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Published on: November 17, 2018
The intestinal microbiota composition and weight development in children: the KOALA Birth Cohort Study
L E J M Scheepers1, J Penders2, C A Mbakwa1
1Department of Epidemiology, Maastricht University, CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands.
Insights
The infant gut microbiota, specifically the Bacteroides fragilis group, is linked to childhood weight development. This association is influenced by dietary fiber intake and lifestyle, highlighting the importance of early gut health.
Area of Science:
- Microbiology
- Pediatrics
- Nutrition
Background:
- The composition of the intestinal microbiota in early infancy may influence long-term health outcomes.
- Understanding the relationship between infant gut bacteria and subsequent weight development is crucial for public health.
- The KOALA Birth Cohort Study provides a valuable dataset for investigating early life exposures and health trajectories.
Purpose of the Study:
- To determine if the intestinal microbiota composition in early infancy is associated with childhood weight development.
- To explore potential modifying effects of dietary fiber intake and lifestyle on this association.
Main Methods:
- Fecal samples from 909 one-month-old infants in the KOALA Birth Cohort Study were analyzed for specific bacterial groups using quantitative PCR.
- Infant weight and height data were collected from ages 1 to 10 years, and body mass index (BMI) z-scores were calculated.
- Generalized estimating equation models were used to analyze the association between microbiota composition and BMI z-scores, with stratification for fiber intake and recruitment group.
Main Results:
- Colonization with the Bacteroides fragilis group showed a borderline association with higher BMI z-scores in the conventional subcohort.
- This association was significant among children with low-fiber intake (higher BMI z-score) and inversely associated in children recruited through alternative channels.
- Other targeted bacteria were not significantly associated with BMI z-scores across different subcohorts and dietary conditions.
Conclusions:
- The intestinal microbiota, particularly the B. fragilis group, is associated with childhood weight development.
- Dietary fiber intake and lifestyle factors appear to modulate this relationship.
- Further research with unconstrained, in-depth microbiota characterization is needed to identify additional bacterial taxa and their impact.
Objective:
To investigate whether the intestinal microbiota composition in early infancy is associated with subsequent weight development in children.
Methods:
Analyses were conducted within the KOALA Birth Cohort Study (n = 2834). This cohort originates from two recruitments groups: pregnant women with a conventional lifestyle (no selection based on lifestyle) and pregnant women recruited through alternative channels (organic shops, anthroposophic clinicians/midwives, Steiner schools and relevant magazines). From 909 one-month-old infants, fecal samples were collected and analyzed by quantitative PCR targeting bifidobacteria, Bacteroides fragilis group, Clostridium difficile, Escherichia coli, Lactobacilli and total bacteria counts. Between the ages of 1 and 10 years, parent-reported weight and height was collected at 7 time points. Age- and gender-standardized body mass index (BMI) z-scores were calculated. Data were analyzed using generalized estimating equation.
Results:
Colonization with B. fragilis group was borderline significantly associated with a higher BMI z-score of 0.15 (95% confidence interval (CI): -0.02 to 0.31), in the conventional subcohort. After stratification for fiber intake (P(forinteraction) = 0.003), colonization with B. fragilis group was associated with a 0.34 higher BMI z-score among children with a low-fiber intake in this subcohort (95% CI: 0.17-0.53). Higher counts among colonized children were positively associated with BMI z-score only in children within the conventional subcohort and a high-fiber diet (BMI z-score 0.08; 95% CI: 0.01-0.14), but inversely associated in children with a low-fiber diet (BMI z-score -0.05; 95% CI: -0.10 to 0.00), and in children recruited through alternative channels (BMI z-score -0.10; 95% CI: -0.17 to -0.03). The other bacteria were not associated with BMI z-scores, regardless of subcohort.
Conclusion:
Using a targeted approach, we conclude that the intestinal microbiota, particularly the B. fragilis group, is associated with childhood weight development. To identify the potential impact of additional bacterial taxa, further prospective studies applying an unconstrained in-depth characterization of the microbiota are needed.
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