Gut dysbiosis during early life: causes, health outcomes, and amelioration via dietary intervention

Crit Rev Food Sci Nutr. 2022;62(26):7199-7221. doi: 10.1080/10408398.2021.1912706. Epub 2021 Apr 28.

Abstract

The colonization and maturation of gut microbiota (GM) is a delicate and precise process, which continues to influence not only infancy and childhood but also adulthood health by affecting immunity. However, many perinatal factors, including gestational age, delivery mode, antibiotic administration, feeding mode, and environmental and maternal factors, can disturb this well-designed process, increasing the morbidity of various gut dysbiosis-related diseases, such as type-1-diabetes, allergies, necrotizing enterocolitis, and obesity. In this review, we discussed the early-life colonization and maturation of the GM, factors influencing this process, and diseases related to the disruption of this process. Moreover, we focused on discussing dietary interventions, including probiotics, oligosaccharides, nutritional supplementation, and exclusive enteral nutrition, in ameliorating early-life dysbiosis and diseases related to it. Furthermore, possible mechanisms, and shortcomings, as well as potential solutions to the drawbacks of dietary interventions, were also discussed.

Keywords: Early life; dietary intervention; gut dysbiosis; health outcomes.

Publication types

  • Review

MeSH terms

  • Adult
  • Child
  • Dysbiosis
  • Enterocolitis, Necrotizing*
  • Female
  • Gastrointestinal Microbiome*
  • Humans
  • Infant, Newborn
  • Outcome Assessment, Health Care
  • Pregnancy
  • Probiotics*