Cited by 237Gut microbiota and healthOral microbiology and periodontitis researchAdipokines, Inflammation, and Metabolic Diseases

Six-Week Endurance Exercise Alters Gut Metagenome That Is not Reflected in Systemic Metabolism in Over-weight Women

Open access
Munukka, Eveliina, Ahtiainen, Juha P., Puigbó, Pere, Jalkanen, Sirpa, Pahkala, Katja, Keskitalo, Anniina, Kujala, Urho M., Pietilä, Sami +5 more·2018·Frontiers in Microbiology

Abstract

Previously sedentary overweight women (n=19) underwent a six-week endurance exercise intervention, but two were excluded due to antibiotic therapy. The gut microbiota composition and functions were analyzed by 16S rRNA gene amplicon sequencing and metagenomics. Body composition was analyzed with DXA X-ray densitometer and serum metabolomics with NMR metabolomics. Total energy and energy-yielding nutrient intakes were analyzed from food records using Micro-Nutrica software. Serum clinical variables were determined with KONELAB instrument. Soluble Vascular Adhesion Protein 1 (VAP-1) was measured with ELISA and its’ enzymatic activity as produced hydrogen peroxide. The exercise intervention was effective, as maximal power and maximum rate of oxygen consumption increased while android fat mass decreased. No changes in diet were observed. Metagenomic analysis revealed taxonomic shifts including an increase in Akkermansia and a decrease in Proteobacteria. These changes were independent of age, weight, fat % as well as energy and fibre intake. Training slightly increased Jaccard distance of genus level β-diversity. Training did not alter the enriched metagenomic pathways, which, according to Bray Curtis dissimilarity analysis, may have been due to that only half of the subjects’ microbiomes responded considerably to exercise. Nevertheless, training decreased the abundance of several genes including those related to fructose and amino acid metabolism. These metagenomic changes, however, were not translated into major systemic metabolic changes as only two metabolites, phospholipids and cholesterol in large VLDL particles, decreased after exercise. Training also decreased the amine oxidase activity of pro-inflammatory VAP-1, whereas no changes in CRP were detected. All clinical blood variables were within normal range, yet exercise slightly increased glucose and decreased LDL and HDL. In conclusion, exercise training modified the gut microbiome without greatly affecting systemic metabolites or body composition. Based on our data and existing literature, we propose that especially Akkermansia and Proteobacteria are exercise-responsive taxa. Our results warrant the need for further studies in larger cohorts to determine whether exercise types other than endurance exercise also modify the gut metagenome.

AI snapshot

Written from the paper’s full text.

TL;DR

Six weeks of supervised endurance exercise in previously sedentary overweight women improved fitness and modestly shifted gut metagenome composition, including increased *Akkermansia* and decreased Proteobacteria, without major changes in systemic metabolism or body composition. The authors propose *Akkermansia* and Proteobacteria as exercise-responsive taxa but call for larger/longer trials.

Key findings

  • Exercise was effective: VO2max increased from 29.8 ± 5.2 to 32.5 ± 5.4 ml·min⁻¹·kg⁻¹ and maximal power from 182.9 ± 36.0 to 202.6 ± 36.4 W (both p < 0.001); submaximal blood lactate decreased from 3.0 ± 0.8 to 2.3 ± 0.7 mmol·L⁻¹ (p < 0.001). Android fat mass decreased from 3.87 ± 1.42 to 3.75 ± 1.39 kg (p = 0.005), with no significant weight, BMI, total fat, or diet changes except a slight increase in starch energy percentage (20.7 ± 6.3 to 22.8 ± 3.4, p = 0.033).
  • Metagenomic analysis showed increased genus-level Jaccard β-diversity (0.449 to 0.465, p = 0.014), increased Verrucomicrobia (p = 0.038), Verrucomicrobiaceae (p = 0.038), Bifidobacteriaceae (p = 0.015), *Akkermansia* (p = 0.038), *Dorea* (p = 0.028), and *Anaerofilum* (p = 0.037), and decreased Proteobacteria (p = 0.039), unidentified Porphyromonadaceae (p = 0.016), *Odoribacter* (p = 0.033), unidentified Desulfovibrionaceae (p = 0.037), and unidentified Enterobacteriaceae (p = 0.036). Only Proteobacteria, Verrucomicrobia, Verrucomicrobiaceae, and *Akkermansia* changed independently of age, weight, fat %, android fat %, energy, sucrose, or fiber intake.
  • No major KEGG pathway enrichment changes were detected; several individual genes decreased, including those related to fructose/mannose metabolism, amino acid metabolism, and B-vitamin synthesis. Systemic metabolomics showed only decreased phospholipids and cholesterol in large VLDL particles (p < 0.05 for both). VAP-1 enzymatic activity decreased (p = 0.011) without change in VAP-1 protein or CRP, and TLR5 mRNA increased (p = 0.029).

Methods

  • Design: six-week supervised endurance cycling intervention in previously sedentary overweight women (BMI >27.5 kg/m²), with a preceding six-week non-training control period; subjects served as their own controls. Three sessions/week progressed from 40 to 60 min, with low-intensity and moderate-intensity interval cycling.
  • Sample: 19 women underwent the intervention; 2 were excluded from final analyses due to antibiotic therapy, leaving n = 17 for physical performance, body composition, and clinical variables; n = 15 for metagenome analyses after 2 additional samples clustered differently; n = 14 completed food diaries at all time points.
  • Measurements/analysis: 16S rRNA gene V4 amplicon sequencing and shotgun metagenomics; DXA for body composition; NMR metabolomics; KONELAB clinical assays; VAP-1 ELISA and amine oxidase activity; whole-blood TLR4/TLR5 qPCR. Statistics included repeated-measures ANOVA with Bonferroni post-hoc, Wilcoxon signed-rank tests with Benjamini-Hochberg correction, QIIME, Microbiome Analyst, Spearman correlations, and general linear models.

Limitations

  • Stated: the cohort was small and the authors state that larger and longer exercise trials are needed; only approximately half of subjects’ microbiomes responded considerably to exercise, and inter-individual variation was large; food records are prone to under-reporting and social-desirability/social-approval bias; the mechanism by which exercise regulates VAP-1 activity without changing protein concentration could not be determined.
  • Evident from the text: the study included only overweight women and only endurance exercise, so findings may not generalize to men, other BMI groups, or other exercise types; metagenome analyses were reduced to n = 15, and diet analyses to n = 14, further limiting power; the absence of major systemic metabolic changes may partly reflect heterogeneous individual responses rather than true lack of effect.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.3389/fmicb.2018.02323

Cites

55 of 55 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 59 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    Exercise slightly decreased HDL.

    “All clinical blood variables were within normal range, yet exercise slightly increased glucose and decreased LDL and HDL.”
    Quote in the paperNot a substantial claim
  • Findingown data

    Metagenomic analysis revealed an increase in Akkermansia after six-week endurance exercise.

    “Metagenomic analysis revealed taxonomic shifts including an increase in Akkermansia and a decrease in Proteobacteria.”
    Quote in the paperSubstantial claim
  • Findingown data

    Exercise slightly increased glucose.

    “All clinical blood variables were within normal range, yet exercise slightly increased glucose and decreased LDL and HDL.”
    Quote in the paperNot a substantial claim
  • Findingown data

    Metagenomic analysis revealed a decrease in Proteobacteria after six-week endurance exercise.

    “Metagenomic analysis revealed taxonomic shifts including an increase in Akkermansia and a decrease in Proteobacteria.”
    Quote in the paperSubstantial claim
  • Findingown data

    Six-week endurance exercise decreased android fat mass in previously sedentary overweight women.

    “The exercise intervention was effective, as maximal power and maximum rate of oxygen consumption increased while android fat mass decreased.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 67
  • May combine two claims. 22
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    Findingown data

    Energy % derived from starch slightly increased after the exercise period (p=0.033).

    “However, the energy % derived from starch slightly increased after the exercise period (p = 0.033).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    No effects of the intervention on gut microbiota were observed with lower sequencing depth, and modest changes were found with deeper metagenomic analysis.

    “However, even with such study set up no effects of the intervention on gut microbiota were observed with lower sequencing depth, and modest changes were found with deeper metagenomic analysis.”
    Quote in the paperSubstantial claim
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    Findingown data

    Free fatty acids decreased after the control period.

    “Free fatty acids decreased and triglycerides and insulin increased after the control period.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The exercise intervention increased maximal power and maximum rate of oxygen consumption.

    “However, the exercise intervention was successful as the maximal power and maximum rate of oxygen consumption increased.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Six-week endurance exercise intervention did not greatly affect systemic metabolites or body composition.

    “In this study we showed that six-weeks endurance exercise intervention modestly modified the composition and functions of the gut microbiota without greatly affecting systemic metabolites or body composition.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    No evident changes in weight, body composition and diet occurred during the exercise training.

    “Since no evident changes in weight, body composition and diet occurred during the exercise training, it can be proposed that the effects on gut microbiota were related to the exercise training.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In this subgroup, the changes in HDL, LDL and glucose remained significant.

    “Of the clinical variables the change in HDL, LDL and glucose remained significant while no other changes were detected.”
    Quote in the paperNot a substantial claim
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    Findingown data

    The variation in the genus level composition of the gut microbiota between the subjects appears to be vast in all analyzed time points.

    “The variation in the genus level composition of the gut microbiota between the subjects appears to be vast in all analyzed time points (Figure 2A).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingnone given

    There was a statistically non-significant decline in protein ingestion during the exercise period.

    “Similarly, the statistically non-signifcant decline in protein ingestion during the exercise period can contribute to the decrease of metagenomic functions related to amino acids metabolism.”
    Quote in the paperNot a substantial claim
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    Findingown data

    Exercise training did not increase butyrate metabolism genes but reduced several metagenomic functions including those related to fructose, mannose, alanine and aromatic amino acids metabolism.

    “However, in our study, despite the favorable taxonomic shifts in butyrate-producing Akkermansia and Dorea, exercise training did not increase butyrate metabolism genes but reduced several metagenomic functions including those related to fructose, mannose, alanine and aromatic amino acids metabolism.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Combined eight-weeks aerobic and resistance exercise induced modest shifts in gut metagenomes despite no changes in the diversity of taxa or metabolic pathways.

    “Another study reported that combined eight-weeks aerobic and resistance exercise induced modest shifts in gut metagenomes despite no changes in the diversity of taxa or metabolic pathways (Cronin et al., 2018).”
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    Premisecitation

    Exercise induced compositional changes in the human gut microbiota that were more pronounced in lean than in obese.

    “To date, one study showed that exercise induced compositional changes in the human gut microbiota that were more pronounced in lean than in obese (Allen et al., 2017).”
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    • cites Allen et al., 2017 source

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    Premisecitation

    Professional rugby players diverge from BMI-matched non-athletes in several bacterial phyla.

    “Cross-sectional human studies have reported that professional rugby players diverge from body mass index (BMI)-matched non-athletes in several bacterial phyla (Clarke et al., 2014), and that normal weight active women differ from sedentary women in several taxa (Bressa et al., 2017).”
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    Premisecitation

    Inflammation induced by exercise and gut microbiota may be mediated by bacterial molecules-recognizing Toll-like receptors.

    “Both exercise and gut microbiota are known to induce inflammation (Clark and Mach, 2017), which may be mediated by bacterial molecules-recognizing Toll-like receptors (TLR) (McKenzie et al., 2017).”
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    • cites McKenzie et al., 2017 source

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    Premisecitation

    VAP-1 products can modify the microenvironment to pro-inflammatory direction and cause detrimental effects on vasculature.

    “VAP-1 is a multifunctional protein with amine oxidase activity (Salmi and Jalkanen, 2017) that degrades primary amines and produces hydrogen peroxide, ammonium and aldehydes, which can modify the microenvironment to pro-inflammatory direction and cause detrimental effects on vasculature.”
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    • cites Salmi and Jalkanen, 2017

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    Premisecitation

    Maximal bicycle ergometer test showed an increase in abundance of 7 out of 9 major taxa in patients with myalgic encephalomyelitis/chronic fatigue syndrome compared to 2 of 9 in healthy controls.

    “Acute effects of exercise have also been studied using maximal bicycle ergometer test that showed an increase in the abundance of 7 out of 9 major taxa in patients with myalgic encephalomyelitis/chronic fatigue syndrome compared to 2 of 9 in healthy controls (Shukla et al., 2015).”
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    • cites Shukla et al., 2015 source

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    Interpretationown data

    Exercise training modified the gut microbiome without greatly affecting systemic metabolites or body composition.

    “In conclusion, exercise training modified the gut microbiome without greatly affecting systemic metabolites or body composition.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Normal weight active women differ from sedentary women in several taxa.

    “Cross-sectional human studies have reported that professional rugby players diverge from body mass index (BMI)-matched non-athletes in several bacterial phyla (Clarke et al., 2014), and that normal weight active women differ from sedentary women in several taxa (Bressa et al., 2017).”
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    • cites Bressa et al., 2017 source

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  • Classified as probably not a substantial claim.

    Premisecitation

    VAP-1 is a multifunctional protein with amine oxidase activity.

    “VAP-1 is a multifunctional protein with amine oxidase activity (Salmi and Jalkanen, 2017) that degrades primary amines and produces hydrogen peroxide, ammonium and aldehydes, which can modify the microenvironment to pro-inflammatory direction and cause detrimental effects on vasculature.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Salmi and Jalkanen, 2017

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    Premisecitation

    VAP-1 degrades primary amines and produces hydrogen peroxide, ammonium and aldehydes.

    “VAP-1 is a multifunctional protein with amine oxidase activity (Salmi and Jalkanen, 2017) that degrades primary amines and produces hydrogen peroxide, ammonium and aldehydes, which can modify the microenvironment to pro-inflammatory direction and cause detrimental effects on vasculature.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Salmi and Jalkanen, 2017

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    Premisecitation

    Half marathon performed by amateurs affects gut microbiota composition, predicted functions and fecal metabolites.

    “In addition, half marathon performed by amateurs was reported to affect gut microbiota composition, predicted functions and fecal metabolites (Zhao et al., 2018b).”
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    • cites Zhao et al., 2018b

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    Premisecitation

    Body fat percentage and mass are highly associated with gut microbiota composition.

    “In addition, in the study of Bressa et al. the sedentary group had significantly higher body fat percentage and mass (Bressa et al., 2017), traits known to be highly associated with gut microbiota composition (Turnbaugh et al., 2009).”
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    Premisecitation

    Previously the authors have shown that the amine oxidase activity of VAP-1 is involved in a lipopolysaccharide-induced inflammation model.

    “Previously we have shown that the amine oxidase activity of Vascular Adhesion Protein 1 (VAP-1) is involved in a lipolysaccharide-induced inflammation model (Yu et al., 2006)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Yu et al., 2006

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  • May combine two claims.

    Interpretationown data

    Especially Akkermansia and Proteobacteria are exercise-responsive taxa.

    “Based on our data and existing literature, we propose that especially Akkermansia and Proteobacteria are exercise-responsive taxa.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Both exercise and gut microbiota are known to induce inflammation.

    “Both exercise and gut microbiota are known to induce inflammation (Clark and Mach, 2017), which may be mediated by bacterial molecules-recognizing Toll-like receptors (TLR) (McKenzie et al., 2017).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Clark and Mach, 2017

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Fourteen subjects completed the food diaries in all time points and were included in the analyses.

    “Fourteen subjects completed the food diaries in all time points and were included in the analyses.”
    Quote in the paperNot a substantial claim
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    Study design and conductnone given

    The subjects had not ingested antibiotics within 2 months prior to the sampling.

    “The subjects had not ingested antibiotics within 2 months prior to the sampling.”
    Quote in the paperSubstantial claim
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    Premisecitation

    Animal models have shown that exercise impacts microbial abundance.

    “Recently, animal models have shown that exercise impacts microbial abundance (Lambert et al., 2015; Welly et al., 2016)”
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    Study design and conductown data

    Each sample was analyzed in duplicate in real-time PCR.

    “Each sample was analyzed in duplicate, and PCR cycle parameters were as follows: +95°C for 10 min, 40 cycles at +95°C for 10 s, at +56°C (TLR4) or +59°C (TLR5) or +60°C (GAPDH) for 30 s, and at +72°C for 30 s, followed finally by 5 s at +65°C.”
    Quote in the paperNot a substantial claim
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    Study design and conductown data

    Fourteen subjects completed the food diaries in all time points.

    “Fourteen subjects completed the food diaries in all time points.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Real-time PCR analyses were performed according to MIQE guidelines.

    “Real-time PCR analyses were performed according to MIQE guidelines using in-house designed primers (Invitrogen, Carlsbad, CA, USA), iQ SYBR Supermix, and CFX96™ Real-time PCR Detection System (Bio-Rad Laboratories, Richmond, CA, USA).”
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    Study design and conductnone given

    The gas analyzer was calibrated on each testing day.

    “The gas analyzer was calibrated on each testing day.”
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    Study design and conductnone given

    General linear model was used to determine whether changes in taxa occurred in response to exercise or were dependent on age, weight, body fat %, android fat %, intake of total energy, sucrose or fiber.

    “General linear model in SPSS was used to determine whether the changes in taxa occurred in response to exercise or whether they were dependent on age, weight, body fat %, android fat %, intake of total energy intake, sucrose or fiber.”
    Quote in the paperNot a substantial claim
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    Study design and conductnone given

    Fecal samples were always collected over 72 h after the last exercise bout.

    “The samples were always collected over 72 h after the last exercise bout.”
    Quote in the paperNot a substantial claim
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    Study design and conductown data

    Group comparisons of gut microbiota were corrected for multiple comparison with Benjamini-Hochberg procedure.

    “From the 16S rRNA gene amplicon sequencing and metagenome sequencing the group comparisons of gut microbiota were analyzed with non-parametric Wilcoxon matched-pair signed rank test and corrected for multiple comparison with Benjamini-Hochberg procedure.”
    Quote in the paperSubstantial claim
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    Premisecitation

    Gut microbiota composition is highly associated with weight and body composition.

    “Due to that the gut microbiota composition is known to be highly associated with weight and body composition (Turnbaugh et al., 2009)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Turnbaugh et al., 2009 source

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    Interpretationown data

    The samples before exercise are less variable (more close to the centroid) than the samples after exercise indicating that the exercise has caused shifts in COGs, which are relatively heterogeneous.

    “In agreement, the Correspondence analysis shows that the samples before exercise are less variable (more close to the centroid) than the samples after exercise indicating that the exercise has caused shifts in COGs, which, nevertheless, are relatively heterogeneous (Figure 4C).”
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    Study design and conductown data

    Two participants were excluded from the final analyses due to antibiotic therapy during the intervention.

    “two were excluded of the final analyses due to antibiotic therapy during the intervention.”
    Quote in the paperNot a substantial claim
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    Study design and conductown data

    When assessing the metagenome data, the samples of two subjects clustered differently and were removed from the final analyses, leaving 15 subjects included in the metagenome analyses.

    “When assessing the metagenome data the samples of two subjects clustered differently and were removed from the final analyses. Therefore, 15 subjects were included in the metagenome analyses.”
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    Study design and conductnone given

    Blood samples were taken after overnight fasting over 72 h after the last exercise bout.

    “Blood samples were taken after overnight fasting over 72 h after the last exercise bout.”
    Quote in the paperSubstantial claim
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    Study design and conductnone given

    The study participants had no intestinal or other chronic diseases or medications that could have affected the gut microbiota.

    “They had no intestinal or other chronic diseases or medications that could have affected the gut microbiota.”
    Quote in the paperSubstantial claim
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    Premisecitation

    In animal models, exercise has boosted the abundance of Dorea.

    “In animal models exercise has boosted the abundance of Dorea (Allen et al., 2015; Denou et al., 2016)”
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    Premisecitation

    Compositional and functional differences in the gut microbiota exist between physically active and sedentary women.

    “as well as between physically active and sedentary women (Bressa et al., 2017).”
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    Premisecitation

    Fiber-rich diet seems to promote Akkermansia growth.

    “as fiber-rich diet seem to promote Akkermansia growth (Everard et al., 2014).”
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    Premisecitation

    Exercise is known to increase absorption of fructose.

    “As exercise is known to increase absorption of fructose (Fujisawa et al., 1993)”
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    Premisecitation

    An increased abundance of Enterobacteriaceae has been reported in obesity.

    “An increased abundance of Enterobacteriaceae has been reported in obesity (Scheepers et al., 2015)”
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    Premisecitation

    A similar concept of the so-called responder microbes was raised in a diet intervention that attempted to ameliorate Type 2 diabetes by improving SCFA production from fibers.

    “A similar concept of the so-called responder microbes was also raised in a diet intervention that attempted to ameliorate Type 2 diabetes by improving short chain fatty acid (SCFA) production from fibers (Zhao et al., 2018a).”
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    • cites Zhao et al., 2018a

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    Interpretationreasoning

    Less sugars reaching the colon could contribute to the reduction in fructose and mannose metabolism genes.

    “This could contribute to the reduction in fructose and mannose metabolism genes.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Fructose absorption mainly occurs in the small intestine.
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    Premisecitation

    Akkermansia has been found to be lower in several conditions, such as during obesity and diabetes.

    “Akkermansia has been found to be lower in several conditions, such as during obesity, diabetes (Cani and de Vos, 2017)”
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    Premisecitation

    Allen and co-workers reported compositional and β-diversity changes of the microbiota in response to six-weeks endurance training.

    “On the other hand, similar to our results, Allen and co-workers reported compositional and β-diversity changes of the microbiota in response to six-weeks endurance training that resembled the intervention of our study (Allen et al., 2017).”
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    Premisecitation

    Allen et al. concluded that the shifts were dependent on the obesity status and were reversed after cessation of the training.

    “The authors concluded that the shifts were dependent on the obesity status and were reversed after cessation of the training.”
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    Interpretationcitation

    Including both genders in the Cronin et al. study may have hindered some of the discoveries.

    “However, including both genders in the study may have hindered some of the discoveries, as gender differences in the gut microbiota are known to influence, for instance, metabolic outcomes and immunity (Fransen et al., 2017).”
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    Premisecitation

    Athletes harbored more Akkermansia than sedentary controls.

    “First, athletes harbored more Akkermansia than sedentary controls (Clarke et al., 2014)”
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    • cites Clarke et al., 2014 source

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    Premisecitation

    Exercise decreased Proteobacteria in rats with high aerobic capacity.

    “In agreement with our findings, exercise decreased Proteobacteria in rats with high aerobic capacity (Liu et al., 2015).”
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    Premisecitation

    After eight weeks of non-guided, combined aerobic and resistance exercise, Cronin et al. failed to detect significant changes in the gut microbiota composition or functions.

    “In contrast to our study, after eight-weeks of non-guided, combined aerobic and resistance exercise, Cronin et al. failed to detect significant changes in the gut microbiota composition or functions.”
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    • cites Cronin et al., 2018 source

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    Interpretationreasoning

    Exercise training decreased VAP-1 activity can have beneficial anti-inflammatory effects especially on vasculature.

    “Finally, exercise training decreased VAP-1 activity, which can have beneficial anti-inflammatory effects especially on vasculature, though the underlying mechanisms could not be determined in this study.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    In a human study, Dorea increased after cessation of the training and not in response to exercise.

    “while in a human study it increased after cessation of the training and not in response to exercise (Allen et al., 2017).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Allen et al., 2017 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    Dorea, Odoribacter and a yet unidentified genus of Desulfovibrionaceae may be responders.

    “But Dorea, Odoribacter and a yet unidentified genus of Desulfovibrionaceae may be responders.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationcitation

    The real effect of reduced protein intake can be questioned.

    “Nevertheless, a prolonged protein supplementation did not affect the gut microbiome (Cronin et al., 2018) and therefore the real effect of reduced protein intake can be questioned.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cronin et al., 2018 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Intrinsic aerobic capacity impacts the microbiota composition.

    “and, that intrinsic aerobic capacity impacts the microbiota composition (Pekkala et al., 2017).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Pekkala et al., 2017 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    High-intensity endurance training modified the gut microbiota in animal studies.

    “In accordance, animal studies by us and others have reported that high-intensity endurance training modified the gut microbiota (Campbell et al., 2016; Denou et al., 2016)”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Campbell et al., 2016 source

      Not checked in the free run.

    • cites Denou et al., 2016 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Akkermansia is suggested to be health-beneficial for its capacity to improve lipid oxidation in diet-induced obese mice.

    “Akkermansia is suggested to be health-beneficial for its capacity to improve lipid oxidation in diet-induced obese mice (Everard et al., 2013).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Everard et al., 2013 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing).

    Premisecitation

    Exercise training increased the gene encoding butyrate forming Butyryl CoA: Acetate CoA transferase.

    “It was recently demonstrated by targeted gene amplification, not metagenomics, that in addition to the influence on the gut microbiota composition, exercise training increased the gene encoding butyrate forming Butyryl CoA: Acetate CoA transferase (Allen et al., 2017)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Allen et al., 2017 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Active women harbored more Akkermansia than inactive women.

    “as did the active women compared to inactive (Bressa et al., 2017).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bressa et al., 2017 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    The majority of carbohydrate-metabolizing microbes reside in the colon.

    “where the majority of carbohydrate-metabolizing microbes reside (Krajmalnik-Brown et al., 2012).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Krajmalnik-Brown et al., 2012 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    In rats, unidentified Desulfovibrionaceae decreased in response to voluntary exercise.

    “and in rats the latter decreased in response to voluntary exercise (Liu et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Liu et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    The statistically non-significant decline in protein ingestion can contribute to the decrease of metagenomic functions related to amino acids metabolism.

    “Similarly, the statistically non-signifcant decline in protein ingestion during the exercise period can contribute to the decrease of metagenomic functions related to amino acids metabolism.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    An increased abundance of Enterobacteriaceae has been reported in non-alcoholic steatohepatosis.

    “and non-alcoholic steatohepatosis (Zhu et al., 2013)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Zhu et al., 2013 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    Inter-individual variation in the gut microbiota composition and gene content is vast.

    “Inter-individual variation in the gut microbiota composition and gene content is known to be vast (Lozupone et al., 2012).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Lozupone et al., 2012 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Odoribacter and unidentified Desulfovibrionaceae were lower in active women than sedentary.

    “Corroborating our findings Odoribacter and unidentified Desulfovibrionaceae were lower in active women than sedentary (Bressa et al., 2017)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bressa et al., 2017 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    Gender differences in the gut microbiota are known to influence metabolic outcomes and immunity.

    “as gender differences in the gut microbiota are known to influence, for instance, metabolic outcomes and immunity (Fransen et al., 2017).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Fransen et al., 2017 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Compositional and functional differences in the gut microbiota exist between professional athletes and their BMI-matched sedentary counterparts.

    “It seems that both compositional and functional differencies in the gut microbiota exist between professional athletes and their BMI-matched sedentary counterparts (Clarke et al., 2014)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Clarke et al., 2014 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Contradictory findings from human exercise interventions have been recently presented.

    “But interestingly, contradictory findings from the human exercise interventions have been recently presented (Allen et al., 2017; Cronin et al., 2018).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Allen et al., 2017 source

      Not checked in the free run.

    • cites Cronin et al., 2018 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    A prolonged protein supplementation did not affect the gut microbiome.

    “Nevertheless, a prolonged protein supplementation did not affect the gut microbiome (Cronin et al., 2018)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Cronin et al., 2018 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Food records are considered a reliable dietary assessment tool but are prone to under-reporting, and social-desirability and social approval bias.

    “However, it should be noted that although food records are considered as a reliable dietary assessment tool, they are prone to under-reporting, and social-desirability and social approval bias, which could e.g., result in lower assessed energy intake, and over-reporting of healthy foods and underreporting of unhealthy foods.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    VLDL transports lipids from liver to peripheral tissues and thus has detrimental cardiovascular effects.

    “as VLDL transports lipids from liver to peripheral tissues and thus has detrimental cardiovascular effects (Ren et al., 2010).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Ren et al., 2010 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    In mice, exhaustive exercise up-regulates flagellin-mediated inflammation by increasing TLR5 expression.

    “In addition, in mice, exhaustive exercise up-regulates flagellin-mediated inflammation by increasing TLR5 expression (Uchida et al., 2014).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Uchida et al., 2014 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Long-term leisure time physical activity was associated with lower cholesterol in VLDL.

    “The VLDL particle reducing effect of exercise is supported by our own study showing that long-term leisure time physical activity was associated with lower cholesterol in VLDL (Kujala et al., 2013).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kujala et al., 2013 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    A prolonged bout of strenuous exercise increases the expression of TLRs.

    “Our finding is in agreement with the report showing that a prolonged bout of strenuous exercise increases the expression of TLRs (Gleeson, 2007).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gleeson, 2007 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The underlying mechanisms of the exercise-induced decrease in VAP-1 activity could not be determined in this study.

    “though the underlying mechanisms could not be determined in this study.”
    Quote in the paperNot a substantial claim
80 of 80
  • The paper relies on this without support.

    Dietary composition affects the gut microbiota.

    “As dietary composition affects the gut microbiota, the total daily energy and the intake of energy-yielding nutrients, were analyzed from the 3-days food records.”
  • The paper relies on this without support.

    Starch is broken down into glucose moieties.

    “as starch is broken down into glucose moieties”
  • The paper relies on this without support.

    Fructose absorption mainly occurs in the small intestine.

    “that mainly occurs in the small intestine”
  • The paper relies on this without support.

    No studies in humans have reported associations between Proteobacteria and exercise or physical fitness that would support the responsiveness of this taxon to exercise training.

    “However, to our knowledge, no studies in humans have reported associations between Proteobacteria and exercise or physical fitness that would support the responsiveness of this taxon to exercise training.”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Post-exercise weight differs between text and table

    Minor

    The prose gives a post-exercise mean weight of 89.1 ± 15.2 kg, but Table 2 gives 89.3 ± 15.6 kg for the same time point.

  • Age exception for adjusted taxonomic changes is reversed

    Minor

    The text says these changes depend on all listed variables except age. Yet Bifidobacteriaceae loses significance after age adjustment (0.015 to 0.198); the table also reports significant age-adjusted p-values for the two unidentified taxa (0.038 and 0.027).

  • Phylum-level changes are both denied and reported

    Minor

    The results say there were no differences in phylum-level abundances, then report significant decreases in Proteobacteria and increases in Verrucomicrobia, both at the phylum level.

  • No-change-in-diet statement overlooks starch energy percentage

    Minor

    The abstract states that no dietary changes were observed, whereas the results report a significant increase in the percentage of energy derived from starch after exercise.

  • Claim of independent taxonomic responses conflicts with adjusted results

    Minor

    The claim of independence from the listed variables is not supported for every named taxon. Table 5 reports Proteobacteria p-values of 0.078 and 0.073 when adjusted for changes in energy and sucrose, respectively, and a Verrucomicrobia p-value of 0.054 when adjusted for the pre-exercise fiber value.

  • Heading says body-composition associations disappear despite reported correlations

    Minor

    The section heading says the associations disappear after exercise, but the section reports significant post-exercise correlations with waist circumference, weight, and android fat mass.

  • Figure 4 panel for Bray-Curtis analysis is mislabeled

    Minor

    The results direct readers to Figure 4B for the Bray-Curtis analysis, while the figure caption identifies panel B as Correspondence analysis and panel C as Bray-Curtis analysis.

7 of 7

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Authors
Munukka, E., Ahtiainen, J. P., Puigbó, P., Jalkanen, S., Pahkala, K., Keskitalo, A., Kujala, U. M., Pietilä, S., Hollmén, M., Elo, L., Huovinen, P., D'Auria, G., & Pekkala, S.
Affiliations
  • University of Turku (FI)
  • University of Jyväskylä (FI)
Corresponding author
Pekkala, Satu
Venue
Frontiers in Microbiology
Published
2018-10-03
Volume
9
Pages
2323-2323
ISSN
1664-302X (ISSN-L)
OpenAlex
W2895626130
Cited by
237
References
55
Citations by year
2026: 31 · 2025: 30 · 2024: 33 · 2023: 26 · 2022: 43 · 2021: 33 · 2020: 26 · 2019: 14 · 2017: 1
FWCI
6.49
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Microbiology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Jyväskylä University Digital Archive (University of Jyväskylä) (submittedVersion, cc-by)
  • UTUPub (University of Turku) (submittedVersion)
  • UTUPub (University of Turku) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Juho Vainion Säätiö
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
Keywords
endurance exercise, gut microbiota, gut metagenome, overweight women, Akkermansia, Proteobacteria, serum metabolomics, VAP-1, amine oxidase activity, hydrogen peroxide, body composition, fat mass, fructose metabolism, amino acid metabolism, lipid metabolism, VLDL cholesterol, phospholipids

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.

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