Abstract

ABSTRACT Introduction: Studies suggest that bariatric surgery, use of probiotic supplements and the dietary pattern can change enterotypes, as well as the entire microbial population. Objective: To verify the influence of bariatric surgery, the use of probiotic supplements and eating habits on enterotypes in obese patients. Methods: Articles published between the 2015 and 2020 were searched in Lilacs and PubMed with the headings: probiotics, eating behavior, food consumption, food, diet, microbiota, gastrointestinal microbiome, bariatric surgery, gastric bypass and the keyword enterotype in Portuguese, English and Spanish. Results:Of the 260 articles found, only studies carried out in obese adults relating changes in the enterotype after bariatric surgery or use of probiotics or dietary patterns and original articles were selected. In the end, eight papers on enterotype change and bariatric surgery were selected and categorized, four on the relationship between food consumption and microbiota and one on the effects of probiotics on enterotypes. Conclusion: The microbial structure is widely modified after bariatric surgery, since the use of probiotic supplement does not bring lasting changes. Enterotypes appear to be shaped by long-term dietary patterns, can modulate how nutrients are metabolized and can be a useful biomarker to improve clinical management.

Highlights

  • IntroductionObesity is closely linked to incorrect eating habits[6]. With the global obesity epidemic, bariatric surgery is considered the most effective, prompt and long-lasting treatment for patients with morbid obesity[16]

  • By a multifactorial cause, obesity is closely linked to incorrect eating habits[6]

  • Studies that evaluated changes in the composition of the intestinal microbiota after bariatric surgery (Table 1) point out that there was a change in enterotypes, an increase in alpha diversity, a relative increase in Proteobacteria, Bacteroidetes and Fusobacteria phyla

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Summary

Introduction

Obesity is closely linked to incorrect eating habits[6]. With the global obesity epidemic, bariatric surgery is considered the most effective, prompt and long-lasting treatment for patients with morbid obesity[16]. After bariatric surgery, eating habits change, patients often use medications and supplements, including probiotics, there is an intense change in body weight, and patients often incorporate healthier lifestyle habits, such as physical activity. All of these factors together have the potential to influence the composition of the intestinal microbiota[21]. Oral administration of supplements with probiotic strains is associated with verified benefits for human health and its use has become usual even after bariatric surgery. The aim of this study was to verify the impact of bariatric surgery, the use of probiotics and eating habits on the enterotypes of obese patients

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