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Effects of Maternal Pre-Pregnancy BMI on Preterm Infant Microbiome and Fecal Fermentation Profile-A Preliminary
Kristy L Thomas1,2, Amy E Wahlquist3, Dalton James4
1Department of Biomedical Sciences, Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614, USA.
Insights
Maternal pre-pregnancy body mass index (BMI) impacts preterm infant gut microbiome and fermentation. Higher maternal BMI was linked to altered infant gut bacteria and increased propionic acid, potentially affecting infant health.
Area of Science:
- Microbiology
- Neonatal Health
- Maternal Health
Background:
- Maternal pre-pregnancy body mass index (BMI) is a critical factor in pregnancy outcomes.
- The gut microbiome of preterm infants is underdeveloped and susceptible to external influences.
- Understanding factors affecting the preterm infant gut microbiome is crucial for improving health outcomes.
Purpose of the Study:
- To investigate the impact of maternal pre-pregnancy BMI on the fecal microbiome and short-chain fatty acid (SCFA) profiles of preterm infants.
- To explore potential links between maternal BMI categories and infant gut bacterial composition and fermentation patterns.
Main Methods:
- A cohort study of 54 preterm infants in the NICU, grouped by maternal pre-pregnancy BMI (normal, overweight, obese).
- Analysis of fecal samples using 16S rRNA sequencing for microbiome composition.
- Extraction and analysis of short-chain fatty acids (SCFAs) from infant fecal samples.
Main Results:
- Preterm infants born to overweight and obese mothers showed different bacterial taxonomic composition and lower overall taxa abundance compared to those born to normal-weight mothers.
- No significant differences in microbial diversity were observed across BMI groups.
- Higher levels of the SCFA propionic acid were found in infants of mothers with higher pre-pregnancy BMI, even after controlling for covariates.
Conclusions:
- Maternal pre-pregnancy BMI influences the preterm infant gut microbiome and SCFA production.
- The preterm infant gut generally exhibits lower microbial diversity, which can have implications for health.
- Further research into modulating the preterm infant microbiome is essential for improving health outcomes.
Abstract:
Objective: This feasibility, proof-of-concept study aimed to assess the impact of maternal pre-pregnancy body mass index (BMI) on preterm infant fecal fermentation and microbiome. Study Design: An infant cohort study (n = 54) in the NICU at MUSC from June 2021 to September 2022 was grouped according to maternal pre-pregnancy BMI-normal weight (<25 kg/m2), overweight (25-29.9 kg/m2), and obese (≥30 kg/m2). All fecal samples were subjected to 16s rRNA isolation and analysis, as well as short chain fatty acid (SCFA) extraction and analysis. Results: Preterm infants born to overweight and obese mothers did not have differences in microbial diversities but did have different bacterial taxonomic composition and lower relative abundance levels of taxa than those born to normal-weight mothers. While controlling for covariates, we found SCFA propionic acid to be higher and more significant in infant stools born to mothers with a higher pre-pregnancy BMI. Conclusions: This is a novel study investigating the microbiome and SCFA in premature infants while considering maternal pre-pregnancy BMI. This study adds to the current literature, in that the preterm infant gut is generally lower in microbial diversity which can impact infant health. Thus, it is important to understand the mechanisms necessary to modulate the microbiome of preterm infants to improve their health outcomes.
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