Dietary restrictions modulate the gut microbiota: Implications for health and disease

Nutr Res. 2021 May:89:10-22. doi: 10.1016/j.nutres.2021.03.001. Epub 2021 Mar 21.

Abstract

The health benefits of carefully restricting the energy intake in a strategic manner whilst avoiding malnutrition are widely discussed. In the recent years, the great impact of the gut microbiota on its host has been clarified more and more. Since the gut microbiota produces a number of metabolites and molecules that can affect host metabolism, modulating it with dietary restriction can influence the health and the progression of disease of its host on various levels. This review comprises 15 studies investigating the effect of different variants of fasting and caloric restriction on the gastrointestinal microbiome and its metabolites. The data suggest that changing the gut microbiota composition by dietary restriction has the potential to positively influence the progression of several diseases such as obesity, diabetes, neurological diseases or inflammatory bowel disease. Finally, the relevance of the findings for clinical practice is evaluated and approaches for future research are proposed.

Keywords: Central nervous system disease; Dietary restriction; Gastrointestinal microbiome; Immune system; Inflammatory bowel disease; Type 2 Diabetes.

Publication types

  • Review

MeSH terms

  • Adipose Tissue / physiology
  • Animals
  • Brain / metabolism
  • Caloric Restriction*
  • Central Nervous System Diseases / diet therapy
  • Central Nervous System Diseases / microbiology
  • Colon / microbiology
  • Colon / physiology
  • Diabetes Mellitus, Type 2 / diet therapy
  • Diabetes Mellitus, Type 2 / microbiology
  • Disease Progression
  • Female
  • Gastrointestinal Microbiome*
  • Gastrointestinal Tract / microbiology*
  • Humans
  • Inflammatory Bowel Diseases / diet therapy
  • Inflammatory Bowel Diseases / microbiology
  • Male
  • Obesity / diet therapy
  • Obesity / microbiology