cover of episode Is your gut microbiome preventing weight loss? | Dr. Suzanne Devkota and Prof. Tim Spector

Is your gut microbiome preventing weight loss? | Dr. Suzanne Devkota and Prof. Tim Spector

2025/1/9
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@Dr. Suzanne Devkota : 我研究的重点是肠道微生物组如何影响慢性肠道炎症,特别是克罗恩病。我的研究表明,肠道细菌可以转移到脂肪组织中,引发炎症反应,导致腹部脂肪堆积。这并非细菌试图致病,而是机体对细菌入侵的保护性反应。腹部脂肪的增加可能并非单纯由于卡路里过剩,而是机体对肠道细菌入侵的动态反应。 此外,我发现这些细菌具有大量的脂质代谢基因,能够更有效地利用脂肪。我们还发现,在克罗恩病患者中,脂肪组织的免疫环境与健康组织完全不同,这表明脂肪组织在免疫反应中发挥着积极作用。 在抗生素使用后,我建议人们专注于多样化的饮食,而不是补充益生菌,因为多样化的饮食更有助于肠道菌群的恢复。 维持健康的肠道屏障至关重要,这可以通过摄入富含膳食纤维的植物性食物来实现。膳食纤维有助于维持肠道菌群的多样性,并支持肠道屏障的完整性。 @Prof. Tim Spector : 长期以来,我们一直在研究肠道微生物组与内脏脂肪之间的关系。我们的研究表明,内脏脂肪的积累具有遗传基础,但也与肠道微生物的组成密切相关。内脏脂肪与肠道微生物之间的关联性比整体肥胖程度更强。 我们发现,并非单一类型的微生物与内脏脂肪有关,而是多种微生物共同作用的结果。这些微生物及其产生的代谢产物可能才是关键因素。 我们正在开发一种新的方法来评估肠道健康,该方法考虑了益生菌和有害菌对健康结果的影响。 为了改善肠道健康,我建议人们减少超加工食品的摄入,增加全食物和发酵食品的摄入。发酵食品不仅含有益生菌,还含有益生元和抗炎物质。 @Jonathan Wolfe : 本期节目探讨了肠道微生物组与腹部脂肪、体重减轻以及免疫系统之间的复杂关系。我们了解到,细菌易位是普遍存在的现象,但健康的免疫系统可以有效清除这些细菌。然而,在炎症性肠病等情况下,细菌易位可能导致脂肪组织的炎症反应,从而增加腹部脂肪。 此外,我们还讨论了早期饮食多样性对免疫系统发育的重要性,以及如何通过饮食干预来改善肠道健康,例如摄入富含膳食纤维的植物性食物和发酵食品。

Deep Dive

Key Insights

What is the role of belly fat in the body?

Belly fat, particularly visceral fat, stores excess energy, produces essential hormones, and interacts with the immune system. While subcutaneous fat under the skin is less harmful, visceral fat around internal organs increases the risk of cardiometabolic diseases when it expands due to overnutrition or obesity.

How does visceral fat differ from subcutaneous fat?

Visceral fat is located deep within the abdomen, surrounding internal organs, and is linked to higher risks of cardiometabolic diseases. Subcutaneous fat lies just under the skin and is less harmful, serving as a primary storage site for excess calories.

Why is visceral fat considered more dangerous than subcutaneous fat?

Visceral fat is more dangerous because it surrounds vital organs like the liver, kidneys, and heart, leading to cross-communication that can cause systemic health issues. It is also harder to burn compared to subcutaneous fat, which is more readily used during exercise.

What groundbreaking discovery was made about gut bacteria and fat tissue?

Researchers found that certain gut bacteria can translocate and live in fat tissue, particularly in visceral fat. These bacteria, which are lipid-metabolizing, can survive in fat and potentially influence fat expansion as a protective response to bacterial presence.

How does the gut microbiome influence visceral fat?

The gut microbiome plays a significant role in visceral fat accumulation. Specific microbes are associated with visceral fat, and their metabolic byproducts may influence fat storage. Studies suggest that a diverse microbiome can help regulate visceral fat levels.

What is the relationship between the gut microbiome and the immune system?

The gut microbiome and immune system are deeply interconnected, with 70-80% of immune cells located in the lower intestine. Gut microbes communicate with immune cells, helping to regulate immune responses, prevent overreactions to allergens, and maintain overall health.

Why is dietary diversity important for gut health?

Dietary diversity promotes a diverse gut microbiome, which is crucial for maintaining gut barrier integrity and overall health. Consuming a wide variety of plant-based foods, particularly those high in fiber, supports beneficial gut bacteria and their functions.

What are the benefits of fermented foods for gut health?

Fermented foods provide live bacteria and beneficial postbiotic compounds that support gut health, reduce inflammation, and enhance immune function. Examples include kefir, sauerkraut, kimchi, and certain yogurts, which are rich in probiotics and bioactive nutrients.

Why is it important to avoid ultra-processed foods for gut health?

Ultra-processed foods are pro-inflammatory and deprive gut microbes of essential nutrients like fiber. Reducing their intake to less than 10% of the diet helps maintain a healthy gut microbiome and reduces the risk of inflammation-related health issues.

What is the significance of early-life microbiome development for immune health?

Early-life microbiome development is critical for immune system education. Exposure to diverse foods and microbes during infancy helps build a robust immune system, reducing the risk of allergies, autoimmune diseases, and other health issues later in life.

Shownotes Transcript

Belly fat is more than just stubborn weight – it plays a complex role in our health, interacting with the immune system and gut bacteria. But could gut microbes hold the key to understanding and managing belly fat?

In this episode, Dr. Suzanne Devkota, Director of the Microbiome Research Institute at Cedars-Sinai, shares groundbreaking findings on how gut bacteria interact with belly fat. Tim Spector, professor of epidemiology and scientific co-founder at ZOE, also joins the conversation to explain how the diversity of your gut bacteria affects weight and overall health.

Together, our guests share surprising ways the microbiome influences fat storage and offer practical tips for supporting gut health.

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Timecodes

00:00 The risks of internal fat

01:45 Quickfire questions

03:12 What is belly fat?

04:30 How dangerous is internal fat?

05:44 How our body uses belly fat

16:20 Groundbreaking study on gut bacteria

21:05 These gut bacteria live in your fat tissue

24:50 Gut health and your immune system

31:58 Why microbes are essential to survive

38:30 Why gut health starts at birth

46:40 The importance of sampling your gut microbes

50:50 Two changes you can make right now

53:02 Easy fermented eating tips

55:10 Why not all pickles are fermented

📚Books by our ZOE Scientists

The Food For Life Cookbook

Every Body Should Know This by Dr Federica Amati

Food For Life by Prof. Tim Spector

Free resources from ZOE

Live Healthier: Top 10 Tips From ZOE Science & Nutrition

Gut Guide - For a Healthier Microbiome in Weeks 

Mentioned in today's episode

Translocation of Viable Gut Microbiota to Mesenteric Adipose Drives Formation of Creeping Fat in Humans (2020), published in Cell

Our extended microbiome: The human-relevant metabolites and biology of fermented foods (2024), published in Cell Metabolism

Effects of a personalized nutrition program on cardiometabolic health: a randomized controlled trial (2024), published in Nature

Heritable components of the human fecal microbiome are associated with visceral fat (2016) published in Genome Biology

Dissecting the role of the gut microbiota and diet on visceral fat mass accumulation (2019), published in Scientific Reports

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Episode transcripts are available here.