Background
Malnutrition and diarrhea are leading causes of death in children under five years old. Rice bran is a nutrient dense prebiotic available globally.
Objectives
The objective of this secondary analysis was to evaluate the effects of daily rice bran supplementation on environmental enteric dysfunction (EED) markers, total fecal secretory IgA (sIgA), and microbiota in infants at high-risk for malnutrition.
Methods
6-month-old Malian and Nicaraguan infants were randomized to control or daily rice bran supplementation cohorts (1 to 5 grams/day). Feces were collected monthly for 6 months to evaluate fecal sIgA, markers of EED, and microbiota diversity. Statistical methods included linear mixed models, generalized mixed models, Spearman correlation, and Wilcoxon rank-sum tests.
Results
Six-month old Malian infants had significantly elevated sIgA (4.0X higher, P < 0.001), fecal myeloperoxidase (31.6X higher, P < 0.001), fecal alpha-1-antitrypsin (1.8X higher, P = 0.006), and lower fecal neopterin (0.13X higher, P < 0.001) than the age-matched Nicaraguan infants. In the Nicaraguan rice bran cohort from 6 to 12-months of age, there was a significant decrease in sIgA concentrations (0.4X, P < 0.05) and a correlation between sIgA and the EED marker alpha-1 antitrypsin (0.523, P < 0.0001) at 12 months of age. In Malian infants, daily rice bran ingestion resulted in decreased EED scores (0.71X, P = 0.02) and a stable sIgA concentration over time. The rice bran group of Mali infants also had correlation between sIgA and the EED marker neopterin (0.544, P < 0.001) at 12 months of age and a significant (P < 0.05) increase in microbiota ɑ-diversity at a younger age (9 months with rice bran versus 10 months of age in control group), which supports earlier microbiota maturation.
Conclusion
These results support rice bran as a functional food ingredient targeting gut mucosa in children at high-risk for malnutrition.