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Old 05-24-2008, 07:47 PM   #1 (permalink)
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Default ARTICLE: Probiotic in Yogurt Helps Weight Loss Surgery Patients Lose More Weight

Probiotics Help Adult Weight Loss After Bariatric Surgery
By Kathleen Doheny
HealthDay Reporter
Thu May 22, 11:46 PM ET

THURSDAY, May 22 (HealthDay News) -- A hefty dose of probiotics -- the "good" bacteria found in yogurts and supplements -- helps adult gastric-bypass patients lose even more weight, researchers are reporting.

The researchers didn't set out to see if probiotics could help the patients shed more pounds, said Dr. John M. Morton, associate professor at the Stanford University School of Medicine, who presented the findings this week at the Digestive Disease Week 2008 meeting in San Diego.

Morton wanted to improve the patients' gastrointestinal functioning. "Some patients [after bypass surgery] have a small amount of bacterial overgrowth [in the intestines]," he said, adding that can have an impact on gastrointestinal function and quality of life. So his team evaluated 42 patients who had undergone the bariatric surgery known as Roux-en-Y gastric bypass surgery, giving half of them probiotics daily and the other half no probiotics.

The researchers evaluated GI functioning and other measures and noted the patients' weight before surgery, after surgery, and at three and six months after beginning the probiotics program. The probiotics were given in supplement form -- 2.4 billion colonies of Lactobacillus daily.

The probiotic group fared better in all categories at the six-month mark -- and also lost more weight. The probiotic group lost 70 percent of excess weight, compared to 66 percent for the control group.

The finding initially surprised Morton. "But other research has suggested that part of the obesity problem may be infectious. Some of the weight gain [in obese people] might be associated with bacteria," he said.

Asked if obese people, or those who have had bypass surgery, should eat yogurt, Morton said it probably couldn't hurt, but noted that 2.4 billion colonies of Lactobacillus is a large amount to get from yogurt.

Another study presented this week suggested that for severely overweight teens, a gentler weight-loss surgery may be possible. Dr. Roberto Fogel, of the Hospital de Clinicas Caracas, in Venezuela, presented the results of his pilot investigation of 12 teens, who underwent a surgery called endoluminal vertical gastroplasty, or EVG.

During the surgery, Fogel sutures the walls of the stomach, reducing the volume of the stomach but leaving a passageway for food. The procedure is done through the mouth; a scope containing a needle and sutures is inserted multiple times to perform the procedure.

After 60 to 90 minutes, the patient can go home, said Fogel, who does the surgery on an outpatient basis. Once the procedure is done, the patient gets full on very little food, he said.

At a six-month follow-up, Fogel found that all 12 patients had lost weight. The average body mass index, or BMI, was reduced from 38.1 to 27.8; a BMI of 30 or more is considered obese.

Fogel sees the new procedure, which he has performed on 331 teens since 2005, as a possible alternative to more invasive surgeries, or diet and exercise programs that prove ineffective for some obese teens.

But he cautioned that the technique needs further investigation with longer follow-up.

In another obesity-related study presented at the conference, Erica Roberson, a postgraduate researcher at the University of Wisconsin-Madison, reported that fecal incontinence and urinary incontinence are little talked about but real problems for patients both before and after bariatric surgery.

While fecal incontinence tends to worsen after bariatric surgery, urinary incontinence tends to improve. Patients often don't talk about these problems with their doctors, she said.

Roberson evaluated 194 survey responses from bariatric surgery patients, more than 80 percent of them women, roughly two years after the surgery. Almost 75 percent of the patients with urinary incontinence reported either an improvement or no change following the bariatric surgery. Fifty-four percent of patients with fecal incontinence said the problem was worse after surgery, compared to almost 12 percent who reported an improvement, the study found.

An estimated 32 percent of U.S. adults are obese, and 17 percent of teens are overweight, according to the National Center for Health Statistics.

Copyright © 2008 HealthDay. All rights reserved.
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Old 05-24-2008, 08:22 PM   #2 (permalink)
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How does bacteria make someone gain weight? I've never understood this. And where can those supplements be bought?
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Old 05-24-2008, 09:12 PM   #3 (permalink)
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Originally Posted by magiccitymama View Post
How does bacteria make someone gain weight? I've never understood this.
Couldn't tell you...

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Originally Posted by magiccitymama View Post
And where can those supplements be bought?
Any type of health food store - like a GNC
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Old 05-24-2008, 09:15 PM   #4 (permalink)
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How does bacteria make someone gain weight?
Just found this article...

Gut Bacteria May Determine Dieting Efficiency
By Neil Osterweil, Senior Associate Editor, MedPage Today
Published: December 21, 2006
Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco

ST. LOUIS, Dec. 21 -- Bacteria in the gut may be arbiters of weight loss or gain, according to a revolutionary theory proposed by researchers here.

The way it works, said Jeffrey I. Gordon, M.D., of Washington University, and colleagues, is that when an overweight person goes on a diet, one group of efficient bacteria moves out of the gut and another less-efficient group moves in to fill the void.

This finding suggested that manipulation of intestinal microbes might some day be used to treat obesity, they reported in the Dec. 21 issue of Nature.

When the investigators conducted a census of intestinal flora in obese people as they lost weight, they found that the proportion of Bacteriodetes and Firmicutes bacteria changed in tandem with the drop in excess poundage.

Whether the change in bacteria drives the weight loss, or the weight loss puts pressure on the bacterial composition of the gut, is unclear, the authors acknowledged, but the findings raise intriguing questions about the nature of obesity.

In studies with mice, the authors also found that bacteria in obese animals helped the body be more efficient at extracting energy from food, and that the trait could be transmitted from fat mice to thin.

When germ-free mice were populated with the type of gut bacteria typical in obese animals, they put on significantly more fat than germ-free mice colonized with "lean" bacteria, the investigators wrote.

"This is a potentially revolutionary idea that could change our views of what causes obesity and how we depend on the bacteria that inhabit our gut," wrote Randy J. Seeley, Ph.D., and Matej Bajzer of the Obesity Center at the University of Cincinnati, in an accompanying editorial. "But a great deal remains poorly understood. Most notably, it is not clear whether such small changes in caloric extraction can actually contribute to meaningful differences in body weight."

Dr. Gordon agreed that energy intake and expenditure -- diet and exercise -- are the major contributors to body weight, but noted that gut bacteria may also play a part.

"The amount of calories you consume by eating, and the amount of calories you expend by exercising are key determinants of your tendency to be obese or lean," said Dr. Gordon, director of the Center for Genome Sciences at Washington University. "Our studies imply that differences in our gut microbial ecology may determine how many calories we are able to extract and absorb from our diet and deposit in our fat cells."

The bugs in question are bacteria in the phyla Bacteriotedes and Firmicutes, species of which comprise more than 90% of intestinal microbes in both humans and mice. In an earlier study, the investigators had shown that genetically obese mice had 50% fewer Bacteroidetes and proportionately more Firmicutes in their guts than lean littermates, and that the differences in proportion held true across different species within the respective phyla.

In one of two studies published in Nature, the authors, led by Ruth Ley, Ph.D., a microbial ecologist in Dr. Gordon's group, reported follow-up results on microbial studies of 12 obese patients followed at a weight-loss clinic over a year. Half of the patients were on a calorie-restricted low-fat diet, and the other half were on a calorie-restricted low carbohydrate diet. The authors monitored the gut flora in the patients by sequencing 16S ribosomal RNA genes from stool samples.

At baseline the patients had the same relative proportions of gut microflora as the obese mice: short on Bacteriodetes species and long on Firmicutes. But as they lost weight, the proportions began to shift, as Bacteriodetes species enjoyed a population boom, and Firmicutes species dwindled in number. The changes occurred equally in patients on both diets.

In addition, just as they had seen in mice, the authors observed that Bacteriodetes species as a group increased, not just one or two species.

In the second study, led by Peter Turnbaugh, a Ph.D., student in Dr. Gordon's lab, the investigators conducted metagenomic studies in obese and lean mice using massively parallel DNA sequencing, and found that the microbiome in the obese mice had a greater capacity for digesting polysaccharides, indicating an enhanced ability to process food.

And when they transferred the microflora from obese or lean mice into germ-free animals, they found that the newly colonized animals who had received bugs from the cecum of obese mice laid in significantly more fat without an increase in caloric intake. In contrast, the once germ-free mice who got bacteria from their lean brethren put on some fat, but not nearly as much.

"Are some adults predisposed to obesity because they 'start out' with fewer Bacteroidetes and more Firmicutes in their guts?" Dr. Gordon asked. "Can features of a reduced Bacteroidetes-Firmicutes enriched microbial community become part of our definition of an obese state or a diagnostic marker for an increased risk for obesity? And can we intentionally manipulate our gut microbial communities in safe and beneficial ways to regulate energy balance?"

In their editorial, Dr. Seeley and Bajzer noted that the mechanism whereby differences in body weight translate in changes in intestinal bacteria are unknown.

"Given that acquiring food from the environment can be both calorically expensive and potentially dangerous, it would seem to be most adaptive to extract as many calories from every bite of food as possible," they wrote.

"Moreover, if caloric extraction does become more efficient, the regulatory system would dictate that the organism responds by reducing its caloric intake," they continued. "If a host organism had the ability to change its microbiota so as to increase caloric extraction, it would seem most adaptive to do so when facing famine conditions and losing weight. However, the data indicate just the opposite -- the microbiota seems to be more efficient in obese humans who already have the most stored energy, and shifts to being less efficient as the subjects lose weight."

Primary source: Nature
Source reference:
Ley RE et al. "Human gut microbes associated with obesity." Nature 444;7122:1022-23.

Additional source: Nature
Source reference:
Bajzer M and Seeley RJ. "Obesity and gut flora." Nature 444;7122:1009-10.

Find this article at:
http://www.medpagetoday.com/Pediatrics/Obesity/tb/4750

=========================

Intestinal Bacteria May Explain Obesity
By The Associated Press
posted: 13 June 2006 11:38 pm ET

ST. LOUIS (AP) _ The microorganisms that live in your gut could explain one of the sources of obesity, says a new study from researchers at Washington University.

Bacteria live throughout the body, but some intestinal bacteria appear to be better than others at helping their hosts turn food into energy, say researchers Buck S. Samuel and Dr. Jeffrey I. Gordon.

They believe changing the mix of bacteria in the intestine could influence how much people weigh.

Bacteria and archaea, another kind of single-celled organism, are common in the human intestine. Researchers are discovering that together, they help their human hosts extract calories and nutrients from food.

"We know very little about who they are and what they do,'' said Dr. Martin J. Blaser, chair of medicine at New York University.

Samuel decided to investigate that question by inoculating identical mice with different microbes, or a combination of two of the single-celled organisms.

The researchers found mice whose guts were inoculated with just the bacterium Beta thetaiotaomicron (B. theta) could process rodent food better than mice that were given no bacteria.

A second group of mice were inoculated with a combination of B. theta and an archaeon called Methanobrevibacter smithii (M. smithii). Those rodents could extract many more calories from the same amount of food, but they stored the extra energy as excess fat.

The researchers haven't yet concluded whether obese people have more M. smithii in their intestines. But Blaser said he believes scientists could eventually help control human nutrition by manipulating the types of microbes living in the gut.

The results of the study will be published online this week in the Proceedings of the National Academy of Sciences.

Source: http://www.livescience.com/health/ap..._bacteria.html
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Old 06-03-2008, 06:31 PM   #5 (permalink)
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I forgot to add...

Several weeks ago, I started eating yogurt and cottage cheese with that "DanActive" probiotic stuff. The commercial say that after 2 weeks, you'll have improved digestion.

I hadn't really thought much about it (i was only buying it because the containers were small), but after 2 weeks, my digestion WAS much better.

usually, something upsets my stomach in any given week. Nothing 'major', but still...

After eating the danactive stuff with the probiotics, NOTHING bothered my stomach.

Since reading that article, I went out and bought some probiotics to take when I travel, and on days when I don't eat cottage cheese.

Same thing...no stomach problems.

I can't say that I've noticed any major weight loss (mainly because I'm already on a calorie controlled program and exercising), but my stomach is calm...calm...calm...

(note: I'm not advocating anyone go buy this stuff to quell any/all stomach problems...just sharing my personal story. )
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Old 01-22-2009, 02:42 AM   #6 (permalink)
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Default Article: Microbes in gut may hold key to obesity cause

Microbes in gut may hold key to obesity cause
Richard Harth,
Arizona State News
January 21, 2009
Link to full article: http://asunews.asu.edu/20090121_microbes

Excerpts:

Quote:
Now, a new study suggests that the composition of microbes within the gut may hold a key to one cause of obesity – and the prospect of future treatment.

In the January 19 early online edition of the Proceedings of the National Academy of Science, researchers at Arizona State University’s Biodesign Institute in collaboration with colleagues at the Mayo Clinic, Arizona, and the University of Arizona, reveal a tantalizing link between differing microbial populations in the human gut and body weight among three distinct groups: normal weight individuals, those who have undergone gastric bypass surgery, and patients suffering the condition of morbid obesit. . . . . .
. . . . .

Quote:
collaboration aimed at uncovering the links between the microbial composition of the human gut and morbid obesity began when Dr. John DiBaise, a gastroenterologist at the Mayo Clinic, Arizona, became interested in both the underlying mechanisms of obesity and plausible alternatives to gastric bypass surgery—still the only reliable long-term treatment for the extremely overweight.
. . . . .
Quote:
The research team’s central hypothesis is that differing microbial populations in the gut allow the body to harvest more energy, making people more susceptible to developing obesity. These small differences can, over time, profoundly affect an individual’s weight. Supporting this view is the study’s confirmation that the microbial composition among obese patients appears significantly altered compared with both normal weight individuals and those who have undergone gastric bypass surgery.
. . . . .
Quote:
The group’s latest findings represent the first investigation of gut microbiota from post-gastric-bypass patients to date.
By examining a specific region of the 16S rRNA gene known as V6—PCR amplified from the stool samples of the 9 test subjects – the researchers were able to classify a zoo of microorganisms, which fell into 6 broad categories, with two bacterial phyla, the bacteroidetes and firmicutes, predominating.
The resulting composition of gut microbiota in the three gastric bypass patients differed substantially and in potentially important ways from obese and normal weight individuals. This means the drastic anatomical changes created by gastric bypass surgery appear to have profound effects on the microorganisms that inhabit the intestine. This change may be part of the reason that gastric-bypass surgery is the most effective means to treat obesity today.
The team’s study is the first molecular survey of gut microbial diversity following surgical weight loss, and has helped solidify the link between methane producing microbes (or methanogens) and obesity. Specifically, the microbial populations extracted from obese individuals were high in both hydrogen-producing bacteria known as prevotellaceae and hydrogen-consuming methanogens, a condition not found in normal weight or gastric bypass patients. Unlike the hydrogen producers, the methane-liberating hydrogen consumers found in obese patients are not bacteria. They belong instead to the third great microbial domain—the Archaea, (with Eukarya and Bacteria making up the other two).
. . . . .


Journal Article:

Human gut microbiota in obesity and after gastric bypass

Proceedings of the National Academy of Science
Published online before print January 21, 2009, doi: 10.1073/pnas.0812600106
Link to abstract: http://www.pnas.org/content/early/20...6-ce1c07bd6557
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Old 01-22-2009, 02:52 PM   #7 (permalink)
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Very interesting stuff!
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Old 01-22-2009, 05:49 PM   #8 (permalink)
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Now I can't eat the DanActive or the Activia due to the sugar content (I'm extremely senstive to sugar) and can only eat the Dannon Carb Control (which has like 4g of sugars). Would I need to add the probiotics to the yogurt or does this type of yogurt have enough? Just curious as I wouldn't mind being more 'regular' and of course the thought of a possible added weight loss wouldn't be bad either...
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