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Objective: Bloating, a biological process characterized by gas accumulation within the gastrointestinal tract, often results in abdominal pain and discomfort. Both children and adults frequently experience bloating and associated abdominal pain, causing significant distress. This review aims to identify and report on natural antioxidants that may be effective in alleviating bloating. Methods: For this review, literature searches were conducted using keywords such as "herbal remedies," "bloating," and "traditional medicine." Databases such as Google Scholar, SID, MagIran, PubMed, and Scopus were utilized for the search. Ethnobotanical articles relevant to the topic were reviewed. Results: Herbal remedies including ginger, peppermint, turmeric, cumin, caraway, wormwood, dandelion, burdock, hibiscus, lemon balm, chamomile, and fennel have been shown to effectively reduce abdominal bloating and improve digestive health. Conclusion: The present study demonstrates that Iranian herbal remedies with potent antioxidant properties offer effective solutions for reducing abdominal bloating and enhancing digestive health. These herbs, through their bioactive compounds, not only alleviate gas accumulation within the stomach and intestines but also exert anti-inflammatory and soothing effects, which contribute to the alleviation of bloating-related abdominal pain. These findings emphasize the significance of utilizing natural and traditional treatments for managing digestive disorders and improving quality of life. A combination of these herbs, considering their unique properties, appears to be a comprehensive and effective therapeutic strategy for reducing bloating and promoting gastrointestinal health. [ABSTRACT FROM AUTHOR] more...

A recent review proposed a role for multi-functional food or supplement products in priming the gut to support both digestive and systemic health. Accordingly, we designed and eva-luated the effect of a multi-functional gastrointestinal (GI) primer supplement on participant-reported measures for digestive health, quality-of-life (e.g., energy/vitality and general health), and reasons for satiation (e.g., attitudes towards food and eating). In this single-arm clinical trial, 68 participants with mild digestive symptoms consumed the GI primer supplement daily for 14 days. Digestive symptoms were evaluated daily from baseline (Day 0) through Day 14. At baseline and Day 14, participants reported their stool consistency, reasons for satiation, and quality-of-life measures using validated questionnaires. At Day 14, participants reported significant improvements in all (13/13) digestive symptom parameters (p-values < 0.05) and an increase in % of stools with normal consistencies. There were significant improvements (p-values < 0.05) in energy/vitality and general health, and in specific attitudes towards food and eating (e.g., physical satisfaction, planned amount, decreased eating priority, decreased food appeal, and self-consciousness). Results suggest the GI primer supplement promotes digestive health, improves quality of life, and impacts attitudes towards food/eating. This study provides preliminary support for the gut priming hypothesis through which multi-functional digestive products may improve GI health. [ABSTRACT FROM AUTHOR] more...

The microbiome is a complex ecosystem of microorganisms that inhabit a specific environment. It plays a significant role in human health, from food digestion to immune system strengthening. The "Novel Foods" refer to foods or ingredients that have not been consumed by humans in the European Union before 1997. Currently, there is growing interest in understanding how "Novel Foods" affect the microbiome and human health. The aim of this review was to assess the effects of "Novel Foods" on the human gut microbiome. Research was conducted using scientific databases, focusing on the literature published since 2000, with an emphasis on the past decade. In general, the benefits derived from this type of diet are due to the interaction between polyphenols, oligosaccharides, prebiotics, probiotics, fibre content, and the gut microbiome, which selectively promotes specific microbial species and increases microbial diversity. More research is being conducted on the consumption of novel foods to demonstrate how they affect the microbiome and, thus, human health. Consumption of novel foods with health-promoting properties should be further explored to maintain the diversity and functionality of the gut microbiome as a potential tool to prevent the onset and progression of chronic diseases. [ABSTRACT FROM AUTHOR] more...

Simple Summary: This study aimed to evaluate rabbits' responses to the administration of six organic acids (OAs) through drinking water at three concentrations (pH levels). Animal drinking and feeding behaviour, pH evolution along the animal's gastrointestinal tract, and gastric pepsin activity were monitored in post-weaning rabbits for seven days. The screened combinations were used to identify the optimal OA candidates and pH values, while eliminating those that may exhibit early adverse effects in young rabbits. During our short-term assessment period, the OAs with the greatest potential for use in rabbit farming were formic acid, acetic acid, and citric acid at pH 4. However, further validation with a larger population of animals, and extending the duration of OA supplementation during the growing period could improve performance outcomes and enhance the modulation effect of the gastrointestinal environment. Organic acids (OAs) are employed in animal feed to regulate gastrointestinal disorders and diarrhoea thanks to their ability to modulate the gastrointestinal environment and their antimicrobial capacity. However, there is not enough evidence regarding the most adequate OA and its effectiveness in rabbit farming. Therefore, the aim of this study was to screen and evaluate the response of young rabbits to six OAs, administered via drinking water, at three different concentrations (pH levels). Organic acids (acetic, ACET; formic, FOR; propionic, PROP; lactic, LAC; citric, CIT; and butyric, BUT) were tested at three concentrations (pH 3, 4, and 5). A negative control (CON; non-acidified water) was also included. We used 240 weaned rabbits (28 days old) divided into 2 batches. In each batch, animals were randomly allocated to 1 of the 19 experimental treatments and were housed in group cages of 6 animals per cage, treatment, and batch. Among the 240 rabbits, an additional cage with 6 animals was included to determine the initial physiological state of the animals. All animals were fed with commercial pelleted feed throughout the whole experiment. The duration of the study was 7 days, until 35 days of age. At 31 and 35 days of age, in each batch, three animals per day and treatment were slaughtered. The pH of the digestive contents in the fundus, antrum, duodenum, jejunum, ileum, and cecum, as well as the gastric pepsin enzyme activity, was measured. Water and feed consumption per cage and individual body weight (BW) were recorded daily. The type and dosage of OAs affected water intake. ACET 3, PROP 3, and BUT 3 reduced water intake compared to CON, negatively impacting feed intake and weight gain. FOR and CIT acids led to the highest BW and weight gain at 35 days, compared to PROP, LAC, and BUT (p < 0.05); showing ACET intermediate values. While OAs had limited effects on gastric and small intestine pH, acidified water at pH 4 and 5 lowered ileum and caecum pH (p < 0.05) compared to pH 3. Acidified water at pH 4 showed the highest (p < 0.05) pepsin activity compared to pH 3 and pH 5. Considering the limited sample size and short-term assessment period of our screening test, the OAs with the highest potential for use in post-weaning rabbits were FOR, ACET, and CIT at pH 4. The selected combinations did not exhibit any early adverse effects in young rabbits. These results should be further confirmed in a broader population of animals. It would also be advisable to extend the application of OAs over longer periods to evaluate their effects throughout the entire growing period of rabbits. [ABSTRACT FROM AUTHOR] more...

Background: Functional gastrointestinal disorders (FGIDs), a frequent cause of gastrointestinal (GI) symptomology, impact 40%–69% of the United States population. People who suffer from FGIDs often self-manage their symptoms using consumer healthcare products such as dietary supplements. Objective: To investigate use of Digest-8 dietary supplement by people who purchased the product from pharmacies for their FGID symptoms. Methods: This pharmacy-based observational study included a convenience sample recruited by flyers at 2 pharmacies upon purchase of Digest-8 dietary supplement to assess symptoms, satisfaction, tolerability, and side-effects through 7 weekly voluntary surveys completed by consenting participants. Results: Twenty-two participants completed an initial survey and a collective total of 59 follow-up surveys. Analysis of follow-up surveys compared to baseline provided pilot data on symptom improvement, satisfaction, tolerability, and low side effect profile. Conclusion: Preliminary findings of the study warrant a follow-up prospective randomized clinical trial to address the study limitations. [ABSTRACT FROM AUTHOR] more...

BackgroundThis study aimed to investigate the relationship between oxidation balance score (OBS) and constipation.MethodsAll data was collected from the 2005–2010 cycles of the National health and nutrition examination survey (NHANES) database. The relationship between OBS and constipation was analyzed by logistic regression, restricted cubic spline. Trend analysis was used to explore whether there is a linear relationship between OBS quartiles and constipation, while interaction analysis was conducted to determine whether other factors influence the relationship between OBS and constipation. Subgroup analysis was used to examine the relationship between the two in different subgroups. The three machine learning algorithms including Xgboost, Randomforest, and AdaBoost was used to analyze the important component of OBS in constipation.ResultsA total of 8,074 participants were involved. We found that there was a negative linear relationship between OBS and constipation. The relationship also existed after adjusting for all possible confounders. The trend test showed that the higher the OBS, the lower the likelihood of developing constipation (P for trend more...

There has been a surge of research in the aquaculture industry investigating probiotic, prebiotic, and synbiotic interventions on the physiological mechanisms of fish, specifically digestive enzymes, oxidative stress, and antioxidant defense. In fish, probiotics have been shown to improve nutrient utilization and growth performance by stimulating digestive enzymes. Meanwhile, probiotics, prebiotics and synbiotics have also been studied for their ability to modulate oxidative stress and antioxidant defense mechanisms in fish, highlighting their multifaceted health benefits. This review identified current trends, research gaps, and future considerations in this evolving field. Although promising findings have been made, a significant research gap exists in understanding the specific role of probiotics prebiotics, and synbiotics in modulating digestive enzymes, oxidative stress, and antioxidant defense systems in a variety of fish species. As this study investigate into the existing body of literature, it becomes evident that while certain aspects of these interactions have been elucidated, a nuanced and comprehensive understanding still needs to be discovered. The variations in experimental design, species-specific responses, and the lack of standardized methodologies contribute to the complexity of the field. Digestive physiology and antioxidant defense mechanisms vary among different fish species, so future research should focus on species-specific responses to probiotic, prebiotic, and synbiotic formulations. It will also be possible to establish robust correlations between dietary interventions and observed effects through a systematic experimental design and methodology approach. Accordingly, further research is needed to understand the interactions between probiotics, prebiotics, and synbiotics in fish and digestive enzymes, oxidative stress, and antioxidant defense. Identifying research gaps and adopting standardized methodologies can help develop tailored strategies to optimize aquaculture fish health and growth performance. [ABSTRACT FROM AUTHOR] more...

Legumes provide a major portion of protein and calories in the diet of many people around the world. Among different legumes, chickpeas have higher bioavailability and protein. Legumes are the second most important source of human food after the cereal family. Among them, chickpea with 15 to 25% of protein rich in essential amino acids such as arginine, leucine, isoleucine, lysine, valine, threonine, meotine and cysteine, phenylalanine and tyrosine, this plant causes fertility due to nitrogen fixation. The content chickpea is not only a source of protein, but also a source of dietary fiber, resistant starch, polyunsaturated fatty acids, vitamins and minerals, especially folate, calcium, magnesium and potassium. Regarding chickpea milk, plant milk consumers have accepted chickpea extract well. Due to the effective compounds, it is necessary to study the process of human health. In this research, the evaluation of published articles was used and the extracts of these studies were used to compile this article. Reading this article inspires the reader with a favorable view about planting peas in the field and their properties in the body. It is recommended that according to the properties of chickpeas, food industry researchers, plant breeding researchers and other related experts should provide more extensive research works to identify its useful aspects for the healthy and organic production of this valuable plant. Finally, it should be seriously included in the household basket to have a healthy human body. more...

There has been a surge of research in the aquaculture industry investigating probiotic, prebiotic, and synbiotic interventions on the physiological mechanisms of fish, specifically digestive enzymes, oxidative stress, and antioxidant defense. In fish, probiotics have been shown to improve nutrient utilization and growth performance by stimulating digestive enzymes. Meanwhile, probiotics, prebiotics and synbiotics have also been studied for their ability to modulate oxidative stress and antioxidant defense mechanisms in fish, highlighting their multifaceted health benefits. This review identified current trends, research gaps, and future considerations in this evolving field. Although promising findings have been made, a significant research gap exists in understanding the specific role of probiotics prebiotics, and synbiotics in modulating digestive enzymes, oxidative stress, and antioxidant defense systems in a variety of fish species. As this study investigate into the existing body of literature, it becomes evident that while certain aspects of these interactions have been elucidated, a nuanced and comprehensive understanding still needs to be discovered. The variations in experimental design, species-specific responses, and the lack of standardized methodologies contribute to the complexity of the field. Digestive physiology and antioxidant defense mechanisms vary among different fish species, so future research should focus on species-specific responses to probiotic, prebiotic, and synbiotic formulations. It will also be possible to establish robust correlations between dietary interventions and observed effects through a systematic experimental design and methodology approach. Accordingly, further research is needed to understand the interactions between probiotics, prebiotics, and synbiotics in fish and digestive enzymes, oxidative stress, and antioxidant defense. Identifying research gaps and adopting standardized methodologies can help develop tailored strategies to optimize aquaculture fish health and growth performance. more...

Amidst the obesity and type II diabetes mellitus (T2DM) epidemics, glucagon-like peptide-1 receptor agonists (GLP-1RAs) stand out as a promising therapeutic ally, achieving notable success in glycemic control and weight management. While GLP-1RAs' positive clinical outcomes are commendable, they introduce significant gastrointestinal (GI) challenges, emphasizing the pivotal role of gastroenterologists in understanding and managing these implications. Physicians should be vigilant of potential complications if endoscopy is indicated and considered. A protocol coined "The Three E's: Education, Escalation, and Effective Management" is essential as the first defense against GLP-1RA-induced dyspepsia, necessitating routine GI consultations. Awareness and intervention of potential aspiration due to GLP-1RA-induced gastroparesis are vital in clinical management. Furthermore, the evolving recognition of GLP-1RAs' beneficial effects on non-alcoholic steatohepatitis (NASH) suggests gastroenterologists will increasingly prescribe them. Thus, a comprehensive understanding of pharmacological properties and potential GI complications, including the undetermined cancer risk landscape, becomes paramount. This review accentuates the nuances of GLP-1RA therapy from a gastroenterological lens, juxtaposing the therapeutic potential, manageable side effects, and circumstantial challenges, ensuring that GI specialists remain at the forefront of holistic care in obesity and T2DM management. [ABSTRACT FROM AUTHOR] more...

Copyright of Revista de Ciencias Sociales (13159518) is the property of Revista de Ciencias Sociales de la Universidad del Zulia Venezuela and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) more...

The microbiome is a complex ecosystem of microorganisms that inhabit a specific environment. It plays a significant role in human health, from food digestion to immune system strengthening. The “Novel Foods” refer to foods or ingredients that have not been consumed by humans in the European Union before 1997. Currently, there is growing interest in understanding how “Novel Foods” affect the microbiome and human health. The aim of this review was to assess the effects of “Novel Foods” on the human gut microbiome. Research was conducted using scientific databases, focusing on the literature published since 2000, with an emphasis on the past decade. In general, the benefits derived from this type of diet are due to the interaction between polyphenols, oligosaccharides, prebiotics, probiotics, fibre content, and the gut microbiome, which selectively promotes specific microbial species and increases microbial diversity. More research is being conducted on the consumption of novel foods to demonstrate how they affect the microbiome and, thus, human health. Consumption of novel foods with health-promoting properties should be further explored to maintain the diversity and functionality of the gut microbiome as a potential tool to prevent the onset and progression of chronic diseases. more...

In recent years, the popularity of fermented foods has strongly increased based on their proven health benefits and the adoption of new trends among consumers. One of these health-promoting products is water kefir, which is a fermented sugary beverage based on kefir grains (symbiotic colonies of yeast, lactic acid and acetic acid bacteria). According to previous knowledge and the uniqueness of each water kefir fermentation, the following project aimed to explore the microbial and chemical composition of a water kefir fermentation and its microbial consortium, through the integration of culture-dependent methods, compositional metagenomics, and untargeted metabolomics. These methods were applied in two types of samples: fermentation grains (inoculum) and fermentation samples collected at different time points. A strains culture collection of ∼90 strains was established by means of culture-dependent methods, mainly consisting of individuals of Pichia membranifaciens, Acetobacter orientalis, Lentilactobacillus hilgardii, Lacticaseibacillus paracasei, Acetobacter pomorum, Lentilactobacillus buchneri, Pichia kudriavzevii, Acetobacter pasteurianus, Schleiferilactobacillus harbinensis, and Kazachstania exigua, which can be further studied for their use in synthetic consortia formulation. In addition, metabarcoding of each fermentation time was done by 16S and ITS sequencing for bacteria and yeast, respectively. The results show strong population shifts of the microbial community during the fermentation time course, with an enrichment of microbial groups after 72 h of fermentation. Metataxonomics results revealed Lactobacillus and Acetobacter as the dominant genera for lactic acid and acetic acid bacteria, whereas, for yeast, P. membranifaciens was the dominant species. In addition, correlation and systematic analyses of microbial growth patterns and metabolite richness allowed the recognition of metabolic enrichment points between 72 and 96 h and correlation between microbial groups and metabolite abundance (e.g., Bile acid conjugates and Acetobacter tropicalis). Metabolomic analysis also evidenced the production of bioactive compounds in this fermented matrix, which have been associated with biological activities, including antimicrobial and antioxidant. Interestingly, the chemical family of Isoschaftosides (C-glycosyl flavonoids) was also found, representing an important finding since this compound, with hepatoprotective and anti-inflammatory activity, had not been previously reported in this matrix. We conclude that the integration of microbial biodiversity, cultured species, and chemical data enables the identification of relevant microbial population patterns and the detection of specific points of enrichment during the fermentation process of a food matrix, which enables the future design of synthetic microbial consortia, which can be used as targeted probiotics for digestive and metabolic health. more...

In recent days, a digestive abnormality is common due to modern life-style and food habits followed. For every ten adults in the world, four suffer from functional gastrointestinal (GI) disorders of varying severity. Further, this is demonstrated by a study of more than 73,000 people across 33 countries. Also, the subjects who have undergone surgery/medication may feel healthy and they cannot feel or realize the internal health disorders, resulting in severe consequences. In this regard, an electrogastrogram (EGG) has gained more significance since it is non-invasive and involves an easy process for screening digestive abnormalities. EGGs are electrical signals, which have strong association with digestion. Also, the EGG can be recorded using non-invasive/surface electrodes. In this work, two different conductive textile materials, namely stainless-steel fibers and Copper–Nickel-plated nylon, are utilised to fabricate non-invasive electrodes. Further, the developed electrodes are placed on the abdomen over the stomach and the EGG signals are acquired from healthy individuals. Also, various time and frequency domain features are extracted from two different EGG signals acquired using developed electrodes with different materials and are analysed. Additionally, the XAI, namely Shapley Additive Explanation (SHAP), technique is utilised to analyse and test the efficacy of the developed textile-based electrodes and to select the best electrode for EGG signal acquisition. This work appears to be highly significant since the developed electrode selected using the XAI tool shall possess a wide scope in wearable applications. more...

Bifidobacterium longum (B. longum) is a species of the core microbiome in the human gut, whose abundance is closely associated with host age and health status. B. longum has been shown to modulate host gut microecology and have the potential to alleviate various diseases. Comprehensive understanding on the colonization mechanism of B. longum and mechanism of the host- B. longum interactions, can provide us possibility to prevent and treat human diseases through B. longum -directed strategies. In this review, we summarized the gut colonization characteristics of B. longum , discussed the diet factors that have ability/potential to enrich indigenous and/or ingested B. longum strains, and reviewed the intervention mechanisms of B. longum in multiple diseases. The key findings are as follows: First, B. longum has specialized colonization mechanisms, like a wide carbohydrate utilization spectrum that allows it to adapt to the host's diet, species-level conserved genes encoding bile salt hydrolase (BSHs), and appropriate bacterial surface structures. Second, dietary intervention (e.g., anthocyanins) could effectively improve the gut colonization of B. longum , demonstrating the feasibility of diet-tuned strain colonization. Finally, we analyzed the skewed abundance of B. longum in different types of diseases and summarized the main mechanisms by which B. longum alleviates digestive (repairing the intestinal mucosal barrier by stimulating Paneth cell activity), immune (up-regulating the regulatory T cell (Treg) populations and maintaining the balance of Th1/Th2), and neurological diseases (regulating the kynurenine pathway and quinolinic acid levels in the brain through the gut-brain axis). • The gut core microbial species B. longum is focused, and host age-/health-related distribution of the species is depicted. • The underlying reasons for the gut colonization advantage of B. longum based on genome-directed evidences are summarized. • The dietary factors with the ability/potential to enrich indigenous/ingested B. longum species/strains are outlined. • The host and bacterial molecular mechanisms regarding the alleviation on various diseases by B. longum are discussed. [ABSTRACT FROM AUTHOR] more...

Background: Lacticaseibacillus paracasei strain Shirota (LcS) has shown benefits for stool consistency in populations with certain bowel complaints (e.g., constipation), but data in a U.S. population is limited., Objective: This study evaluated the effects of LcS on hard or lumpy stools (HLS) in an otherwise healthy population that generally represents the U.S. adult demographic., Methods: In this randomized, controlled, open-label study, 50 participants (41 females, 9 males) with HLS in ≥25% of bowel movements (BMs) during a 14-day run-in period were randomized to receive either 80 mL fermented milk containing 8.0x10 9 colony forming units LcS/mL for 28 days (active group) or no intervention (control group) followed by a 14-day post-intervention period. Bowel habits were recorded daily using a novel smartphone application. The primary endpoint was the presence of HLS in ≥25% of the participant rated BMs using the Bristol Stool Form Scale over the 28-day intervention. Secondary endpoints included the presence of reduced frequency of BMs with HLS from baseline, stool frequency, straining, incomplete evacuation, artificial intelligence-derived stool image scores, and Patient Assessment of Constipation Quality of Life (PAC-QOL) scores., Results: The active group showed a significantly lower proportion of participants with HLS in ≥25% of BMs (odds ratio 0.34, 95% CI 0.14 - 0.80, p=0.014) along with a higher proportion of participants with a reduced frequency of BMs with HLS from baseline (odds ratio 2.86, 95% CI 1.03-7.92, p=0.043). The active group also demonstrated positive improvements in total PAC-QOL scores (p=0.003)., Conclusion: Daily consumption of LcS-containing fermented milk significantly reduced constipation symptoms and improved QOL in an otherwise generally healthy U.S. adult population with a history of intermittent BMs producing HLS. The intervention was well tolerated, with no serious adverse events related to the product, suggesting its safety and potential as a dietary strategy for managing constipation., Clinical Trial Registration: This study was registered at ClinicalTrials.gov as NCT06014008 available at https://clinicaltrials.gov/study/NCT06014008., Competing Interests: Declaration of Competing Interest ☒ The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: CMC, TB, EM, and LD were employees of Biofortis, Inc. (Addison, IL, USA), a Contract Research Organization that received funding from Yakult U.S.A. Inc. to conduct the study. HS was an employee of Yakult U.S.A. Inc. (Fountain Valley, CA, USA), the study sponsor company. TA was an employee of Yakult Honsha Co., Ltd. (Tokyo, Japan), a company responsible for research support at the sponsor's request., (Copyright © 2025. Published by Elsevier Inc.) more...

In recent days, a digestive abnormality is common due to modern life-style and food habits followed. For every ten adults in the world, four suffer from functional gastrointestinal (GI) disorders of varying severity. Further, this is demonstrated by a study of more than 73,000 people across 33 countries. Also, the subjects who have undergone surgery/medication may feel healthy and they cannot feel or realize the internal health disorders, resulting in severe consequences. In this regard, an electrogastrogram (EGG) has gained more significance since it is non-invasive and involves an easy process for screening digestive abnormalities. EGGs are electrical signals, which have strong association with digestion. Also, the EGG can be recorded using non-invasive/surface electrodes. In this work, two different conductive textile materials, namely stainless-steel fibers and Copper–Nickel-plated nylon, are utilised to fabricate non-invasive electrodes. Further, the developed electrodes are placed on the abdomen over the stomach and the EGG signals are acquired from healthy individuals. Also, various time and frequency domain features are extracted from two different EGG signals acquired using developed electrodes with different materials and are analysed. Additionally, the XAI, namely Shapley Additive Explanation (SHAP), technique is utilised to analyse and test the efficacy of the developed textile-based electrodes and to select the best electrode for EGG signal acquisition. This work appears to be highly significant since the developed electrode selected using the XAI tool shall possess a wide scope in wearable applications. [ABSTRACT FROM AUTHOR] more...

Purpose To expand health-system specialty pharmacy (HSSP) clinical continuity by implementing a specialty integrated model for clinical services in target sites. Summary After evaluation of baseline clinical continuity and institutional goals, select clinics were identified as target sites to which to expand this integrated approach of a medication management clinic (MMC). In this MMC model, the key steps included engaging stakeholders, workflow training, optimization of the electronic health record, service evaluation, compliance with regulatory standards, and development of marketing strategies. The initial focus was development of innovative collaborative practice agreements (CPAs) to expand the scope of ambulatory care pharmacists' practice. Analysis of existing specialty and ambulatory workflows and technology was completed before development of the integrated workflow. Existing credentialing policies were updated to support expanded practices, and marketing collaterals were developed to support growth of pharmacy referrals. Meetings with stakeholders took place to ensure smooth transitions into integrated areas. Primary endpoints included clinical continuity, as determined by prescription orders placed within the health system sent to the HSSP, and number of signed referrals to MMC. Secondary endpoints included disease state–specific clinical outcomes as well as overall outcomes such as medication adherence, laboratory test adherence, immunization rates, and patient and clinician satisfaction. An MMC model was successfully implemented in 5 target specialty practices. Specialty clinic CPAs were developed for rheumatology and digestive health (including viral hepatitis). Since implementation, clinical continuity increased 23% and referrals exceeded the target at 165%. Data on secondary endpoints are currently being collected to evaluate quality of pharmacy services. Pharmacy services have enhanced patient care and received positive feedback from clinicians. Conclusion Expansion of integrated decentralized pharmacists into target practices has increased clinical continuity and the number of pharmacist referrals. Clinicians have regarded pharmacists as vital members of the team. Creation of additional specialty CPAs will be needed to support further growth in other clinics. [ABSTRACT FROM AUTHOR] more...

Probiotic research has undergone some exciting and unanticipated changes in direction since the 2010 commentary by GSH, which speculated on probiotics being ultimately utilized as "factories" capable of releasing pharmaceutical-grade metabolites with therapeutic potential for a wide range of primarily gastrointestinal disorders. Indeed, the unrelenting search for new alternatives to antibiotics has further stimulated the development of "next-generation" probiotics. Postbiotics, defined as inanimate microorganisms and/or their components that confer a health benefit on the host, remain at the forefront of current probiotic research, with increasing numbers of probiotic species, strains, and substrains now being identified and further exploited as pharmabiotics; probiotics with a proven pharmacologic role in health and disease that have been subjected to clinical trial prior to approval by regulatory bodies. However, perhaps the most unanticipated probiotic development over the past 15 y has been the emergence of psychobiotics with the potential to improve aspects of mental health, such as depression and anxiety, through the release of bioactive metabolites. Moreover, the recent identification of pharmacobiotics, probiotics capable of facilitating the effectiveness of conventional pharmaceutical drugs, is opening new avenues for probiotic applications to combat a range of diseases, including cancers of the digestive system. Although in its infancy, recent reports of oncobiotics with antineoplastic properties are further expanding the potential for certain next-generation probiotics to impact current cancer treatment regimens and possibly even contribute to cancer prevention. Looking to the next 15 y of probiotic development, one could perhaps predict the ultimate development of regulatory-approved xenopostbiotic formulations comprising metabolites with the capacity to improve digestive health, decrease the severity of intestinal disease, and increase the effectiveness of conventional pharmaceuticals, whilst simultaneously improving cognitive functioning and mental welfare. Although speculative, these xenopostbiotic formulations could prove especially effective for the adjunctive treatment of serious chronic diseases such as cancer., (Copyright © 2024 American Society for Nutrition. Published by Elsevier Inc. All rights reserved.) more...

Copyright of Revista Brasileira de Saúde e Produção Animal (RBSPA) is the property of Revista Brasileira de Saude e Producao Animal (RBSPA) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) more...

Over the last decades, the incidence of diabetes has increased in developed countries and beyond the genetic impact, environmental factors, which can trigger the activation of the gut immune system, seem to affect the induction of the disease process. Since the composition of the gut microbiome might disturb the normal interaction with the immune system and contribute to altered immune responses, the restoration of normal microbiota composition constitutes a new target for the prevention and treatment of diabetes. Thus, the interaction of gut microbiome and diabetes, focusing on mechanisms connecting gut microbiota with the occurrence of the disorder, is discussed in the present review. Finally, the challenge of functional food diet on maintaining intestinal health and microbial flora diversity and functionality, as a potential tool for the onset inhibition and management of the disease, is highlighted by reporting key animal studies and clinical trials. Early onset of the disease in the oral cavity is an important factor for the incorporation of a functional food diet in daily routine. more...

Strong tight junctions and curtailed inflammatory responses under stressful conditions are key for optimal digestive health. Bacillus-based probiotics are increasingly being used to maintain broilers' health, but their mode of action is often not well-defined. In the present study we used Caco-2 cells as a model for intestinal epithelia and assessed the effect of three Bacillus-based probiotics on intestinal barrier function and intestinal inflammation. Experimental results showed that one of the three tested strains, Bs 29784, significantly reinforced intestinal barrier integrity under basal conditions through an up-regulation of the expression of tight junction's proteins, whereas the others had no or detrimental effects. When Caco-2 cells were pre-treated with Bacillus subtilis strains, the subsequent IL-8 release to various pro-inflammatory signals (IL-1β, deoxynivalenol, or flagellin) was blunted compared to cells that had not been pretreated, but to a different extent depending on the strain of Bacillus used. Bs 29784, was able to significantly decrease IL-8 production in all stressed conditions tested. Mechanistically, Bs 29784 appeared to limit nuclear translocation of NF-κB during IL-1β exposure by preventing IκB degradation. The effects of Bs 29784 were observed independently with supernatant and cells but in a lesser extent than with the combination, indicating that they can thus likely be attributed to both secreted metabolites and cell-associated compounds. Moreover, under inflammatory conditions, Bs 29784 significantly reduced the upregulation of iNOS protein levels further underlining its intestinal anti-inflammatory potential. Our data show that Bacillus-based probiotics may indeed improve digestive health by strengthening intestinal barrier and limiting inflammatory responses and that these properties are strain-dependent. more...

Background: Infants' nutrition significantly influences their growth, development, and overall well-being. With the increasing demand for organic infant formula driven by the perception of health benefits and growing awareness of natural feeding options, it is crucial to conduct a comparative analysis of the gastrointestinal tolerability between organic and traditional infant formulas., Aim: To provide a concise and precise analysis of the gastrointestinal tolerability of organic infant formula compared to traditional infant formula. Due to limited direct comparisons, the review synthesizes available literature on each formula type, presenting insights into their potential effects on infants' digestive health., Methods: An extensive literature search was conducted, compiling studies on organic and traditional infant formulas, their compositions, and reported effects on gastrointestinal tolerability. We searched academic databases such as PubMed and Google Scholar and specialized ‎nutrition, paediatrics, and infant health journals using relevant keywords till October 1, 2023. ‎., Results: Although specific comparative studies are scarce and formula heterogeneity is a significant limitation, this systematic review provides an in-depth understanding of organic infant formulas' composition and potential benefits. While scientific evidence directly comparing gastrointestinal tolerability is limited, organic formulas strive to use carefully selected organic ingredients to imitate breast milk composition. Potential benefits include improved lipid profiles, higher methionine content, and decreased antibiotic-resistant bacteria levels. Understanding the gastrointestinal tolerability of organic and traditional infant formulas is crucial for parents and healthcare providers to make informed decisions., Conclusion: Despite limitations in direct comparisons, this systematic review provides insights into the composition and potential benefits of organic infant formulas. It emphasizes the need for further research to elucidate their gastrointestinal effects comprehensively., Competing Interests: Conflict-of-interest statement: All the authors declare no conflict of interest for this article., (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.) more...

Colorectal disturbances encompass a variety of disorders that impact the colon and rectum, such as colitis and colon cancer. Butyrate, a short-chain fatty acid, plays a pivotal role in supporting gut health by nourishing colonocytes, promoting barrier function, modulating inflammation, and fostering a balanced microbiome. Increasing colorectal butyrate concentration may serve as a critical strategy to improve colon function and reduce the risk of colorectal disturbances. Butyrylated high-amylose maize starch (HAMSB) is an edible ingredient that efficiently delivers butyrate to the colon. HAMSB is developed by esterifying a high-amylose starch backbone with butyric anhydride. With a degree of substitution of 0.25, each hydroxy group of HAMSB is substituted by a butyryl group in every four D-glucopyranosyl units. In humans, the digestibility of HAMSB is 68% (w/w), and 60% butyrate molecules attached to the starch backbone is absorbed by the colon. One clinical trial yielded two publications, which showed that HAMSB significantly reduced rectal O 6 -methyl-guanine adducts and epithelial proliferation induced by the high protein diet. Fecal microbial profiles were assessed in three clinical trials, showing that HAMSB supplementation was consistently linked to increased abundance of Parabacteroides distasonis . In animal studies, HAMSB was effective in reducing the risk of diet- or AOM-induced colon cancer by reducing genetic damage, but the mechanisms differed. HAMSB functioned through affecting cecal ammonia levels by modulating colon pH in diet-induced cancer, while it ameliorated chemical-induced colon cancer through downregulating miR19b and miR92a expressions and subsequently activating the caspase-dependent apoptosis. Furthermore, animal studies showed that HAMSB improved colitis via regulating the gut immune modulation by inhibiting histone deacetylase and activating G protein-coupled receptors, but its role in bacteria-induced colon colitis requires further investigation. In conclusion, HAMSB is a food ingredient that may deliver butyrate to the colon to support colon health. Further clinical trials are warranted to validate earlier findings and determine the minimum effective dose of HAMSB., Competing Interests: JC and JZ were employed by Ingredion Incorporated., (Copyright © 2024 Cheng and Zhou.) more...

We evaluate the effect of the crude protein source (CP) in combination with 2 feeding strategies (AL: ad libitum or R: restricted) on the performance, health status and carcass traits of growing-fattening rabbits (between 33 and 75 d of age). Two experimental diets were formulated; the first containing soybean meal (SBM: 70 g/kg) as the main CP source and the second containing white lupin seeds (WLS: 105 g/kg) as the main CP source. A total of 160 weaned Hyplus rabbits (774±10 g live weight) were randomly allocated to the experimental groups, combination of feeding strategy and diet (AL SBM, R SBM, AL WLS and R WLS; 40 rabbits per group with 4 rabbits per cage), for 42 d. The feeding programme was applied as follows: both the AL SBM and AL WLS rabbits were fed ad libitum for the entire fattening period, whereas the R SBM and R WLS rabbits were subjected to feed restriction between 33 and 47 d of age (75% of the ad libitum intake). Afterwards, all restricted rabbits were fed ad libitum until 75 d of age. Regardless of the CP source, the feed restriction reduced the final live weight by 83 g, chilled carcass weight by 65 g, and dressing out percentage by 0.9 percentage points (P more...

Strong tight junctions and curtailed inflammatory responses under stressful conditions are key for optimal digestive health. Bacillus -based probiotics are increasingly being used to maintain broilers' health, but their mode of action is often not well-defined. In the present study we used Caco-2 cells as a model for intestinal epithelia and assessed the effect of three Bacillus -based probiotics on intestinal barrier function and intestinal inflammation. Experimental results showed that one of the three tested strains, Bs 29784, significantly reinforced intestinal barrier integrity under basal conditions through an up-regulation of the expression of tight junction's proteins, whereas the others had no or detrimental effects. When Caco-2 cells were pre-treated with Bacillus subtilis strains, the subsequent IL-8 release to various pro-inflammatory signals (IL-1β, deoxynivalenol, or flagellin) was blunted compared to cells that had not been pretreated, but to a different extent depending on the strain of Bacillus used. Bs 29784, was able to significantly decrease IL-8 production in all stressed conditions tested. Mechanistically, Bs 29784 appeared to limit nuclear translocation of NF-κB during IL-1β exposure by preventing IκB degradation. The effects of Bs 29784 were observed independently with supernatant and cells but in a lesser extent than with the combination, indicating that they can thus likely be attributed to both secreted metabolites and cell-associated compounds. Moreover, under inflammatory conditions, Bs 29784 significantly reduced the upregulation of iNOS protein levels further underlining its intestinal anti-inflammatory potential. Our data show that Bacillus -based probiotics may indeed improve digestive health by strengthening intestinal barrier and limiting inflammatory responses and that these properties are strain-dependent. [ABSTRACT FROM AUTHOR] more...

Purpose: To describe the nutritional and health attributes of kiwifruit and the benefits relating to improved nutritional status, digestive, immune and metabolic health. The review includes a brief history of green and gold varieties of kiwifruit from an ornamental curiosity from China in the 19th century to a crop of international economic importance in the 21st century; comparative data on their nutritional composition, particularly the high and distinctive amount of vitamin C; and an update on the latest available scientific evidence from well-designed and executed human studies on the multiple beneficial physiological effects.Of particular interest are the digestive benefits for healthy individuals as well as for those with constipation and other gastrointestinal disorders, including symptoms of irritable bowel syndrome. The mechanisms of action behind the gastrointestinal effects, such as changes in faecal (stool) consistency, decrease in transit time and reduction of abdominal discomfort, relate to the water retention capacity of kiwifruit fibre, favourable changes in the human colonic microbial community and primary metabolites, as well as the naturally present proteolytic enzyme actinidin, which aids protein digestion both in the stomach and the small intestine. The effects of kiwifruit on metabolic markers of cardiovascular disease and diabetes are also investigated, including studies on glucose and insulin balance, bodyweight maintenance and energy homeostasis.Conclusions: The increased research data and growing consumer awareness of the health benefits of kiwifruit provide logical motivation for their regular consumption as part of a balanced diet. Kiwifruit should be considered as part of a natural and effective dietary strategy to tackle some of the major health and wellness concerns around the world. [ABSTRACT FROM AUTHOR] more...

Persistent digestive conditions such as intestinal hyperpermeability, chronic post-nasal drip, foot fungus, vaginal thrush, inability to gain weight, chronic sinusitis, and undigested food appearing in the stool are all signs and symptoms that can be associated with food sensitivities. Following an elimination diet can identify potentially offending foods; removing those offending foods from the diet has been shown to alleviate the problem. A 55-year-old female presented with intestinal hyperpermeability (a formal diagnosis was confirmed by her physician), chronic vaginal candidiasis (suspected clinically, although a formal diagnosis was not confirmed), and problems gaining weight since she was 46 years old when she experienced several traumatic, stressful events. The patient felt these events caused her weight to drop from 119 to 89 pounds. At this point in her life, she started exhibiting signs of dizziness, anxiety, and “feeling stuck.” The functional medicine-based elimination diet was implemented for 21 days, resulting in a relief of several symptoms. In addition to physical health improvement, there were positive changes in her mental and emotional health. [ABSTRACT FROM AUTHOR] more...

Soluble arabinoxylan, derived from Zea mays L. (corn), is a novel fiber that presents significant potential to enrich the range of dietary fibers available for human consumption. This review explores the composition, structure, and properties of soluble corn arabinoxylan, shedding light on its health benefits and advantageous functionalities in food products. As a prebiotic fiber, corn arabinoxylan selectively promotes the growth of beneficial gut microflora, leading to the production of short-chain fatty acids known for their positive influence on digestive health and immunity. Corn arabinoxylan is a valuable option for creating fiber-rich and more appealing food options. It also offers functional and nutritional benefits for various food formulations, particularly in low-fat or reduced-calorie products. As the scientific community explores its potential applications and health effects, corn arabinoxylan stands as an attractive addition to promote digestive wellness and enhance the overall nutritional profile of various food products. [ABSTRACT FROM AUTHOR] more...

The importance of dietary fibre fractions in animal feeding is due to its influence on the rate of passage, mucosal functionality and its role as substrate for gut microbiota that relates to performance and digestive health. The complexity of the physical structure and chemical composition of polysaccharides in plant cell walls explains the wide and different physiological effects of this large range of fibre fractions. Our review will first briefly consider the definition and structure of the different classes of fibres and of cell wall constituents, followed by a description of some analytical methods employed for monogastric feeds. Second, the nutritional role and impact of fibre intake on digestive health will be described for the growing rabbit with an extensive analysis of previous studies performed without antibiotics. The fibres in rabbit feed are essential for reducing the risk of digestive trouble after weaning, and the requirements are defined in terms of the quantity and quality of the fibre fractions as follows: a minimal dietary level of lignocellulose ‘ADF’ (18%) and lignins (>5%), balanced with a maximum quantity of digestible fibres ‘DgF’ (ratio DgF/ADF below 1.3). Soluble fibres, defined as the difference between total dietary fibre and NDF, are quickly fermented and digested by the rabbit. However, their impact on digestive health is still questioned. more...

Introduction: This study aimed to evaluate the effect of probiotics and fibre in milk powder on functional constipation and general well-being of a sample of Filipino mothers. Methods: The study employed a single group, controlled, before-after intervention design. Out of 115 females recruited from 7 military camps in Metro Manila aged 21-31 years, 85 mothers met the inclusion criteria namely, defecation frequency of <3 days/week or constipated for about 2-8 weeks, experienced bloating, flatulence, gurgling, feeling heavy after eating, and abdominal pain, willing to stop vitamin supplementation a week before the start of the study. Milk powder (40 g) in 200 ml of water was consumed twice a day for 28 days under supervision at the workplace. Digestive health, health and wellness, bowel habit and Bristol stool chart questionnaires, which were modified and pre-tested, were administered every 3-4 day visits. Constipation was defined as <3 days/week defecation frequency (Rome II). Appropriate statistical tests were employed in data analysis. Results: A total of 72 participants completed the study. At 4 weeks, a significant improvement in defecation frequency was reported. There was an increasing percentage of participants who were highly satisfied with their defecation frequency, stool characteristics, comfort during defecation and defecation duration as the number of intervention days increased. Conclusion: The consumption of a probiotic and fibre fortified milk powder might have contributed in alleviating functional constipation and the improvement in general health and wellbeing of the participants. Further studies should be conducted to confirm these results. [ABSTRACT FROM AUTHOR] more...

Digestive health is an expanding area in nutrition research due to the interest in how food components such as fiber affect gastrointestinal tolerance, stool form, defecation frequency, transit time and gut microbial composition and metabolic activity. In children, however, digestive health studies that intervene with dietary fiber are limited due to legal and ethical concerns. To better understand if fiber improves digestive health in children, a literature review was conducted to answer the following research question: What are the effect(s) of fiber-containing foods and/or supplements on digestive health outcomes in children? A search of the PubMed database identified a total of 12 studies that fit the inclusion criteria established for this review. Most of the evidence in children shows beneficial effects of partially hydrolyzed guar gum, glucomannan and bran on digestive health outcomes; however, the existing evidence is not conclusive. Furthermore, limited data exists on the effect of whole-grain sources of dietary fiber, such as oats. Additional well-designed intervention trials are needed to determine whether outcomes of digestive health such as stool form, gastrointestinal tolerance and stool frequency are improved by increasing the fiber content of children's diets with whole-grain sources. [ABSTRACT FROM AUTHOR] more...

In rabbits, the bacterial and archaeal community of caecal ecosystem is composed mostly of species not yet described and very specific to that species. In mammals, the digestive ecosystem plays important physiological roles: hydrolysis and fermentation of nutrients, immune system regulation, angiogenesis, gut development and acting as a barrier against pathogens. Understanding the functioning of the digestive ecosystem and how to control its functional and specific diversity is a priority, as this could provide new strategies to improve the resistance of the young rabbit to digestive disorders and improve feed efficiency. This review first recalls some facts about the specificity of rabbit digestive microbiota composition in the main fermentation compartment, and its variability with some new insights based on recent molecular approaches. The main functions of the digestive microbiota will then be explained. Finally, some possible ways to control rabbit caecal microbiota will be proposed and a suitable timing for action will be defined. more...

This review aims to present the different effects produced by a post-weaning intake limitation strategy on the growing rabbit, now largely used by French professional rabbit breeders. Although a quantitative feed restriction leads to slower growth, feed conversion (FC) is improved, particularly when the rabbits are again fed freely, as compensatory growth occurs. This better FC or the healthy rabbit is because of better digestion resulting from slower passage through the intestine, whereas the digestive physiology is slightly modified (morphometry of the intestinal mucosa, fermentation pattern, microbiota). Meat quality and carcass characteristics are not greatly affected by feed restriction, except for a lower dressing-out percentage. One of the main advantages of limiting post-weaning intake of the rabbit is to reduce the mortality and morbidity rate due to digestive disorders (particularly epizootic rabbit enteropathy syndrome). The consequences for animal welfare are debatable, as feed restriction probably leads to hunger, but it reduces the incidence of digestive troubles after weaning. However, the growing rabbit adapts very well to an intake limitation strategy, without any aggressive behaviour for congener. In conclusion, restriction strategies could improve profitability of rabbit breeding, but they should be adapted to any specific breeding situation, according to the national market, feed prices, etc. more...

A field enquiry mentioned the potential positive impact of a feed restriction on the health of young rabbits, but no objective information relates the intake to digestive health. The effects of a post-weaning feed restriction strategy were thus studied on digestive health and growth and carcass parameters of the growing rabbit, using a monofactorial design that produces a quantitative linear reduction of the intake, from ad libitum (AL group) to 80%, 70% and 60% of AL. The study was performed simultaneously in six experimental sites, on 1984 growing rabbits (496 per treatment) collectively caged from weaning (34 to 38 days of age, depending on the site) to slaughter (68 to 72 days). The feeding programme was applied as followed: restriction during 21 days after weaning, and then ad libitum till slaughter. During the feed restriction period the growth rate was linearly reduced with the restriction level, by 0.5 g/day for each percent of intake reduction. When returning to ad libitum intake (after 54 days old) a compensatory growth and a higher feed efficiency occurred. Therefore, the impact of the feeding programme on the slaughter weight (SW) was significant (−4.5 g/% of restriction), but relatively moderate: the weight loss of the more-restricted rabbits (60%) reached 7.7% (−200 g) compared to the AL group. Over the whole fattening period, the feed restriction reduced linearly and significantly the feed conversion (FC) (−0.0077 unit/% of restriction). Carcass traits were little affected by the feeding programme, except for a slightly lower decrease of the dressing percentage (mean: 1.2 units between AL and the three restricted groups). On the six experimental sites, mortality and morbidity were always caused by acute digestive disorders, namely diarrhoea and/or caecal impaction. Independent of the treatment, the mortality rate strongly varied according to the site (between 7% and 18% from weaning to 54 days and for the AL group). During feed restriction, the mortality was significantly lower from a restriction threshold of 80% (meanly: −9% compared to AL). The morbidity was also significantly reduced (−6%) for the two most restricted groups (70% and 60%). The favourable effect of a lower intake on health did not persist after returning to ad libitum intake (54 days to slaughter), since mortality and morbidity were not significantly different among the treatments. Such a feeding strategy thus represents a double benefit in terms of feed costs and lower losses of young rabbits. more...

Background and Objectives: Maternal nutrition affects fetal growth and development. This study evaluates the effects of milk powder fortified with micronutrients, docosahexaenoic acid (DHA), a prebiotic, and probiotic Bifidobacterium animalis subsp. lactis HN019 DR10TM on the micronutrient status, as well as the presence of faecal probiotic and immune markers in pregnant women.Methods and Study Design: This randomised, double- blind, placebo-controlled trial was conducted at Budi Kemuliaan and Cipto Mangunkusumo Hospital in Jakarta from 2013 to 2014. A total of 104 participants were randomly allocated to receive either completely enriched milk powder (intervention group) or iron- and vitamin folic-acid-enriched milk powder (control group). Data were collected using standardised measures and were statistically analysed using the independent t or Mann-Whitney test.Results: At the baseline, the micronutrient status of the participants was acceptable, except for 25-OH-vitamin D, in both the intervention and control groups. Vitamin B-1, zinc, total free fatty acid, linoleic acid, arachidonic acid, and DHA were significantly higher in the intervention group in the second trimester (p=0.014, 0.028, 0.023, 0.014, 0.001, and 0.032, respectively). Interleukin-6 and tumor necrosis factor-α levels did not significantly vary during pregnancy. B. animalis subsp. lactis DR10TM was present in the faeces of the intervention group but not the control group (61.1% vs 0%).Conclusion: Milk fortified with a prebiotic, probiotic, DHA and micronutrients increases the faecal concentration of the organism used for fortification in Indonesian pregnant women. This may represent an improvement in intra-partum maternal gut health. [ABSTRACT FROM AUTHOR] more...

The effects of the feeding system ( ad libitum vs. restricted) and the restriction programs (daily vs . weekly base) were evaluated on 300 commercial crossbred rabbits housed individually from weaning (37 d) until slaughter (at 73 d and 80 d of age). During the first three weeks, restricted rabbits received from 85% to 100% of the ad libitum intake according to two feeding curves with daily (+4 g/d; D group) or weekly increments (+22 g/week on average; W group). In the restriction period, the feeding system affected CTTAD of crude protein (+2.4% in restricted compared ad libitum rabbits; P < 0.01). After restriction, dry matter (P = 0.10), ether extract (P = 0.03) and ADF (P = 0.05) CTTAD were lower in previously restricted rabbits compared to those always fed ad libitum . During the first period, feed restriction reduced daily weight gain (−7.5%; P < 0.01), feed intake (−7.1%; P < 0.001), empty body lipid (−12.7%; P = 0.03) and energy (−5.2%; P < 0.01) contents compared to ad libitum feeding. In the second period, previously restricted rabbits showed higher daily weight gain (+8.7%; P = 0.02), lower feed conversion (‐6.0%; P = 0.03), besides higher empty body lipid (+16.0%; P < 0.01) and energy (+6.6%; P < 0.01) contents compared to rabbits fed ad libitum . In the whole trial, feed restriction reduced mortality (20.7% vs . 8.7%; P < 0.01) and tended (P < 0.10) to reduce feed intake (142 vs . 139 g/d), feed conversion (3.10 vs . 3.05) as well as N retention (53.6 g vs . 51.9 g). The restriction program had no effects during the restriction period. In the re-feeding period, rabbits submitted to the week–by–week restriction exhibited higher weight gain (P < 0.01) and feed intake (P = 0.02) and lower feed conversion (P = 0.01) compared to those restricted on a daily base. In the whole trial, W rabbits showed higher feed consumption (P = 0.04) and N excretion (P = 0.05) than D rabbits. A later slaughter age increased final live weight (+8%; P < 0.001) and feed conversion (+11%; P < 0.001), dressing out percentages, dissectible fat, and hind leg muscle to bone ratio, empty body lipid (+13%; P = 0.02) and energy contents (+4.2%; P = 0.03), besides body N retention (+11%) and excretion (+32%) (P < 0.001). In conclusion, regardless from the restriction program, a mild feed restriction (93% of ad libitum ) during the first period improved rabbit health status and reduced environmental pollution in the fattening sector without impairing growth performance, slaughter results and carcass traits. [ABSTRACT FROM AUTHOR] more...

Background: Diseases of the digestive system have been found to contribute to a higher symptom burden in older adults. Thus, therapeutic strategies able to treat gastrointestinal discomfort might impact the overall health status and help older adults to increase their overall health status and optimal functionality.Objective: The aim of this double-blinded, randomized, placebo-controlled clinical trial was to evaluate the effect of the probiotic strain Lactobacillus reuteri on digestive health and wellbeing in older adults.Methods: The study enrolled general older adults (>65 years). After eligibility screening qualified subjects (n = 290) participated in a 2-arm study design, with each arm consisting of 12 weeks of intervention of either active or placebo product. Primary outcome measure was set to changes in gastrointestinal symptoms and secondary outcome measures were changes in level of wellbeing, anxiety and stress. Follow up was performed at 8 and 12 weeks.Results: No persistent significant effects were observed on the primary or secondary outcome parameters of the study. A modest effect was observed in the probiotic arm, were levels of stress decreased at week 8 and 12. Similarly, we found that subjects suffering from indigestion and abdominal pain, respectively, showed a significant decrease of anxiety at week 8 after probiotic treatment, but not at week 12.Conclusion: The RCT failed to show any improvement in digestive health after daily intake of a probiotic supplement containing L. reuteri. Neither was any significant improvement in wellbeing, stress or anxiety observed. Even though the RCT had a negative outcome, the study highlights issues important to take into consideration when designing trials among older adults.Trial Registration: Clinicaltrials.gov/ NCT01837940 . [ABSTRACT FROM AUTHOR] more...