Cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with Crohn’s disease

ABSTRACTCrohn’s disease (CD) is a chronic inflammatory bowel disease associated with psychological distress and intestinal microbial changes. Here, we examined whether a 3-month period of Cognitive Behavioral and Mindfulness with Daily Exercise (COBMINDEX) intervention, which improves the wellbeing...

Full description

Bibliographic Details
Main Authors: Ilan K, Motro Y, Nemirovsky A, Schwartz D, Goren G, Sergienko R, Greenberg D, Slonim-Nevo V, Sarid O, Friger M, Regev S, Odes S, Moran-Gilad J, Monsonego A
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Gut Microbes
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/19490976.2024.2337269
_version_ 1797216290245443584
author Ilan K
Motro Y
Nemirovsky A
Schwartz D
Goren G
Sergienko R
Greenberg D
Slonim-Nevo V
Sarid O
Friger M
Regev S
Odes S
Moran-Gilad J
Monsonego A
author_facet Ilan K
Motro Y
Nemirovsky A
Schwartz D
Goren G
Sergienko R
Greenberg D
Slonim-Nevo V
Sarid O
Friger M
Regev S
Odes S
Moran-Gilad J
Monsonego A
author_sort Ilan K
collection DOAJ
description ABSTRACTCrohn’s disease (CD) is a chronic inflammatory bowel disease associated with psychological distress and intestinal microbial changes. Here, we examined whether a 3-month period of Cognitive Behavioral and Mindfulness with Daily Exercise (COBMINDEX) intervention, which improves the wellbeing and inflammatory state of CD patients, may also affect their gut microbiome. Gut microbiota, circulating inflammatory markers and hormones were analyzed in 24 CD patients before (T1) and after 3 months of COBMINDEX (T2), and in 25 age- and sex-matched wait-list control patients at the corresponding time-points. Microbiota analysis examined relative taxonomical abundance, alpha and beta diversity, and microbiome correlations with inflammatory and psychological parameters. At T1, CD patients exhibited a characteristic microbial profile mainly constituted of Proteobacteria (17.71%), Firmicutes (65.56%), Actinobacteria (8.46%) and Bacteroidetes (6.24%). Baseline bacterial abundances showed significant correlations with psychological markers of distress and with IFN[Formula: see text]. Following COBMINDEX, no significant changes in alpha and beta diversity were observed between both study groups, though a trend change in beta diversity was noted. Significant changes occurred in the abundance of phyla, families and genera only among the COBMINDEX group. Furthermore, abundance of phyla, families and genera that were altered following COBMNIDEX, significantly correlated with levels of cytokines and psychological parameters. Our results demonstrated that a short-term intervention of COBMINDEX was associated with changes in microbial indices, some of which are linked to psychological manifestations and systemic inflammation in CD patients. Psychological interventions to reduce chronic stress, such as COBMINDEX, appear to be beneficial in mitigating the pathobiology of CD patients, and may thus provide a useful adjunct to pharmacological therapy.
first_indexed 2024-04-24T11:43:37Z
format Article
id doaj.art-4ef28a7cf34b474186ae6a18f91de070
institution Directory Open Access Journal
issn 1949-0976
1949-0984
language English
last_indexed 2024-04-24T11:43:37Z
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Gut Microbes
spelling doaj.art-4ef28a7cf34b474186ae6a18f91de0702024-04-09T13:06:28ZengTaylor & Francis GroupGut Microbes1949-09761949-09842024-12-0116110.1080/19490976.2024.2337269Cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with Crohn’s diseaseIlan K0Motro Y1Nemirovsky A2Schwartz D3Goren G4Sergienko R5Greenberg D6Slonim-Nevo V7Sarid O8Friger M9Regev S10Odes S11Moran-Gilad J12Monsonego A13The Shraga Segal Department of Microbiology, Immunology, and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, IsraelMAGICAL Group, Department of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben‐Gurion University of the Negev, Beer‐Sheva, IsraelThe Shraga Segal Department of Microbiology, Immunology, and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, IsraelDepartment of Gastroenterology and Hepatology, Soroka Medical Center, and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, IsraelSpitzer Department of Social Work, Ben-Gurion University of the Negev, Beer Sheva, IsraelDepartment of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, IsraelDepartment of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, IsraelSpitzer Department of Social Work, Ben-Gurion University of the Negev, Beer Sheva, IsraelSpitzer Department of Social Work, Ben-Gurion University of the Negev, Beer Sheva, IsraelDepartment of Epidemiology, Biostatistics and Community Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, IsraelSpitzer Department of Social Work, Ben-Gurion University of the Negev, Beer Sheva, IsraelDepartment of Gastroenterology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, IsraelMAGICAL Group, Department of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben‐Gurion University of the Negev, Beer‐Sheva, IsraelThe Shraga Segal Department of Microbiology, Immunology, and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, IsraelABSTRACTCrohn’s disease (CD) is a chronic inflammatory bowel disease associated with psychological distress and intestinal microbial changes. Here, we examined whether a 3-month period of Cognitive Behavioral and Mindfulness with Daily Exercise (COBMINDEX) intervention, which improves the wellbeing and inflammatory state of CD patients, may also affect their gut microbiome. Gut microbiota, circulating inflammatory markers and hormones were analyzed in 24 CD patients before (T1) and after 3 months of COBMINDEX (T2), and in 25 age- and sex-matched wait-list control patients at the corresponding time-points. Microbiota analysis examined relative taxonomical abundance, alpha and beta diversity, and microbiome correlations with inflammatory and psychological parameters. At T1, CD patients exhibited a characteristic microbial profile mainly constituted of Proteobacteria (17.71%), Firmicutes (65.56%), Actinobacteria (8.46%) and Bacteroidetes (6.24%). Baseline bacterial abundances showed significant correlations with psychological markers of distress and with IFN[Formula: see text]. Following COBMINDEX, no significant changes in alpha and beta diversity were observed between both study groups, though a trend change in beta diversity was noted. Significant changes occurred in the abundance of phyla, families and genera only among the COBMINDEX group. Furthermore, abundance of phyla, families and genera that were altered following COBMNIDEX, significantly correlated with levels of cytokines and psychological parameters. Our results demonstrated that a short-term intervention of COBMINDEX was associated with changes in microbial indices, some of which are linked to psychological manifestations and systemic inflammation in CD patients. Psychological interventions to reduce chronic stress, such as COBMINDEX, appear to be beneficial in mitigating the pathobiology of CD patients, and may thus provide a useful adjunct to pharmacological therapy.https://www.tandfonline.com/doi/10.1080/19490976.2024.2337269IBDCrohn’s diseasecytokinesmicrobiomepsychological interventiondistress
spellingShingle Ilan K
Motro Y
Nemirovsky A
Schwartz D
Goren G
Sergienko R
Greenberg D
Slonim-Nevo V
Sarid O
Friger M
Regev S
Odes S
Moran-Gilad J
Monsonego A
Cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with Crohn’s disease
Gut Microbes
IBD
Crohn’s disease
cytokines
microbiome
psychological intervention
distress
title Cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with Crohn’s disease
title_full Cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with Crohn’s disease
title_fullStr Cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with Crohn’s disease
title_full_unstemmed Cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with Crohn’s disease
title_short Cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with Crohn’s disease
title_sort cognitive behavioral and mindfulness with daily exercise intervention is associated with changes in intestinal microbial taxa and systemic inflammation in patients with crohn s disease
topic IBD
Crohn’s disease
cytokines
microbiome
psychological intervention
distress
url https://www.tandfonline.com/doi/10.1080/19490976.2024.2337269
work_keys_str_mv AT ilank cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT motroy cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT nemirovskya cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT schwartzd cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT goreng cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT sergienkor cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT greenbergd cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT slonimnevov cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT sarido cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT frigerm cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT regevs cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT odess cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT morangiladj cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease
AT monsonegoa cognitivebehavioralandmindfulnesswithdailyexerciseinterventionisassociatedwithchangesinintestinalmicrobialtaxaandsystemicinflammationinpatientswithcrohnsdisease