Probiotics: Powerful Prevention?

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What if there were a simple way that you could drop the number of coughs, colds, and fevers your child gets this school year by more than half? And when your child does get sick, what if you could cut the length of the illness in half? What if you could slash the odds that your child will need antibiotics this year, while decreasing missed school days?

Researchers randomly assigned 326 preschool children to one of three groups. In each group, the caregivers were given little foil packets of dry powder that were mixed into 4 ounces of milk for the children to drink twice a day for 6 months. During the week, the milk was prepared and served at school; on the weekends the parents were in charge.

For one group the powder contained 10 billion CFUs of Lactobacillus acidophilus, a type of probiotic or beneficial bacteria (by comparison, a typical serving of yogurt might contain 1 billion CFUs). For the second group the powder likewise contained a total of 10 billion CFUs of probiotics – but it was a mixture of two strains (Lactobacillus acidophilus and Bifidobacterium animalis). Probiotic supplements like this are available in many health, food, or drug stores. For the third group the powder was nothing but an inert placebo.

The school year was quite different for the three groups! In the placebo group, most of the kids got a fever sometime in the next 6 months, much as one would expect. But, the number of kids with fever was slashed by more than half among those who got the single probiotic in their mystery packets -- and by almost three quarters among those who received the double probiotic —even though the kids were in the same preschool classes. Similar dramatic reductions were seen in coughs, runny noses, antibiotic use, duration of illness, and missed school days.

What we think of as “our” bodies includes ten times as many bacterial cells as human cells. Promoting healthy, diverse gut bacteria appears able to make a big difference in keeping us healthy.

Six Month Experience

Placebo Single Probiotic Mixed Probiotics
Kids with fever 66% 31% 18%
Kids with cough 87% 51% 33%
Kids with a runny nose 85% 61% 35%
Kids treated with an antibiotic 57% 18% 9%
Average length of illness, when sick 6.5 days 4.5 days 3.4 days

Bottom line: When families didn't do anything, most kids developed fever, cough, runny nose, and were treated with antibiotics sometime in the next 6 months. But among those who were given the probiotics, most kids did not get a fever, cough, runny nose or antibiotics over the next 6 months. And if they did get sick, it lasted on average about half as long. A dramatic difference!

Leyer GJ et al. Probiotic effects on cold and influenza-like symptom incidence and duration in children. Pediatrics 2009 Aug; 124:e172.
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Comments

Anonymous's picture

baby with thrush and constipation-help!!

Dr. Greene- I have an almost 8 month old baby that has had thrush in her mouth and a fungal diaper rash, on and off, since she was about 2 months old. (I was on antibiotics 3 times, while nursing, for mastitis) My pediatrician has been giving her Nystatin to treat both. I finally had enough of the meds and took her off of them. When she started solids at 6 months she soon started with constipation that I could not correct with diet. I got thinking that she probably has an imbalance of the good bacteria in her stomach, as evidenced by thrush in her mouth. I read about the benefits of probiotics for babies and kids in many different places. I started her on a probiotic until I could talk to her dr. and she started going to the bathroom regularly within 2 days! I asked her ped. about probiotics and got yelled at by a nurse (who was passing the question on to the dr). The dr. relayed the message that he would not recommend probiotics. I am going to go ahead and give them to her anyway, but I am wondering how many parts her billion she should be getting per day at her age? I wanted to give her the GoodBelly probiotics I started her on, but it says it is only for kids starting at 1 year. Any thoughts on that? I emailed the company and they said that is because it has not been tested on younger children. Thank you so much for this article! I feel like I am not crazy even though my doctors made me feel like I was a horrible parent. Meg
Anonymous's picture

Can we start giving our 2

Can we start giving our 2 month old baby probiotics? What probiotic can you recommend. Thanks.

Certified Organic In-Liven Probiotic

Thanks Dr. Greene for mentioning In-Liven by Miessnece. It is a great organic probiotic superfood. It's from fermented whole food, not from animal feces as so many are. It also has enzymes, prebiotics and complete amino acids. It has the highest amount of probiotics you can get in powder form. Clinical tests were recently done on In-Liven and it's amazing the improvements in health that people have had. Just amazing! We also have an organic probiotic liquid with even more probiotics than the powder. It's perfect for when you are first starting out and need to jump start your probiotics, for detoxing and for those on a gluten-free diet. We also have several recipes you can make with it such as bread, saurkraut and more. If anyone is interested in it, I'm happy to help you. Email me at danika at yourorganiclife.com or you can get it from my website at www.yourorganiclife.com
Anonymous's picture

probiotic

Dr. Greene, What's a good probiotic to give a 9 mth old baby? Thank You!
Anonymous's picture

dr. greene vitamins and probiotics

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thanks so much for this great information on probiotics. i've been wanting to start probiotics for awhile for my 4year old son with asthma. I currently give him the Dr. Greene vitamins :) - is it okay to give him a probiotic drink such as good belly inconjunction with these vitamins?

Reply

Multivitamin and Good Belly

Good Belly comes in two forms, with or without a simple multivitamin added in. There's no issue using the one without the multivitamin (which comes in a larger carton). A single shot of the the version with the vitamins would be fine along with DrGreene multivitamin, but I wouldn't do more than one shot a day (not needed anyway).
Anonymous's picture

Yakuit?

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Do you know what is in the popular Asian drink Yakuit? i think it is lactobacillus... and if you would consider posting a grid with price comparison... =)

Reply

Yakult

Yakult was developed in the 1930's in Japan, a fermented dairy drink with probiotics. Standard Yakult contains: Sugar, Skimmed milk powder, Natural flavours, Live Lactobacillus casei shirota strain, 6.5 billions per 65 mL bottle,Water (a little more than two ounces). It comes in other varieties, including different probiotics and a Light version. I don't have easy access to all the prices. Maybe someone will make a grid for us, including the options I listed in a comment below?
Anonymous's picture

My son has a lot of food

My son has a lot of food allergies such as dairy, eggs, nuts, shellfish. Is it safe to give him probiotics?

Reply

Probiotics and Allergies

Is it safe to give probiotics to kids with lots of food allergies? If anything, the probiotics are more likely to help reduce the allergies than make them worse. I especially recommend them for children with allergies. But, as you are probably learning from dealing with allergies to milk, eggs, nuts, and shellfish, it's important to at least check the label of any product you use to look carefully for any of his allergic triggers -- by their various names -- that might be used in the processing or as non-active ingredients.
Anonymous's picture

Nursing and probiotics

I have a four month old and am exclusively breast feeding. Will taking probiotics benefit my daughter? If so, any recommendations on which I should be taking?

Reply

Nursing and Probiotics

I'm a big fan of nursing moms taking probiotics, for reasons like the one described in this study: http://www.drgreene.com/blog/2002/04/15/preventing-eczema Many studies have shown similar benefits to babies' immune systems. Most of these studies have used a strain of probiotic called LGG -- the one found in Culturelle. This would certainly be a good choice. It may prove that a product with more strains or higher culture counts would be even more effecitve -- such as the adult versions of any of the ones I listed in a comment below. I suspect this is true, but it's more of a guess.

Reply

Anonymous's picture

When my daughter was that

When my daughter was that young she was having issues with thrush and given medicine by the doctor I asked about pro biotics she said sure give it a try so I went to whole foods and purchased one I could give her directly, worked miracles!

Reply

Yes!

Probiotics can usually be given directly to babies as well. We all used to get more beneficial bacteria in the diet before pasteurization and sterilization of food (something that can be especially important for safety when food comes from overcrowded farming operations, travels great distances, or needs to stay fresh a long time). We benefit from regular exposure to beneficial bacteria -- and all the more so in certain situations, such as when a baby needs to be treated with antibiotics.
Anonymous's picture

So, where do we get this miracle substance?

Other than serving my kids 20 servings of yogurt, where can we get these probiotics to supplement our children's diets?

Reply

Probiotic options

Probiotics, sure - but where do you find them? Here are several options:

  • Garden of Life's Primal Defense for Kids- a total of 16 billion CFUs of 4 species of beneficial cultures in a teaspoon of powder.
  • iFlora for Kids Multi-Probiotic – a total of 8 billion CFUs of 7 species per teaspoon of powder.
  • Florastor Kids – each packet contains 5 billion CFUs of a single probiotic
  • Udo’s Choice Children’s Probiotic – each capsule contains a total of 4 billion CFUs of 8 strains
  • Nutraelle Digestive Care - a total of 10 billion CFUs of two species in a capsule
  • Good Belly – a tasty juice drink that contains 10 billion CFU’s of a single probiotic in a 2.7 ounce shot
  • In-Liven Probiotic Super Food by miessence – An organic option that contains 13 species of probiotics in a powder, along with Spirulina, Rolled Oats, Brown Rice, Wheat Grain, Pearl Barley, Linseed, Kidney Beans, Mung Beans, Adzuki Beans, Red Lentils, Chick Peas, Wheat Grass, Barley Grass, Alfalfa Grass, Beetroot, Sweet Potato, String Beans, Zucchini, Cabbage, Silverbeet, Spinach, Chinese Cabbage, Asparagus, Broccoli, Malt Liquid, and Molasses.

Are there others that people here like?

Anonymous's picture

Probiotics key for kids with food allergies & sensitivities

I believe that probiotics are a good thing for all of us, but we saw first hand the results for my son. Given his well-balanced diet and good hygiene, we knew he shouldn't be getting sick as often as he did. Through working with our naturapath on his food issues, we realized that his food sensitivities weren't allowing his body to absorb the nutrients from foods. Now that we've removed certain foods from his diet, and healed his gut with probiotics, he's one of the healthiest kids in the class (knock on wood!). They're exposed to so many things that end up in their belly. Protecting them from the inside just makes sense.