Analysing the Relationship between Nutrition and the Microbial Composition of the Oral Biofilm—Insights from the Analysis of Individual Variability

The influence of a change in nutrition on the oral microbiota are discussed in literature, but usually only changes of population mean values are reported. This paper introduces simple methods to also analyse and report the variability of patients’ reactions considering data from the culture analysi...

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Main Authors: Kirstin Vach, Ali Al-Ahmad, Annette Anderson, Johan Peter Woelber, Lamprini Karygianni, Annette Wittmer, Elmar Hellwig
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/9/8/479
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author Kirstin Vach
Ali Al-Ahmad
Annette Anderson
Johan Peter Woelber
Lamprini Karygianni
Annette Wittmer
Elmar Hellwig
author_facet Kirstin Vach
Ali Al-Ahmad
Annette Anderson
Johan Peter Woelber
Lamprini Karygianni
Annette Wittmer
Elmar Hellwig
author_sort Kirstin Vach
collection DOAJ
description The influence of a change in nutrition on the oral microbiota are discussed in literature, but usually only changes of population mean values are reported. This paper introduces simple methods to also analyse and report the variability of patients’ reactions considering data from the culture analysis of oral biofilm. The framework was illustrated by an experimental study exposing eleven participants to different nutrition schemes in five consecutive phases. Substantial inter-individual variations in the individual reactions were observed. A new coherence index made it possible to identify 14 instances where the direction of individual changes tended to coincide with the direction of the mean change with more than 95% probability. The heterogeneity in variability across different bacteria species was limited. This allowed us to develop recommendations for sample sizes in future studies. For studies measuring the concentration change of bacteria as a reaction to nutrition change, the use of replications and analysis of the variability is recommended. In order to detect moderate effects of a change in nutrition on the concentration of single bacterial taxa, 30 participants with three repetitions are often adequate. Insights into the relationship between nutrition and the microbial composition can be helpful for the development of dietary habits that promote the establishment of a healthy microbial flora and can therefore prevent the initiation of oral diseases such as caries and periodontitis.
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spelling doaj.art-3682030422fd461f8c11291d35eb130e2023-11-20T09:02:11ZengMDPI AGAntibiotics2079-63822020-08-019847910.3390/antibiotics9080479Analysing the Relationship between Nutrition and the Microbial Composition of the Oral Biofilm—Insights from the Analysis of Individual VariabilityKirstin Vach0Ali Al-Ahmad1Annette Anderson2Johan Peter Woelber3Lamprini Karygianni4Annette Wittmer5Elmar Hellwig6Institute of Medical Biometry and Medical Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Stefan-Meier-Str. 26, D-79104 Freiburg, GermanyCenter for Dental Medicine, Department of Operative Dentistry and Periodontology, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Straße 55, D-79106 Freiburg, GermanyCenter for Dental Medicine, Department of Operative Dentistry and Periodontology, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Straße 55, D-79106 Freiburg, GermanyCenter for Dental Medicine, Department of Operative Dentistry and Periodontology, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Straße 55, D-79106 Freiburg, GermanyClinic for Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH-8032 Zurich, SwitzerlandInstitute of Medical Microbiology and Hygiene, Department of Medical Microbiology and Hygiene, Faculty of Medicine and Medical Center, University of Freiburg, Hermann-Herder-Straße 11, D-79104 Freiburg, GermanyCenter for Dental Medicine, Department of Operative Dentistry and Periodontology, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Straße 55, D-79106 Freiburg, GermanyThe influence of a change in nutrition on the oral microbiota are discussed in literature, but usually only changes of population mean values are reported. This paper introduces simple methods to also analyse and report the variability of patients’ reactions considering data from the culture analysis of oral biofilm. The framework was illustrated by an experimental study exposing eleven participants to different nutrition schemes in five consecutive phases. Substantial inter-individual variations in the individual reactions were observed. A new coherence index made it possible to identify 14 instances where the direction of individual changes tended to coincide with the direction of the mean change with more than 95% probability. The heterogeneity in variability across different bacteria species was limited. This allowed us to develop recommendations for sample sizes in future studies. For studies measuring the concentration change of bacteria as a reaction to nutrition change, the use of replications and analysis of the variability is recommended. In order to detect moderate effects of a change in nutrition on the concentration of single bacterial taxa, 30 participants with three repetitions are often adequate. Insights into the relationship between nutrition and the microbial composition can be helpful for the development of dietary habits that promote the establishment of a healthy microbial flora and can therefore prevent the initiation of oral diseases such as caries and periodontitis.https://www.mdpi.com/2079-6382/9/8/479microbiome analysisbacterial concentrationoral biofilmculture techniqueinter-individual variationsample size
spellingShingle Kirstin Vach
Ali Al-Ahmad
Annette Anderson
Johan Peter Woelber
Lamprini Karygianni
Annette Wittmer
Elmar Hellwig
Analysing the Relationship between Nutrition and the Microbial Composition of the Oral Biofilm—Insights from the Analysis of Individual Variability
Antibiotics
microbiome analysis
bacterial concentration
oral biofilm
culture technique
inter-individual variation
sample size
title Analysing the Relationship between Nutrition and the Microbial Composition of the Oral Biofilm—Insights from the Analysis of Individual Variability
title_full Analysing the Relationship between Nutrition and the Microbial Composition of the Oral Biofilm—Insights from the Analysis of Individual Variability
title_fullStr Analysing the Relationship between Nutrition and the Microbial Composition of the Oral Biofilm—Insights from the Analysis of Individual Variability
title_full_unstemmed Analysing the Relationship between Nutrition and the Microbial Composition of the Oral Biofilm—Insights from the Analysis of Individual Variability
title_short Analysing the Relationship between Nutrition and the Microbial Composition of the Oral Biofilm—Insights from the Analysis of Individual Variability
title_sort analysing the relationship between nutrition and the microbial composition of the oral biofilm insights from the analysis of individual variability
topic microbiome analysis
bacterial concentration
oral biofilm
culture technique
inter-individual variation
sample size
url https://www.mdpi.com/2079-6382/9/8/479
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