Obesity

Association between gut microbiota at 3.5 years of age and body mass index at 5 years: results from two French nationwide birth cohorts

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

These findings indicate that the gut microbiota at 3.5 years is associated with later BMI during childhood, independent of preterm or term birth, suggesting that changes in the gut microbiota that may predispose to adult obesity begin in early childhood.

Study context

Population
Preterm and late preterm/full-term children from two French nationwide birth cohorts; gut microbiota profiled at 3.5 years
Participants
143 vs 369
Exposure
EPIPAGE 2 vs ELFE
  • EPIPAGE 2n = 143
  • ELFEn = 369
Outcome
BMI z-score at 5 years and BMI z-score variations between 2 and 5 years
Follow-up
5 years
Methodological detailstwo French nationwide birth cohorts, 16S rRNA gene sequencing, multivariable linear and logistic regressions, random forest variable selection, MiRKAT
  • Two French nationwide birth cohorts
  • 16S rRNA gene sequencing
  • Multivariable linear and logistic regressions
  • Random forest variable selection
  • MiRKAT

Main finding

As reported in the abstract

BMI z-score at 5 years
  • Firmicutes to Bacteroidetes (F/B) ratio at 3.5 years positively associated with body mass index (BMI) z-score at 5 years
  • Genera positively associated with BMI z-score at 5 years: [Eubacterium] hallii group, Fusicatenibacter, [Eubacterium] ventriosum group
  • Genera negatively associated with BMI z-score at 5 years: Eggerthella, Colidextribacter, Ruminococcaceae CAG-352
  • Some genera associated with BMI z-score variations between 2 and 5 years

Observational data: associations, not effects.

Further findings

Predicted metabolic functions (PICRUSt2) and BMI z-score at 5 years

Steroid hormone biosynthesis, biotin metabolism, glycosaminoglycan degradation, and amino sugar and nucleotide sugar metabolism associated with lower BMI z-scores
Unsaturated fatty acids biosynthesis pathway associated with higher BMI z-scores

Original publication

Association between gut microbiota at 3.5 years of age and body mass index at 5 years: results from two French nationwide birth cohorts. Int J Obes (Lond). Published 15 December 2023. doi:10.1038/s41366-023-01442-x

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