Obesity

Enhancing gut microbiota and microbial function with inulin supplementation in children with obesity

Int J Obes (Lond)Published Randomised controlled trial

Authors' conclusion

Inulin supplementation significantly promoted gut bacterial diversity and improved gut microbiota dysbiosis in children with obesity. The modulation of functional pathways by inulin suggests its potential to establish beneficial interactions between the gut microbiota and host physiology. Inulin supplementation could be a strategic treatment to restore the balance of intestinal microbiota and regulate their functions in childhood obesity.

Study context

Population
Children aged 7–15 years with obesity (BMI above median + 2SDs)with available taxonomic and functional profiles
Participants
143 children
Comparison
Inulin supplement vs maltodextrin placebo vs dietary fiber advice
Primary endpoint
Intestinal microbiota and microbial functional pathways (16S rRNA sequencing; PICRUSt inference)
Follow-up
6 months
Methodological detailsdouble-blinded, placebo-controlled, All participants received similar monthly conventional advice and follow-up for 6 months
  • Double-blinded
  • Placebo-controlled
  • All participants received similar monthly conventional advice and follow-up for 6 months

Primary result

As reported in the abstract

  • Significant increase in alpha-diversity in the inulin group
  • Inulin substantially enhanced Bifidobacterium, Blautia, Megasphaera and several butyrate-producing bacteria (Agathobacter, Eubacterium coprostanoligenes, Subdoligranulum) vs the other groups
  • Inulin group showed a significant difference in functional pathways of proteasome and riboflavin metabolism

Further findings

Correlation of microbiota changes with clinical and metabolic outcomes

Changes correlated with clinical and metabolic outcomes exclusively in the inulin group

Original publication

Enhancing gut microbiota and microbial function with inulin supplementation in children with obesity. Int J Obes (Lond). Published 20 July 2024. doi:10.1038/s41366-024-01590-8

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