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Targeting microbiome can improve child undernutrition

The gut microbiome is a collective term for the trillions of different microbes living within the human gut, which are essential for developmental processes in early life, such as building immunity, hormone production and metabolism of certain nutrients

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Under nutrition is a widespread problem, particularly in developing countries, with a estimated 45% of deaths in children under five being linked to under nutrition.  Recently, there has been a growing interest in the role of the gut micro biome in Under nutrition and the potential for targeting the micro biome to improve child health.

 

The micro biome is a collection of microorganisms that live in the human digestive system, and research has shown that it plays a crucial role in digestion, immune function, and overall health.  In children with under nutrition, the gut micro biome is often altered , with reduced diversity and changes in the types of bacteria present. 

 

 One strategy for improving under nutrition in children is to Target the micro biome directly. This can be achieved through interventions such as probiotics , prebiotics and fecal micro biota transplantation (FMT).  Probiotics are live microorganisms that can provide health benefits when consumed in adequate amounts, while prebiotics are non-digestible food ingredients that stimulate the growth and activity of beneficial gut bacteria.   FMT involves the transfer of fecal matter from a healthy donor into a gut of a recipient to a healthy gut micro biome.



 

 Studies have shown that probiotics, prebiotics and FMT can improve the micro biome in the undernourished children, leading to improved growth and development, increased immune function, and reduced risk of infection.  For example, a randomized controlled trial in Malawi found that a symbiotic ( a combination of probiotics and prebiotics) improved growth in undernourished children compared to a placebo.

 

 So, targeting the gut micro biome has the potential to be an effective and relatively inexpensive approach for improving under nutrition in children.  However, further research is needed to determine the optimal interventions, dosages , and duration of treatment.  Additionally , access to these interventions may be limited in low-income settings, so efforts to increase availability and affordability will be necessary to make a significant impact on child under nutrition.