Changes in Weight Status and the Intestinal Microbiota Among College Freshman, Aged 18 Years

J Adolesc Health. 2020 Feb;66(2):166-171. doi: 10.1016/j.jadohealth.2019.06.005. Epub 2019 Aug 30.

Abstract

Purpose: The transition to college is a vulnerable period for weight gain and the onset of obesity. Gut microbes differ in obese compared with lean individuals, but gut microbiota in adolescent-aged college freshmen during a known period of weight gain have never been studied. This pre-post observational pilot study assessed associations between intestinal microbiota changes and weight-related outcomes in healthy adolescent college freshmen living in on-campus dormitories at Arizona State University (n = 39).

Methods: We measured anthropometrics (waist circumference [WC], height, weight, and body mass index [BMI]) and collected fecal samples at the beginning and end of the 2015-2016 academic year. Fold changes in species-level microbes across time were measured by quantitative real-time polymerase chain reaction and used in correlation and multivariate regression analyses.

Results: A total of 24 female and 15 male adolescents (aged 18.54 ± .67 years) participated in this study. Over the academic year, BMI and WC increased by .97±1.28 kg/m2 and 2.64±4.90 cm, respectively. Correlation analyses indicated a significant negative association between Akkermansia muciniphila and both percentage WC change and percentage BMI change (r = -.66, p < .01; and r = -.33, p = .04, respectively). Multivariate regression analysis controlling for sociodemographics showed a significant association between A. muciniphila and percentage WC change, but not percentage BMI change (R2 = .53, p < .01; and R2 = .24, p = .15, respectively).

Conclusions: As this was the first study in a university-based adolescent population to show a relationship between A. muciniphila and weight-related outcomes, further research is needed to explore these findings.

Keywords: Adolescents; Microbiota; Obesity; Students; Waist circumference.

Publication types

  • Observational Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Akkermansia / isolation & purification
  • Body Composition
  • Body Mass Index
  • Body Weight*
  • Female
  • Gastrointestinal Microbiome*
  • Humans
  • Male
  • Universities
  • Waist Circumference
  • Weight Gain*

Supplementary concepts

  • Akkermansia muciniphila