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Biotech Medicine Science

Possible Link Found Between Body Weight and the Immune System (theatlantic.com) 211

The Atlantic talked to Lora Hooper, chair of the immunology department at the University of Texas Southwestern Medical Center, one of the researchers investigating gut microbes, inflammation, and what may be a very important connection.

They note that the rise of antibiotic usage among humans "coincides with the obesity epidemic." This could be a spurious correlation, of course -- lots of things have been on the rise since the '50s. But dismissing it entirely would require ignoring a growing body of evidence that our metabolic health is inseparable from the health of our gut microbes... While other researchers focused on the gut microbiome itself, [Hooper] took an interest in the immune system. Specifically, she wanted to know how an inflammatory response could influence these microscopic populations, and thus be related to weight gain.

Over the past decade or so, multiple studies have shown that obese adults mount less effective immune responses to vaccinations, and that both overweight and underweight people have elevated rates of infection. But these were long assumed to be effects of obesity, not causes.

"When I started my lab there wasn't much known about how the immune system perceives the gut microbes," Hooper says. "A lot of people thought the gut immune system might be sort of blind to them." To her, it was obvious that this couldn't be the case. The human gut is host to about 100 trillion bacteria. They serve vital metabolic functions, but can quickly kill a person if they get into the bloodstream. "So clearly the immune system has got to be involved in maintaining them," she says. It made sense to her that even subtle changes in the functioning of the immune system could influence microbial populations -- and, hence, weight gain and metabolism. This theory was borne out late last month in a paper in Science... [T]his experiment is a demonstration of principle: The immune system helps control the composition of the gut microbiome.

Slashdot reader Beeftopia submitted the story, noting that even the North American Meat Institute, the largest trade group representing meat processors, acknowledges that the use of some antibiotics "can destroy certain bacteria in the gut and help livestock and poultry convert feed to muscle more quickly causing more rapid growth." [PDF, page 4].

"Inflammation plays a critical role in determining how we digest food," writes the Atlantic, "and it's only now starting to reveal itself."
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Possible Link Found Between Body Weight and the Immune System

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  • by Kokuyo ( 549451 ) on Monday August 05, 2019 @05:48AM (#59041784) Journal

    As someone suffering from ulcerative colitis, I am obviously all ears when such connections are brought to light, especially when inflammation is mentioned.

    My wife found an article that stated that in a study where colitis patients cut out certain carbs present in supermarket bread (among other things) a not insignificant amount managed to pound the colitis into complete remission.

    I am still debating testing this for myself. So far I only have anecdotal data. For instance my supposed lactose intolerance all but vanished when I started actually eating veggies.

    For me the connection of the colon's biome to our health is very obvious but again, I have little hard data.

    • by gweihir ( 88907 ) on Monday August 05, 2019 @06:10AM (#59041826)

      Well, the connection is pretty obvious, even if not well researched. I do hope you find something that works for you, but until medical sciences have advanced much further, individual (careful!) experimentation may be the only way to go. What others found helpful may or may not work for you. With good scientific coverage of the problem (which we should eventually get), a simple lab-test may tell you what to do and what not and there may even be a way to fix things. Unfortunately that may well take some decades or longer.

      • by Anonymous Coward

        Careful experimentation like eating veggies or cutting out supermarket bread ? That's not experimentation, that should be normal.

        • by gweihir ( 88907 )

          Is there any specific problem with supermarket bread where you live? Agree on the vegetables.
          As to "careful" I just mean to stop the experiment and seek medical help immediately if it seems to go wrong.

    • by TimothyHollins ( 4720957 ) on Monday August 05, 2019 @06:12AM (#59041830)

      The connection between the digestive microbiota and health is well known and has been asserted again and again in studies ranging back 20 years. The specifics of how it all works is the current mystery.

    • by MatthiasF ( 1853064 ) on Monday August 05, 2019 @06:43AM (#59041902)

      Many food intolerance are simply an abundance of a particular type of gut bacteria that metabolizes that particular material and either creates an imbalance with the other microbes or produces other harmful compounds like toxins.

      It should be mentioned that it should not be surprising that many of the issues mentioned in the article happened in the decades just after WW2.

      You had a population that became more concentrated from war time industry and a huge number of people coming back from overseas travel (soldiers), bringing all kinds of microbes back with them.

      Everyone keeps blaming antibiotics but humanity changed quite a lot during that period which is typically ignored when people focus solely on changes in medical practices.

    • by Anonymous Coward on Monday August 05, 2019 @07:11AM (#59041990)

      I thought that favoring the wrong (leptin-resistance and fat misdigestion causing) bacteria in the gut over normal healthy ones (that like branching carbs aka "prebiotics" too), by eating too much highly processed food (mostly sugars and simple starches), was well-known and established as the cause of obesity, a few years ago!

      *Obviously* completely wrecking your gut flora will do that too... unless you are very careful about what you eat afterwards.

      Anyone can test this:
      Leave away the short simple carbs (not enough by itself), and eat more from the leek family, beans, etc. And watch your weight gain trend level off over the course of weeks, as the better bacteria get favored as they can digest more.of the food (namely the branching carbs) than the bad ones.

      Alternatively, getting the right antibiotics and a gut flora transplant from somebody where you know he ate right, will also do the same.

      None of those cures will, of course, make you lose weight quickly. That requires the usual negative energy balance. Aka being hungry. Eating lots of fibers that fill you up, will of course make it easier.

      • by Anonymous Coward on Monday August 05, 2019 @08:35AM (#59042444)

        Here's my anecdote.

        I'm middle aged, exercise as much as I can, a diabetic but I keep my blood sugars in control (Hba1c 5), drink occasionally, and yet I've been progressively putting on weight for a couple of years. So far I'm up to 120kg. Stress-induced eating does not help, but in general, I would describe myself as an over-eater, complicated by the diabetes and middle age, hence the steady weight gain. Nothing too abnormal, aside from not wanting to get too big and basically feeling like a failure for not being able to turn it around.

        Recently I started drinking kombucha drinks for no other reason than I tried one by accident, the ones here are low/zero carb (with a little Stevia, but the whole point is not very much, it's almost a bitter drink) and I really really liked the taste. So I started drinking them regularly, and certainly wasn't expecting anything from it. But what has struck me dramatically over the past two months is the impact on my appetite. I'm not hungry like I was before. I've dropped 10kg in 2 months, and the only association I can make is the kombucha and the impact on my gut biome.

        So far I'm a happy camper and hope this continues.

        • Bitter? That's odd. Kombucha fermentation turns sugar into alcohol and then alcohol into acids, so the predominant taste should be acidic rather than bitter. Maybe the brand you're drinking does a really long extraction on the tea to get lots of tannins out?

        • I can add my anecdotes to add to the pile;

          I was getting to the point where almost everything was giving me heartburn. Coffee, red wine, pizza, hamburgers, I can understand, but pancakes, roast potatoes, porridge, fachrissakes?

          I'd heard about the benefits of fermented food, so I made a batch of sauerkraut, basically shredded red cabbage, carrots and onions left to soak unrefrigerated in a brine solution of 2% by total weight for five days. The heartburn just...stopped. Seriously, overnight. I ate half a lar

      • If you have a healthy diet, you'd only need a flora transplant if you've had your appendix removed. The appendix should store a gut flora reserve that will survive antibiotic use.

    • Your post suggests that you've only started to eat vegetables recently and if you're contemplating whether to cut out supermarket bread or not it indicates that it's a non-significant part of your diet. I'd encourage you to start meal planning before doing the weekly shopping. Unless you're also contemplating some other sort of extreme diet, this is guaranteed not to have any adverse effects, and would save you some money to boot.

    • Re: (Score:2, Interesting)

      by Anonymous Coward

      The use of emulsifiers have grown since the early 1900's in food and has grown rapidly since the 1950's and now is very high food inclusion in modern food in addition to the use of soy products in foods.

      Emulsifiers include soy lecithin which is in a lot of processed foods including vegetable oils (even though its not listed), candies, cookies (almost all processed foods) but there are a variety of emulsifiers.

      Soy lecithin is an emulsifier and allows stomach contents to pass with greater ease into the blood

    • Here is the path I walked; I hope it helps you!

      Summary: no grains, no sugar --> no problems!

      Can you afford to do personalized research (requires investment of personal time and more complicated logistics than usual, not money per se)?

      Meaning, create a base "elimination" diet by eating rather small "basket" of foods excluding all varieties of grain, sugars and alcohol (mine also excluded nuts, which are considered good food but my doctor said they are difficult to process; later on it turned out that for

      • If you avoid sugar and processed foods, you've already made a huge change and probably would have a good diet.

        You're talking about thinking it causes you problems to eat too many vegetables, I'm thinking there is something else going on there. Like maybe you just ate something unhealthy, like sugar, and then you ate excess vegetables to try to make up for it, and felt sick.

        Whatever you're doing to your colon, stop blaming walnuts unless you're talking about eating the shells.

        A bottle of wine a week, if it i

    • Check out The Longevity Paradox: How to Die Young at a Ripe Old Age (The Plant Paradox) by Stephen Gundry.

      There is a lot of data available in this book on exactly this topic. He talks about why those without celiac disease still have much trouble with certain grains and foods that contain lectins (a protein commonly found in food).
    • I had horrible inflammation issues. The rheumatologist of course insisted it was RA even with negative tests and just kept wanting to pump different drugs in me to figure out a way to reduce the symptoms.

      I was close to being wheelchair bound... Once I eliminated both gluten and sulfites, I'm mostly back to normal. Note, both of those are in great quantities in store bought bread.

      Try eating nothing but organic chicken (only salt) and rice for 3 days (apples are

  • between eating way more fatty, sugary stuff today and the current obesity trend.

    • Sources, please... or are you just shaming to stroke your ego?

      • Shaming?

        Oh sorry, I didn't know the information didn't yet make it across the pond that fat has about 9000 calories a kilo.

      • Don't forget to wash your outrage down with a soda.

    • between eating way more fatty, sugary stuff today and the current obesity trend.

      Of course that has an impact; although if I look back at my father's generation, fried foods several times a day: bacon, eggs, buttered toast for breakfast every day. Jam sandwiches for lunch...etc... they were getting lots of fat and sugar and didn't get as fat.

      • You put a colon after "fried foods several times a day," followed by a list. But not a single one of the items in the list is "fried."

    • by XxtraLarGe ( 551297 ) on Monday August 05, 2019 @07:53AM (#59042206) Journal

      between eating way more fatty, sugary stuff today and the current obesity trend.

      It's the sugar, not the fat that is the problem. My wife & I switched to a ketogenic diet just over 6 months ago, and our diet is composed of about 70% of calories from fat. I'm closing in on 50 lbs of weight loss. Fats help to satiate and don't result in an insulin response which actually causes your body to store fat.

      • A ketogenic diet can have lots of benefits, though properly maintaining it with all the added sugars in modern foods is difficult. But there are risks, especially pregnant (development involving the brain and neural tube development) or breast feeding women, patients with diabetes, or people on certain medications. People should probably consult a doctor first just to be sure they won't be affected.
      • by pjt33 ( 739471 )

        Fats help to satiate

        Perhaps more to the point, proteins help to satiate, and the presence of protein and fat in food is positively correlated.

        • by geek ( 5680 )

          Fats digest slower than protein which is what causes them to satiate more.

    • Comment removed based on user account deletion
    • That might be over reductionist, and there could be a lot of motivated reasoning why many people believe that.

      For a counter-example, look up the AD36 virus (Adeno virus 36 strain). When other animals are infected with this virus (can include rodents, birds, primates etc) they start to get fat. Really fat. it's pretty clearly causative, and there's no real wiggle room on that. It causes fatness. Additionally, while we can't ethically *experiment* on humans to prove this, AD36 antibodies are far more prevalen

  • by gweihir ( 88907 ) on Monday August 05, 2019 @06:05AM (#59041818)

    Probably one of the slowest fields. Part of that may be due to strong hierarchies, part is surely due to a smaller distance between research and practice than in most other fields and part is likely ethical concerns. Still, we seem to slowly get to a point were research can be done even if it contradicts well-established explanations and this story seems to describe such an instance. Excellent. We need more of that.

    • Probably one of the slowest fields.

      Not sure how you came to that conclusion. Medical research has progressed at an astonishing pace in the last 100 years. The human body is arguably the most complicated system we study. FAR more complicated than the PC I'm typing this on. In the last 100 years we've developed vaccines, antibiotics, antiviral, organ transplants, artificial organs, sequenced the genome, developed blood banking, developed molecular tests, uncountable treatments for serious diseases, and the list goes on for ages. If you th

    • by Megol ( 3135005 )

      No it moves slow as it is working on a complex system with different individual effects combined with a framework designed to reduce risks to patients. This isn't about contradicting some holy rules but a continuous work in understanding that very complex system that is the human body.

      But we already know that (with reduced beneficial bacteria or not) reducing the energy intake to match the energy expenditure will reduce obesity and we already know that high energy foods are consumed more than in the past.

      • Right, this is a pretty complex interaction to study. Look at the Wikipedia article on scurvy and how long it took to definitiely solve what, in retrospect, seems like a pretty straightforward malnutrition issue.
  • by Viol8 ( 599362 ) on Monday August 05, 2019 @06:24AM (#59041850) Homepage

    Overweight** people (in general, not all) tend to be less health conscious and are less healthy in many ways, not just - if the report is to be believed - gut microbes. The gut microbes are probably less healthy because of the bad diet the person is eating, not the other way around.

    ** Fat, not muscular.

    • by spineboy ( 22918 ) on Monday August 05, 2019 @06:49AM (#59041918) Journal

      Overweight people are often malnourished, despite being very heavy. Poor diet choices - either too little or too much of anything can lead to problems.

      As a surgeon - it's way easier to operate on thinner people. They also have significantly fewer complications.

      • In 2006 I went to the doctors office because I couldn't shake the flu completely after about 2 weeks of drudging through the horrible symptoms. My blood pressure was 110 over 165 and I was about 215lbs. My doctor wanted to start me on blood pressure medication for the rest of my life.... I looked up at the doc and said "Ahh... No." He said that I could possibly have a heart attack in 6 months. I still said "No." He said that I needed to do something about it then. I said "I don't know what I will do, but I
      • by Viol8 ( 599362 )

        Which part of "probably" didn't you understand Mr Shit For Brains?

        There's no "oh" moment, just a "duh?" moment that you probably have all the time.

      • As a surgeon - it's way easier to operate on thinner people. They also have significantly fewer complications.

        I'd hate to be in that position - patient is on the brink due to their weight yet if I make a big cut where the fat is pressed hard against the skin then less bloodflow means much easier infection, sepsis, organ failure and death anyway. There goes my fucking stats

    • by Anonymous Coward

      Read the subject of your post.

      Then read what you wrote... then read the subject of your post.... keep repeating until you get the "oh...." moment.

      • by Anonymous Coward
        He won't have an "oh!" moment, the morons who tent to misuse and misunderstand the meaning behind "correlation doesn't imply causation" rarely do, they just think saying it makes them look smart.
        • by Viol8 ( 599362 )

          Oh dear, looks like a Fatty has been triggered. Never mind - go eat a nice burger with a doughnut follow-up afternoon snack, you'll feel much better.

    • Re: (Score:2, Interesting)

      Overweight** people (in general, not all) tend to be less health conscious and are less healthy in many ways, not just - if the report is to be believed - gut microbes. The gut microbes are probably less healthy because of the bad diet the person is eating, not the other way around.

      ** Fat, not muscular.

      It comes down to fibre. What feeds gut bacteria? Fibre. Where does fibre come from? Vegetables. What do most oveweight people not get enough of? Fibre. Fat bellies frequently consume few veggies. I can't remember the % but I do recall that it's well over 50% of Americans who are fibre deficient in their diet.

      There's also the case that people on atkins and keto diets have been linked to lower immune systems even if it does make them lose weight. The common factor here is that some people on those di

      • by Anonymous Coward

        ...not sure where you get your info, but a keto diet does NOT ask one to reduce vegetables, only the ones that break down into sugar:

        Educate yourself:
        https://www.dietdoctor.com/low-carb/keto

        • I'm not really familiar with keto, but anything other than protein is going to be reduced to sugar eventually in your body. The reason to cut out extra refined sugar in your diet isn't because refined sugar is inherently bad, but because it makes it extremely easy to get too much.
        • ...not sure where you get your info, but a keto diet does NOT ask one to reduce vegetables, only the ones that break down into sugar:

          Educate yourself:
          https://www.dietdoctor.com/low... [dietdoctor.com]

          I think you need to reread what I wrote, I said "some people who think they have to cut out fruit/veggies". Sadly a lot of people on the keto diet DO cut out a lot of veggies from their diet or use it as an excuse just to eat slabs of meat without anything nutritious. What happens with a lot of these exclusionary diets is that people hear folks say "I lost xxlbs on keto by cutting out sugar and eating more fat" - and what they take from that is "eat more steaks and I lose weight".

          Most people on exclusiona

      • And no, Ketchup is NOT a vegetable.

    • A: It is not insightful to mindlessly squawk "Correlation is not causation".

      B: It is especially not insightful in response to a line of reasoning that starts "This could be a spurious correlation, of course", i.e. they are already considering that there may be no causation.

      C: It is outright false in response to research that actually found a causal link and which you don't even attempt to refute.

    • Except the POINT of the article is that they're /trying to determine causation./
      There have been several studies where replacement of internal flora has changed weight retention.

      No, correlation isn't PROOF of causation, but it's INDICATIVE of it. We use correlation to suggest causation (or at least provide us direction for inquiry) ALL THE DAMN TIME.
      If people get sunburnt a lot develop a wealth of skin melanomas, we tend to look at sun exposure, not the price of ostrich meat. If your cookie jar breaks and

    • by swell ( 195815 )

      "Overweight** people (in general, not all) tend to be less health conscious"

      What a ludicrous statement! It seems that you have never spoken with a fat person. The reality is that fat people tend to know a great deal about many well known obesity theories. They often experiment with different lifestyles/diets etc based upon various theories.

      It may surprise you to know that diabetics tend to know a lot about diabetes. Cancer patients learn all they can about their cancer. Some of the world's foremost experts

    • by sjames ( 1099 )

      Or they just give up on it since prior attempts to follow well meaning (or sometimes mean spirited) advice didn't actually result in weight loss and may actually have further degraded their health.

  • Quoting TFA: "a growing body of evidence"... Exactly...
  • by DCFusor ( 1763438 ) on Monday August 05, 2019 @09:53AM (#59042988) Homepage
    To increase the weight of food animals which are sold by the pound. The non-human research is DONE and there's no question that antibiotics help with weight gain.
  • I can play correlation too. The drop in kcal/$ coincides with the rise of the obesity epidemic.

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