy, Industry and Competitiveness. Furthermore, the project has been partially funded by HORIZON 2020 EU DynaHEALTH Project (GA No. 633595).Background: Adequate nutrient intake during the first few months of life plays a critical role on brain structure and function development. Objectives: To analyze the long-term effects of an experimental infant formula (EF) on neurocognitive function and brain structure in healthy children aged 6 years compared to those fed with a standard infant formula or breastfed. Methods: The current study involved 108 healthy children aged 6 years and participating in the COGNIS Study. At 0–2 months, infants were randomized to receive up to 18 months of life a standard infant formula (SF) or EF enriched with milk fat globule membrane (MFGM), long-chain polyunsaturated fatty acids (LC-PUFAs) and synbiotics. Furthermore, a reference group of breastfed (BF) infants were also recruited. Children were assessed using neurocognitive tests and structural Magnetic Resonance Imaging (MRI) at 6 years old. Results: Experimental infant formula (EF) children showed greater volumes in the left orbital cortex, higher vocabulary scores and IQ, and better performance in an attention task than BF children. EF children also presented greater volumes in parietal regions than SF kids. Additionally, greater cortical thickness in the insular, parietal, and temporal areas were found in children from the EF group than those fed with SF or BF groups. Further correlation analyses suggest that higher volumes and cortical thickness of different parietal and frontal regions are associated with better cognitive development in terms of language (verbal comprehension) and executive function (working memory). Finally, arachidonic acid (ARA), adrenic acid (AdA), docosahexaenoic acid (DHA) levels in cheek cell glycerophospholipids, ARA/DHA ratio, and protein, fatty acid, and mineral intake during the first 18 months of life seem to be associated with changes in the brain structures at 6 years old. Conclusions: Supplemented infant formula with MFGM components, LC-PUFAs, and synbiotics seems to be associated to long-term effects on neurocognitive development and brain structure in children at 6 years old.Laboratorios OrdesaContract University of Granada General Foundation 3349SMARTFOODS (CIEN) Contract University of Granada General Foundation 4003Spanish Ministry of Economy, Industry and Competitiveness. FurthermoreEU DynaHEALTH Project 63359

Boletín DTCENS de actualidad jurídico laboral nº 2

Este boletín recopila normativa y jurisprudencia comunitaria en materia social, normativa jurídico-laboral estatal publicada en el BOE, así como las principales sentencias del Tribunal Constitucional.No publicad

The Effects of an Infant Formula Enriched with Milk Fat Globule Membrane, Long-Chain Polyunsaturated Fatty Acids and Synbiotics on Child Behavior up to 2.5 Years Old: The COGNIS Study

Although early life nutrition influences brain development and mental health, the long-term e ects of supplemented infant formula on children´s behavior remain unclear. We analyzed the e ects of a bioactive nutrients-enriched-infant formula on children’s behavior up to 2.5 years, compared to a standard infant formula or breastfeeding. Current analysis involved 70 children who were fed a standard infant formula (SF, n = 29) or a bioactive compounds enriched-infant formula (EF, n = 41), during their first 18 months of life, and 33 breastfed (BF) children (reference group) participating in the COGNIS study. Behavioral problems were evaluated using the Child Behavior Checklist at 18 months and 2.5 years. Di erent statistical analyses were performed using SPSS. EF children aged 2.5 years presented fewer pathological a ective problems than SF children. Besides, SF children were classified more frequently as bordering on internalizing problems than BF children. Rates of externalizing problems were increased in SF infants compared to EF and BF infants. Higher maternal IQ was found to have beneficial e ects on internalizing and total problem rate in their o spring at 18 months of life; finally, higher maternal educational level was related with fewer ADHD problems in children at 18 months, as well as internalizing, externalizing, total and anxiety problems in children aged 2.5 years. Our analysis suggests that enriched infant formula fed infants seem to show fewer behavioral problems up to 2.5 years compared to a standard infant formula-fed infants. In addition to type of early feeding, maternal IQ and educational level seem to play a key role on children behavioral development.Ordesa LaboratoriesS.L. Contract University of Granada General Foundation 3349SMARTFOODS (CIEN) Contract University of Granada General Foundation 4003Spanish Ministry of Economy, Industry and CompetitivenessHORIZON 2020 EU DynaHEALTH Project 633595Fundación Carolina, Madrid, SpainCatedra ORDESA-University of Granada, Spain as part of Special Issue "Early Nutrition and Re-programming of Health and Disease