Evidence mapPaperPMID 35040746Full record

SynthesisGut microbes

The association of weight loss with changes in the gut microbiota diversity, composition, and intestinal permeability: a systematic review and meta-analysis.

Dimitrios A Koutoukidis, Susan A Jebb, Matthew Zimmerman, Afolarin Otunla, J Aaron Henry, Anne Ferrey, Ella Schofield, Jade Kinton, Paul Aveyard, Julian R Marchesi

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Gut microbes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 5 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  12. Nutrients · 2026
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dimitrios A KoutoukidisNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-1955-7234
Susan A JebbNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0001-9190-2920
Matthew ZimmermanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Afolarin OtunlaNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
J Aaron HenryNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-7650-0963
Anne FerreyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Ella SchofieldNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Jade KintonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Paul AveyardNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-1802-4217
Julian R MarchesiDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.ORCID 0000-0002-7994-5239

Funding

Department of Health IS-BRC-1215–20008
6 · The paper itself

Abstract

The gut microbiome may be a mediator between obesity and health outcomes. However, it is unclear how intentional weight loss changes the gut microbiota and intestinal permeability. We aimed to systematically review and quantify this association. We searched Medline, Embase, CINAHL, Cochrane databases, and trial registries until June 2020 (PROSPERO: CRD42020205292). We included trials of weight loss interventions (energy-restricted diets, pharmacotherapy, bariatric surgery) reporting on the microbiome. Two reviewers independently completed screening, extraction, and risk assessment with the ROBINS-I tool. Pooled standardized mean differences (SMDs) were obtained from random-effects meta-analyses. Forty-seven trials with 1,916 participants (81% female) and a median follow-up of 6 months (range: 2-24) were included. Based on imprecise evidence but with fairly consistent direction of effect, weight loss was associated with a statistically significant increase in α-diversity [SMD: 0.4 (95% CI: 0.2, 0.6],

Indexed as

Gastrointestinal MicrobiomeWeight LossAdultAgedBacteriaBiodiversityFecesFemaleHumansIntestinesMaleMiddle AgedObesityPermeabilityYoung Adultdiversityintestinal permeabilitymeta-analysismicrobiotaWeight loss

Identifiers

PMID35040746
PMCPMC8796717

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.