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Intermittent Fasting with Protein Boosts Gut Health and Weight Loss


Original Title

Gut microbiome remodeling and metabolomic profile improves in response to protein pacing with intermittent fasting versus continuous caloric restriction

  • Nature Communications
  • DE
  • 4:14 Min.

Comparing Intermittent Fasting with Protein Pacing (IF-P) and Calorie Restriction (CR)

Researchers conducted a study to compare the effects of two different dietary approaches on the

gut microbiome
and metabolic profile in people who are overweight or obese. One approach was an
Intermittent Fasting
diet with protein-rich meal replacements (IF-P), and the other was a calorie-restricted (CR) diet focused on whole foods.

The results showed that the IF-P diet led to more significant changes in the composition of the gut microbiome. The researchers found increases in beneficial bacteria like

Christensenellaceae
,
Rikenellaceae
, and
Marvinbryantia
. They also observed improvements in gastrointestinal symptoms for the people following the IF-P diet.

Metabolic Differences Between IF-P and CR Groups

Despite similar calorie intake and expenditure, the participants on the IF-P diet lost significantly more body weight and fat mass compared to the CR group. The researchers believe this may be due to the IF-P diet's higher protein and lower sugar intake, which favorably influenced the gut microbiome and metabolic profile.

The IF-P group exhibited increases in certain circulating

cytokines
and amino acid
metabolites
associated with fat burning. In contrast, the CR group showed increases in metabolites linked to longevity pathways.

Gut Microbiome and Metabolomic Profiles

The researchers found that the IF-P and CR groups had distinct gut microbiome and metabolomic signatures. The IF-P group had increases in microbes associated with protein breakdown and fat metabolism, while the CR group had more

butyrate-producing bacteria
and metabolites involved in carbohydrate metabolism.

Weight Loss Responsiveness and Gut Microbiome

When the researchers looked at the participants who had the greatest weight loss (at least 10%) on the IF-P diet, they found that these "high responders" had unique gut microbiome and fecal metabolome profiles compared to the "low responders."

The high responders had increases in bacteria like

Collinsella
,
Clostridium leptum
, and
Blautia hydrogenotrophica
, along with decreases in butyrate-producing bacteria like
Eubacterium ventriosum
and
Roseburia inulinivorans
. Their fecal metabolome also showed enrichment in pathways related to lipid metabolism, nucleotide turnover, and amino acid formation.

Long-Term Gut Microbiome Remodeling

The researchers also followed one participant who had the greatest weight loss during the 8-week IF-P intervention over a 52-week period. This case study revealed sustained changes in the participant's gut microbiome, with increases in health-associated bacteria like

Blautia wexlerae
,
Anaerostipes hadrus
, and
Akkermansia muciniphila
, and decreases in taxa linked to disrupted circadian rhythms and starch degradation.

The fecal metabolome of this participant also showed notable shifts, including increases in compounds like

agrocybin
and
nicotinic acid
, and decreases in substances involved in inhibiting intestinal motility.

Conclusion

This study highlights the complex interplay between diet, gut microbiome, and host metabolism. The findings suggest that the gut microbiome and associated metabolic pathways play a crucial role in determining an individual's response to an IF-P dietary intervention for weight loss and metabolic health. The sustained gut microbiome remodeling observed in the case study participant suggests that long-term dietary changes can promote beneficial microbial shifts that support weight management and overall well-being.