Gut microbiota and metabolic responses to a 12-week caloric restriction combined with strength and HIIT training in patients with obesity: a randomized trial

Abstract Background Nowadays, obesity has become a major health issue. In addition to negatively affecting body composition and metabolic health, recent evidence shows unfavorable shifts in gut microbiota in individuals with obesity. However, the effects of weight loss on gut microbes and metabolite...

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Main Authors: Libuša Nechalová, Viktor Bielik, Ivan Hric, Miriam Babicová, Eva Baranovičová, Marián Grendár, Juraj Koška, Adela Penesová
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Sports Science, Medicine and Rehabilitation
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Online Access:https://doi.org/10.1186/s13102-024-01029-7
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author Libuša Nechalová
Viktor Bielik
Ivan Hric
Miriam Babicová
Eva Baranovičová
Marián Grendár
Juraj Koška
Adela Penesová
author_facet Libuša Nechalová
Viktor Bielik
Ivan Hric
Miriam Babicová
Eva Baranovičová
Marián Grendár
Juraj Koška
Adela Penesová
author_sort Libuša Nechalová
collection DOAJ
description Abstract Background Nowadays, obesity has become a major health issue. In addition to negatively affecting body composition and metabolic health, recent evidence shows unfavorable shifts in gut microbiota in individuals with obesity. However, the effects of weight loss on gut microbes and metabolites remain controversial. Therefore, the purpose of this study was to investigate the effects of a 12-week program on gut microbiota and metabolic health in patients with obesity. Methods We conducted a controlled trial in 23 male and female patients with obesity. Twelve participants completed a 12-week program of caloric restriction combined with strength and HIIT training (INT, pre-BMI 37.33 ± 6.57 kg/m2), and eleven participants were designated as non-intervention controls (pre-BMI 38.65 ± 8.07 kg/m2). Metagenomic sequencing of the V3-V4 region of the 16S rDNA gene from fecal samples allowed for gut microbiota classification. Nuclear magnetic resonance spectroscopy characterized selected serum and fecal metabolite concentrations. Results Within INT, we observed a significant improvement in body composition; a significant decrease in liver enzymes (AST, ALT, and GMT); a significant increase in the relative abundance of the commensal bacteria (e.g., Akkermansia muciniphila, Parabacteroides merdae, and Phocaeicola vulgatus); and a significant decrease in the relative abundance of SCFA-producing bacteria (e.g., the genera Butyrivibrio, Coprococcus, and Blautia). In addition, significant correlations were found between gut microbes, body composition, metabolic health biomarkers, and SCFAs. Notably, the Random Forest Machine Learning analysis identified predictors (Butyrivibrio fibrisolvens, Blautia caecimuris, Coprococcus comes, and waist circumference) with a moderate ability to discriminate between INT subjects pre- and post-intervention. Conclusions Our results indicate that a 12-week caloric restriction combined with strength and HIIT training positively influences body composition, metabolic health biomarkers, gut microbiota, and microbial metabolites, demonstrating significant correlations among these variables. We observed a significant increase in the relative abundance of bacteria linked to obesity, e.g., Akkermansia muciniphila. Additionally, our study contributes to the ongoing debate about the role of SCFAs in obesity, as we observed a significant decrease in SCFA producers after a 12-week program. Trial registration The trial was registered on [05/12/2014] with ClinicalTrials.gov (No: NCT02325804).
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spelling doaj-art-441c2a62e603498992e8ec53511e0e6b2025-08-20T02:20:47ZengBMCBMC Sports Science, Medicine and Rehabilitation2052-18472024-12-0116111310.1186/s13102-024-01029-7Gut microbiota and metabolic responses to a 12-week caloric restriction combined with strength and HIIT training in patients with obesity: a randomized trialLibuša Nechalová0Viktor Bielik1Ivan Hric2Miriam Babicová3Eva Baranovičová4Marián Grendár5Juraj Koška6Adela Penesová7Department of Biological and Medical Science, Faculty of Physical Education and Sport, Comenius University in BratislavaDepartment of Biological and Medical Science, Faculty of Physical Education and Sport, Comenius University in BratislavaDepartment of Biological and Medical Science, Faculty of Physical Education and Sport, Comenius University in BratislavaDepartment of Biological and Medical Science, Faculty of Physical Education and Sport, Comenius University in BratislavaBiomedical Center Martin, Jessenius Faculty of Medicine in Martin, Comenius University in BratislavaBiomedical Center Martin, Jessenius Faculty of Medicine in Martin, Comenius University in BratislavaPhoenix VA Health Care SystemDepartment of Biological and Medical Science, Faculty of Physical Education and Sport, Comenius University in BratislavaAbstract Background Nowadays, obesity has become a major health issue. In addition to negatively affecting body composition and metabolic health, recent evidence shows unfavorable shifts in gut microbiota in individuals with obesity. However, the effects of weight loss on gut microbes and metabolites remain controversial. Therefore, the purpose of this study was to investigate the effects of a 12-week program on gut microbiota and metabolic health in patients with obesity. Methods We conducted a controlled trial in 23 male and female patients with obesity. Twelve participants completed a 12-week program of caloric restriction combined with strength and HIIT training (INT, pre-BMI 37.33 ± 6.57 kg/m2), and eleven participants were designated as non-intervention controls (pre-BMI 38.65 ± 8.07 kg/m2). Metagenomic sequencing of the V3-V4 region of the 16S rDNA gene from fecal samples allowed for gut microbiota classification. Nuclear magnetic resonance spectroscopy characterized selected serum and fecal metabolite concentrations. Results Within INT, we observed a significant improvement in body composition; a significant decrease in liver enzymes (AST, ALT, and GMT); a significant increase in the relative abundance of the commensal bacteria (e.g., Akkermansia muciniphila, Parabacteroides merdae, and Phocaeicola vulgatus); and a significant decrease in the relative abundance of SCFA-producing bacteria (e.g., the genera Butyrivibrio, Coprococcus, and Blautia). In addition, significant correlations were found between gut microbes, body composition, metabolic health biomarkers, and SCFAs. Notably, the Random Forest Machine Learning analysis identified predictors (Butyrivibrio fibrisolvens, Blautia caecimuris, Coprococcus comes, and waist circumference) with a moderate ability to discriminate between INT subjects pre- and post-intervention. Conclusions Our results indicate that a 12-week caloric restriction combined with strength and HIIT training positively influences body composition, metabolic health biomarkers, gut microbiota, and microbial metabolites, demonstrating significant correlations among these variables. We observed a significant increase in the relative abundance of bacteria linked to obesity, e.g., Akkermansia muciniphila. Additionally, our study contributes to the ongoing debate about the role of SCFAs in obesity, as we observed a significant decrease in SCFA producers after a 12-week program. Trial registration The trial was registered on [05/12/2014] with ClinicalTrials.gov (No: NCT02325804).https://doi.org/10.1186/s13102-024-01029-7ObesityDietPhysical activityHIITGut microbiomeSCFAs
spellingShingle Libuša Nechalová
Viktor Bielik
Ivan Hric
Miriam Babicová
Eva Baranovičová
Marián Grendár
Juraj Koška
Adela Penesová
Gut microbiota and metabolic responses to a 12-week caloric restriction combined with strength and HIIT training in patients with obesity: a randomized trial
BMC Sports Science, Medicine and Rehabilitation
Obesity
Diet
Physical activity
HIIT
Gut microbiome
SCFAs
title Gut microbiota and metabolic responses to a 12-week caloric restriction combined with strength and HIIT training in patients with obesity: a randomized trial
title_full Gut microbiota and metabolic responses to a 12-week caloric restriction combined with strength and HIIT training in patients with obesity: a randomized trial
title_fullStr Gut microbiota and metabolic responses to a 12-week caloric restriction combined with strength and HIIT training in patients with obesity: a randomized trial
title_full_unstemmed Gut microbiota and metabolic responses to a 12-week caloric restriction combined with strength and HIIT training in patients with obesity: a randomized trial
title_short Gut microbiota and metabolic responses to a 12-week caloric restriction combined with strength and HIIT training in patients with obesity: a randomized trial
title_sort gut microbiota and metabolic responses to a 12 week caloric restriction combined with strength and hiit training in patients with obesity a randomized trial
topic Obesity
Diet
Physical activity
HIIT
Gut microbiome
SCFAs
url https://doi.org/10.1186/s13102-024-01029-7
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