The present disclosure generally relates to pediatric nutritional compositions including a human milk oligosaccharide or a precursor thereof. Further, the nutritional compositions may include a prebiotic mixture of galacto-oligosaccharide and/or polydextrose, a probiotic, such as Lactobacillus rhamnosus GG, and human milk oligosaccharides. The disclosed nutritional compositions advantageously modify gut microbiome and improve select markers of immunity, brain structure, and gut function.本發明大致上關於包括人乳寡醣或彼之前驅物之小兒營養組成物。另外,該營養組成物可包括半乳糖寡糖和/或聚右旋糖之益生素混合物、益生菌(諸如鼠李醣乳酸桿菌GG(Lactobacillus rhamnosus GG))、及人乳寡醣。所揭示之營養組成物有利地調整腸道微生物群(microbiome)並改善免疫性、腦結構及腸道功能之篩選標記。