Obesity reviews : an official journal of the International Association for the Study of Obesity

How Gut Bacteria and Body Chemicals Relate to Obesity and Treatments at Different Ages

Updated

Abstract

Obesity is linked to dietary patterns that shape gut microbiome functions and metabolic health.

  • Diet-microbiome-host interactions influence energy balance, insulin sensitivity, and inflammation.
  • Plant-based, fiber-rich diets may enhance beneficial gut bacteria and increase short-chain fatty acids (SCFAs), while Western diets could promote proinflammatory bacteria and metabolites.
  • Incretin-based therapies have shown potential to alter the microbiome and metabolites, though evidence of direct causation in humans is still lacking.
  • Function-centered metrics are more effective than phylum-level ratios for understanding microbiome impacts on health.
  • Longitudinal studies and machine learning approaches are critical for identifying specific microbial and metabolomic patterns that can inform personalized nutrition and treatment.

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