Effects of Taurine Supplementation on Growth in Low Birth Weight Infants: A Systematic Review and Meta-Analysis
- 58 Downloads
To summarize the available randomized controlled trials (RCTs) to evaluate the effect of taurine supplementation on growth in low birth weight infants (LBW).
PubMed, EmBase, and Cochrane Library electronic databases were searched for published articles through March 2017. Analysis was done to examine the effect of taurine supplementation on growth, and sensitivity analysis was performed by removing each individual study from meta-analysis.
Results of 9 trials totaling 216 LBW infants in the present meta-analysis were collected and analyzed. The conclusion of included studies demonstrated that taurine supplementation significantly reduced length gain (WMD:-0.18; P < 0.001), plasma glycine (WMD:-106.71; P = 0.033), alanine (WMD:-229.30; P = 0.002), leucine (WMD:-64.76; P < 0.001), tyrosine (WMD:-118.11; P < 0.001), histidine (WMD:-52.16; P < 0.001), proline (WMD: -84.29; P = 0.033), and asparagine-glutamine (WMD:-356.30; P < 0.001). However, taurine supplementation was associated with higher levels of acidic sterols (WMD:0.61; P = 0.024), total fatty acids (WMD:7.94; P = 0.050), total saturated fatty acids (WMD:9.70; P < 0.001), and unsaturated fatty acids (WMD:6.63; P < 0.001). Finally, taurine supplementation had little or no significant effect on weight gain, head circumference gain, plasma taurine, threonine, serine, citrulline, valine, methionine, isoleucine, phenylalanine, ornithine, lysine, arginine, glutamate, hydroxyproline, aspartate, dietary cholesterol, endogenous neutral sterols, cholesterol synthesis, and medium-chain triglycerides.
The findings suggest that although there are several significant differences in plasma indeces, no significant effect on growth in LBW infants was observed with taurine supplementation.
KeywordsTaurine supplementation Growth Low birth weight infants Meta-analysis
The authors thank all the members of their study team for their wholehearted cooperation in this endeavor.
SLC and HJ carried out the studies, participated in collecting the data, and drafted the manuscript. SPN and XHW performed the statistical analysis and participated in its design. SD helped to draft the manuscript. Dr. Guoqiang Cheng, Department of Neonatology, Children’s Hospital of Fudan University will act as guarantor for this paper.
Compliance with Ethical Standards
Conflict of Interest
Source of Funding
Affilited Hospital of Qingdao University.
- 1.UNICEF. Progress for Children: A Report Card on Nutrition (no. 4). Available at: http://www.unicef.org. Accessed in April 2017.
- 2.UNICEF. Low birth weight: country, regional, and global estimates. Available at: http://www.who.int. Accessed in April 2017.
- 3.Darlow BA, Graham PJ, Rojas-Reyes MX, Vitamin A. Supplementation to prevent mortality and short- and long-term morbidity in very low birth weight infants. Cochrane Database Syst Rev. 2016;8:CD000501.Google Scholar
- 4.Fenton TR, Premji SS, Al-Wassia H, Sauve RS. Higher versus lower protein intake in formula-fed low birth weight infants. Cochrane Database Syst Rev. 2014;4:CD003959.Google Scholar
- 20.Ades AE, Lu G, Higgins JP. The interpretation of random-effects meta-analysis in decision models. Med Decis Making. 2005;25:646–54.Google Scholar
- 22.Tobias A. Assessing the influence of a single study in the meta-analysis estimate. Stata Tech Bull. 1999;47:15–7.Google Scholar
- 25.Duvall S, Tweedie RA. Nonparametric “trim and fill” method of accounting for publication bias in meta-analysis. J Am Stat Assoc. 2000;95:89–98.Google Scholar
- 26.Verner A, Craig S, McGuire W. Effect of taurine supplementation on growth and development in preterm or low birth weight infants. Cochrane Database Syst Rev. 2007;4:CD006072.Google Scholar
- 29.Ahmadian M, Roshan VD, Aslani E, Stannard SR. Taurine supplementation has anti-atherogenic and anti-inflammatory effects before and after incremental exercise in heart failure. Adv. Cardiovasc Dis. 2017;11:185–94.Google Scholar