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Interplay Between Weight Loss and Gut Microbiota Composition in Overweight Adolescents
Authors:Arlette Santacruz  Ascensión Marcos  Julia Wärnberg  Amelia Martí  Miguel Martin‐Matillas  Cristina Campoy  Luis A. Moreno  Oscar Veiga  Carlos Redondo‐Figuero  Jesús M. Garagorri  Cristina Azcona  Manuel Delgado  Miguel García‐Fuentes  Maria C. Collado  Yolanda Sanz  EVASYON Study Group
Affiliation:1. Instituto de Agroquímica y Tecnología de Alimentos (CSIC), Valencia, Spain;2. Grupo de Inmunonutrición, Instituto del Frío‐ICTAN (CSIC), Madrid, Spain;3. Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden;4. Departamento de Medicina Preventiva y Salud Publica, Universidad de Navarra, Pamplona, Spain;5. Departamento de Fisiología y Nutrición, Universidad de Navarra, Pamplona, Spain;6. Departamento de Pediatría, Facultad de Medicina, Universidad de Granada, Granada, Spain;7. Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain;8. Departamento de Educación Física, Deporte y Movimiento Humano, Universidad Autónoma de Madrid, Madrid, Spain;9. Departamento de Ciencias Médicas y Quirúrgicas, Universidad de Cantabria, Santander, Spain;10. Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Zaragoza, Spain;11. Facultad de Ciencias de la Actividad Física y Deporte;12. Universidad de Granada, Granada, Spain
Abstract:The aim of this study was to determine the influence of an obesity treatment program on the gut microbiota and body weight of overweight adolescents. Thirty‐six adolescents (13–15 years), classified as overweight according to the International Obesity Task Force BMI criteria, were submitted to a calorie‐restricted diet (10–40%) and increased physical activity (15–23 kcal/kg body weight/week) program over 10 weeks. Gut bacterial groups were analyzed by quantitative real‐time PCR before and after the intervention. A group of subjects (n = 23) experienced >4.0 kg weight loss and showed significant BMI (P = 0.030) and BMI z‐score (P = 0.035) reductions after the intervention, while the other group (n = 13) showed <2.0 kg weight loss. No significant differences in dietary intake were found between both groups. In the whole adolescent population, the intervention led to increased Bacteroides fragilis group (P = 0.001) and Lactobacillus group (P = 0.030) counts, and to decreased Clostridium coccoides group (P = 0.028), Bifidobacterium longum (P = 0.031), and Bifidobacterium adolescentis (P = 0.044) counts. In the high weight–loss group, B. fragilis group and Lactobacillus group counts also increased (P = 0.001 and P = 0.007, respectively), whereas C. coccoides group and B. longum counts decreased (P = 0.001 and P = 0.044, respectively) after the intervention. Total bacteria, B. fragilis group and Clostridium leptum group, and Bifidobacterium catenulatum group counts were significantly higher (P < 0.001–0.036) while levels of C. coccoides group, Lactobacillus group, Bifidobacterium, Bifidobacterium breve, and Bifidobacterium bifidum were significantly lower (P < 0.001–0.008) in the high weight–loss group than in the low weight–loss group before and after the intervention. These findings indicate that calorie restriction and physical activity have an impact on gut microbiota composition related to body weight loss, which also seem to be influenced by the individual's microbiota.
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