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
The community of trillions of microorganisms, including bacteria, viruses, and fungi, that live in the human digestive system and play an important role in health.
and metabolic profile in people who are overweight or obese. One approach was an Intermittent Fasting
A way of eating where you cycle between periods of fasting and eating. This can involve skipping meals or restricting food intake for certain periods of time.
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
A family of bacteria that are often found in the gut and are associated with positive health effects.
, Rikenellaceae
A family of bacteria that are also commonly found in the gut and are linked to beneficial health outcomes.
, and Marvinbryantia
A genus of bacteria that are part of the gut microbiome and may have positive effects on health.
. 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
Small proteins released by cells that play a role in the immune system and can influence processes like inflammation and fat burning.
and amino acid metabolites
Substances produced during the body's chemical processes, such as breaking down food or other compounds. These metabolites can provide information about a person's health and how their body is functioning.
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
Certain types of bacteria that live in the gut and produce butyrate, a compound that can have beneficial effects on the body, such as reducing inflammation and supporting the health of the gut lining.
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
A type of bacteria that can be found in the human gut. Some research suggests that changes in the levels of this bacteria may be associated with certain health conditions.
, Clostridium leptum
A species of bacteria that is commonly found in the human gut. This bacterium is known to play a role in the breakdown of complex carbohydrates and the production of short-chain fatty acids.
, and Blautia hydrogenotrophica
A type of bacteria that is found in the human gut. This bacterium is involved in the production of hydrogen gas, which can be used by other gut microbes as a source of energy.
, along with decreases in butyrate-producing bacteria like Eubacterium ventriosum
A species of bacteria that is typically found in the human gut. Some research suggests that changes in the levels of this bacterium may be associated with certain health conditions.
and Roseburia inulinivorans
A type of bacteria that is commonly found in the human gut. This bacterium is known to play a role in the breakdown of certain types of dietary fiber, such as inulin.
. 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
A species of bacteria that is found in the human gut. This bacterium is believed to have beneficial effects on the body, such as supporting the health of the gut lining.
, Anaerostipes hadrus
A type of bacteria that is found in the human gut and is associated with positive health effects.
, and Akkermansia muciniphila
A beneficial bacteria that lives in the mucus layer of the gut and is linked to improved metabolic health.
, 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
A compound that is produced by certain microorganisms and may have beneficial effects on the body.
and nicotinic acid
Also known as vitamin B3, this is a nutrient that plays a role in various metabolic processes in the body.
, 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.