Literature DB >> 30716730

Effect of Delivery Mode and Nutrition on Gut Microbiota in Neonates.

Shohei Akagawa1,2, Shoji Tsuji1, Chikushi Onuma1, Yuko Akagawa1, Tadashi Yamaguchi1,2, Mitsuru Yamagishi1,2, Sohsaku Yamanouchi1, Takahisa Kimata1, Shin-Ichiro Sekiya1,2, Atsushi Ohashi1,2, Masaki Hashiyada3, Atsushi Akane3, Kazunari Kaneko4.   

Abstract

BACKGROUND/AIMS: The mode of delivery (vaginal or cesarean section) and feeding type (breastfeeding or formula feeding) of neonates are considered the most influential factors in the development of gut microbiota.
OBJECTIVES: This study investigated the effect of prebiotic-rich breast milk on overcoming gut microbiota dysbiosis.
METHOD: Stool samples from 36 healthy Japanese neonates were obtained at 4 days and 1 month of age, and divided into 4 groups based on mode of delivery and feeding type. The gut microbiota composition and bacterial diversity were assessed using 16S rRNA sequencing.
RESULTS: At 4 days old, vaginally delivered neonates had a significantly higher diversity of bacteria than those born by cesarean section. Bacteroidales and Enterobacteriales were overrepresented in vaginally delivered neonates (p = 0.0031 and p = 0.011), while Bacillales and Lactobacillales were overrepresented in caesarean section delivered neonates (p = 0.012 and p = 0.0016). However, there was little difference in bacterial diversity and bacterial relative abundance at 1 month of age between groups.
CONCLUSIONS: Cesarean section delivery appeared to reduce the diversity of neonate gut microbiota, resulting in dysbiosis, but this improved to the equivalent level seen in vaginally delivered infants by 1 month of age. Breastfeeding, even for short periods, may therefore improve neonate gut dysbiosis.
© 2019 S. Karger AG, Basel.

Entities:  

Keywords:  16S rRNA gene sequencing; Diversity; Dysbiosis; Gut microbiota; Mode of delivery

Mesh:

Substances:

Year:  2019        PMID: 30716730     DOI: 10.1159/000496427

Source DB:  PubMed          Journal:  Ann Nutr Metab        ISSN: 0250-6807            Impact factor:   3.374


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