Intestinal methane production in obese individuals is associated with a higher body mass index.

Background: Obesity is an epidemic that affects 1 in 3 individuals in the United States, and recent evidence suggests that enteric microbiota may play a significant role in the development of obesity. This study evaluated the association between methanogenic archaea and obesity in human subjects. Me...

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Published in:Gastroenterology & Hepatology Vol. 8; no. 1; pp. 22 - 29
Main Authors: Basseri, Robert J, Basseri, Benjamin, Pimentel, Mark, Chong, Kelly, Youdim, Adrienne, Low, Kimberly, Hwang, Laura, Soffer, Edy, Chang, Christopher, Mathur, Ruchi
Format: research tables/charts Journal Article
Published: Gastro-Hep Communications, Inc Jan2012
Online Access:View this record in EBSCOhost
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      pub: Gastro-Hep Communications, Inc
      place: New York, New York
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        atl: Intestinal methane production in obese individuals is associated with a higher body mass index.
      aug:
        au:
          Basseri, Robert J
          Basseri, Benjamin
          Pimentel, Mark
          Chong, Kelly
          Youdim, Adrienne
          Low, Kimberly
          Hwang, Laura
          Soffer, Edy
          Chang, Christopher
          Mathur, Ruchi
        affil: GI Mobility Program, Cedars-Sinai Medical Center, Los Angeles, CA
      sug:
        subj:
          Body Mass Index
          Intestines
          Methane
          Obesity
          Academic Medical Centers
          Adult
          California
          Equipment and Supplies
          Female
          Human
          Male
          Middle Age
          Multivariate Analysis
          Prospective Studies
          Questionnaires
          Symptoms
          Visual Analog Scaling
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Obesity is an epidemic that affects 1 in 3 individuals in the United States, and recent evidence suggests that enteric microbiota may play a significant role in the development of obesity. This study evaluated the association between methanogenic archaea and obesity in human subjects. Methods: Subjects with a body mass index (BMI) of 30 kg/m2 or higher were prospectively recruited from the weight loss program of a tertiary care medical center. Subjects who met the study's inclusion criteria were asked to complete a questionnaire that included a series of visual analogue scores for bowel symptom severities. Subjects then provided a single end-expiratory breath sample to quantitate methane levels. Bivariate and multivariate analyses were used to determine associations with BMI. Results: A total of 58 patients qualified for enrollment. Twenty percent of patients (n=12) had breath test results that were positive for methane (>3 parts per million [ppm]), with a mean breath methane concentration of 12.2±3.1 ppm. BMI was significantly higher in methane-positive subjects (45.2±2.3 kg/m2) than in methane-negative subjects (38.5±0.8 kg/m2; P=.001). Methane-positive subjects also had a greater severity of constipation than methane-negative subjects (21.3±6.4 vs 9.5±2.4; P=.043). Multiple regression analysis illustrated a significant association between BMI and methane, constipation, and antidepressant use. However, methane remained an independent predictor of elevated BMI when controlling for antidepressant use (P<.001) and when controlling for both constipation and antidepressant use (6.55 kg/m2 greater BMI; P=.003). Conclusion: This is the first human study to demonstrate that a higher concentration of methane detected by breath testing is a predictor of significantly greater obesity in overweight subjects.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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