title: The Association of Bifidobacterium breve BR03 and B632 is Effective to Prevent Colics in Bottle-fed Infants: A Pilot, Controlled, Randomized, and Double-Blind Study.
abstract: To assess the effectiveness of Bifidobacterium breve B632 and BR03 association in the reduction of infants crying over time. The second endpoint was to observe the effect of the same strains on daily evacuations and on the number of regurgitations and vomits.
  
  
  
  Infant colics represent a clinical condition in childhood, characterized by an uncontrollable crying that occurs without any apparent organic cause. An altered intestinal microbiota composition in the very first months may induce intestinal colics in infants. Thus far, no treatment is really effective for this problem, but recent literature shows an increasing attention toward probiotics.
  
  
  
  A total of 83 subjects were enrolled, 60 breastfed infants and 23 bottle-fed infants. Sixty of them carried out the study: 29 infants were given probiotics, whereas 31 placebo. During the 90 days of the study, parents were asked to give 5 drops of active product (10 viable cells/strain) or placebo and to daily take note of: minutes of crying, number, color, and consistency of evacuations, and number of regurgitations or vomits.
  
  
  
  No significant differences were detected in the infants treated with probiotics, compared with placebo group (P=0.75). The analysis of the 3 months of treatment demonstrated that during the third month, the probiotic group cried 12.14 minutes on average and the placebo cried 46.65 minutes. This difference is statistically significant (P=0.016).
  
  
  
  The evidence of the usefulness of some probiotic strains in the treatment and prevention of infant colics is growing, and therefore their use in clinical practice is spreading.
authors.affiliation: *Department of Medical Sciences, Division of Pediatrics, University of Piemonte Orientale "A. Avogadro" §Probiotical SpA, Novara †Department of Agricultural Sciences, University of Bologna "Alma Mater Studiorum," Bologna ‡Gastroenterology Department, Santa Rita Hospital-Policlinico di Monza, Vercelli, Italy.
authors.forename: Enza
authors.initials: E
authors.lastname: Giglione
authors.forename: Flavia
authors.initials: F
authors.lastname: Prodam
authors.forename: Simonetta
authors.initials: S
authors.lastname: Bellone
authors.forename: Sonia
authors.initials: S
authors.lastname: Monticone
authors.forename: Sheila
authors.initials: S
authors.lastname: Beux
authors.forename: Agostina
authors.initials: A
authors.lastname: Marolda
authors.forename: Alessia
authors.initials: A
authors.lastname: Pagani
authors.forename: Diana
authors.initials: D
authors.lastname: Di Gioia
authors.forename: Mario
authors.initials: M
authors.lastname: Del Piano
authors.forename: Giovanni
authors.initials: G
authors.lastname: Mogna
authors.forename: Gianni
authors.initials: G
authors.lastname: Bona
mesh_terms: D000069984:Bifidobacterium breve; D001903:Bottle Feeding / Q000379:methods*; D001942:Breast Feeding; D003085:Colic / Q000382:microbiology / Q000628:therapy*; D003448:Crying; D004311:Double-Blind Method; D005260:Female; D000069196:Gastrointestinal Microbiome; D006801:Humans; D007223:Infant; D008297:Male; D010865:Pilot Projects; D019936:Probiotics / Q000627:therapeutic use*; D016896:Treatment Outcome