Impact of Proton-Pump Inhibitor Use on Gut Microbiota Composition and Other Markers of Health in Older Adults

Increasing evidence suggests that probiotic supplementation may be efficacious in counteracting age-related shifts in gut microbiota composition and diversity, thereby impacting health outcomes and promoting healthy aging. However, randomized controlled trials (RCTs) with probiotics in healthy older adults have utilized a wide variety of strains and focused on several different outcomes with conflicting results. Therefore, a systematic review was conducted to determine which outcomes have been investigated in randomized controlled trials with probiotic supplementation in healthy older adults and what has been the effect of these interventions. For inclusion, studies reporting on randomized controlled trials with probiotic and synbiotic supplements in healthy older adults (defined as minimum age of 60 years) were considered. Studies reporting clinical trials in specific patient groups or unhealthy participants were excluded. In addition to assessment of eligibility and data extraction, each study was examined for risk of bias and quality assessment was performed by two independent reviewers. Due to the heterogeneity of outcomes, strains, study design, duration, and methodology, we did not perform any meta-analyses and instead provided a narrative overview of the outcomes examined. Of 1997 potentially eligible publications, 17 studies were included in this review. The risk of bias was low, although several studies failed to adequately describe random sequence generation, allocation concealment, and blinding. The overall study quality was high; however, many studies did not include sample calculations, and the majority of studies had a small sample size. The main outcomes examined in the trials included microbiota composition, immune-related measurements, digestive health, general well-being, cognitive function, and lipid and other biomarkers. The most commonly assessed outcome with the most consistent effect was microbiota composition; all but one study with this outcome showed significant effects on gut microbiota composition in healthy older adults. Overall, probiotic supplementation had modest effects on markers of humoral immunity, immune cell population levels and activity, as well as the incidence and duration of the common cold and other infections with some conflicting results. Digestive health, general-well-being, cognitive function, and lipid and other biomarkers were investigated in a very small number of studies; therefore, the impact on these outcomes remains inconclusive. Probiotics appear to be efficacious in modifying gut microbiota composition in healthy older adults and have moderate effects on immune function. However, the effect of probiotic supplementation on other health outcomes remains inconclusive, highlighting the need for more well-designed, sufficiently-powered studies to investigate if and the mechanisms by which probiotics impact healthy aging.

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Gut Microbiota Associations with Metabolic Health and Obesity Status in Older Adults

Nutrients ◽

10.3390/nu12082364 ◽

2020 ◽

Vol 12 (8) ◽

pp. 2364 ◽

Cited By ~ 1

Author(s):

Xiaozhong Zhong ◽

Janas M. Harrington ◽

Seán R. Millar ◽

Ivan J. Perry ◽

Paul W. O’Toole ◽

...

Keyword(s):

Older Adults ◽

Health Status ◽

Gut Microbiota ◽

Gut Microbiome ◽

Alpha Diversity ◽

Metabolic Health ◽

Rrna Gene ◽

Phylogenetic Distance ◽

Microbiota Composition ◽

Gut Microbiota Composition

Emerging evidence links the gut microbiota with several chronic diseases. However, the relationships between metabolic syndrome (MetS), obesity and the gut microbiome are inconsistent. This study aimed to investigate associations between gut microbiota composition and diversity and metabolic health status in older adults (n = 382; median age = 69.91 [± 5 years], male = 50.79%) with and without obesity. Gut microbiome composition was determined by sequencing 16S rRNA gene amplicons. Results showed that alpha diversity and richness, as indicated by the Chao1 index (p = 0.038), phylogenetic diversity (p = 0.003) and observed species (p = 0.038) were higher among the metabolically healthy non-obese (MHNO) individuals compared to their metabolically unhealthy non-obese (MUNO) counterparts. Beta diversity analysis revealed distinct differences between the MHNO and MUNO individuals on the phylogenetic distance scale (R2 = 0.007, p = 0.004). The main genera contributing to the gut composition among the non-obese individuals were Prevotella, unclassified Lachnospiraceae, and unclassified Ruminococcaceae. Prevotella, Blautia, Bacteroides, and unclassified Ruminococcaceae mainly contributed to the variation among the obese individuals. Co-occurrence network analysis displayed different modules pattern among different metabolic groups and revealed groups of microbes significantly correlated with individual metabolic health markers. These findings confirm relationships between metabolic health status and gut microbiota composition particularly, among non-obese older adults.

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Gut Microbiome in Older Men: Findings From the Osteoporotic Fractures in Men Study

Innovation in Aging ◽

10.1093/geroni/igaa057.3073 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 839-839

Author(s):

Michelle Shardell ◽

Lisa Langsetmo ◽

Ryan Demmer

Keyword(s):

Older Adults ◽

Gut Microbiota ◽

Age Groups ◽

Osteoporotic Fractures ◽

Older Men ◽

Clinic Visit ◽

Microbiota Composition ◽

Human Digestive Tract ◽

Gut Microbiota Composition

Abstract There is great interest in identifying determinants and health consequences of the human gut microbiota, the dynamic population of microorganisms living in the human digestive tract. However, the role of gut microbiota in the health of older adults has received considerably less attention than that among younger or middle-aged adults. Findings among younger age groups are not necessarily generalizable to older adults due to differences in lifestyle, health conditions, and medication usage. Therefore, understanding the role of gut microbial communities in aging-related phenotypes is an emerging gerontology research priority. To fill this significant knowledge gap, the Osteoporotic Fractures in Men (MrOS) Study Microbiome Ancillary Study was conducted in 2014-2016, coinciding with the parent study’s 4th clinic visit. A total of 912 men with mean aged 84.2 (standard deviation=4.0) years provided fecal samples, and 16S ribosomal RNA target gene sequencing was used to characterize the gut microbiota composition. In this symposium, we present findings on the first research projects completed with these data. Dr. Lisa Langsetmo will characterize the association between objectively measured physical activity and the composition of gut microbiota. Dr. James Shikany will present dietary patterns, another lifestyle determinant of gut microbiota. Dr. Deborah Kado will focus on a specific micronutrient, vitamin D, and its metabolites as another factor that may influence the gut microbiota in older men. Lastly, Dr. Michelle Shardell will overview the analytical challenges of microbiome research and illustrate an approach to quantify the potential role of gut microbiota composition and weight in older men.

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The Effects of Lifestyle and Diet on Gut Microbiota Composition, Inflammation and Muscle Performance in Our Aging Society

Nutrients ◽

10.3390/nu13062045 ◽

2021 ◽

Vol 13 (6) ◽

pp. 2045

Author(s):

Barbara Strasser ◽

Maike Wolters ◽

Christopher Weyh ◽

Karsten Krüger ◽

Andrea Ticinesi

Keyword(s):

Physical Activity ◽

Older Adults ◽

Skeletal Muscle ◽

Immune System ◽

Gut Microbiota ◽

Muscle Performance ◽

Microbiota Composition ◽

Exercise Interventions ◽

Increased Risk ◽

Gut Microbiota Composition

Living longer is associated with an increased risk of chronic diseases, including impairments of the musculoskeletal and immune system as well as metabolic disorders and certain cancers, each of which can negatively affect the relationship between host and microbiota up to the occurrence of dysbiosis. On the other hand, lifestyle factors, including regular physical exercise and a healthy diet, can affect skeletal muscle and immune aging positively at all ages. Accordingly, health benefits could partly depend on the effect of such interventions that influence the biodiversity and functionality of intestinal microbiota. In the present review, we first discuss the physiological effects of aging on the gut microbiota, immune system, and skeletal muscle. Secondly, we describe human epidemiological evidence about the associations between physical activity and fitness and the gut microbiota composition in older adults. The third part highlights the relevance and restorative mechanisms of immune protection through physical activity and specific exercise interventions during aging. Fourth, we present important research findings on the effects of exercise and protein as well as other nutrients on skeletal muscle performance in older adults. Finally, we provide nutritional recommendations to prevent malnutrition and support healthy active aging with a focus on gut microbiota. Key nutrition-related concerns include the need for adequate energy and protein intake for preventing low muscle mass and a higher demand for specific nutrients (e.g., dietary fiber, polyphenols and polyunsaturated fatty acids) that can modify the composition, diversity, and metabolic capacity of the gut microbiota, and may thus provide a practical means of enhancing gut and systemic immune function.

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