E. H. Seck, B. Senghor, V. Merhej, D. Bachar, F. Cadoret, C. Robert, E. I. Azhar, M. Yasir, F. Bibi, A. A. Jiman-Fatani, D. S. Konate, D. Musso, O. Doumbo, C. Sokhna, A. Levasseur, J. C. Lagier, S. Khelaifia, M. Million, D. Raoult
{"title":"Retraction Note: Salt in stools is associated with obesity, gut halophilic microbiota and Akkermansia muciniphila depletion in humans","authors":"E. H. Seck, B. Senghor, V. Merhej, D. Bachar, F. Cadoret, C. Robert, E. I. Azhar, M. Yasir, F. Bibi, A. A. Jiman-Fatani, D. S. Konate, D. Musso, O. Doumbo, C. Sokhna, A. Levasseur, J. C. Lagier, S. Khelaifia, M. Million, D. Raoult","doi":"10.1038/s41366-024-01601-8","DOIUrl":"10.1038/s41366-024-01601-8","url":null,"abstract":"","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 11","pages":"1678-1678"},"PeriodicalIF":4.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41366-024-01601-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meddy N. Bongers-Karmaoui, Alexander Hirsch, Ricardo P. J. Budde, Arno A. W. Roest, Vincent W. V. Jaddoe, Romy Gaillard
{"title":"The cardiovascular exercise response in children with overweight or obesity measured by cardiovascular magnetic resonance imaging","authors":"Meddy N. Bongers-Karmaoui, Alexander Hirsch, Ricardo P. J. Budde, Arno A. W. Roest, Vincent W. V. Jaddoe, Romy Gaillard","doi":"10.1038/s41366-024-01589-1","DOIUrl":"10.1038/s41366-024-01589-1","url":null,"abstract":"Overweight and obesity are among the main causes of cardiovascular diseases. Exercise testing can aid in the early detection of subtle cardiac dysfunction not present in rest. We hypothesized that the cardiovascular response to exercise is impaired among children with overweight or obesity, characterized by the inability of the cardiovascular system to adapt to exercise by increasing cardiac volumes and blood pressure. We performed a cardiovascular stress test to investigate whether the cardiovascular exercise response is altered in children with overweight and obesity, as compared to children with a normal weight. A subgroup of the Generation R population-based prospective cohort study, consisting of 41 children with overweight or obesity and 166 children with a normal weight with a mean age of 16 years, performed an isometric exercise. Continuous heart rate and blood pressure were measured during rest, exercise and recovery. Cardiovascular magnetic resonance (CMR) measurements were performed during rest and exercise. Higher BMI was associated with a higher resting systolic and diastolic blood pressure (difference: 0.24 SDS (95% CI 0.10, 0.37) and 0.20 SDS (95% CI 0.06, 0.33)) and lower systolic and diastolic blood pressure increases from rest to peak exercise (−0.11 SDS (95% CI −0.20, −0.03) and −0.07 SDS (95% CI −0.07, −0.01)). BMI was also associated with a slower decrease in systolic and diastolic blood pressure during recovery (p values < 0.05). Higher childhood BMI was associated with lower BSA corrected left ventricular mass, end-diastolic volume and stroke volume (p values < 0.05). There were no associations of childhood BMI with the cardiac response to exercise measured by heart rate and CMR measurements. Childhood BMI is, across the full range, associated with a blunted blood pressure response to static exercise but there were no differences in cardiac response to exercise. Our findings suggest that adiposity may especially affect the vascular exercise reaction without affecting cardiac response.","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 11","pages":"1593-1602"},"PeriodicalIF":4.2,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Malgorzata M. Brzozowska, Dana Bliuc, Artur Mazur, Paul A. Baldock, John A. Eisman, Jerry R. Greenfield, Jacqueline R. Center
{"title":"Correction: Sex-differential testosterone response to long-term weight loss","authors":"Malgorzata M. Brzozowska, Dana Bliuc, Artur Mazur, Paul A. Baldock, John A. Eisman, Jerry R. Greenfield, Jacqueline R. Center","doi":"10.1038/s41366-024-01597-1","DOIUrl":"10.1038/s41366-024-01597-1","url":null,"abstract":"","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 10","pages":"1514-1514"},"PeriodicalIF":4.2,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41366-024-01597-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julie Abildgaard, Anne Kirstine Bang, Loa Nordkap, Lærke Priskorn, Niels Jørgensen
{"title":"Correction: The influence of body composition on the response to dynamic stimulation of the endocrine pituitary-testis axis","authors":"Julie Abildgaard, Anne Kirstine Bang, Loa Nordkap, Lærke Priskorn, Niels Jørgensen","doi":"10.1038/s41366-024-01583-7","DOIUrl":"10.1038/s41366-024-01583-7","url":null,"abstract":"","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 9","pages":"1354-1355"},"PeriodicalIF":4.2,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41366-024-01583-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shishira K B, K. Vaishali, Rajagopal Kadavigere, Suresh Sukumar, Shivashankara K N, Samuel A. Pullinger, Tulasiram Bommasamudram
{"title":"Effects of high-intensity interval training versus moderate-intensity continuous training on vascular function among individuals with overweight and obesity—a systematic review","authors":"Shishira K B, K. Vaishali, Rajagopal Kadavigere, Suresh Sukumar, Shivashankara K N, Samuel A. Pullinger, Tulasiram Bommasamudram","doi":"10.1038/s41366-024-01586-4","DOIUrl":"10.1038/s41366-024-01586-4","url":null,"abstract":"The study aimed to investigate and systematically review the evidence relating to the effects of high-intensity interval training (HIIT) versus moderate-intensity continuous training (MICT) on vascular function such as arterial diameter, arterial stiffness, pulse wave velocity, blood flow, etc. in individuals with overweight and obesity. The entire content of PubMed (MEDLINE), Scopus, SPORT Discus® (via EBSCO host), CINAHL, and Web of Science were searched. Only experimental research studies conducted in adult participants aged ≥18 years, published in English before January 2023 were included. A total of 5397 studies were reviewed for the title and abstract with 11 studies being included for data extraction. The review resulted in a total of 346 individuals with overweight and obesity with body mass index (BMI) ranging between 25–36 kg/m2. HIIT and MICT intensities resulted in 85%–95% and 60%–70% maximal heart rate (MHR) respectively. Seven out of 11 studies showed some concerns about the overall risk of bias. Six of 11 studies reported improving vascular function following HIIT than MICT. HIIT is a more effective and time-efficient exercise for enhancing vascular functions in individuals with overweight and obesity, leading to improvements in flow-mediated dilation by 3.9% and arterial diameter by 4.8%, compared to MICT.","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 11","pages":"1517-1533"},"PeriodicalIF":4.2,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Million, M. Maraninchi, M. Henry, F. Armougom, H. Richet, P. Carrieri, R. Valero, D. Raccah, B. Vialettes, D. Raoult
{"title":"Retraction Note: Obesity-associated gut microbiota is enriched in Lactobacillus reuteri and depleted in Bifidobacterium animalis and Methanobrevibacter smithii","authors":"M. Million, M. Maraninchi, M. Henry, F. Armougom, H. Richet, P. Carrieri, R. Valero, D. Raccah, B. Vialettes, D. Raoult","doi":"10.1038/s41366-024-01595-3","DOIUrl":"10.1038/s41366-024-01595-3","url":null,"abstract":"","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 10","pages":"1516-1516"},"PeriodicalIF":4.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41366-024-01595-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alyssa J. Budin, Priya Sumithran, Andrew D. MacCormick, Ian D. Caterson, Wendy A. Brown
{"title":"Patient and healthcare practitioner evaluation of patient-reported outcomes in bariatric surgery – a modified Delphi study","authors":"Alyssa J. Budin, Priya Sumithran, Andrew D. MacCormick, Ian D. Caterson, Wendy A. Brown","doi":"10.1038/s41366-024-01594-4","DOIUrl":"10.1038/s41366-024-01594-4","url":null,"abstract":"Patient-reported outcomes are an important emerging metric increasingly utilised in clinical, research and registry settings. These outcomes, while vital, are underutilised and require refinement for the specific patient population of those undergoing bariatric surgery. This study aimed to investigate and compare how pre-surgical patients, post-surgical patients, and healthcare practitioners evaluate patient-reported outcomes of bariatric surgery to identify outcomes that are considered most important. A modified Delphi survey was distributed to patients pre- and post-surgery, and to a variety of healthcare practitioners involved in bariatric care. Across two rounds, participants were asked to rate a variety of physical and psychosocial outcomes of bariatric surgery from 0 (Not Important) to 10 (Extremely Important). Outcomes rated 8–10 by at least 70% of participants were considered highly important (prioritised). The highest-rated outcomes were compared between the three groups as well as between medical and allied health practitioner subgroups. 20 pre-surgical patients, 95 post-surgical patients, and 28 healthcare practitioners completed both rounds of the questionnaire. There were 58 outcomes prioritised, with 21 outcomes (out of 90, 23.3%) prioritised by all three groups, 13 (14.4%) by two groups, and 24 (26.7%) prioritised by a single group or subgroup. Unanimously prioritised outcomes included ‘Co-morbidities’, ‘General Physical Health’, ‘Overall Quality of Life’ and ‘Overall Mental Health’. Discordant outcomes included ‘Fear of Weight Regain’, ‘Suicidal Thoughts’, ‘Addictive Behaviours’, and ‘Experience of Stigma or Discrimination’. While there was considerable agreement between stakeholder groups on many outcomes, there remain several outcomes with discordant importance valuations that must be considered. In particular, healthcare practitioners prioritised 20 outcomes that were not prioritised by patients, emphasising the range of priorities across stakeholder groups. Future work will consider these priorities to ensure resulting measures encompass all important outcomes and are beneficial and valid for end users.","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 10","pages":"1489-1497"},"PeriodicalIF":4.2,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41366-024-01594-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141766099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathryn V. Dalrymple, Annette L. Briley, Florence A. S. Tydeman, Paul T. Seed, Claire M. Singh, Angela C. Flynn, Sara L. White, Lucilla Poston, on behalf of the UPBEAT Consortium
{"title":"Breastfeeding behaviours in women with obesity; associations with weight retention and the serum metabolome: a secondary analysis of UPBEAT","authors":"Kathryn V. Dalrymple, Annette L. Briley, Florence A. S. Tydeman, Paul T. Seed, Claire M. Singh, Angela C. Flynn, Sara L. White, Lucilla Poston, on behalf of the UPBEAT Consortium","doi":"10.1038/s41366-024-01576-6","DOIUrl":"10.1038/s41366-024-01576-6","url":null,"abstract":"Maternal obesity is associated with a decreased intention and initiation of breastfeeding as well as a shortened duration of breastfeeding. This analysis was undertaken to identify breastfeeding behaviours, and relationships with maternal anthropometry and the serum metabolome at 6-months postpartum in an ethnically diverse cohort of women with obesity. A cohort analysis of 715 women from the UK Pregnancies Better Eating and Activity Trial (UPBEAT); a multi-centre randomised controlled trial of an antenatal lifestyle intervention in women with obesity. Maternal data were collected in early pregnancy and included body mass index (BMI), socio-demographic characteristics and anthropometry. At 6-months postpartum, breastfeeding behaviours, anthropometry and 158 maternal metabolic measures from blood samples were recorded. Kaplan–Meier curves of breastfeeding duration were constructed and were stratified by obesity class (I: BMI 30.0–34.9 kg/m2, II: 35.0–39.9 kg/m2, III: ≥40.0 kg/m2). Relationships between breastfeeding behaviours, socio-demographic characteristics, the metabolome, and anthropometry were determined using regression analyses. Eighty-two percent (591/715) of the cohort-initiated breastfeeding and at the 6-month follow-up 40% (283/715) were breastfeeding exclusively or partially. Duration of exclusive breastfeeding decreased with increasing BMI: Compared to BMI class I (mean 90.4 ± 64 days) the difference in mean for classes II and III were −15.8 days (95% confidence interval: −28.5, −3.1, p < 0.05) and −16.7 (95% CI: −32.0 to −1.35, p < 0.05), respectively. Compared to no breastfeeding, any breastfeeding at 6-months postpartum was associated with improvements in metabolites towards a healthier profile, reduced weight retention by −1.81 kg (95% CI −0.75, −2.88, p < 0.05 ) and reduced anthropometric measures, including mid-upper arm and hip circumferences. The breastfeeding related changes in anthropometry were not evident in women of Black ethnicity. Greater emphasis on enabling breastfeeding for women with obesity could improve duration, women’s weight management and metabolic health. The lack of breastfeeding related anthropometric effects in Black women requires further investigation. ISRCTN reference 89971375.","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 10","pages":"1472-1480"},"PeriodicalIF":4.2,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41366-024-01576-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Johanne Gormsen, Jonas Sanberg, Ismail Gögenur, Frederik Helgstrand
{"title":"Use of proton pump inhibitors after laparoscopic gastric bypass and sleeve gastrectomy: a nationwide register-based cohort study","authors":"Johanne Gormsen, Jonas Sanberg, Ismail Gögenur, Frederik Helgstrand","doi":"10.1038/s41366-024-01593-5","DOIUrl":"10.1038/s41366-024-01593-5","url":null,"abstract":"L-RYGB and L-SG are the dominant bariatric procedures worldwide. While L-RYGB is an effective treatment of coexisting gastroesophageal reflux disease (GERD), L-SG is associated with an increased risk of de-novo or worsening of GERD. The study aimed to evaluate the long-term use of proton pump inhibitors (PPI) following laparoscopic Roux-en-Y gastric bypass (L-RYGB) and sleeve gastrectomy (L-SG). This nationwide register-based study included all patients undergoing L-RYGB or L-SG in Denmark between 2008 and 2018. In total, 17,740 patients were included in the study, with 16,096 and 1671 undergoing L-RYGB and L-SG, respectively. The median follow up was 11 years after L-RYGB and 4 years after L-SG. Data were collected through Danish nationwide health registries. The development in PPI use was assessed through postoperative redeemed prescriptions. GERD development was defined by a relevant diagnosis code associated with gastroscopy, 24 h pH measurement, revisional surgery or anti-reflux surgery. The risk of initiation of PPI treatment or GERD diagnosis was evaluated using Kaplan–Meier plots and COX regression models. The risk of continuous PPI treatment was examined using logistic regression modeling. The risk of initiating PPI treatment was significantly higher after L-SG compared with L-RYGB (HR 7.06, 95% CI 6.42–7.77, p < 0.0001). The risk of continuous PPI treatment was likewise significantly higher after L-SG (OR 1.45, 95% CI 1.36–1.54, p < 0.0001). The utilization of PPI consistently increased after both procedures. The risk of GERD diagnosis was also significantly higher after L-SG compared with L-RYGB (HR 1.93, 95% CI 1.27–2.93, p < 0.0001). The risk of initiating and continuing PPI treatment was significantly higher after L-SG compared with L-RYGB, and a continuous increase in the utilization of PPI was observed after both procedures.","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 11","pages":"1613-1619"},"PeriodicalIF":4.2,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing gut microbiota and microbial function with inulin supplementation in children with obesity","authors":"Chonnikant Visuthranukul, Sira Sriswasdi, Surapun Tepaamorndech, Supakarn Chamni, Asada Leelahavanichkul, Yutthana Joyjinda, Vitavat Aksornkitti, Sirinuch Chomtho","doi":"10.1038/s41366-024-01590-8","DOIUrl":"10.1038/s41366-024-01590-8","url":null,"abstract":"Gut dysbiosis that resulted from the alteration between host-microbe interaction might worsen obesity-induced systemic inflammation. Gut microbiota manipulation by supplementation of prebiotic inulin may reverse metabolic abnormalities and improve obesity. This study aimed to determine whether inulin supplementation improved intestinal microbiota and microbial functional pathways in children with obesity. Children with obesity whose BMI above median + 2SDs were recruited to a randomized, double-blinded placebo-controlled study. The participants aged 7–15 years were assigned to inulin supplement extracted from Thai Jerusalem artichoke (intervention), maltodextrin (placebo), and dietary fiber advice groups. All participants received similar monthly conventional advice and follow-up for 6 months. Fecal samples were collected for gut microbiome analysis using 16S rRNA sequencing. Phylogenetic Investigation of Communities by Reconstruction of Unobserved States was performed to infer microbial functional pathways. One hundred and forty-three children with available taxonomic and functional pathway abundance profiles were evaluated. A significant increase in alpha-diversity was observed in the inulin group. Inulin supplementation substantially enhanced Bifidobacterium, Blautia, Megasphaera, and several butyrate-producing bacteria, including Agathobacter, Eubacterium coprostanoligenes, and Subdoligranulum, compared to the other groups. The inulin group showed a significant difference in functional pathways of proteasome and riboflavin metabolism. These changes correlated with clinical and metabolic outcomes exclusively in the inulin group. Inulin supplementation significantly promoted gut bacterial diversity and improved gut microbiota dysbiosis in children with obesity. The modulation of functional pathways by inulin suggests its potential to establish beneficial interactions between the gut microbiota and host physiology. Inulin supplementation could be a strategic treatment to restore the balance of intestinal microbiota and regulate their functions in childhood obesity.","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":"48 12","pages":"1696-1704"},"PeriodicalIF":4.2,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41366-024-01590-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}