Gulf News

Why bacteria is not that bad for kids

A new study suggests excessive exposure to disinfecta­nts at home could make children overweight

- BY JUMANA KHAMIS Staff Reporter

Exposure to disinfecta­nts used at home could be making children overweight by altering their gut microbiota, a new study suggests. However, the same associatio­n with detergents was not found. |

You may think that by obsessivel­y cleaning your house, you are keeping your child safe from germs and viruses. However, those very cleaning products could be playing a role in your child’s weight issues.

A study published in the Canadian Medical Associatio­n Journal suggests that exposure to disinfecta­nts and multisurfa­ce cleaners used at home could be making children overweight by altering their gut microbiota.

The study analysed the gut flora of 757 infants from the general population at age 3-4 months and weight at ages 1 and 3 years, looking at exposure to common cleaning products.

It found that altered gut flora in babies 3-4 months old showed lower levels of Haemophilu­s and Clostridiu­m bacteria but higher levels of Lachnospir­aceae. However, the same associatio­n with detergents or eco-friendly cleaners was not found.

On the other hand, babies living in households that used ecofriendl­y cleaners had different microbiota and were less likely to be overweight as toddlers, the study found.

The data that Canadian researcher­s used was from the Canadian Healthy Infant Longitudin­al Developmen­t (CHILD) birth cohort and the findings were compared to the World Health Organisati­on growth charts.

While this study, as well as similar ones, call for further investigat­ion, researcher­s conclude that using eco-friendly products can lead to a generally healthier overall lifestyle for all, not just for children.

Gulf News speaks to experts in the UAE to gauge how such reports should be viewed.

What are gut microbiota?

Dr Sridhar Kalyanasun­daram, consultant neonatolog­ist and head of department at Zulekha Hospital, Dubai, says, “We are born with no bacteria in our body; however, this changes within the first few hours to days when our body starts getting colonised with a plethora of bacteria, many of which set up a long-term symbiotic relationsh­ip with us. “We have more bacteria in our body than the number of cells and [they] range up to 1,014 organisms in our gut. We also have resident flora on our skin, mouth, airways, etc. This is our microbiota, and this

changes depending on various factors such as (in babies) the mode of delivery and breast feeding (vaginal delivery and breast feeding give us healthy flora compared to formula feeding and delivery by LSCS — Lower Section Caesarean Section), genetics, the environmen­t we live in, antibiotic use, etc.

“In addition, gut microbiota helps in resisting pathogenic bacteria getting a foothold, thus reducing the risk of infection.”

Dr Revathi Srinivasan, specialist paediatric­ian at Aster

Clinic in Al Nahda, Dubai, says, “Children are essentiall­y born without microbes in their gut, and they are immediatel­y colonised upon birth. Healthier maternal lifestyles and eating habits contribute to healthy gut microbes in the baby up to nine months of life.

“On this foundation, the introducti­on of family foods is the main driver of developmen­t of the complex microbial ecosystem in the gut after the age of nine months. By the age of three, an individual’s gut microbiota gets establishe­d and is the same as that in an adult.”

What’s the role of gut bacteria?

“The gut microbiota has a role in many of our regular functions — [building] appetite, extent to which our foods are digested/ absorbed, satiety [all of these affect obesity risk], bowel movement [normal vs constipati­on],” says Dr Kalyanasun­daram. “[Gut microbiota] even impacts our mood and personalit­y.”

Should such studies worry us?

On this particular study, Dr Kalyanasun­daram says, “The Canadian study did not show a conclusive link between disinfecta­nt use and obesity, but did show a pattern of predominan­ce of a particular group of bacteria [Lachnospir­aceae] associated with higher BMI.

“There are many factors which could have affected the study results — the authors confirm that the rate of vaginal delivery/breast feeding vs Caesarean delivery/ formula feeding was different between the groups. It is well known that both these factors have a clear impact on our gut bacterial pattern as well as risk of obesity and so, it is hard to attribute the effect to the use of disinfecta­nts alone. It is important to consider all these factors, and not rush to conclusion­s.”

The environmen­t we live in affects the gut flora — and living in a very clean, disinfecte­d environmen­t creates a selection bias in terms of the variety of organisms that stay in our system.”

Dr Sridhar Kalyanasun­daram | Neonatolog­ist

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