Effects of wheat bran extract containing arabinoxylan oligosaccharides on gastrointestinal parameters in healthy preadolescent children

J Pediatr Gastroenterol Nutr. 2014 May;58(5):647-53. doi: 10.1097/MPG.0000000000000285.

Abstract

Objectives: We assessed whether wheat bran extract (WBE) containing arabinoxylan-oligosaccharides (AXOS) elicited a prebiotic effect and modulated gastrointestinal (GI) parameters in healthy preadolescent children upon consumption in a beverage.

Methods: This double-blind randomized placebo-controlled crossover trial evaluated the effects of consuming WBE at 0 (control) or 5.0 g/day for 3 weeks in 29 healthy children (8-12 years). Fecal levels of microbiota, short-chain fatty acids, branched-chain fatty acids, ammonia, moisture, and fecal pH were assessed at the end of each treatment and at the end of a 1-week run-in (RI) period. In addition, the subjects completed questionnaires scoring distress severity of 3 surveyed GI symptoms. Finally, subjects recorded defecation frequency and stool consistency.

Results: Nominal fecal bifidobacteria levels tended to increase after 5 g/day WBE consumption (P = 0.069), whereas bifidobacteria expressed as percentage of total fecal microbiota was significantly higher upon 5 g/day WBE intake (P = 0.002). Additionally, 5 g/day WBE intake induced a significant decrease in fecal content of isobutyric acid and isovaleric acid (P < 0.01), markers of protein fermentation. WBE intake did not cause a change in distress severity of the 3 surveyed GI symptoms (flatulence, abdominal pain/cramps, and urge to vomit) (P > 0.1).

Conclusions: WBE is well tolerated at doses up to 5 g/day in healthy preadolescent children. In addition, the intake of 5 g/day exerts beneficial effects on gut parameters, in particular an increase in fecal bifidobacteria levels relative to total fecal microbiota, and reduction of colonic protein fermentation.

Trial registration: ClinicalTrials.gov NCT01001949.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Pain / etiology
  • Ammonia / analysis
  • Bifidobacterium / isolation & purification
  • Child
  • Cross-Over Studies
  • Dietary Fiber* / analysis
  • Double-Blind Method
  • Fatty Acids / analysis
  • Fatty Acids, Volatile / analysis
  • Feces / chemistry
  • Feces / microbiology
  • Female
  • Flatulence / chemically induced
  • Gastrointestinal Tract / drug effects
  • Gastrointestinal Tract / microbiology*
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Microbiota / drug effects*
  • Oligosaccharides / administration & dosage*
  • Oligosaccharides / analysis
  • Patient Compliance
  • Placebos
  • Plant Extracts / administration & dosage*
  • Plant Extracts / adverse effects
  • Prebiotics
  • Xylans / administration & dosage*
  • Xylans / analysis

Substances

  • Dietary Fiber
  • Fatty Acids
  • Fatty Acids, Volatile
  • Oligosaccharides
  • Placebos
  • Plant Extracts
  • Prebiotics
  • Xylans
  • Ammonia
  • arabinoxylan

Associated data

  • ClinicalTrials.gov/NCT01001949