Gut Microbiome Composition in Obese and Non-Obese Persons: A Systematic Review and Meta-Analysis

Whether the gut microbiome in obesity is characterized by lower diversity and altered composition at the phylum or genus level may be more accurately investigated using high-throughput sequencing technologies. We conducted a systematic review in PubMed and Embase including 32 cross-sectional studies...

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Main Authors: Mariona Pinart, Andreas Dötsch, Kristina Schlicht, Matthias Laudes, Jildau Bouwman, Sofia K. Forslund, Tobias Pischon, Katharina Nimptsch
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/1/12
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author Mariona Pinart
Andreas Dötsch
Kristina Schlicht
Matthias Laudes
Jildau Bouwman
Sofia K. Forslund
Tobias Pischon
Katharina Nimptsch
author_facet Mariona Pinart
Andreas Dötsch
Kristina Schlicht
Matthias Laudes
Jildau Bouwman
Sofia K. Forslund
Tobias Pischon
Katharina Nimptsch
author_sort Mariona Pinart
collection DOAJ
description Whether the gut microbiome in obesity is characterized by lower diversity and altered composition at the phylum or genus level may be more accurately investigated using high-throughput sequencing technologies. We conducted a systematic review in PubMed and Embase including 32 cross-sectional studies assessing the gut microbiome composition by high-throughput sequencing in obese and non-obese adults. A significantly lower alpha diversity (Shannon index) in obese versus non-obese adults was observed in nine out of 22 studies, and meta-analysis of seven studies revealed a non-significant mean difference (−0.06, 95% CI −0.24, 0.12, <i>I<sup>2</sup></i> = 81%). At the phylum level, significantly more Firmicutes and fewer Bacteroidetes in obese versus non-obese adults were observed in six out of seventeen, and in four out of eighteen studies, respectively. Meta-analyses of six studies revealed significantly higher Firmicutes (5.50, 95% 0.27, 10.73, <i>I<sup>2</sup></i> = 81%) and non-significantly lower Bacteroidetes (−4.79, 95% CI −10.77, 1.20, <i>I<sup>2</sup></i> = 86%). At the genus level, lower relative proportions of <i>Bifidobacterium</i> and <i>Eggerthella</i> and higher <i>Acidaminococcus</i>, <i>Anaerococcus</i>, <i>Catenibacterium</i>, <i>Dialister</i>, <i>Dorea</i>, <i>Escherichia-Shigella</i>, <i>Eubacterium</i>, <i>Fusobacterium</i>, <i>Megasphera</i>, <i>Prevotella</i>, <i>Roseburia</i>, <i>Streptococcus</i>, and <i>Sutterella</i> were found in obese versus non-obese adults. Although a proportion of studies found lower diversity and differences in gut microbiome composition in obese versus non-obese adults, the observed heterogeneity across studies precludes clear answers.
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spelling doaj.art-5b04f833dc2847c7b8e1a0d1d6f40bb52023-11-23T12:02:48ZengMDPI AGNutrients2072-66432021-12-011411210.3390/nu14010012Gut Microbiome Composition in Obese and Non-Obese Persons: A Systematic Review and Meta-AnalysisMariona Pinart0Andreas Dötsch1Kristina Schlicht2Matthias Laudes3Jildau Bouwman4Sofia K. Forslund5Tobias Pischon6Katharina Nimptsch7Molecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), 13125 Berlin, GermanyDepartment of Physiology and Biochemistry of Nutrition, Max Rubner-Institut (MRI)—Federal Research Institute of Nutrition and Food, 76131 Karlsruhe, GermanyInstitute of Diabetes and Clinical Metabolic Research, University of Kiel, 24105 Kiel, GermanyInstitute of Diabetes and Clinical Metabolic Research, University of Kiel, 24105 Kiel, GermanyMicrobiology and Systems Biology Group, Toegepast Natuurwetenschappelijk Onderzoek (TNO), Utrechtseweg 48, 3704 HE Zeist, The NetherlandsExperimental and Clinical Research Center, A Cooperation of Charité-Universitätsmedizin Berlin and Max Delbrück Center for Molecular Medicine, Lindenberger Weg 80, 13125 Berlin, GermanyMolecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), 13125 Berlin, GermanyMolecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), 13125 Berlin, GermanyWhether the gut microbiome in obesity is characterized by lower diversity and altered composition at the phylum or genus level may be more accurately investigated using high-throughput sequencing technologies. We conducted a systematic review in PubMed and Embase including 32 cross-sectional studies assessing the gut microbiome composition by high-throughput sequencing in obese and non-obese adults. A significantly lower alpha diversity (Shannon index) in obese versus non-obese adults was observed in nine out of 22 studies, and meta-analysis of seven studies revealed a non-significant mean difference (−0.06, 95% CI −0.24, 0.12, <i>I<sup>2</sup></i> = 81%). At the phylum level, significantly more Firmicutes and fewer Bacteroidetes in obese versus non-obese adults were observed in six out of seventeen, and in four out of eighteen studies, respectively. Meta-analyses of six studies revealed significantly higher Firmicutes (5.50, 95% 0.27, 10.73, <i>I<sup>2</sup></i> = 81%) and non-significantly lower Bacteroidetes (−4.79, 95% CI −10.77, 1.20, <i>I<sup>2</sup></i> = 86%). At the genus level, lower relative proportions of <i>Bifidobacterium</i> and <i>Eggerthella</i> and higher <i>Acidaminococcus</i>, <i>Anaerococcus</i>, <i>Catenibacterium</i>, <i>Dialister</i>, <i>Dorea</i>, <i>Escherichia-Shigella</i>, <i>Eubacterium</i>, <i>Fusobacterium</i>, <i>Megasphera</i>, <i>Prevotella</i>, <i>Roseburia</i>, <i>Streptococcus</i>, and <i>Sutterella</i> were found in obese versus non-obese adults. Although a proportion of studies found lower diversity and differences in gut microbiome composition in obese versus non-obese adults, the observed heterogeneity across studies precludes clear answers.https://www.mdpi.com/2072-6643/14/1/12gastrointestinal microbiomeadulthumansobesityBMI16S sequencing
spellingShingle Mariona Pinart
Andreas Dötsch
Kristina Schlicht
Matthias Laudes
Jildau Bouwman
Sofia K. Forslund
Tobias Pischon
Katharina Nimptsch
Gut Microbiome Composition in Obese and Non-Obese Persons: A Systematic Review and Meta-Analysis
Nutrients
gastrointestinal microbiome
adult
humans
obesity
BMI
16S sequencing
title Gut Microbiome Composition in Obese and Non-Obese Persons: A Systematic Review and Meta-Analysis
title_full Gut Microbiome Composition in Obese and Non-Obese Persons: A Systematic Review and Meta-Analysis
title_fullStr Gut Microbiome Composition in Obese and Non-Obese Persons: A Systematic Review and Meta-Analysis
title_full_unstemmed Gut Microbiome Composition in Obese and Non-Obese Persons: A Systematic Review and Meta-Analysis
title_short Gut Microbiome Composition in Obese and Non-Obese Persons: A Systematic Review and Meta-Analysis
title_sort gut microbiome composition in obese and non obese persons a systematic review and meta analysis
topic gastrointestinal microbiome
adult
humans
obesity
BMI
16S sequencing
url https://www.mdpi.com/2072-6643/14/1/12
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