Study: Body Weight Heavily Influenced By Heritable Gut Microbes 297
FirephoxRising writes Our genetic makeup influences whether we are fat or thin by shaping which types of microbes thrive in our body, according to a new study. Scientists identified a specific, little known bacterial family that is highly heritable and more common in individuals with low body weight. So we are what we eat, and what we got from out parents. From the article: "The study, funded by National Institutes of Health (NIH), researchers sequenced the genes of microbes found in more than 1,000 fecal samples from 416 pairs of twins. The abundances of specific types of microbes were found to be more similar in identical twins, who share 100 per cent of their genes, than in non-identical twins, who share on average only half of the genes that vary between people. These findings demonstrate that genes influence the composition of gut microbes."
Oh no (Score:5, Insightful)
Here we go, endless posts about how it's all down to pure willpower and entirely the fault of the individual. Maybe we could try looking for more practical solutions and simply berating people this time?
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Here we go, endless posts about how it's all down to pure willpower and entirely the fault of the individual. Maybe we could try looking for more practical solutions and simply berating people this time?
We could look at the first law of thermodynamics.
Re:Oh no (Score:5, Interesting)
That's what is being done nowadays, counting calories.
The problem is that calorie consumption is not constant. It's more like household economy.
If you earn (eat) a lot every day, you will probably end up with a lot of savings (belly fat).
One way of getting rid of those savings (belly fat) is taking a lower paying job (dieting). The problem is that your savings don't magically dissappear, and you can make changes that allow you to keep your savings (fat), even with a lower income (daily calorie intake).
Another way you can get rid of your savings is just spending more daily (like exercise). The problem is that, if you have a good enough income (daily intake), and sizable savings, you will only lose capital (weight) in the long run, no sizable short term effect.
So, a fat person body works, in what respects to calories, like a financially savvy household. Going skinny would be like going broke. Some of us could benefit from a way to teach our bodies to do a bit worse in the calorie finance department. Could be a lot easier than just dieting, exercising or both.
Re:Oh no (Score:4, Insightful)
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There is a whole psychological component you hinted at too. What if one guy feels happy/energetic etc at 2000 cal and another needs 2500? I think there are both biological reasons why it could be harder to burn, lower metabolism etc, but also other biological factors that just doesn't make you feel full, happy, etc without a certain calorie intake. Both may happen but in the one case at least if the cause is found I suspect you'd be forgive in the other case you'd be asked to suck it up and show some discip
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My problem is I find exercise boring. I never get the rush after exercise. All I get is tired. Combine that with exercising when it is over 65 degrees out and I fatigue out three times as fast as when it is cooler. And I have a really hard time exercising for half the year. And a difficult time maintaining an exercise habit for the other half. I do try though. And while I don't count calories or watch what I eat. I do try to limit meals and sizes there of. I eat a little several times a day.
Almost nobody likes exercise for exercise sake (Score:2)
My problem is I find exercise boring. I never get the rush after exercise.
Just going out an running or lifting weights generally is quite boring. What I do is get involved with physically demanding activities that I also enjoy. I coach a sports team that allows me to participate. I do certain outdoor activities (hiking, paddling etc) that I enjoy that also happen to be physically taxing. Relatively few people actually enjoy exercise for exercise sake. I just do things I enjoy that also help keep me fit as a second order effect.
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I've felt it (and I've felt plenty of other buzzes, too).
Notably, I have only felt it during the (few, brief) periods in my life that I've been in excellent physical shape. If I'd start exercising but quit before tiring myself out, I'd feel frustrated. But if I exercised to a decent level of fatigue, I'd feel a strong sense of well-being.
At the moment I'm in terrible cardio shape, and all I feel when running is awful. I don't think the "runner's high" happens until you're a runner.
Re:Oh no (Score:4, Informative)
The first few weeks of any training program typically suck. That's where willpower (or encouragement if you're in a group) plays such an important role.
Once I'm passed the initial hump, I always feel the "addictive" need to get more exercise and chase the high. In my specific case, the "high" comes after sustained exertion in the med/high effort range. I rarely see it biking (I'm a bike commuter and never really push myself). But running, climbing, mountaineering, and snowboarding all bring it out. For running, on long runs at a moderate pace it kicks in around mile 5 or 6. For short, faster runs, it kicks in about 30 minutes after the run and lasts for a few hours. Other sports have similar patterns. In my experience, the feeling is most similar to hydrocodone (which, unfortunately, I also know about from running).
Wikipedia's description of the "runner's high" covers some of the suspected mechanisms for it.
-Chris
Runners high is quite real (Score:3)
I believe the "runners high" to be a placebo thing for the same reason, I've never felt a "rush" or "buzz" after exercise.
It exists. I've experienced it and I can introduce you to plenty of others who've experienced it during their athletic careers. You have to be quite fit for it to happen in most cases. (much more fit than I am presently) Last time I had a runners high was back when I was competing in college. (wasn't during running but the effect was the same) You just feel like you are floating and everything you do seems almost effortless. It happens rarely - I've only experienced it four times in my life but the s
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Except that not all calories entering the body are used or stored by the body and some that do, have different effects in the process as well as people affecting the process directly themselves.
This can get far too complicated for a post here butsome keys are metabolism, carbohydrates verses fat (think adkins diet), water soluable and fat soluable fiber. If diet and excercise was that simple, there would be one diet plan that works for everyone.
So to your finacial example, think of part of the intake being
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Don't eat too much, make sure what you eat isn't junk, and be more active.
Quoted for Truth. And it should be noted that it takes a while to make a lasting difference...long enough for this behavior to become an everyday way of being, and not an exception.
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It's also worth noting that not everyone has the same capacity for exercise. For those with a low exercise capacity anything that helps is a huge help.
Re:Oh no (Score:4, Informative)
At the calorie level they are EXACTLY identical. Those foods are only different in the WAY they are turned in to calories. A Calorie is just a measure of energy.
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They are identical on paper, but not for a person.
It's a lot easier to get energy from doughnuts than from broccoli.
It's 5 medium doughnuts versus 5 broccoli bunches. I'm pretty sure I can have 5 doughnuts in a sitting, but not 5 broccoli bunches.
There's a lot of fiber in broccoli, so even if you manage to have all that broccoli, you will have a hard time extracting many calories from it. In any case, it will be slow, so at least it keeps you full for a longer time than doughnuts.
Re:Oh no (Score:5, Interesting)
Food calorie content is commonly measured in a bomb calorimeter, using a energy-release process totally different from the human body, and in some cases giving very different values. For example, Olestra releases calories in a bomb calorimeter, but not in the body. Same with sawdust, or "microcrystalline cellulose" as the fast-food places call it.
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The difference being that 1000 calories of broccoli will fill you up faster (i.e. take up more space) than 1000 calories of donuts.
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Wow. Just Wow.
Let me guess. You think:
burning off 1000 calories by running >> burning off 1000 calories by walking.
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Well that could depend on how you classify ">>" Running would burn off the calories faster, provided you are fit enough. Depending on fitness level walking could be better as it would require less recovery time and so you could spend more time actually performing the exercise, walking in this case.
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Yeah. And first we must assume the human body is a frictionless sphere with uniform density in a vacuum.
How many studies have to come out showing that caloric intake is only one small factor of many in weight management, and by itself means hardly anything? You people are as bad as the climate change deniers and anti-vaxxers.
I know this is anecdotal, but to stave off any ad hominems: I eat enough calories to feed a small village every day and would be described as "thin" to "average". I know many other peo
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You do realize that the calories out part of calorie counting depends massively on your metabolism+exercise, right?
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What does that have to do with the situation? That only applies in a closed system. These microbes (and many other factors) are making this not closed, and causing varying amounts of chemical potential energy to be leaked from the system depending on the genetic make up of the individual.
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It isn't that simple though because that only tells you part of cause and effect. If I gave you a capsule that you could swallow that somehow was 100% nutritionally complete and you would require nothing else to live, you would still get hungry and want to eat. Would you be able to "starve" yourself just because you knew you were not "really" starving, you were just perceiving yourself as starving because every signal our ancestors evolved to associate with the need to eat was telling you otherwise?
Its long
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Re:Oh no (Score:5, Informative)
Re:Oh no (Score:4, Interesting)
I always ask my wife (a dietitian) how many calories I release as waste.
All {calorie in minus calorie out} calculations completely ignore calories in your waste.
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To a certain extent, that's meaningless. Those calories are bound up in a way that you can't use them--which is why they're waste). It may be that there are some usable calories in there if you went back and ingested them again, but obviously there are significantly diminishing returns.
There are a certain number of calories per gram of food. Your body is capable of removing and using somewhere between 0-100% of those calories. Your gut flora pushes you in one direction or another--at the highest end, you ca
Re:Oh no (Score:5, Insightful)
To a certain extent, that's meaningless. Those calories are bound up in a way that you can't use them--which is why they're waste). It may be that there are some usable calories in there if you went back and ingested them again, but obviously there are significantly diminishing returns.
Of course it's not meaningless. Those calories are energy. If I ingest 1800 calories, and burn 1400, but poop out 400, I will maintain my weight, despite not burning as many calories as I ingested. If I have gut bacteria that break down certain long chain sugars so that that I can now ingest them, I will instead only poop out 200, and start gaining weight, despite eating the same thing, and doing the same amount of exercise.
The point here is not really that the solution to my weight gain in that situation is either eat 200 calories less, or do 200 calories more work (or some combination of the above), it absolutely is.
Instead, it's that there's a large part of the world out there that will eat the exact same food, and do the exact same exercise, and maintain or loose weight, because their gut bacteria is not the same. These people (as the person at the root of this thread said) are very likely to sit there screaming that all these "fatties" are just gobbling up donuts, and that's why they're fat. Instead, some of them are actually doing more, and eating less already, but will still gain weight by doing that.
Basically, these studies don't change the correct approach to maintaining weight - but what they do do is highlight that people should be a bit more sensitive to each other, and stop assuming that anyone who gains weight is eating a lot, or exercising a little. There are more factors than those alone.
Re:Oh no (Score:5, Interesting)
1g food isn't 1g weight gain (Score:3)
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And the vast differences between people make most of the "just eat less" crowd wrong. Eating less (than someone else) will *never* guarantee weight loss. Bob could eat 1/2 the calories of Carol and still gain weight while Carol is losing weight, for the same activity le
Mass eaten minus mass retained (Score:2)
All {calorie in minus calorie out} calculations completely ignore calories in your waste.
You should modify that a bit. It's actually non-water mass in minus non-water mass out. If I eat an orange that weights 1 pound then I've gained a pound for a short amount of time and the number of calories it has is irrelevant. It could have a million calories and I could not have gained more than 1 pound from that orange. Then once the digestive system gets to work the amount of the orange that gets converted into body mass is dependent on the percent of that mass that gets absorbed. Some will be wat
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"Waste" is just a subset of "out".
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Not in the calculations used in current weight mgmt.
Which is my exact point.
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How do you know that us morally superior thin people aren't Person B types who are hungry all the time but don't use it as an excuse to eat when we don't need to?
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If you change your diet you can change these microbs as well.
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If you change your diet you can change these microbs as well.
This is based on genes. Your genetic makeup makes your body a more hospitable environment for some microbes.
My random made-up example: I have a genetic disposition for heartburn and increased acid production. These "Skinny microbes" cannot live in the higher acid environment so I don't get them.
I do not know that acid is the problem, but it's likely something like that.
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Re:Oh no (Score:5, Insightful)
You can turn genes on and off with diet and lifestyle. Check out the field of epigenetics. Genes are influencers, but your fate is not written in stone because of them.
See: http://www.livescience.com/418... [livescience.com]
The types of bacteria in your gut today may be different tomorrow, depending on what kinds of food you eat, a new study suggests.
Re:Oh no (Score:4, Informative)
Reducing intake will reduce weight regardless of state of your gut. Microbes don't generate energy out of nothing.
This is a story about the fact that microbiome of the gut is being widely recognised as essentially another organ of the body, and differences in microbiome can affect things like how well your gut absorbs energy and so on. However reducing intake will cause weight loss regardless of it. The only question is, "how much of a weight loss per reduced intake".
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Reducing intake will reduce weight regardless of state of your gut. Microbes don't generate energy out of nothing.
This is a story about the fact that microbiome of the gut is being widely recognised as essentially another organ of the body, and differences in microbiome can affect things like how well your gut absorbs energy and so on. However reducing intake will cause weight loss regardless of it. The only question is, "how much of a weight loss per reduced intake".
What it shows is another reason why the same diet doesn't work for everyone. Some people can cut back a small amount and lose weight easily, others have to go to such extremes that either their willpower inevitably breaks down or their body panics and goes even further into hording-mode. People who seem to be able to eat as much as they want without gaining much may be "lucky" to have inefficient microbes so they're not absorbing as much of the calories.
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Incorrect. What it shows is that volume of change needs to be different for each person. In general, reduced intake will reduce weight. Increased anaerobic muscular activity will increase energy burn and reduce fat levels. And so on.
There is no structural difference here. The difference is merely in how much change results in how much results.
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Also it's not so simple as "just eat less", the body has a concept of what your 'normal' weight is. If you lose some the chemical processes will change to make more fat and compensate for the weight loss. It probably takes about 6 months of holding an amount of weight before this concept changes.
Eventually being fat is a combination of many factors, several of which you do have control over.
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You appear to confuse concepts of "obesity" with "weight". Weight is a sum of all your body tissues. Obesity is about over abundance of fat tissue. If you reduce intake while retaining mainly "sitting" lifestyle, your body should nominally switch to reduced energy expenditure to maintain fat levels and start burning off muscle mass in addition to fat. While this will reduce fat tissue a significant degree, it will also atrophy your musculature.
With small exception of people that suffer from severe forms of
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"The only question is, "how much of a weight loss per reduced intake"."
That's not only NOT the "only question", it's not even the question that comes to mind. This is nothing more than doubling down on stupidity. ...and not that it's relevant here, but in some animals "gut microbes" do in fact generate energy. The issue here is not simply changing some conversion constant slightly in the equation that proves that fat people are inferior. Gut microbes can have a profound effect on how an individual behave
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None of which circumvents laws of physics that clearly state that you cannot generate energy from nowhere.
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They photosynthesise in the dark, I presume.
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The only question is, "how much of a weight loss per reduced intake".
It's not the only question. Clearly if it's twice as hard for one person to reduce their weight and they see half the results it will require more willpower. If we can make it easier to lose weight they are likely to be more successful with their available willpower.
It's like nicotine patches for smokers. You can just quit without aids but it's much easier if you have them.
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Certainly. That is my entire point: the issue isn't whether a person can affect being overweight through his/her actions, but how much of an impact actions would have. Some people require more effort than others to drop weight, while some require more effort to fatten up.
This in no way shape of form provides the excuse pushed by many that being overweight is not a result of their own actions. It merely points out that it may be harder for them to stay reasonably fit.
And when it comes to being obese rather t
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Patient: "What should I do?"
Doctor: "Eat less"
It still boils down to the behavior of the individual.
Personally I don't see how this is a bad thing. This is a big boon for feeding the world. The problems are individual and cultural.
You don't want to be fat, eat less and exercise more, that or go see your doctor have him sterilize your digestive track and repopulate it with the "skin
Can't (Score:2)
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Oh - and if you're ever stranded on a desert island one should eat all of one's calories at night just before going to bed. This way you can use less calories and be able to last longer until help comes.
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Hey, if you know of an example where mass was spontaneously created without the addition of energy, it's vitally important that you tell somebody. Physicists everywhere need to know if there's a place in our universe where the law of conservation of mass doesn't apply (in general relativity, of course).
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It IS about willpower and it IS up to the individual, but I don't think those things are undeserving of sympathy and broader societal support. We make it hard for overweight people to change their diets. Fattening, unhealthy food is cheap. Good food is more expensive. Exercising takes time, we increasingly make sure that people don't have any time outside their jobs. Our jobs are more sedentary than ever before and the bad food is targeted directly at making our brains feel good. Depression goes untreated f
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This is a tired old debate. The "Stop stuffing your face" vs "Thyroid Problems" discussion. Fact is some people can burn calories quicker than others so there are differences. If you are one of those people that can consume 5000 calories a day then a the more power to you. If you can't you really shouldn't be stuffing your face and drinking a dozen sodas a day. Just logic man. For those who eat a healthy diet, exercise and still have weight issues it can be tough no doubt. Feel good about who you a
Re:Oh no (Score:4, Insightful)
In the 1950s food was less processed, tended to have less added calories. Women were much less likely to work, so were preparing food from scratch at home. Modern life has created a situation where many people find it hard to eat well due to time pressure and sedentary jobs. Even the fit ones have to make a special trip to the gym or go out running to get enough exercise.
Re: Oh no (Score:3)
Careful ... as soon as you imply that the income tax is a contributing factor to childhood obesity, a singularity forms and obligate statists lose coherence.
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So what you're saying is fat people don't have to take any responsibility for themselves
NO. I cannot stress that enough. People do need to take responsibility for fixing the problem, but they need help and tools to do it. At least now we understand another problem they have and can look for ways to help them.
Fox News / Daily Mail style outrage is easy, but it doesn't help anyone.
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This study shouldn't be any great shock to anybody; that life is more complicated than a single cause for something. Some people are fat because they live a fat lifestyle. Some are fat because of their genetic makeup. Some are fat for a combination of them. Some people will have to put more effort into staying thin than others. This study suggests that these microbes are one factor.
The OP is making a statement that you completel
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And this study basically just touches on digestive efficiency.
Ironically, skinny people probably have less efficient digestive systems.
Diet causes change in those microbes (Score:5, Informative)
The microbs thrive in different environments. I went from a standard american diet to something more high fat low simple carbs diet with lots of fermented foods. Not only did I lose a bunch of weight but most digestive, allergy, and skin problems went away as well. I think there was something about the microbial environment that a high sugar diet caused that was giving me trouble.
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The microbs thrive in different environments. I went from a standard american diet to something more high fat low simple carbs diet with lots of fermented foods. Not only did I lose a bunch of weight but most digestive, allergy, and skin problems went away as well. I think there was something about the microbial environment that a high sugar diet caused that was giving me trouble.
Diet doesn't really change the microbes. Location may have an impact on it, though (which is why there is the old adage of not drinking the local water). Going to a low carb diet works by the body, after about three days of not having enough carbs to convert to energy switches to burning fat reserves. The improved health effects you experience are not because of the microbial change but instead the diet change. Chances are, the same microbes that were there before the diet switch are still there.
Re:Diet causes change in those microbes (Score:5, Informative)
Diet doesn't really change the microbes.
That is not what recent science indicates at all.
"Diet rapidly and reproducibly alters the human gut microbiome", Nature 505, 559–563 (23 January 2014) doi:10.1038/nature12820
http://www.nature.com/nature/j... [nature.com]
"Here we show that the short-term consumption of diets composed entirely of animal or plant products alters microbial community structure and overwhelms inter-individual differences in microbial gene expression. "
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Diet doesn't really change the microbes.
That is not what recent science indicates at all.
"Diet rapidly and reproducibly alters the human gut microbiome", Nature 505, 559–563 (23 January 2014) doi:10.1038/nature12820
http://www.nature.com/nature/j... [nature.com]
"Here we show that the short-term consumption of diets composed entirely of animal or plant products alters microbial community structure and overwhelms inter-individual differences in microbial gene expression. "
Yes, but low carb diets, at least described by the OP are not "entirely" animal products (or plant products). It would make sense that microbes that are needed to break down plants, would cease to exist in the gut if there were no plant material to break down. Likewise, for animal protein. We don't really need a new study for this, anybody who has changed a dirty diaper has experienced it. When babies go from breast milk, alone, to other foods, there is a distinct change in the stool. The gut flora needed
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That is one reason I added the fermented foods. They are full of live microbs.
I'm not fat (Score:4, Funny)
I'm just big genetic'd
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total body weight is a function of caloric intake - caloric expenditure
Ultimately yes, but there are still differences. Suppose you have two people with balanced caloric intake/output, then one person could be feeling fine, while the other is feeling like they're starving. Even worse, some people could actually physically starve, if incoming calories are all stored instead of being used by cells that require them.
Heritable? (Score:2)
As opposed to inheritable?
How are microbes heritable? (Score:3)
If the fetus is in a sterile sack, how do these heritable "gut" microbes get in there? For instance, e.coli isn't in there, but comes from the environment. Wouldn't these microbes follow the same path, in which case they aren't actually heritable, but instead environmental?
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The baby picks a lot of it up "on the way out". It's one of the effects of a C-section - this drive by infection doesn't occur.
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The baby picks a lot of it up "on the way out". It's one of the effects of a C-section - this drive by infection doesn't occur.
But that is my point, if the microbes are from an external source, they are not heritable.
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In normal birth (vs. C-section), there's a fair amount of mess involved, much of it from Mom. So in that sense she's inadvertently passing on heritable and beneficial microbiota.
We, in our wisdom, tend to try and tidy things up too much and so may have set our progeny up for later failure.
The same attitude was prevalent about breastfeeding in the last century (don't do it, just buy our formula and keep those ta-ta's perky).
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Maybe in the future this will be corrected by adding the right gut bacteria to the bottled products. Then it'll be better than breastfeeding.
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Certainly, perky tits are worth paying for a substandard imitation of something your body creates for free..
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Making formula better than breast milk is a very tall order. In the case of gut bacteria, how do we know what the "right" gut bacteria is for any given child? And there are tons of other factors to consider. I'm all for trying to make a better baby formula as there are definitely children that need it to survive, I have a sister in law who doesn't produce healthy milk. But I would be very surprised if we figured out a better than breastmilk formula within this century.
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The twist is the identical twins. They are showing that the more similar that the genes are, the more likely the have the same or similar gut flora. And the opposite seems to be the case- the more dissimilar genes are, the more likely the gut flora would be dissimilar.
The use of twins raised by the same parents means they should be exposed to similar enviroments without age separating them. So the takeaway is not really microbes in the gut passed on from mom, but that genes influence the gut flora when two
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Well, Yes, I understand, but that methodology (comparing identical twins to fraternal twins) was already used in 1992 to study alcoholism, and among the reasons it was not definitive is that taste buds are genetically inherited (for example), and dopamine receptors are genetically inherited. They could not say that alcoholism was genetic because correlations /= causation, and it was possible that diet and other causes, e.g. habits affected by taste, were being measured. http://pubs.niaaa.nih.gov/publ... [nih.gov]
NO!!!!!! (Score:4, Insightful)
A New Diet Quickly Alters Gut Bacteria (Score:2)
Genes can be turned on and off depending on diet and lifestyle. Not only that, but the types of foods you eat can influence your bacteria:
The types of bacteria in your gut today may be different tomorrow, depending on what kinds of food you eat, a new study suggests.
http://www.livescience.com/418... [livescience.com]
We bring a lot of misery on ourselves, but it's human nature to atte
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No pizza, pasta and tagliata?
I'll live with a few extra pounds and enjoy my time on the planet, thanks.
It takes a lot of guts ... (Score:2)
... to harbor microbes.
You are what you eat (Score:2)
I had an extra helping of sexy beast for dinner last night.
No surprise... (Score:2)
Honestly I have a perfect weight loss system that can be proven to work in 100% of the population.
Infect yourself with a tape worm.
You will lose a LOT of weight, and eat as much as you want the entire time!
Correlation and Causation (Score:2)
How do they conclude that the microbes cause the people to be overweight? I would assume that it is the other way around. The composition of microbes is determined by the "diet" of the people, if they take up too much fat and carbon certain microbes will grow in their guts.
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That could be well worth checking. They'd also tend to share the same fetal hormones and biochemistry from their mother.
Re:Remember, I'm not a real scientist (Score:5, Funny)
I think "-1: Post disagrees with my already-settled worldview" is entirely valid in this case.
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Both identical and non-identical twins (typically) grow up sharing a household. The most obvious relevant thing different about them is their genome. Yes, it's possible there's some other effect, but both types of twins grow up in the same households exposed to the same foods. So the fact that significant differences are observed between identical and non-identical twins suggest that genetics is at play.
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"If two people grow up in the same house, are raised by the same parents, and exposed to the same food, it would naturally follow that they would develop the same gut microbes, regardless of their DNA."
That's why they compared identical twins to non-identical twins.
"If they actually wanted to study if gut microbes were influenced by DNA, they should have ALSO done the same study on the same number of adopted siblings, and compared them to the twins."
And that would improve the data over non-identical twins i
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You're fat because you eat more calories than you burn plain and simple.
That's a stupid thing to say right on the face of it, mostly because it just isn't true. Hmm, actually, completely because it isn't true. At all. First, the "caloric content" of foods is based on the amount of energy you get back when you set them on fire. Your body does not contain tiny furnaces into which magical goblins heave small pieces of the food you've eaten. The process for getting energy out of food may sound like that when mitochondria is described, but there's a number of steps between masticati
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Pull down it's jeans
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Well typically what they mean is that they've tried everything except annorexia and bulemia. Both of those are far more harmful to long term health than being non-morbidly obese. Trying either of those disorders teaches your body to horde calories even more than it already does, which makes keeping the weight off even more difficult once you return to eating like a normal human being. The best and most consistent way to reduce weight and keep it off is to be more active, which is much harder to do when you