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      Beyond Diet and Exercise: The Impact of Gut Microbiota on Control of Obesity

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          Abstract

          Obesity, a widespread health concern characterized by the excessive accumulation of body fat, is a complex condition influenced by genetics, environment, and social determinants. Recent research has increasingly focused on the role of gut microbiota in obesity, highlighting its pivotal involvement in various metabolic processes. The gut microbiota, a diverse community of microorganisms residing in the gastrointestinal tract, interacts with the host in a myriad of ways, impacting energy metabolism, appetite regulation, inflammation, and the gut-brain axis. Dietary choices significantly shape the gut microbiota, with diets high in fat and carbohydrates promoting the growth of harmful bacteria while reducing beneficial microbes. Lifestyle factors, like physical activity and smoking, also influence gut microbiota composition. Antibiotics and medications can disrupt microbial diversity, potentially contributing to obesity. Early-life experiences, including maternal obesity during pregnancy, play a vital role in the developmental origins of obesity. Therapeutic interventions targeting the gut microbiota, including prebiotics, probiotics, fecal microbiota transplantation, bacterial consortium therapy, and precision nutrition, offer promising avenues for reshaping the gut microbiota and positively influencing weight regulation and metabolic health. Clinical applications of microbiota-based therapies are on the horizon, with potential implications for personalized treatments and condition-based interventions. Emerging technologies, such as next-generation sequencing and advanced bioinformatics, empower researchers to identify specific target species for microbiota-based therapeutics, opening new possibilities in healthcare. Despite the promising outlook, microbiota-based therapies face challenges related to microbial selection, safety, and regulatory issues. However, with ongoing research and advances in the field, these challenges can be addressed to unlock the full potential of microbiota-based interventions.

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          Most cited references57

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          Microbial ecology: human gut microbes associated with obesity.

          Two groups of beneficial bacteria are dominant in the human gut, the Bacteroidetes and the Firmicutes. Here we show that the relative proportion of Bacteroidetes is decreased in obese people by comparison with lean people, and that this proportion increases with weight loss on two types of low-calorie diet. Our findings indicate that obesity has a microbial component, which might have potential therapeutic implications.
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            Host-gut microbiota metabolic interactions.

            The composition and activity of the gut microbiota codevelop with the host from birth and is subject to a complex interplay that depends on the host genome, nutrition, and life-style. The gut microbiota is involved in the regulation of multiple host metabolic pathways, giving rise to interactive host-microbiota metabolic, signaling, and immune-inflammatory axes that physiologically connect the gut, liver, muscle, and brain. A deeper understanding of these axes is a prerequisite for optimizing therapeutic strategies to manipulate the gut microbiota to combat disease and improve health.
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              The epidemiology of obesity

              Obesity is a complex multifactorial disease. The worldwide prevalence of overweight and obesity has doubled since 1980 to an extent that nearly a third of the world's population is now classified as overweight or obese. Obesity rates have increased in all ages and both sexes irrespective of geographical locality, ethnicity or socioeconomic status, although the prevalence of obesity is generally greater in older persons and women. This trend was similar across regions and countries, although absolute prevalence rates of overweight and obesity varied widely. For some developed countries, the prevalence rates of obesity seem to have levelled off during the past few years. Body mass index (BMI) is typically used to define overweight and obesity in epidemiological studies. However, BMI has low sensitivity and there is a large inter-individual variability in the percent body fat for any given BMI value, partly attributed to age, sex, and ethnicity. For instance, Asians have greater percent body fat than Caucasians for the same BMI. Greater cardiometabolic risk has also been associated with the localization of excess fat in the visceral adipose tissue and ectopic depots (such as muscle and liver), as well as in cases of increased fat to lean mass ratio (e.g. metabolically-obese normal-weight). These data suggest that obesity may be far more common and requires more urgent attention than what large epidemiological studies suggest. Simply relying on BMI to assess its prevalence could hinder future interventions aimed at obesity prevention and control.
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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                24 November 2023
                November 2023
                : 15
                : 11
                : e49339
                Affiliations
                [1 ] Emergency, Portiuncula University Hospital, Ballinasloe, IRL
                [2 ] Internal Medicine, Himalayan Institute of Medical Sciences, New Delhi, IND
                [3 ] Medicine, Avalon University School of Medicine, Youngstown, USA
                [4 ] Radiology, Quetta Institute of Medical Sciences, Quetta, PAK
                [5 ] Medicine and Surgery, Mayo Hospital, Lahore, PAK
                [6 ] Medicine, Gujranwala Medical College, Gujranwala, PAK
                [7 ] Medicine, Wyckoff Heights Medical Center, Brooklyn, USA
                [8 ] Orthopedics, St. James's Hospital, Dublin, IRL
                [9 ] General Surgery, Cavan General Hospital, Cavan, IRL
                [10 ] Medicine, CARE Hospitals, Hyderabad, IND
                [11 ] Health Sciences, University of East London, London, GBR
                [12 ] Surgery, King Edward Medical University, Lahore, PAK
                Author notes
                Syed Faqeer Hussain Bokhari raven.gamer512@ 123456gmail.com
                Article
                10.7759/cureus.49339
                10748854
                38143595
                61ead287-9b96-4870-be7a-127046406e19
                Copyright © 2023, Kamal et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 23 November 2023
                Categories
                Nutrition
                Geriatrics
                Internal Medicine

                appetite regulation,energy metabolism,microbiota-gut-brain axis,gut dysbiosis,inflammation,health issues,energy balance,metabolic disorders,gut microbiota,obesity

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