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You are here: Home / Wellness / The Gut and Brain
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The Gut and Brain

January 18, 2024 · In: diet and health, food and health, health, microbiome, Wellness


FOR THOSE DEALING WITH OBESITY, LOSING WEIGHT through intermittent fasting has fascinating effects on the brain-gut-microbiome axis. Today, we explore the connection between the gut and the brain.

A new small study shows intermittent energy restriction can lead to brain changes that make you less inclined to overeat. Moreover, the approach can boost the variety of gut microorganisms.

Today, we explore how the gut microbiome communicates with the brain in a complex, two-directional way. First, we’ll explore the microbiome before turning to intermittent timed feeding (fasting).

Finally, we’ll look at a new study that shows a weight-influencing bidirectional relationship between the brain and the gut.

Microbiome

Here’s what I previously wrote in Medium about the microbiome:

The microbiome is the vast and diverse community of microbes living within and on the body. 

The term encompasses viruses, bacteria, fungi, and other microscopic organisms that harmonize with our cells.

These microorganisms play a vital role in maintaining our health and overall well-being. 

A scientists looks at six wells in a petri dish, each with growing microorganisms. Most of the microbiome resides in our gut, although it also inhabits other body parts, such as the skin, mouth, and reproductive organs.
Photo by CDC on Unsplash

Most of the microbiome resides in our gut, although it also inhabits other body parts, such as the skin, mouth, and reproductive organs.

The microbiome is incredibly complex and consists of trillions of microbial cells, collectively outnumbering our human cells. 


These microorganisms have coevolved with us over millions of years, establishing a mutually beneficial relationship.

Microbes help in essential functions such as digestion, nutrient absorption, and immune system development, and they even influence our mood and behavior.

Intermittent energy restriction (IER)

First, let’s define IER.

Intermittent energy restriction (IER) refers to eating patterns in which individuals go through short periods of restricted food intake, alternating with periods of unrestricted food intake. 

There are many variations of intermittent energy restriction diets. Examples include the following:

  • alternate-day fasting (ADF) 
  • time-restricted feeding (TRF). 

Long-term intermittent energy restriction can be an effective method for weight loss.

Periodic fasting

Periodic fasting involves calorie restriction (or complete fasting) for 48 hours to a week or longer.

Periodic fasting is usually practiced far less frequently than intermittent fasting (rarely more than once every two weeks). 

It is sometimes carried out “as needed” rather than at specific intervals.

An empty white plate, with a sad face drawn on it. A fork and knife are perched on its left side. There is a pink background. Periodic fasting is usually practiced far less frequently than intermittent fasting (rarely more than once every two weeks) and is sometimes carried out on an “as needed” basis rather than at specific intervals.
Photo by Thought Catalog on Unsplash

Two main periodic fasting approaches are:

  • Prolonged fasting: Total fasting for an extended period, often three days or longer.
  • Fasting-mimicking diet (FMD): A diet with similar metabolic effects to fasting, with 30–50% reduced calorie intake for four to seven days.

Since water-only fasting is difficult to sustain, folks have developed other dietary regimens that mimic the effects of fasting. 

These alternative approaches do not require complete eating abstinence for an extended time.

Study

In a Chinese study, 25 obese individuals lost weight after a two-month intermittent energy restriction intervention.

Researchers used functional MRI to analyze the activity of specific brain regions.

They also did metagenomic sequencing to identify gut microbes in fecal samples. 

This next-generation sequencing approach is one of several high-throughput sequencing methods that simultaneously sequence billions of nucleic acid (substances in our DNA, RNA, and more) fragments.

Results

Intermittent energy restriction reduced obesity-related brain region activity.

Moreover, the diet approach also reduced the number of E. coli bacteria across multiple time points.

Inside of the gut, with bright yellow bacteria sitting on the lining. Intermittent energy restriction reduced obesity-related brain region activity. Moreover, the diet approach also reduced E. coli bacteria numbers across multiple timepoints.
Photo by CDC on Unsplash

It also elevated the abundance of obesity-related bacteria (Faecalibacterium prausnitzii, Parabacteroides distasonis, and Bacterokles uniforms).

Analysis revealed correlations between gut bacteria abundance alterations and brain activity changes.

My take — The Gut and Brain

The researchers performed their last measurements 30 days after the eating intervention.

We need a long follow-up to understand the dynamic alteration of the brain-gut microbiome affecting long-term weight loss.

While the scientists could not establish a causal relationship, they provided insights about the relationship between certain brain area activity and specific gut flora in weight loss.

A tape measure is wrapped around the tines of a fork. Mustard-colored background. The blood-gut microbiome axis has plasticity in adults, helping to regulate food intake and keeping our weight stable. The gut microbiota creates chemical signals that determine eating behavior through interactions with the brain.
Photo by Diana Polekhina on Unsplash

The blood-gut microbiome axis has plasticity in adults, helping to regulate food intake and keeping our weight stable.

The gut microbiota creates chemical signals that determine eating behavior through interactions with the brain.

Thank you for reading “The Gut and Brain.”

By: Dr. Michael Hunter · In: diet and health, food and health, health, microbiome, Wellness · Tagged: diet, health, lifestyle, microbiome, weight loss, wellness

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Your go-to source for all things wellness. I am Michael Hunter. I practice radiation oncology in the Seattle area and have a particular interest in health. I am delighted that you have joined me here. Thank you.

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