Affiliations 

  • 1 Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands
  • 2 China-Malaysia National Joint Laboratory, Biomedical Research Center, Northwest Minzu University, Lanzhou, China
  • 3 Department of Basic Medicine, Medical School, Kunming University of Science and Technology, Kunming, China
  • 4 The Fifth People's Hospital of Qinghai (Qinghai Tumor Hospital), Xining, China
  • 5 The Medical Biobank, the First Affiliated Hospital of Kunming Medical University, Kunming, China
Am J Clin Nutr, 2021 May 08;113(5):1332-1342.
PMID: 33842951 DOI: 10.1093/ajcn/nqaa388

Abstract

BACKGROUND: Intermittent fasting is a popular dietary intervention with perceived relatively easy compliance and is linked to various health benefits, including weight loss and improvement in blood glucose concentrations. The mechanistic explanations underlying the beneficial effects of intermittent fasting remain largely obscure but may involve alterations in the gut microbiota.

OBJECTIVES: We sought to establish the effects of 1 mo of intermittent fasting on the gut microbiome.

METHODS: We took advantage of intermittent fasting being voluntarily observed during the Islamic faith-associated Ramadan and sampled feces and blood, as well as collected longitudinal physiologic data in 2 cohorts, sampled in 2 different years. The fecal microbiome was determined by 16S sequencing. Results were contrasted to age- and body weight-matched controls and correlated to physiologic parameters (e.g., body mass and calorie intake).

RESULTS: We observed that Ramadan-associated intermittent fasting increased microbiome diversity and was specifically associated with upregulation of the Clostridiales order-derived Lachnospiraceae [no fasting 24.6 ± 13.67 compared with fasting 39.7 ± 15.9 in relative abundance (%); linear discriminant analysis = 4.9, P 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.