Effect of fructose on the intestinal microbiota: a systematic review of randomized clinical trials
Effect of fructose on the intestinal microbiota
DOI:
https://doi.org/10.34019/1982-8047.2024.v50.42991Keywords:
Fructose, Gut microbiota, Host-microbe interactions, Inflammation, Systematic reviewAbstract
Background: Preclinical data suggest that at least part of the harmful effects of excessive fructose consumption are due to alterations in the intestinal microbiota, which may be associated with a number of metabolic diseases, such as diabetes mellitus, obesity, inflammatory bowel disease, metabolic syndrome, and non-alcoholic fatty liver disease. Objective: The aim of this systematic review is to evaluate the effects of fructose consumption on the human intestinal microbiota. Methods: A systematic search was carried out in electronic databases: MEDLINE, Embase, and Cochrane Library without restriction to a year of publication and language. Inclusion criteria were primary articles that evaluated the effect of fructose consumption on the human intestinal microbiota. Results: Five randomized clinical trials were include. It was observed that the composition of the human intestinal microbiota seems to be altered differently in response to fructose consumption at distinct sources and concentrations. Overall, fructose administration increased bacterial profile associated with inflammation, hepatic steatosis, butyrate production, and inhibition of microbial aerobic respiration in the ileum (Proteobacteria, Actinobacteria, Anaerostipes, and Faecalibacterium). The administration of fructose showed a negative correlation for Firmicutes and a positive correlation for Parabacteroides in relation to total cholesterol and LDL-c. However, studies had great methodological heterogeneity and presented high risk of bias. Conclusion: Fructose administration affects the composition of human intestinal microbiota. More studies are needed to reach definitive conclusions.
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Copyright (c) 2024 Letícia Lourenço da Silva , Rayane Rodrigues Lopes, Mariana Julião Guilarducci, Olívia Gonçalves Leão Coelho , Flávia Galvão Cândido, Nathalia Sernizon Guimarães, Júnia Maria Geraldo Gomes
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