Instituto de Biomedicina (IBIOMED), Universidad de León, 24071, León, Spain.
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Spain.
Dis Model Mech. 2019 Apr 30;12(5):dmm039206. doi: 10.1242/dmm.039206.
Childhood obesity has reached epidemic levels, representing one of the most serious public health concerns associated with metabolic syndrome and non-alcoholic fatty liver disease (NAFLD). There is limited clinical experience concerning pediatric NAFLD patients, and thus the therapeutic options are scarce. The aim of this study was to evaluate the benefits of exercise on gut microbiota composition and functionality balance, and consequent effects on early obesity and NAFLD onset in an model. Juvenile (21-day-old) male Wistar rats fed a control diet or a high-fat diet (HFD) were subjected to a combined aerobic and resistance training protocol. Fecal microbiota was sequenced by an Illumina MiSeq system, and parameters related to metabolic syndrome, fecal metabolome, intestinal barrier integrity, bile acid metabolism and transport, and alteration of the gut-liver axis were measured. Exercise decreased HFD-induced body weight gain, metabolic syndrome and hepatic steatosis, as a result of its lipid metabolism modulatory capacity. Gut microbiota composition and functionality were substantially modified as a consequence of diet, age and exercise intervention. In addition, the training protocol increased , and genera, correlating with a beneficial metabolomic profile, whereas , and showed an opposite pattern. Exercise effectively counteracted HFD-induced microbial imbalance, leading to intestinal barrier preservation, which, in turn, prevented deregulation of the gut-liver axis and improved bile acid homeostasis, determining the clinical outcomes of NAFLD. In conclusion, we provide scientific evidence highlighting the benefits of gut microbiota composition and functionality modulation by physical exercise protocols in the management of early obesity and NAFLD development.
儿童肥胖已达到流行水平,是与代谢综合征和非酒精性脂肪性肝病(NAFLD)相关的最严重的公共卫生问题之一。儿科 NAFLD 患者的临床经验有限,因此治疗选择有限。本研究旨在评估运动对肠道微生物群落组成和功能平衡的益处,以及对肥胖和 NAFLD 早期发病的影响。将幼龄(21 天大)雄性 Wistar 大鼠用对照饮食或高脂肪饮食(HFD)喂养,并进行有氧和抗阻训练方案。通过 Illumina MiSeq 系统对粪便微生物群进行测序,并测量与代谢综合征、粪便代谢组、肠道屏障完整性、胆汁酸代谢和转运以及肠道-肝脏轴改变相关的参数。运动降低了 HFD 诱导的体重增加、代谢综合征和肝脂肪变性,这是由于其调节脂质代谢的能力。由于饮食、年龄和运动干预,肠道微生物群落组成和功能发生了很大变化。此外,该训练方案增加了 、 和 属,与有益的代谢组学特征相关,而 、 和 则呈现相反的模式。运动有效抵抗 HFD 诱导的微生物失衡,导致肠道屏障得到保护,从而防止肠道-肝脏轴失调,并改善胆汁酸稳态,决定 NAFLD 的临床结果。总之,我们提供了科学证据,强调了运动方案对肠道微生物群落组成和功能的调节在管理早期肥胖和 NAFLD 发展中的益处。
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