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Effects of probiotic supplementation on abdominal pain severity in pediatric patients with irritable bowel syndrome:a systematic review and meta-analysis of randomized clinical trials

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World Journal of Pediatrics 2022年第5期18卷 320-332页

作者： Somayeh Fatahi Amirhossein Hosseini Mohammad Hassan Sohouli Aliakbar Sayyari Katayoun Khatami Zahra Fazeli Farsani Hamzeh Amiri naghi dara Ivan G.O.de Souza Heitor O.Santos Pediatric Gastroenterology Hepatologyand Nutrition Research Center.Research Institute for Children's HealthShahid Beheshti University of Medical SciencesTehranIran Student Research Committee Faculty of Public Health BranchIran University of Medical Sciences.Tehran.Iran Student Research Committee.Department of Clinical Nutrition and Dietetics Faculty of Nutrition and Food TechnologyShahid Beheshti University of Medical Sciences.TehranIran School of Health Sciences.Universidade Salvador(UNIFACS) SalvadorBahia.Brazil School of Medicine Federal University of Uberlandia(UFU)UberlandiaMinas GeraisBrazil

Background Probiotic supplementation has been used to alleviate abdominal pain in children and adolescents with irritable bowel syndrome(IBS),but the evidence is not ***,a systematic review and meta-analysis of randomized clinical trials(RCTs)were performed to investigate the effects of probiotic supplementation on abdominal pain in pediatric patients with *** PubMed/MEDLINE,Web of Science,Scopus,Cochrane Library,and Embase were the available databases searched to find relevant randomized clinical trials up to April *** effect size was expressed as weighted mean differenee(WMD)and 95% confidence interval(CI).Results Seven RCTs with 441 participants were included,from which the meta-analysis demonstrated that probiotic supplementation has a significant effect on reducing abdominal pain in pediatric patients with IBS(WMD=-2.36:95%CI-4.12 to-0.60;P=0.009).Although our study involved children and adolescents(≤18 years),the effects of probiotic supplementation seem to be more potent in patients under 10 years old(WMD=-2.55;95%CI-2.84 to -2.27)compared to patients aged 10-18 years(WMD=-1.70;95%CI-2.18 to -1.22).The length of supplementation longer than four weeks was more effective(WMD=-2.43;95%CI-2.76 to -2.09).Conclusion Probiotic supplementation can reduce abdominal pain in pediatric patients with IBS.

关键词： Abdominal pain Adolescents-Irritable bowel syndrome Meta-analysis Probiotic

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