Microbiome-Targeted Therapies as an Adjunct to Traditional Weight Loss Interventions: A Systematic Review and Meta-Analysis.

Objective: This study evaluated the effect of microbiome-targeted therapies (pre-, pro-, and synbiotics) on weight loss and other anthropometric outcomes when delivered as an adjunct to traditional weight loss interventions in overweight and obese adults. Methods: A systematic review of three databases (Medline [PubMed], Embase, and the Cochrane Central Register of Controlled Trials) was performed to identify randomized controlled trials published between January 1, 2010 and December 31, 2020, that evaluated anthropometric outcomes following microbiome-targeted supplements in combination with dietary or dietary and exercise interventions. The pooled mean difference (MD) between treatment and control groups was calculated using a random effects model. Results: Twenty-one trials with 1233 adult participants (76.4% female) with overweight or obesity were included. Separate meta-analyses were conducted for probiotics (n=11 trials) and synbiotics (n=10 trials) on each anthropometric outcome; prebiotics were excluded as only a single study was found. Patient characteristics and methodologies varied widely between studies. All studies incorporated some degree of caloric restriction, while only six studies included recommendations for adjunct exercise. Compared with dietary or dietary and exercise interventions only, probiotics resulted in reductions in body weight (MD: -0.73 kg; 95% confidence interval [CI]: -1.02 to -0.44, p < 0.001), fat mass (MD: -0.61 kg; 95% CI: -0.77 to -0.45; p<0.001) and waist circumference (MD: -0.53 cm; 95% CI: -0.99 to -0.07, p=0.024) while synbiotics resulted in reductions in fat mass (MD: -1.53 kg; 95% CI: -2.95 to -0.12, p=0.034) and waist circumference (MD: -1.31 cm; 95% CI: -2.05 to -0.57, p<0.001). Conclusion: This analysis indicates that microbiome-targeted supplements may enhance weight loss and other obesity outcomes in adults when delivered as an adjunct to dietary or dietary and exercise interventions. Personalized therapy to include microbiome-targeted supplements may help to optimize weight loss in overweight and obese individuals.

Ecological thresholds under atmospheric nitrogen deposition for 1200 herbaceous species and 24 communities across the United States.

Nitrogen (N) emissions and atmospheric deposition have increased significantly during the last century and become a stressor for many N-sensitive plant species. Understanding individual and community herbaceous plant species thresholds to atmospheric N deposition can inform emissions reduction policy. Here, we present results using Threshold Indicator Taxa Analysis (TITAN) applied to more than 1200 unique plant species and 24 vegetation communities (i.e., alliances) across the United States (US) to assess vulnerability to N deposition. Alliance-level thresholds (change points) for species decreasing in abundance along the gradient ranged from 1.8 to 14.3 kg N ha─1  year─1 and tended to be lower in the west than the east, which suggests that eastern communities, where N deposition has been historically higher, may have already lost many sensitive species. For the species that were present in more than one alliance, over half had a variable response to the N deposition gradient, suggesting that local factors affect vulnerability. Significant progress has been made during the past 30 years to reduce N emissions, which has reduced the percentage of plots at risk to N deposition from 72% to 35%. Nevertheless, over a third of plots remain at risk, and an average reduction of N deposition of 20% would protect half of the plots where N deposition exceeds community thresholds. Furthermore, the alliance- and species-level change points determined in this study may be used to inform N critical loads.

Vegetation community change in Atlantic oak woodlands along a nitrogen deposition gradient.

Atlantic old sessile oak woodlands are of high conservation importance in Europe, listed in the European Union (EU) Habitats Directive Annex I, and known for their rich bryophyte communities. Their conservation status ranges from unfavourable to bad across their known distribution, which is predominantly within the UK and Ireland, but also extends into Iberia and Brittany. The objectives of this study were to determine if nitrogen (N) deposition, a known driver of terrestrial biodiversity loss, was a significant predictor of community composition in old sessile oak woodlands (i.e., EU Habitats Directive Annex I class: 91A0), and to identify significant changes in individual plant species and community-level abundance (i.e., change points) along an N deposition gradient. Relevé data from 260 Irish oak woodland plots were evaluated using Canonical Correspondence Analysis (CCA) and Threshold Indicator Taxa ANalysis (TITAN). Nitrogen deposition accounted for 14% of the explainable variation in the dataset (inertia = 0.069, p < 0.005). A community scale change point of 13.2 kg N ha(-1) yr(-1) was indicated by TITAN, which falls within the current recommended critical load (CL) range for acidophilous Quercus-dominated (oak) woodlands (10-15 kg N ha(-1) yr(-1)). The results suggest that the current CL is sufficient for maintaining a core group of indicator species in old sessile oak woodlands, but many nutrient sensitive species may disappear even at the CL range minimum.