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Obesity in school-aged children and its correlation with gut E.coli and Bifidobacteria: a case-control study
Xiaolin Gao1, Ruizhen Jia2, Liang Xie3
1Department of Pediatrics, West China University Second Hospital, Sichuan University, 610041, Chengdu, Sichuan, China. 23132875@qq.com.
Insights
Childhood obesity is linked to an imbalance in gut bacteria, specifically a lower ratio of Bifidobacteria to E. coli. This finding suggests a connection between gut microbiome alterations and pediatric obesity.
Area of Science:
- Microbiology
- Pediatric Health
- Gut Microbiome Research
Background:
- Childhood obesity is a growing public health concern.
- Gut microbiome dysbiosis is increasingly implicated in metabolic disorders.
- Understanding the microbial profile in obese children is crucial.
Purpose of the Study:
- To investigate the correlation between childhood obesity and gut microbial imbalance.
- To compare the ratio of Bifidobacteria to E. coli in obese versus non-obese children.
Main Methods:
- A hospital-based case-control study with a 1:1 ratio.
- Quantitative real-time PCR (qPCR) used to quantify Bifidobacteria and E. coli in fecal samples.
- Calculation and statistical analysis of the Bifidobacteria/E. coli (B/E) ratio.
Main Results:
- Obese and control groups showed no significant differences in age, gender, or height.
- Significant differences were observed in body weight and BMI between groups.
- A significantly lower B/E ratio was found in obese children compared to controls (P < 0.05).
- A strong positive correlation (OR = 719.2) was identified between a decreased B/E ratio and childhood obesity.
Conclusions:
- Obese children exhibit a reduced abundance of Bifidobacteria and an increased abundance of E. coli.
- The findings suggest a significant association between gut microbial imbalance and pediatric obesity.
- Gut microbiome modulation may represent a potential target for obesity interventions in children.
Background:
To determine the correlation between obesity in school-aged children and imbalance of gut microbes by examining the ratio change of intestinal Bifidobacteria and E.coli in obese children compared to non-obese controls.
Methods:
A hospital-based 1:1 case-control study was performed. Fecal samples of the subjects were collected for DNA extraction and analyzed by quantitative real-time PCR (qPCR) to determine the copy number of Bifidobacteria and E.coli. The ratio of two microbes (B/E) was then calculated and statistically analyzed.
Results:
Subjects of the obesity group and control group showed no significant difference in age, gender or height (P > 0.05); whereas they had significant differences in body weight and BMI. Copy numbers of Bifidobacteria and E.coli per gram of wet fecal samples were first determined using qPCR in both obese and normal groups, which were further used for the calculation of B/E ratio. We found that B/E ration in the two groups showed significant difference (P < 0.05). Corrected χ(2) test was performed for the two groups against B/E < 1, and it was found that there was a positive correlation (OR = 719.2, OR 95% C.I. = 81.57-6341.18) between B/E ratio decrease with childhood obesity.
Conclusions:
The obese children have a lower amount of Bifidobacteria and higher amount of E.coli (smaller B/E ratio) compared to normal non-obese children. It was suggested that obesity in children may be associated with the imbalance of gut microbes.
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