The effects of sustained fitness improvement on the gut microbiome: A longitudinal, repeated measures case‐study approach
Author(s)
Type
Journal Article
Abstract
The athlete gut microbiome differs from that of non‐athletes in its composition and metabolic function. Short‐term fitness improvement in sedentary adults does not replicate the microbiome characteristics of athletes. The objective of this study was to investigate whether sustained fitness improvement leads to pronounced alterations in the gut microbiome. This was achieved using a repeated‐measures, case‐study approach that examined the gut microbiome of two initially unfit volunteers undertaking progressive exercise training over a 6‐month period. Samples were collected every two weeks, and microbiome, metabolome, diet, body composition, and cardiorespiratory fitness data were recorded. Training culminated in both participants completing their respective goals (a marathon or Olympic‐distance triathlon) with improved body composition and fitness parameters. Increases in gut microbiota α‐diversity occurred with sustained training and fluctuations occurred in response to training events (eg, injury, illness, and training peaks). Participants’ BMI reduced during the study and was significantly associated with increased urinary measurements of N‐methyl nicotinate and hippurate, and decreased phenylacetylglutamine. These results suggest that sustained fitness improvements support alterations to gut microbiota and physiologically‐relevant metabolites. This study provides longitudinal analysis of the gut microbiome response to real‐world events during progressive fitness training, including intercurrent illness and injury.
Date Issued
2021-03
Date Acceptance
2020-11-11
Citation
Translational Sports Medicine, 2021, 4 (2), pp.174-192
ISSN
2573-8488
Publisher
Wiley
Start Page
174
End Page
192
Journal / Book Title
Translational Sports Medicine
Volume
4
Issue
2
Copyright Statement
© 2020 The Authors. Translational Sports Medicine published by John Wiley & Sons Ltd
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
National Institute for Health Research
Imperial College Healthcare NHS Trust- BRC Funding
Identifier
https://onlinelibrary.wiley.com/doi/10.1002/tsm2.215
Grant Number
NIHR-PDF-2012-05-456
RDA27
Subjects
Science & Technology
Life Sciences & Biomedicine
Sport Sciences
fitness
high-throughput sequencing
human microbiome
longitudinal study
metabolic phenotyping
n of 1
PHYSICAL-ACTIVITY
EXERCISE
HEALTH
SPECTROSCOPY
INFORMATION
URINE
fitness
high‐throughput sequencing
human microbiome
longitudinal study
metabolic phenotyping
n of 1
Publication Status
Published
Article Number
tsm2.215
Date Publish Online
2020-11-22