Division of Gerontology, Geriatrics and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
UAB Center for Exercise Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Nutrients. 2022 Apr 22;14(9):1758. doi: 10.3390/nu14091758.
Both ketogenic diets (KD) and time-restricted feeding (TRF) regimens have the ability to influence several parameters of physical health, including gut microbiome composition and circulating cytokine concentration. Moreover, both of these dietary interventions prevent common impairments associated with the aging process. However, significantly altering macronutrient intake, which is required for a KD, may be unappealing to individuals and decrease compliance to dietary treatments. In contrast to a KD, TRF allows individuals to continue eating the foods they are used to, and only requires a change in the time of day at which they eat. Therefore, we investigated both a KD and a diet with a more Western-like macronutrient profile in the context of TRF, and compared both diets to animals allowed access to standard chow ad libitum in young adult and aged rats. While limited effects on cytokine levels were observed, both methods of microbiome analysis (16S sequencing and metagenomics) indicate that TRF and KDs significantly altered the gut microbiome in aged rats. These changes were largely dependent on changes to feeding paradigm (TRF vs. ad libitum) alone regardless of macronutrient content for many gut microbiota, but there were also macronutrient-specific changes. Specifically, functional analysis indicates significant differences in several pathways, including those involved in the tricarboxylic acid (TCA) cycle, carbohydrate metabolism and neurodegenerative disease. These data indicate that age- and disease-related gut dysbiosis may be ameliorated through the use of TRF with both standard diets and KDs.
生酮饮食(KD)和限时进食(TRF)方案都有能力影响身体健康的多个参数,包括肠道微生物组组成和循环细胞因子浓度。此外,这两种饮食干预都可以预防与衰老过程相关的常见损伤。然而,显著改变宏量营养素的摄入,这是 KD 所必需的,可能对个人没有吸引力,并降低对饮食治疗的依从性。与 KD 不同,TRF 允许个人继续食用他们习惯的食物,并且只需要改变他们进食的时间。因此,我们在 TRF 的背景下研究了 KD 和一种具有更西方样宏量营养素谱的饮食,并将这两种饮食与允许自由摄入标准食物的年轻成年和老年大鼠进行了比较。虽然细胞因子水平的影响有限,但两种微生物组分析方法(16S 测序和宏基因组学)都表明,TRF 和 KD 显著改变了老年大鼠的肠道微生物组。这些变化主要取决于喂养模式(TRF 与自由摄入)的改变,而与许多肠道微生物的宏量营养素含量无关,但也有宏量营养素特异性的变化。具体而言,功能分析表明,在几个途径中存在显著差异,包括三羧酸(TCA)循环、碳水化合物代谢和神经退行性疾病相关途径。这些数据表明,通过使用 TRF 与标准饮食和 KD 相结合,可以改善与年龄和疾病相关的肠道菌群失调。