Effect of a multiphase dietary intervention on metabolic profile and gut microbiota composition in metabolically healthy and unhealthy obese subjects.

Gut microbiota influences obesity and its comorbidities by affecting metabolism and inflammation. The metabolic phenotype of obese individuals alters microbiota composition and metabolite production, impacting metabolic risk. This study examined the effects of a multiphase dietary intervention on me...

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Publicado en:Clinical Nutrition Vol. 54; pp. 62 - 71
Autores principales: Bosch-Sierra, N., Navajas-Porras, B., Grau-del Valle, C., Salom, C., Pérez-Burillo, S., D'Auria, G., Francino, M.P., Morillas, C., Bañuls, C.
Formato: clinical trial research Journal Article
Publicado: Elsevier B.V. Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 54
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.clnu.2025.09.010
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        atl: Effect of a multiphase dietary intervention on metabolic profile and gut microbiota composition in metabolically healthy and unhealthy obese subjects.
      aug:
        au:
          Bosch-Sierra, N.
          Navajas-Porras, B.
          Grau-del Valle, C.
          Salom, C.
          Pérez-Burillo, S.
          D'Auria, G.
          Francino, M.P.
          Morillas, C.
          Bañuls, C.
        affil: Department of Endocrinology and Nutrition, University Hospital Doctor Peset, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Valencia 46017, Spain
      sug:
        subj:
          Obesity Diet Therapy
          Metabolic Syndrome X Diet Therapy
          Diet, Reducing
          Inflammation
          Metabolism Evaluation
          Gut Microbiota Analysis
          Treatment Outcomes
          Human
          Clinical Trials
          Feces Microbiology
          Metabolites
          Phenotype
          Descriptive Statistics
          Male
          Female
          Weight Loss
          Acetic Acid Blood
          Insulin Resistance
          Blood Pressure
          Adipose Tissue Distribution
          Male
          Female
      ab: Gut microbiota influences obesity and its comorbidities by affecting metabolism and inflammation. The metabolic phenotype of obese individuals alters microbiota composition and metabolite production, impacting metabolic risk. This study examined the effects of a multiphase dietary intervention on metabolism, inflammation, and gut microbiota diversity in obese individuals with and without metabolic syndrome (MetS). The current interventional study describes differences in faecal microbial composition and serum metabolite signatures between two obese phenotypes (with versus without MetS) after a 6-month multiphase dietary intervention (consisting of two six-week phases of very-low calorie diet, separated by a 3-month hypocaloric diet) in 109 participants (64 % women). We found that weight loss improved gut microbiota diversity and composition, and was more effective in participants with MetS. Furthermore, only the MetS group showed a significant improvement in serum levels of acetate and a decrease for trimethylamine. In addition, strong correlations were observed between gut microbiota and clinical parameters, including insulin resistance, blood pressure, and visceral fat. These results demonstrate that populations with obesity can respond differently to the same dietary intervention according to their metabolic phenotype, a difference manifested in gut microbiota parameters. Furthermore, the positive impact of multiphase dietary intervention on microbiota serum metabolites and microbiota composition is more pronounced in obese individuals with MetS.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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