Pediatrics

Developed Formulas
Benefits
  • Reduces intestinal permeability

  • Antipathogenic properties

  • Supports resolution of acute diarrhea

  • Alleviates abdominal pain

  • Helps ameliorate IBS and IBD

  • Reduces antibiotic associated diarrhea

  • Helps prevent respiratory tract infections

  • Reduces infant colic

Pediatrics
Ready to market
Pediatrics
Clinical test
Pediatrics
In vitro test
Pediatrics
Allergen Free
Pediatrics
Real time stability
Pediatrics
Strain in oil
Components

Lacticaseibacillus rhamnosus GG (ATCC53103)

Label Claim

Food supplement with probiotic strains.

Effective nutraceutical combination
Scientific Rationale

Lacticaseibacillus rhamnosus GG (LGG) is one of the most extensively researched and characterized probiotic strains globally, with over 30 years of clinical studies to its credit. Its broad range of benefits and applications, particularly in pediatric health, have been demonstrated through numerous in vitro and clinical studies [1].

  • Antipathogenic Activity: LGG exhibits broad-spectrum antipathogenic activity against various gastric and enteric pathogens, including Shigella, various E. coli serotypes, Salmonella typhimurium, Helicobacter pylori, several rotaviruses, and Staphylococcus aureus. It has also been tested for antibiotic resistance and susceptibility across more than 20 different antibiotics.

  • Gut Barrier Function: LGG effectively improves intestinal permeability by stimulating intestinal epithelial cell proliferation and enhancing the secretion of protective mucins.

  • Colonization in Newborns: LGG is known to colonize the gut of newborns more effectively than in adults, leading to extensive research in pediatric subjects, particularly in pediatric diarrhea. Over 1000 publications and 300 clinical studies have been conducted in this area.

Clinical Studies and Applications:

  • Infant Growth: Infants fed with LGG-enriched formula until the age of 6 months showed better growth compared to those fed with regular formula [2].

  • Acute Diarrhea: Numerous clinical studies have demonstrated the efficacy of LGG in treating acute diarrhea in children, including its prophylactic use for acute gastroenteritis [3].

  • Functional GI Disorders: Several studies have explored the role of LGG in abdominal pain-related functional GI disorders in childhood, such as IBS, functional dyspepsia, and functional abdominal pain [4].

  • Antibiotic-Associated Diarrhea: LGG has shown significant efficacy in multiple meta-analyses examining antibiotic-associated diarrhea, including its use in H. pylori eradication therapy in children [5].

  • Necrotizing Enterocolitis (NEC): Meta-analyses, including a systematic review by the ESPGHAN Working Group for Probiotics, Prebiotics & Committee on Nutrition in 2020, have highlighted the effectiveness of LGG in preventing NEC in preterm infants [6].

  • Respiratory Tract Infections (RTI): Many studies and meta-analyses have shown LGG's role in reducing the incidence, duration, and severity of ARTI episodes. A meta-analysis evaluating 12 RCTs in daycare settings indicated that LGG significantly reduced the duration of RTIs [7].

  • Pediatric IBS: Several RCTs support the clinical efficacy of LGG in pediatric IBS, with studies showing reduction in pain severity and frequency, and improvement in treatment success and abdominal pain symptoms [8].

  • Infant Colic: Studies demonstrate the efficacy of LGG in reducing crying and irritability in infant colic, and its positive impact on gut microbiota [9].

  • Cow’s Milk Protein Allergy (CMPA): Various studies on LGG in pediatric food allergies have shown improvements in digestive symptoms associated with CMPA, reduction in TNF-α levels, and improvement in oral tolerance and allergic manifestations [10].

LGG's extensive research and diverse applications make it a cornerstone in the field of probiotics, particularly in pediatric health.

Bibliography

1. Capurso L. Thirty Years of Lactobacillus rhamnosus GG: A Review. J Clin Gastroenterol. 2019 Mar;53 Suppl 1:S1-S41. Doi: 10.1097/MCG.0000000000001170

2. Vendt N, et al. Growth during the first 6 months of life in infants using formula enriched with Lactobacillus rhamnosus GG: double-blind, randomized trial. J Hum Nutr Diet. 2006 Feb;19(1):51-8. doi: 10.1111/j.1365-277X.2006.00660.x

3. Li YT, et al. Efficacy of Lactobacillus rhamnosus GG in treatment of acute pediatric diarrhea: A systematic review with meta-analysis. World J Gastroenterol. 2019 Sep 7;25(33):4999-5016. doi: 10.3748/wjg.v25.i33.4999

4. Ding FCL, et al. Probiotics for paediatric functional abdominal pain disorders: A rapid review. Paediatr Child Health. 2019 Sep;24(6):383-394. doi: 10.1093/pch/pxz036

5. Szajewska H, Kołodziej M. Systematic review with meta-analysis: Lactobacillus rhamnosus GG in the prevention of antibiotic-associated diarrhoea in children and adults. Aliment Pharmacol Ther. 2015 Nov;42(10):1149-57. doi: 10.1111/apt.13404

6. van den Akker CHP, et al. Probiotics and Preterm Infants: A Position Paper by the European Society for Paediatric Gastroenterology Hepatology and Nutrition Committee on Nutrition and the European Society for Paediatric Gastroenterology Hepatology and Nutrition Working Group for Probiotics and Prebiotics. J Pediatr Gastroenterol Nutr. 2020 May;70(5):664-680. doi: 10.1097/MPG.0000000000002655

7. Laursen RP, Hojsak I. Probiotics for respiratory tract infections in children attending day care centers-a systematic review. Eur J Pediatr. 2018 Jul;177(7):979-994. doi: 10.1007/s00431-018-3167-1

8. Francavilla R, et al. A randomized controlled trial of Lactobacillus GG in children with functional abdominal pain. Pediatrics. 2010 Dec;126(6):e1445-52. doi: 10.1542/peds.2010-0467

9. Skonieczna-Żydecka K, et al. The Effect of Probiotics on Symptoms, Gut Microbiota and Inflammatory Markers in Infantile Colic: A Systematic Review, Meta-Analysis and Meta-Regression of Randomized Controlled Trials. J Clin Med. 2020 Apr 2;9(4):999. doi: 10.3390/jcm9040999

10. Tan W, et al. Lactobacillus rhamnosus GG for Cow's Milk Allergy in Children: A Systematic Review and Meta-Analysis. Front Pediatr. 2021 Oct 22;9:727127. doi: 10.3389/fped.2021.727127

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