| Sains Malaysiana 51(12)(2022): 
          
        4185-4195 http://doi.org/10.17576/jsm-2022-5112-25
            
            
            
           The Effect of Probiotic Biscuit on Faecal Microbiota in Malnourished Children
            
           (Kesan Biskut Probiotik kepada Mikrobiota Najis
            dalam Kalangan Kanak-kanak Kurang Nutrisi)
            
            
            
           ANNIS CATUR ADI1,*, CLARA KUSHARTO2 & SRI ANNA MARLIYATI2
            
            
            
           1Department of Nutrition, Faculty of Public
            Health, Universitas Airlangga, 60115
  
 Surabaya,
            East Java, Indonesia
  
 2Faculty of Human Ecology, Bogor Agricultural University, 16680 Bogor, West Java,
            Indonesia
            
           
             
           Received:
            21 September 2021/Accepted: 23 September 2022
  
 
             
           Abstract
            
           A human intervention study on the
            effect of 90 days supplementation of creamed biscuit with the potential of
            containing probiotic strain E. faecium IS-27526 at a dose of 108cfu/day
            on Bifidobacterium in the faecal microbiota of malnourished children under 5
            years was conducted. The study was a Randomized Double Blind Placebo Controlled
            Trial for children under five years old. There were 5 groups with 6 children
              each: P0 = control biscuit with control cream; P1 = fish and soy protein
              isolate biscuit with control cream; P2 = control biscuit with probiotic cream;
              P3 = fish and soy protein isolate biscuit with probiotic cream (every day) and
              P4 = fish and soy protein isolate biscuit with probiotic cream (every two
              days). PCR was used to detect Bifidobacterium and Enterococcus faecium in faeces samples.  It was concluded after 90 days of supplementation,
              only 25% of children in the controlled group (P0) harboured Bifidobacterium. In
              treated groups P1 and P4, the percentage of children positive for
              Bifidobacterium was approximately 60%, while in groups P2 and P3 the prevalence
              was 100%. However, the increase of 10% was only demonstrated by P3 as 100% of
              Bifidobacterium content has been shown in group P2 at the pre-treatment
              condition.  In
                the controlled group (P0), E. faecium could not be identified either pre
                or post-intervention, in contrast to the treated groups which showed an
                increase in some treatments with the highest of 66.7% (group P3). No adverse
                effect was observed during 90 days of supplementation to children. In
                conclusion, supplementation of fish and soy protein isolate biscuit and/or
                probiotic cream every day at a dose of 108cfu/day is considered safe
                for children under five years old and even increased the number of
                  samples with the presence of bifidobacteria and E. faecium in the fecal microbiota.
  
 
             
           Keywords: Bifidobacterium; Enterococcus faecium; malnourished; microbiota; probiotic cream
            
           
             
           Abstrak
            
           Kajian campur tangan manusia
            terhadap kesan suplemen 90 hari biskut berkrim dengan potensi mengandungi
            strain probiotik E. faecium IS-27526
            pada dos 108cfu/hari pada Bifidobakteria dalam mikrobiota najis
            kanak-kanak kurang zat makanan di bawah 5 tahun telah dijalankan. Kajian ini
            ialah Percubaan Rawak Terkawal Dwibuta Plasebo untuk kanak-kanak di bawah umur
            lima tahun. Terdapat 5 kumpulan dengan 6 kanak-kanak setiap satu: P0 = biskut
            kawalan dengan krim kawalan; P1 = biskut pencilan protein ikan dan soya dengan
            krim kawalan; P2 = biskut kawalan dengan krim probiotik; P3 = biskut pencilan
            protein ikan dan soya dengan krim probiotik (setiap hari) dan P4 = biskut
            pencilan protein ikan dan soya dengan krim probiotik (setiap dua hari). PCR
            digunakan untuk mengesan Bifidobakteria dan Enterococcus faecium dalam
            sampel najis. Kesimpulannya, selepas 90 hari suplemen, hanya 25% kanak-kanak
            dalam kumpulan terkawal (P0) memendam Bifidobacterium. Dalam kumpulan rawatan
            P1 dan P4, peratusan kanak-kanak positif Bifidobakteria adalah kira-kira 60%
            manakala dalam kumpulan P2 dan P3 prevalens adalah 100%. Walau bagaimanapun,
            peningkatan sebanyak 10% hanya ditunjukkan oleh P3 kerana 100% kandungan
            Bifidobakteria telah ditunjukkan dalam kumpulan P2 pada keadaan pra-rawatan.
            Dalam kumpulan kawalan (P0), E. faecium tidak dapat dikenal pasti sama
            ada sebelum atau selepas intervensi, berbeza dengan kumpulan yang dirawat yang
            menunjukkan peningkatan dalam beberapa rawatan dengan tertinggi sebanyak 66.7%
            (kumpulan P3). Tiada kesan sampingan diperhatikan semasa 90 hari pemberian
            suplemen kepada kanak-kanak. Kesimpulannya, penambahan biskut pencilan protein
            ikan dan soya dan/atau krim probiotik setiap hari pada dos 108cfu/hari
            dianggap selamat untuk kanak-kanak di bawah umur lima tahun malah menambah bilangan
            sampel dengan kehadiran bifidobakteria dan E. faecium dalam mikrobiota
            najis.
  
           
             
           Kata kunci: Bifidobakteria; Enterococcus
            faecium; krim probiotik; kurang zat; mikrobiota 
  
 
             
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           *Corresponding
            author; email: annis_catur@fkm.unair.ac.id   
               
            
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