The Gut Microbiome Profile in Obesity: A Systematic Review
Open accessAbstract
Gut microbiome has been identified in the past decade as an important factor involved in obesity, but the magnitude of its contribution to obesity and its related comorbidities is still uncertain. Among the vast quantity of factors attributed to obesity, environmental, dietary, lifestyle, genetic, and others, the microbiome has aroused curiosity, and the scientific community has published many original articles. Most of the studies related to microbiome and obesity have been reported based on the associations between microbiota and obesity, and the in-depth study of the mechanisms related has been studied mainly in rodents and exceptionally in humans. Due to the quantity and diverse information published, the need of reviews is mandatory to recapitulate the relevant achievements. In this systematic review, we provide an overview of the current evidence on the association between intestinal microbiota and obesity. Additionally, we analyze the effects of an extreme weight loss intervention such as bariatric surgery on gut microbiota. The review is divided into 2 sections: first, the association of obesity and related metabolic disorders with different gut microbiome profiles, including metagenomics studies, and second, changes on gut microbiome after an extreme weight loss intervention such as bariatric surgery.
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There is a strong relationship between changes in the Firmicutes:Bacteroidetes ratio and obesity.
“Other findings have reported a strong relationship between changes in Firmicutes:Bacteroidetes ratio and obesity (Castaner et al., 2018).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Castaner et al., 2018
The Results (§3.1) report studies finding a higher Firmicutes:Bacteroidetes ratio in obese people, which supports an association. But the same section reports an analysis finding no significant association at the phylum level, and the Discussion (§4) emphasizes substantial variation between studies. Calling the relationship strong overstates the review’s mixed findings. (LLM, conf=0.87)
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A human gut microbial gene catalogue established by metagenomic sequencing
MetaHIT Consortium, Qin, J., Li, R., Raes, J., Arumugam, M., Burgdorf, K. S., Manichanh, C., Nielsen, T., Pons, N., Levenez, F., et al. (2010) · Nature · doi:10.1038/nature08821 · Cited by 11,624 · see citing works
Human gut microbes associated with obesity
Ley, R. E., Turnbaugh, P. J., Klein, S., & Gordon, J. I. (2006) · Nature · doi:10.1038/4441022a · Cited by 8,785 · see citing works
Kopelman, P. G. (2000) · Nature · doi:10.1038/35007508 · Cited by 4,795 · see citing works
Human Genetics Shape the Gut Microbiome
Goodrich, J. K., Waters, J. L., Poole, A. C., Sutter, J. L., Koren, O., Blekhman, R., Beaumont, M., Van Treuren, W., Knight, R., Bell, J. T., et al. (2014) · Cell · doi:10.1016/j.cell.2014.09.053 · Cited by 3,164 · see citing works
Gut metagenome in European women with normal, impaired and diabetic glucose control
Karlsson, F. H., Tremaroli, V., Nookaew, I., Bergström, G., Behre, C. J., Fagerberg, B., Nielsen, J., & Bäckhed, F. (2013) · Nature · doi:10.1038/nature12198 · Cited by 3,115 · see citing works
Di Angelantonio, E., Bhupathiraju, S. N., Wormser, D., Gao, P., Kaptoge, S., de Gonzalez, A. B., Cairns, B. J., Huxley, R., Jackson, C. L., Joshy, G., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)30175-1 · Cited by 2,821 · see citing works
Microbiota and SCFA in lean and overweight healthy subjects
Schwiertz, A., Taras, D., Schäfer, K., Beijer, S., Bos, N. A., Donus, C., & Hardt, P. D. (2010) · Obesity · doi:10.1038/oby.2009.167 · Cited by 2,457 · see citing works
Tremaroli, V., Karlsson, F., Werling, M., Ståhlman, M., Kovatcheva-Datchary, P., Olbers, T., Fändriks, L., le Roux, C. W., Nielsen, J., & Bäckhed, F. (2015) · Cell Metabolism · doi:10.1016/j.cmet.2015.07.009 · Cited by 757 · see citing works
Intestinal Microbiota Is Influenced by Gender and Body Mass Index
Haro, C., Rangel-Zúñiga, O. A., Alcalá-Díaz, J. F., Gómez-Delgado, F., Pérez-Martínez, P., Delgado-Lista, J., Quintana-Navarro, G. M., Landa, B. B., Navas-Cortés, J. A., Tena-Sempere, M., et al. (2016) · PLOS ONE · doi:10.1371/journal.pone.0154090 · Cited by 671 · cited 3× · see citing works
“In concordance with this finding, it seemed to be described more abundance of Firmicutes in obese subjects even with different types of methodologies [23], and also this ratio seemed to be higher in women when BMI was increased [24] or in a specific family within the phylum [23].”
Graessler, J., Qin, Y., Zhong, H., Zhang, J., Licinio, J., Wong, M.-L., Xu, A., Chavakis, T., Bornstein, A. B., Ehrhart-Bornstein, M., et al. (2013) · The Pharmacogenomics Journal · doi:10.1038/tpj.2012.43 · Cited by 428 · see citing works
A Taxonomic Signature of Obesity in the Microbiome? Getting to the Guts of the Matter
Finucane, M. M., Sharpton, T. J., Laurent, T. J., & Pollard, K. S. (2014) · PLoS ONE · doi:10.1371/journal.pone.0084689 · Cited by 321 · see citing works
Flagged first, then by citations
Research works printed but not linked: 24
- [3]Pi-Sunyer F. X. The obesity epidemic: pathophysiology and consequences of obesity Obesity Research 2002 10 S12 97S 104S 10.1038/oby.2002.202 12490658 · DOI
- [6]Baothman O. A. Zamzami M. A. Taher I. Abubaker J. Abu-Farha M. The role of gut microbiota in the development of obesity and diabetes Lipids in Health and Disease 2016 15 1 p. 108 10.1186/s12944-016-0278-4 2-s2.0-84975799373 27317359 PMC4912704 · DOI
- [7]Sekirov I. Russell S. L. Antunes L. C. M. Finlay B. B. Gut microbiota in health and disease Physiological Reviews 2010 90 3 859 904 10.1152/physrev.00045.2009 2-s2.0-77955647582 20664075 · DOI · Paper page
- [8]Cani P. D. Osto M. Geurts L. Everard A. Involvement of gut microbiota in the development of low-grade inflammation and type 2 diabetes associated with obesity Gut Microbes 2012 3 4 279 288 10.4161/gmic.19625 2-s2.0-84863870958 22572877 PMC3463487 · DOI · Paper page
- [10]Tang W. H. W. Kitai T. Hazen S. L. Gut microbiota in cardiovascular health and disease Circulation Research 2017 120 7 1183 1196 10.1161/CIRCRESAHA.117.309715 2-s2.0-85016760436 28360349 PMC5390330 · DOI · Paper page
- [12]Ley R. E. Bäckhed F. Turnbaugh P. J. Lozupone C. A. Knight R. D. Gordon J. I. Obesity alters gut microbial ecology Proceedings of the National Academy of Sciences of the United States of America 2005 102 31 11070 11075 10.1073/pnas.0504978102 2-s2.0-23344442120 16033867 PMC1176910 · DOI · Paper page
- [15]Murphy E. F. Cotter P. D. Healy S. Composition and energy harvesting capacity of the gut microbiota: relationship to diet, obesity and time in mouse models Gut 2010 59 12 1635 1642 10.1136/gut.2010.215665 2-s2.0-78649887273 20926643 · DOI
- [16]Turnbaugh P. J. Ley R. E. Mahowald M. A. Magrini V. Mardis E. R. Gordon J. I. An obesity-associated gut microbiome with increased capacity for energy harvest Nature 2006 444 7122 1027 1131 10.1038/nature05414 2-s2.0-33845874101 17183312 · DOI · Paper page
- [17]Khanna S. Tosh P. K. A clinician’s primer on the role of the microbiome in human health and disease Mayo Clinic Proceedings 2014 89 1 107 114 10.1016/j.mayocp.2013.10.011 2-s2.0-84893144938 24388028 · DOI
- [18]Duncan S. H. Lobley G. E. Holtrop G. Human colonic microbiota associated with diet, obesity and weight loss International Journal of Obesity 2008 32 11 1720 1724 10.1038/ijo.2008.155 2-s2.0-56549122798 18779823 · DOI · Paper page
- [19]Dave M. Higgins P. D. Middha S. Rioux K. P. The human gut microbiome: current knowledge, challenges, and future directions Translational Research 2012 160 4 246 257 10.1016/j.trsl.2012.05.003 2-s2.0-84866423583 22683238 · DOI
- [20]Anhê F. F. Varin T. V. Schertzer J. D. Marette A. The gut microbiota as a mediator of metabolic benefits after bariatric surgery Canadian Journal of Diabetes 2017 41 4 439 447 10.1016/j.jcjd.2017.02.002 2-s2.0-85019949133 28552651 · DOI · Paper page
- [21]Seganfredo F. B. Blume C. A. Moehlecke M. Weight-loss interventions and gut microbiota changes in overweight and obese patients: a systematic review Obesity Reviews 2017 18 8 832 851 10.1111/obr.12541 2-s2.0-85021745544 28524627 · DOI · Paper page
- [22]Kasai C. Sugimoto K. Moritani I. Comparison of the gut microbiota composition between obese and non-obese individuals in a Japanese population, as analyzed by terminal restriction fragment length polymorphism and next-generation sequencing BMC Gastroenterology 2015 15 1 p. 100 10.1186/s12876-015-0330-2 2-s2.0-84938803690 26261039 PMC4531509 · DOI · Paper page
- [23]Million M. Maraninchi M. Henry M. Obesity-associated gut microbiota is enriched in Lactobacillus reuteri and depleted in Bifidobacterium animalis and Methanobrevibacter smithii International Journal of Obesity 2012 36 6 817 825 10.1038/ijo.2011.153 2-s2.0-84862230115 21829158 PMC3374072 · DOI
- [25]Lin S. W. Freedman N. D. Shi J. Beta-diversity metrics of the upper digestive tract microbiome are associated with body mass index Obesity 2015 23 4 862 869 10.1002/oby.21020 2-s2.0-84925877210 25755147 PMC4380747 · DOI
- [26]Angelakis E. Armougom F. Carrière F. A metagenomic investigation of the duodenal microbiota reveals links with obesity PLoS One 2015 10 9, article e0137784 10.1371/journal.pone.0137784 2-s2.0-84944755228 26356733 PMC4565581 · DOI
- [28]Turnbaugh P. J. Hamady M. Yatsunenko T. A core gut microbiome in obese and lean twins Nature 2009 457 7228 480 484 10.1038/nature07540 2-s2.0-58749112734 19043404 PMC2677729 · DOI · Paper page
- [31]Murugesan S. Ulloa-Martínez M. Martínez-Rojano H. Study of the diversity and short-chain fatty acids production by the bacterial community in overweight and obese Mexican children European Journal of Clinical Microbiology and Infectious Diseases 2015 34 7 1337 1346 10.1007/s10096-015-2355-4 2-s2.0-84931563167 25761741 · DOI
- [32]Ignacio A. Fernandes M. R. Rodrigues V. A. A. Correlation between body mass index and faecal microbiota from children Clinical Microbiology and Infection 2016 22 3 258.e1 258.e8 10.1016/j.cmi.2015.10.031 2-s2.0-84959543896 26551842 · DOI
- [33]Hu H.-J. Park S.-G. Jang H. B. Obesity alters the microbial community profile in Korean adolescents PLoS One 2015 10 7, article e0134333 10.1371/journal.pone.0134333 2-s2.0-84942155749 26230509 PMC4521691 · DOI
- [34]Damms-Machado A. Mitra S. Schollenberger A. E. Effects of surgical and dietary weight loss therapy for obesity on gut microbiota composition and nutrient absorption BioMed Research International 2015 2015 12 806248 10.1155/2015/806248 2-s2.0-84924210824 25710027 PMC4330959 · DOI
- [35]Bondia-Pons I. Maukonen J. Mattila I. Metabolome and fecal microbiota in monozygotic twin pairs discordant for weight: a Big Mac challenge The FASEB Journal 2014 28 9 4169 4179 10.1096/fj.14-250167 2-s2.0-84907202489 24846387 PMC5395738 · DOI
- [36]Palleja A. Kashani A. Allin K. H. Roux-en-Y gastric bypass surgery of morbidly obese patients induces swift and persistent changes of the individual gut microbiota Genome Medicine 2016 8 1 p. 67 10.1186/s13073-016-0312-1 2-s2.0-84974587962 27306058 PMC4908688 · DOI
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- Authors
- Castaner, O., Goday, A., Park, Y.-M., Lee, S.-H., Magkos, F., Shiow, S.-A. T. E., & Schröder, H.
- Affiliations
- Cardiovascular Risk and Nutrition Research Group, Hospital del Mar Research Institute (IMIM), Barcelona, Spain
- Universitat Autònoma de Barcelona (ES)
- National Institute of Environmental Health Sciences (US)
- The Catholic University of Korea Seoul St. Mary's Hospital (KR)
- Agency for Science, Technology and Research (SG)
- National University of Singapore (SG)
- Municipal Institute for Medical Research (ES)
- Corresponding author
- Schröder, Helmut
- Venue
- International Journal of Endocrinology
- Publisher
- Wiley
- Published
- 2018
- Volume
- 2018
- Pages
- 1-9
- ISSN
- 1687-8337 (ISSN-L)
- 1687-8345
- PMC
- PMC5933040
- OpenAlex
- W2790152383
- Cited by
- 570
- References
- 12
- Citations by year
- 2026: 16 · 2025: 41 · 2024: 48 · 2023: 65 · 2022: 80 · 2021: 127 · 2020: 115 · 2019: 67 · 2018: 10
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal of Endocrinology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (publishedVersion, other-oa)
- Repositori digital de la UPF (Universitat Pompeu Fabra) (publishedVersion, cc-by)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by)
- National University of Singapore (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Instituto de Salud Carlos III (JR14/0008, JR17/00022)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- gut microbiota, obesity, bariatric surgery, weight loss, metabolic disorders, metagenomics, obesity-related comorbidities
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