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Gastrointestinal Microbiota & Symptoms of Depression and Anxiety in Anorexia Nervosa-A Re-Analysis of the MICROBIAN Longitudinal Study.
Ketel, Jasmin; Bosch-Bruguera, Miquel; Auchter, Greta; Cuntz, Ulrich; Zipfel, Stephan; Enck, Paul; Mack, Isabelle.
Afiliación
  • Ketel J; Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, 72076 Tübingen, Germany.
  • Bosch-Bruguera M; Centre of Excellence for Eating Disorders (KOMET), 72076 Tübingen, Germany.
  • Auchter G; Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, 72076 Tübingen, Germany.
  • Cuntz U; Centre of Excellence for Eating Disorders (KOMET), 72076 Tübingen, Germany.
  • Zipfel S; Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, 72076 Tübingen, Germany.
  • Enck P; Centre of Excellence for Eating Disorders (KOMET), 72076 Tübingen, Germany.
  • Mack I; Klinik Roseneck, Center for Behavioral Medicine, 83209 Prien am Chiemsee, Germany.
Nutrients ; 16(6)2024 Mar 19.
Article en En | MEDLINE | ID: mdl-38542802
ABSTRACT
The microbiota-gut-brain axis may play a role in the pathophysiology of anorexia nervosa (AN). Here, the relationship between the gastrointestinal microbiota and symptoms of depression, anxiety, and eating disorder pathology in patients with AN before (n = 55) and after weight restoration (n = 44) was investigated by reanalyzing the data of the MICROBIAN study. The gastrointestinal microbiota was analyzed using 16S rRNA amplicon sequencing. Symptoms of anxiety disorder, depression, and the severity of the eating disorder were measured by validated questionnaires. All analyses were adjusted for the body mass index (BMI). Several significant findings between psychological parameters and the gastrointestinal microbiota were not evident after controlling for the BMI. No differences in alpha and beta diversity between groups of higher and lower symptom severity levels for depression and anxiety were found. Positive associations between species of Blautia and Ruminococcus and depression symptoms, and between the phylum Firmicutes and anxiety symptoms were observed after rehabilitation, respectively. A positive correlation was found between propionate and acetate levels and the reduction of depression severity during inpatient treatment. Accounting for the weight status when analyzing the relationship between psychological parameters and the gastrointestinal microbiota in patients with underweight is important since the BMI may be the driver for many observed changes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anorexia Nerviosa / Microbioma Gastrointestinal Límite: Humans Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anorexia Nerviosa / Microbioma Gastrointestinal Límite: Humans Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suiza