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Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
Childhood BMI in relation to microbiota in infancy and lifetime antibiotic use
K Korpela1, M A C Zijlmans2, M Kuitunen3
1Immunobiology Research Program, Department of Bacteriology and Immunology, University of Helsinki, Haartmaninkatu 3, PO box 21, 00014, Helsinki, Finland. katri.korpela@helsinki.fi.
Insights
Early infant gut bacteria composition, particularly streptococci and bifidobacteria, predicts later body mass index (BMI). Antibiotic use significantly influences this association, highlighting potential obesity prevention strategies.
Area of Science:
- Microbiome research
- Pediatric health
- Metabolic programming
Background:
- High body mass index (BMI) in early childhood is a risk factor for obesity.
- Intestinal microbiota and antibiotic exposure are potential modulators of early metabolic development.
- Identifying early risk factors for excessive weight gain is crucial for preventive interventions.
Purpose of the Study:
- To investigate the association between infant intestinal microbiota composition and later BMI.
- To determine if antibiotic use modifies the relationship between microbiota and BMI.
- To explore the role of microbiota in early metabolic programming and weight development.
Main Methods:
- Analysis of fecal microbiota composition at 3 months of age in two infant cohorts.
- Measurement of weight and height to determine BMI at 5-6 years of age.
- Collection of lifetime antibiotic use records for all participants.
Main Results:
- Positive association found between streptococci abundance and later BMI.
- Negative association found between bifidobacteria abundance and later BMI.
- The microbiota-BMI association was stronger in children with a history of antibiotic use; Bacteroides association was seen only with minimal antibiotic exposure.
Conclusions:
- Infant intestinal microbiota composition can predict later BMI, serving as an early obesity risk indicator.
- Bifidobacteria and streptococci, as indicators of infant microbiota maturation, are implicated in infant metabolic programming.
- The impact of these bacteria on BMI appears contingent on subsequent antibiotic exposure.
Background:
Children with high body mass index (BMI) at preschool age are at risk of developing obesity. Early identification of factors that increase the risk of excessive weight gain could help direct preventive actions. The intestinal microbiota and antibiotic use have been identified as potential modulators of early metabolic programming and weight development. To test if the early microbiota composition is associated with later BMI, and if antibiotic use modifies this association, we analysed the faecal microbiota composition at 3 months and the BMI at 5-6 years in two cohorts of healthy children born vaginally at term in the Netherlands (N = 87) and Finland (N = 75). We obtained lifetime antibiotic use records and measured weight and height of all children.
Results:
The relative abundance of streptococci was positively and the relative abundance of bifidobacteria negatively associated with the BMI outcome. The association was especially strong among children with a history of antibiotic use. Bacteroides relative abundance was associated with BMI only in the children with minimal lifetime antibiotic exposure.
Conclusions:
The intestinal microbiota of infants are predictive of later BMI and may serve as an early indicator of obesity risk. Bifidobacteria and streptococci, which are indicators of microbiota maturation in infants, are likely candidates for metabolic programming of infants, and their influence on BMI appears to depend on later antibiotic use.
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