Obesity

Exercise reprograms the gut microbiota to enhance metabolic outcomes after bariatric surgery: a translational, cross-species study

Int J Obes (Lond)Published Randomised controlled trial with human-to-mouse fecal microbiota transplantation experiment

Authors' conclusion

These findings suggest that exercise following bariatric surgery is associated with distinct gut microbial configurations and metabolic improvements, and that exercise-conditioned microbiota may contribute to aspects of host metabolic regulation after surgery.

Study context

Population
Women undergoing RYGB; Fecal microbiota transplantation (FMT) into high-fat diet-fed female mice32 randomized
Participants
16 / 16 / 16
Comparison
RYGB plus 6-month exercise training vs RYGB alone
  • RYGB + ETn = 16
  • RYGBn = 16reference
  • LEANn = 16
Methodological detailstranslational, cross-species
  • Translational
  • Cross-species

Primary result

As reported in the abstract

9 months post-surgery
  • Comparable improvements in body composition and inflammation in both surgical groups
  • Greater improvements in HDL, TG, fasting glucose and fasting insulin with RYGB + ET
  • Exercise associated with increased gut microbiota α-diversity and shifts in composition, incl. enrichment of genera linked to short-chain fatty acid (SCFA) metabolism

Further findings

FMT into 36 high-fat diet-fed female mice (rRYGB, rRYGB+ET, rLEAN) · donor microbiota at POST9

rRYGB+ET vs rRYGB: similar inflammatory status and glucose tolerance
rRYGB+ET vs rRYGB: lower fasting insulin and HOMA-IR, partial preservation of intestinal morphology

Original publication

Exercise reprograms the gut microbiota to enhance metabolic outcomes after bariatric surgery: a translational, cross-species study. Int J Obes (Lond). Published 4 June 2026. doi:10.1038/s41366-026-02121-3

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