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Specific Gut Bacteria May Account For Much Obesity

resistant writes "A limited study from China offers the tantalizing possibility that targeting specific gut bacteria in humans could significantly reduce the scope of an epidemic of obesity in Western countries: 'The endotoxin-producing Enterobacter decreased in relative abundance from 35% of the volunteer's gut bacteria to non-detectable, during which time the volunteer lost 51.4kg of 174.8kg initial weight and recovered from hyperglycemia and hypertension after 23 weeks on a diet of whole grains, traditional Chinese medicinal foods and prebiotics.' As usual, sensationalist reports have been exaggerating the import of this very early investigation, and one wonders about that 'diet of whole grains.' Still, there could be meat in the idea of addressing pathogenic bacteria for the control of excessive weight gain. After all, it wasn't too long ago that a brave scientist insisted in the face of widespread ridicule that peptic ulcers in humans usually are caused by bacterial infections, not by acidic foods."

32 of 470 comments (clear)

  1. Mass-Media Report by resistant · · Score: 5, Informative
    In retrospect, I guess it couldn't hurt to mention at least one mass-media report that doesn't seem too excitable:

    Researchers in Shanghai identified a human bacteria linked with obesity, fed it to mice and compared their weight gain with rodents without the bacteria. The latter did not become obese despite being fed a high-fat diet and being prevented from exercising. The Shanghai team fed a morbidly obese man a special diet designed to inhibit the bacterium linked to obesity and found that he lost 29 per cent of his body weight in 23 weeks. The patient was prevented from doing any exercise during the trial. Prof Zhao said such a loss in an obese patient using this diet was unprecedented. The patient also recovered from diabetes, high blood pressure and fatty liver disease.

    It will be fascinating to see what happens when other teams try to replicate these results with larger, more statistically significant groups than just one individual. ^^;

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    1. Re:Mass-Media Report by MrEricSir · · Score: 4, Interesting

      If this turns out to have any truth to it, it raises two questions in my mind:

      1. Why? What's the link between this bacteria and weight gain?
      2. What can we do? Is it possible to safely eliminate just this one bacteria via a vaccine or antibiotic?

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    2. Re:Mass-Media Report by icebike · · Score: 4, Funny

      Is it possible to safely eliminate just this one bacteria via a vaccine or antibiotic?

      Perhaps someone could post this bacteria's susceptibility to Alcohol. Preferably before New Years Eve.

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    3. Re:Mass-Media Report by Samantha+Wright · · Score: 5, Informative

      This has actually been studied quite extensively in the last few years, mostly by American researchers. They've been able to show how that mice fed samples of this bacterium will gain weight drastically. Basically, the bacteria process certain sources of food that we're bad at absorbing and make it easier for us to absorb them. It's believed that there's an immunological mutation (which is otherwise all but harmless) that lets them proliferate excessively in humans (defence against flagella, I think), so one can actually say that obesity is genetic, albeit indirectly so.

      But that all being said, while careful diet control is certainly effective for mitigating digestion-related problems, this study isn't a cure so much as a band-aid. I'm pretty sure anyone would lose weight and eliminate unwanted intestinal flora under the intake suggested.

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    4. Re:Mass-Media Report by Midnight+Thunder · · Score: 4, Insightful

      Instestinal flora seems to have become something more scientists are looking into. The make up of the flora seems to have large number if influences. We may find even more surprises as more research happens.

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    5. Re:Mass-Media Report by ColdWetDog · · Score: 4, Informative

      The human body contains trillions of microorganisms — outnumbering human cells by 10 to 1. Because of their small size, however, microorganisms make up only about 1 to 3 percent of the body's mass (in a 200-pound adult, that’s 2 to 6 pounds of bacteria), but play a vital role in human health.

      The NIH is just starting to go there. It may well flip our understanding of how a number of disease processes unfold.

      Researchers found, for example, that nearly everyone routinely carries pathogens, microorganisms known to cause illnesses. In healthy individuals, however, pathogens cause no disease; they simply coexist with their host and the rest of the human microbiome, the collection of all microorganisms living in the human body. Researchers must now figure out why some pathogens turn deadly and under what conditions, likely revising current concepts of how microorganisms cause disease.

      Clearly the microbiota are biologically active - they produce, metabolize and secrete chemicals that interact with the human body. Not surprising that understanding that may help us understand the function and non function of ourselves.

      In a sense, this isn't news. We've always known than humans are full of shit.

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    6. Re:Mass-Media Report by fyngyrz · · Score: 5, Funny

      Gut bacteria? Nein, nein, das ist schlechte bacteria!

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    7. Re:Mass-Media Report by Midnight+Thunder · · Score: 3, Informative

      I read a few articles showing benefits of intestinal flora transplants from one individual to another. For example, this article discusses how it was shown to ease Parkinson's in certain cases (just the abstract, sorry):

      http://www.newscientist.com/article/mg20927962.600-faecal-transplant-eases-symptoms-of-parkinsons.html

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    8. Re:Mass-Media Report by TemperedAlchemist · · Score: 3, Insightful

      The bacteria plays a roll in the "feeling full" mechanism. It's a symbiotic parasite, usually doing no harm.

      It's not so simple to get rid of.

      Consider helicobacter pylori, the bacteria linked to stomach ulcerations. The discovery is that high acidity of the stomach causes this bacteria to produce a protein that neutralizes the stomach acidity: and creates ammonia as a byproduct. Your body regulates stomach acidity with the aid of a hormone gastrin. So in return, to raise acidity, more gastrin is produces and thus more acidity. This causes the same feedback loop problem seen by a foods with a high glycemic index, and overcompensation results in harm to the body.

      It's fairly widespread, and most of the time asymptomatic.

      Antibiotics show the pitiful development of our medicines. They're more or less equivalent to nuclear bombs in pill form. They'll ravage good and bad bacteria indiscriminately, and may even create mutant bacteria resistant to the drug.

      Really, it may just mean you need to make a dietary change to correct the problem. There's talk about the kinds of food we're eating that influence these bacteria to behave in certain ways, and about how diets low in calorie dense foods can correct this.

  2. My own studies by Anonymous Coward · · Score: 3, Funny

    My own studies suggest that the Crunchwrap Supreme is responsible for obesity.

  3. Re:I though it was over consumption of cals. by MickyTheIdiot · · Score: 5, Insightful

    Why is everyone here in the US hooked on the "false dillema" falicy?

    Why can't there be multiple issues? We do have the people that overeat, but there's more that a few people that have had problems with obesity and no one quite understands what the real cause is. There can always be multiple causes and multiple solutions (or not one single solution).

  4. In other news... by Kergan · · Score: 4, Interesting

    Scientists will soon discover that this gut bacteria is hugely successful at metabolizing fructose...

    http://www.youtube.com/watch?v=dBnniua6-oM

  5. Re:I though it was over consumption of cals. by newcastlejon · · Score: 5, Insightful

    Why are people hooked on the "false dillema" falicy?

    FTFY. Please, let's try and have at least one science article free of politics and anti-$country rhetoric.

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  6. Re:I though it was over consumption of cals. by rabtech · · Score: 5, Interesting

    Why is everyone here in the US hooked on the "false dillema" falicy?

    Why can't there be multiple issues? We do have the people that overeat, but there's more that a few people that have had problems with obesity and no one quite understands what the real cause is. There can always be multiple causes and multiple solutions (or not one single solution).

    It's more than just that. Controlled studies where volunteers spent a couple weeks locked in a research facility eating only the precisely measured meals given to them by researchers showed variations in weight gain/loss, even after accounting for muscle mass, overall health, and amount of exercise the volunteers engaged in. Some participants lost weight, some stayed relatively the same, and some gained weight.

    A persistently (and severely) restricted diet will eventually overcome all other factors and force you to lose weight, but it is obvious that some people absorb way more calories from the same meal than others. If the gut bacteria are breaking down certain complex carbohydrates, starches, etc that would otherwise go undigested, they could easily account for the difference.

    In fact, in a famine or food-poor situation, such bacteria would be evolutionarily selected for, as they would give the carriers a leg-up, allowing them to stay healthy and non-malnurished while their neighbors starved.

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  7. Re:I though it was over consumption of cals. by Anonymous Coward · · Score: 3, Insightful

    At the other end of the spectrum, some people with tapeworms can eat enormous amounts of food without gaining weight at all. Which just goes to show, you can't assume all humans to be equal.

    Much like with the rich and the poor, it seems the thin like to pretend that it's all down to their virtue and resolve, and the fat like to pretend that it isn't.

    I know that I'm thinner and more fit than I deserve based on my lifestyle, which makes it hard for me to judge others who may do more work for less results.

  8. Re:I though it was over consumption of cals. by Anonymous Coward · · Score: 3, Insightful

    Gut bacteria and other factors can change things up to a small degree, but you'll never get around the basic physics of your metabolism. Expend less energy than you consume, and you will gain weight. Expend more than you consume, and you *will* lose weight. You cannot gain weight if you don't consume enough food to keep your body running anymore than you can continue driving a car on an empty tank.

    That said, there are some drugs that prevent certain types of "nutrients" from being digested (e.g. Lipitor makes it more difficult for your body to digest fats) which is an effect that may be replicated by some natural things (e.g. gut bacteria).

    But really, it's no shock that people are fatter today. We have a diet that is primarily based on very calorie dense, processed simple carbohydrates. Pretty much *everything* you buy has added simple carbs (SUGAR) which is just not how things used to be. This is a double edged sword because everything you eat has more calories, and is less filling (because simple carbs are 2-3x more calorie dense than proteins and fats.

  9. Re:excuses by Anonymous Coward · · Score: 4, Insightful

    Let's introduce something into your gut that throws off the horomones which control your hunger response. See how well you cope when you go around all day feeling unsatiated no matter what you eat.

    Not saying bacteria is all of it, but it's damn well within the realm of possibility. Maybe science will find a fix for this "weak will power" that many people get chided over, and at least we may have one reasonable solution to the obesity problem without having to hear so much bitching and criticism over it.

  10. Re:Mass-Media Report: Inflamation by BoRegardless · · Score: 3, Informative

    Many things which travel through the gut don't cause a problem because the Cilia protect the digestive tract wall. When Cilia get damaged as with Crohn's Disease, then infection or inflamation can occur.

    If the Enterobacter growth is enhanced by some items in the diet and suppressed by others that would not be surprising. If the Enterobacter or a product from that bacteria causes inflamation that causes the Pancreas to screw up the insulin production and regulation, that too would not be surprising.

    It is only recently that investigation has begun to accelerate on what the effects of different bacteria in the gut are doing and why. Great article with potential for good results.

  11. Re:I though it was over consumption of cals. by Anonymous Coward · · Score: 4, Interesting

    Truth. There are dozens of potential pathways. My sister fell incredibly ill with a body-wide infection that near killed her in 2002. Like everyone else in my family she'd *always* been one of those people who could eat anything she liked and gain no weight. She's 5'10", was slim to the western celebrity ideal, and had done a little modeling. Her gut shut down and only after months of care could she come home - she left the hospital after four months with damaged kidneys and weighing more than when she went in, and over the next three years she continued to gain. Now she struggles to keep under 280lbs and she eats less than a quarter her previous diet. The rest of us eat freely and we're rake-thin - and by freely I mean we're all around the 5k calories a day mark while she's struggling to stay under 1500.

    What happened? Logically I can only guess she began using more of the food she ate towards stored energy, or lost the ability to expend energy as much, or a mix of both. Maybe my brother and other sisters waste a lot of our energy intake, maybe we expend a lot by the nature of our metabolisms. Maybe my sister's gut bacteria died and whatever organism pushed changes in dietary absorbtion up had a chance to flourish at the expense of a 'healthier' flora. Maybe damaged organs change the ratio she stores vs expends.

    What I'm getting at is "I thought it was over consumption of calories" like the gp suggested is a far too simplistic a suggestion - calories in vs calories out is obviously a valid equation at the root level, but calories put in the mouth do not equate to calories usable by the body and *that* does not equate to calories actually used by the body. I overconsume and I'm thin and metabolically healthy by all standards I've ever needed to be tested for. It's about as useful a suggestion for reasons of obesity as "I thought life was consumption of oxygen". Yeah, there's a link, but.... no.

  12. Re:I though it was over consumption of cals. by dgatwood · · Score: 4, Insightful

    Gut bacteria and other factors can change things up to a small degree, but you'll never get around the basic physics of your metabolism. Expend less energy than you consume, and you will gain weight.

    That's very oversimplified to the point of being almost wrong. The problem is that your metabolism varies depending on how much energy is available. If you cut your calorie intake to try to lose weight, your cells slow down their metabolic rate to compensate, and you're still expending no more energy than you consume. When the system is calibrated correctly, people keep a fairly constant weight no matter how much or how little they eat. When the system is calibrated wrong, people can't lose weight no matter how little they eat. There are things you can do to improve your odds, such as starving yourself for one day every few days so that your body does not adjust to the reduced calorie consumption, but that only goes so far.

    And although you are correct that consuming sugars and starches instead of fats and proteins makes this problem worse, high protein diets are hard on your kidneys, heart, etc. So that's not a fix, either. The right fix is to figure out why the whole system is out of balance and fix it.

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  13. Good plan, but not for those results by fyngyrz · · Score: 5, Insightful

    You know, that doesn't work for everyone. It sounds great when it works for YOU, but it's entirely possible to eat reasonably, exercise a lot, and *still* not lose weight. I exercise five days a week, two hours a day, and I'm not talking light exercise. I don't eat sweets, I don't drink, I control my carbs, I make sure I don't drown in meat proteins... I *love* veggies and eat them every day, both salads and side dishes, and I *still* have trouble controlling my weight. Yeah, I'm strong and have stamina and flexibility -- all important targets for my undertakings -- but the fat wants to hang around regardless. I have *never* been "cut." Kinda sleek looking like a seal back in my teenage days, pretty big through the chest and shoulders, but even then I carried extra weight (i'm talking fat) on my thighs and ass. And I was active as hell. Caving, swimming, martial arts, biking, dragging musical equipment from gig to gig, rope climbing, pushing lawn mowers... I hardly ever sat still.

    Today I have students that are so cut, so defined, so obviously on the extreme low end of the body fat range it would make you cry... and if that didn't do it, watching them wolf down $15 worth of McDonald's poison surely would. I can't eat that crap at *all* or my weight takes right off. Not that I really want to, but still, the message is clear: What makes me fat doesn't make you fat, and so forth.

    Everyone's experience is not the same. Metabolism, infection, allergies, immune system fuckarows and Darwin knows what else...

    "Exercise and eat healthy food" is not a universal prescription for "control body fat." It's just a good start for baseline health.

    I wouldn't be the least bit surprised if someone identifies one (or more) independent factors that drive fat retention. I've suspected it for years.

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    1. Re:Good plan, but not for those results by PRMan · · Score: 3, Insightful

      I make sure I don't drown in meat proteins

      Sounds like you may need to eat MORE protein. As far as I can tell, and I'm not a scientist or dietician, all the diets that work have a combination of more protein and less carbs. I cut my carbs down to 125 g per day and I lost 70 lbs in 9 months. But I greatly increased my intake of meat, eggs, cheese, nuts, etc. Any time I get hungry, I eat one of those and I feel full immediately.

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    2. Re:Good plan, but not for those results by Anonymous Coward · · Score: 4, Insightful

      The law of conservation of energy is just that. It's the law. Don't eat you lose weight. How many fat people do you see when food is short? Starving people are not fat. I'm sorry but that is the law.

    3. Re:Good plan, but not for those results by microcars · · Score: 3, Informative

      greatly increased my intake of meat, eggs, cheese, nuts, etc. Any time I get hungry, I eat one of those and I feel full immediately.

      I was about to post that I can just keep eating those, but on reflection you're right. Those food types do make me feel full up.

      Proteins take longer to digest so that's why you feel "full" longer. And it doesn't take a lot either.

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    4. Re:Good plan, but not for those results by BasilBrush · · Score: 4, Interesting

      Conservation of energy... In an isolated system. The body isn't an isolated system. You only consider the input to the system, you aren't considering the outputs.

      And outside of the physics angle, it's unhelpful to look at it that way. Whilst for sure over-eating is the fundamental cause, the implication that it's a matter of conscious willpower is wrong. The difference between well proportioned and fat people is not willpower. Mostly those well proportioned people aren't even trying. They are just lucky to have a body and/or subconscious mind that doesn't prompt them with hunger feelings as often and/or jumps in earlier to tell them they've eaten enough. It's a random physical attribute such as the colour of ones hair, not something to be proud or ashamed of.

      Maybe this research will better explain this difference, and maybe it won't. But the difference is there.

    5. Re:Good plan, but not for those results by fyngyrz · · Score: 4, Insightful

      Look, no one is arguing that starvation will leave you fat; eventually, you'll burn it. Unfortunately for simplistic reasoning like yours, the fat isn't always the first thing to go. It can be muscle tissue, organ tissue, etc. and there are many questions of various low level nutrient shortages that arise with extreme low calorie diets as well.

      There are few subjects as rife with misinformation as diet; part of that is because we don't know what works for everyone, part of it is because there's an entire industry preying on those who are looking for various one-button solutions in that information vacuum. Not to be confused with the disinformation glut.

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    6. Re:Good plan, but not for those results by swillden · · Score: 3, Insightful

      Your metabolism can only adjust so far, and it's not actually all that far. If that weren't true, then people wouldn't starve to death, their metabolism would just keep adjusting until they could live on practically nothing.

      Restrict your caloric intake to, say, 1500 calories per day, and you'll lose weight, and you'll keep losing it as long as you maintain that. Include some strength training to avoid also losing muscle tissue. When you reach your target weight, increase your intake to normal, but weigh yourself daily and monitor your weight tend, if it starts trending upward, reduce your food intake slightly. Continue tuning your intake until you are at the weight you want and staying there. Once you've got that figured out, continue weighing yourself daily and adjusting if the trend lines go too far out of whack.

      Easy, right? Well, no. Controlling calorie intake is not easy. It takes a fair amount of work to track what you're eating, and a lot of discipline. Technology can help, though, a lot. Use a smartphone app to log everything you eat and the exercise you do. Get a Wifi-enabled scale (I have the Fitbit Aria) and stand on it every morning, then use another tool (I use the trendweight.com web site) to track your trend lines.

      It works. I was at 240, and am now at 200, where I've been for a year. I've decided that I really need to be about 180, so I'm going to get focused on lowering calorie intake again starting after the holidays. I target a 1000-calorie daily deficit, which is pretty danged steep, but results in a consistent two pounds per week of weight loss, so I should be down to 180 by mid-March, late March at the latest.

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    7. Re:Good plan, but not for those results by manu0601 · · Score: 4, Interesting

      I cut down carbs and I feel like SHIT. Within a week or 2 I'm an old man that needs a nap at lunchtime, has headaches etc.

      Yes, this is not easy, you need some time to get used to this new diet, but time will come where you will be able to spend a day without much carbs Your body just need to learn again how to burn fat.

  14. Re:Calories? by eWarz · · Score: 5, Insightful

    This is false. My wife can eat 1200 calories on a given day and still gain weight. I can eat 3500 calories in a day and still lose weight. The issue is the level that your body is able to break down certain foods. Example: Eat a 2000 calorie meal. Just because the meal is 2000 calories doesn't mean that 2000 calories go into your body. Certain fats, proteins, etc. don't break down in each person the same way. One person might get 1800 calories from that meal, another person 1300. Also, insulin levels and the like prevent you from burning fat.

  15. Re:I though it was over consumption of cals. by Zenin · · Score: 3, Insightful

    What outrageous claim?

    How to not be a fat ass: Eat less, move more.

    This is hardly a fringe position. I only add the suggestion to it that rather then start with crazy fad diets (that have zero "peer-reviewed studies"), that people start simply by not eating trash like pure sugar and pounds of cheese. If you need a "peer-reviewed study" to convince you that not eating complete shit is a good thing, you're already beyond hope.

    And I add the advice to those who have fat friends and family, to stop giving them "gifts" of complete shit such as candy and pounds of cheese.

    None of this is the slightest bit outrageous. But ya know what is outrageous? You and your ilk that demand "peer-reviewed studies" before you'll even consider the idea that chowing down on donuts and brie might not do wonderful things to your waist line.

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  16. Re:I though it was over consumption of cals. by Rich0 · · Score: 5, Funny

    Uh, if you actually extracted all the mass-energy of a french fry with 100% efficiency you could wipe out a city with the fire coming out of your mouth...

    Since your digestive system is somewhat less efficient than an active galactic nucleus, you'll have to settle for a few paltry calories, and the number will vary by individual.

  17. Re:Calories? by russotto · · Score: 3, Insightful

    People are commenting that some people eat 500/1200/etc. calories and still not loosing weight. Can someone explain this to me?

    Yes. They're deluding themselves about how much they're actually eating.