journal article·2024-05-24Open access

The Importance of Micronutrient Adequacy in Obesity and the Potential of Microbiota Interventions to Support It

Agnieszka Rudzka, Kamila Kapusniak, Dorota Zielińska, Danuta Kołożyn-Krajewska, Janusz Kapusniak, Renata Barczyńska-Felusiak

Applied Sciences· Volume 14· Issue 11

Abstract

Micronutrient deficiencies co-occur with obesity throughout the world. While many factors may contribute to this, microbiota dysbiosis is certainly one that has received a lot of attention in recent years. This work aimed to review the current state of knowledge on the role of micronutrients in obesity and the effects of interventions in microbiota on the micronutrient status of humans. Gathered evidence suggested that the supplementation of most of the deficient micronutrients for people with excess weight may have a considerable, positive impact on lipid and glucose homeostasis and a small effect on weight loss. Interestingly, the doses of micronutrient supplementation that allowed for achieving the best results for most of the minerals and vitamins exceeded the tolerable upper intake levels. To avoid negative effects associated with an overdose of vitamins and minerals, applying microbiota interventions could be considered. Pro- and prebiotics were shown to improve the micronutrient status of humans, and several publications indicated that when applied together with vitamins and minerals, they could give greater benefits than each of these treatments alone. Therefore, supplementation with vitamins, minerals, and pro/pre/synbiotics in obesity treatment plans may be recommended; however, further research is required to mitigate risks and optimize the effects achieved.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Diet and metabolism studies · Dietary Effects on Health · Adipokines, Inflammation, and Metabolic Diseases

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Dietetics and Food Studies, Faculty of Science and Technology, Jan Dlugosz University in Czestochowa, Al. Armii Krajowej 13/15, 42-200 Częstochowa, Poland

Department of Biochemistry, Biotechnology and Ecotoxicology, Faculty of Science and Technology, Jan Dlugosz University in Czestochowa, Al. Armii Krajowej 13/15, 42-200 Częstochowa, Poland

Institute of Human Nutrition Sciences, Department of Gastronomic Technology and Food Hygiene, Faculty of Human Nutrition, Warsaw University of Life Sciences, Nowoursynowska 159 C, 02-776 Warsaw, Poland

References (100+)

Show source-provided references
1. Obesity as a Multisystem Disease: Trends in Obesity Rates and Obesity-Related Complications10.1111/dom.14290 ↗
2. Economic Impacts of Overweight and Obesity: Current and Future Estimates for Eight Countries10.1136/bmjgh-2021-006351 ↗
3. The Malnutrition of Obesity: Micronutrient Deficiencies That Promote Diabetes10.5402/2012/103472 ↗
4. Nutrient Deficiencies Prior to Bariatric Surgery10.1097/MCO.0000000000000352 ↗
5. Nutritional Status Prior to Bariatric Surgery for Severe Obesity: A Review
6. Calcaterra, V., Verduci, E., Milanta, C., Agostinelli, M., Todisco, C.F., Bona, F., Dolor, J., La Mendola, A., Tosi, M., and Zuccotti, G. (2023). Micronutrient Deficiency in Children and Adolescents with Obesity-A Narrative Review. Children, 10.10.3390/children10040695 ↗
7. Vitamin D Status and Supplementation before and after Bariatric Surgery: Recommendations Based on a Systematic Review and Meta-Analysis10.1007/s11154-023-09831-3 ↗
8. Consumption of Ultra-Processed Foods Is Associated with Obesity, Diabetes and Hypertension in Canadian Adults10.17269/s41997-020-00429-9 ↗
9. Associations of Whole Grain and Refined Grain Consumption With Metabolic Syndrome. A Meta-Analysis of Observational Studies10.3389/fnut.2021.695620 ↗
10. Wei, X., Yu, D., Ju, L., Cheng, X., and Zhao, L. (2022). Analysis of the Correlation between Eating Away from Home and BMI in Adults 18 Years and Older in China: Data from the CNNHS 2015. Nutrients, 14.10.3390/nu14010146 ↗
11. Giménez-Legarre, N., Miguel-Berges, M.L., Flores-Barrantes, P., Santaliestra-Pasías, A.M., and Moreno, L.A. (2020). Breakfast Characteristics and Its Association with Daily Micronutrients Intake in Children and Adolescents–A Systematic Review and Meta-Analysis. Nutrients, 12.10.3390/nu12103201 ↗
12. Șerban, C.L., Sima, A., Hogea, C.M., Chiriță-Emandi, A., Perva, I.T., Vlad, A., Albai, A., Nicolae, G., Putnoky, S., and Timar, R. (2019). Assessment of Nutritional Intakes in Individuals with Obesity under Medical Supervision. A Cross-Sectional Study. Int. J. Environ. Res. Public Health, 16.10.3390/ijerph16173036 ↗
13. Micronutrient Deficiency in Obese Subjects Undergoing Low Calorie Diet10.1186/1475-2891-11-34 ↗
14. Zsálig, D., Berta, A., Tóth, V., Szabó, Z., Simon, K., Figler, M., Pusztafalvi, H., and Polyák, É. (2023). A Review of the Relationship between Gut Microbiome and Obesity. Appl. Sci., 13.10.3390/app13010610 ↗
15. Gut Microbiota and Vitamin Status in Persons with Obesity: A Key Interplay10.1111/obr.13377 ↗
16. Intestinal Microbiota as a Route for Micronutrient Bioavailability10.1016/j.coemr.2021.100285 ↗
17. Dynamics of the Double Burden of Malnutrition and the Changing Nutrition Reality10.1016/S0140-6736(19)32497-3 ↗
18. Low Intakes of Vitamins C and A Are Associated with Obesity in Early Adulthood10.1024/0300-9831/a000661 ↗
19. Relationship between Overweight and Obesity and Insufficient Micronutrient Intake: A Nationwide Study in Taiwan10.1017/jns.2023.31 ↗
20. Correlation between Dietary Intake and Obesity Risk Factors among Healthy Adults10.1016/j.nutos.2022.08.007 ↗
21. Tang, W., Zhan, W., Wei, M., and Chen, Q. (2022). Associations Between Different Dietary Vitamins and the Risk of Obesity in Children and Adolescents: A Machine Learning Approach. Front. Endocrinol., 12.10.3389/fendo.2021.816975 ↗
22. Associations of Dietary Antioxidant Micronutrients with the Prevalence of Obesity in Adults10.3389/fnut.2023.1098761 ↗
23. Multivitamin Restriction Increases Adiposity and Disrupts Glucose Homeostasis in Mice10.1007/s12263-014-0410-x ↗
24. Zeng, H., Safratowich, B.D., Liu, Z., Bukowski, M.R., and Ishaq, S.L. (2021). Adequacy of Calcium and Vitamin D Reduces Inflammation, β-Catenin Signaling, and Dysbiotic Parasutterela Bacteria in the Colon of C57BL/6 Mice Fed a Western-Style Diet. J. Nutr. Biochem., 92.10.1016/j.jnutbio.2021.108613 ↗
25. Obesity Leads to Tissue, but Not Serum Vitamin A Deficiency10.1038/srep15893 ↗
26. Lower Hepatic Iron Storage Associated with Obesity in Mice Can Be Restored by Decreasing Body Fat Mass through Feeding a Low-Fat Diet10.1016/j.nutres.2016.06.003 ↗
27. Vitamin D Status and Weight Loss: A Systematic Review and Meta-Analysis of Randomized and Nonrandomized Controlled Weight-Loss Trials10.3945/ajcn.116.136879 ↗
28. Effect of Low Energy Diet for Eight Weeks to Adults with Overweight or Obesity on Folate, Retinol, Vitamin B12, D and E Status and the Degree of Inflammation: A Post Hoc Analysis of a Randomized Intervention Trial10.1186/s12986-018-0263-1 ↗
29. Vitamin C Status and Perception of Effort during Exercise in Obese Adults Adhering to a Calorie-Reduced Diet10.1016/j.nut.2012.01.021 ↗
30. Increased Thiamine Intake May Be Required to Maintain Thiamine Status during Weight Loss in Patients with Type 2 Diabetes10.1016/j.diabres.2012.09.032 ↗
31. Vitamin B6 Status Improves in Overweight/Obese Women Following a Hypocaloric Diet Rich in Breakfast Cereals, and May Help in Maintaining Fat-Free Mass10.1038/ijo.2008.131 ↗
32. Improved Magnesium Levels in Morbidly Obese Diabetic and Non-Diabetic Patients After Modest Weight Loss10.1007/s12011-018-1349-3 ↗
33. A High Weekly Dose of Cholecalciferol and Calcium Supplement Enhances Weight Loss and Improves Health Biomarkers in Obese Women10.1016/j.nutres.2018.07.011 ↗
34. Effect of Diet-Induced Weight Loss on Iron Status and Its Markers among Young Women with Overweight/Obesity and Iron Deficiency Anemia: A Randomized Controlled Trial10.3389/fnut.2023.1155947 ↗
35. Zavros, A., Andreou, E., Aphamis, G., Bogdanis, G.C., Sakkas, G.K., Roupa, Z., and Giannaki, C.D. (2023). The Effects of Zinc and Selenium Co-Supplementation on Resting Metabolic Rate, Thyroid Function, Physical Fitness, and Functional Capacity in Overweight and Obese People under a Hypocaloric Diet: A Randomized, Double-Blind, and Placebo-Controlled Trial. Nutrients, 15.10.3390/nu15143133 ↗
36. Serum Zinc Level before and after Low Carbohydrate Diet in Male and Female Overweight and Obese Ain Shams University Medical Students10.21608/mjcu.2021.203328 ↗
37. Hypomagnesemia in Patients with Type 2 Diabetes10.2215/CJN.02960906 ↗
38. Iron: The Silent Culprit in Your Adipose Tissue10.1111/obr.13647 ↗
39. The Effect of Central Obesity on Inflammation, Hepcidin, and Iron Metabolism in Young Women10.1038/s41366-020-0522-x ↗
40. Hepcidin and Inflammation Associated with Iron Deficiency in Childhood Obesity—A Systematic Review10.1016/j.jped.2023.06.002 ↗
41. Pro-Inflammatory Adipocytokines, Oxidative Stress, Insulin, Zn and Cu: Interrelations with Obesity in Egyptian Non-Diabetic Obese Children and Adolescents10.1016/j.advms.2015.02.002 ↗
42. Zinc Supplementation and Body Weight: A Systematic Review and Dose–Response Meta-Analysis of Randomized Controlled Trials10.1093/advances/nmz084 ↗
43. Obesity Affects Short-Term Folate Pharmacokinetics in Women of Childbearing Age10.1038/ijo.2013.41 ↗
44. Obesity Is Associated with Folate Metabolism10.1024/0300-9831/a000602 ↗
45. A Comprehensive Approach to Evaluate Nutritional Status in Crohn’s Patients in the Era of Biologic Therapy: A Case-Control Study10.1111/j.1572-0241.2007.01439.x ↗
46. Nutrient Deficiencies Before and After Sleeve Gastrectomy10.1007/s11695-014-1225-y ↗
47. Micronutrients Deficiences in Patients after Bariatric Surgery10.1007/s00394-021-02619-8 ↗
48. Prenatal Nutritional Strategies to Reduce the Risk of Preterm Birth10.1159/000509901 ↗
49. Multivitamin Use May Lower Risk of Preeclampsia: A Meta-analysis10.1111/aogs.14403 ↗
50. Multiple-micronutrient Supplementation for Women during Pregnancy
51. Could Nutrient Supplements Provide Additional Glycemic Control in Diabetes Management? A Systematic Review and Meta-Analysis of Randomized Controlled Trials of as an Add-on Nutritional Supplementation Therapy10.1007/s12272-022-01374-6 ↗
52. Effects of Dietary Vitamins on Obesity-Related Metabolic Parameters10.1017/jns.2023.30 ↗
53. Comparative Effects of Vitamin and Mineral Supplements in the Management of Type 2 Diabetes in Primary Care: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials10.1016/j.phrs.2023.106647 ↗
54. Liu, J., Qin, L., Zheng, J., Tong, L., Lu, W., Lu, C., Sun, J., Fan, B., and Wang, F. (2023). Research Progress on the Relationship between Vitamins and Diabetes: Systematic Review. Int. J. Mol. Sci., 24.10.3390/ijms242216371 ↗
55. Can Vitamin E Supplementation Affect Obesity Indices? A Systematic Review and Meta-Analysis of Twenty-Four Randomized Controlled Trials10.1016/j.clnu.2021.02.002 ↗
56. Systematic Review and Meta-Analyses of Vitamin E (Alpha-Tocopherol) Supplementation and Blood Lipid Parameters in Patients with Diabetes Mellitus10.1016/j.dsx.2021.05.031 ↗
57. Effect of Vitamin E Intake on Glycemic Control and Insulin Resistance in Diabetic Patients: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials10.1186/s12937-023-00840-1 ↗
58. Vajdi, M., Khajeh, M., Safaei, E., Moeinolsadat, S., Mousavi, S., Seyedhosseini-Ghaheh, H., Abbasalizad-Farhangi, M., and Askari, G. (2024). Effects of Chromium Supplementation on Body Composition in Patients with Type 2 Diabetes: A Dose-Response Systematic Review and Meta-Analysis of Randomized Controlled Trials. J. Trace Elem. Med. Biol., 81.10.1016/j.jtemb.2023.127338 ↗
59. Effects of Chromium Supplementation on Lipid Profile: An Umbrella of Systematic Review and Meta-Analysis10.1007/s12011-022-03474-2 ↗
60. Effects of Chromium Supplementation on Glycemic Control in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials10.1016/j.phrs.2020.105098 ↗
61. The Effects of Chromium Supplementation on Lipidprofile in Humans: A Systematic Review and Meta-Analysis Ofrandomized Controlled Trials10.1016/j.phrs.2020.105308 ↗
62. Dos Santos Vieira, D.A., Hermes Sales, C., Galvão Cesar, C.L., Marchioni, D.M., and Fisberg, R.M. (2018). Influence of Haem, Non-Haem, and Total Iron Intake on Metabolic Syndrome and Its Components: A Population-Based Study. Nutrients, 10.10.3390/nu10030314 ↗
63. d’Ávila Ferreira, E., Hatta, M., Takeda, Y., Horikawa, C., Takeuchi, M., Kato, N., Yokoyama, H., Kurihara, Y., Iwasaki, K., and Fujihara, K. (2022). Higher Iron Intake Is Independently Associated with Obesity in Younger Japanese Type-2 Diabetes Mellitus Patients. Nutrients, 14.10.3390/nu14010211 ↗
64. Dietary Iron Intake and the Risk of Type 2 Diabetes: A Systematic Review and Dose–Response Meta-Analysis of Prospective Cohort Studies10.1007/s00394-022-02813-2 ↗
65. Dietary Iron Intake and Body Iron Stores Are Associated with Risk of Coronary Heart Disease in a Meta-Analysis of Prospective Cohort Studies10.3945/jn.113.185124 ↗
66. Dietary Intake of Heme Iron and Risk of Cardiovascular Disease: A Dose-Response Meta-Analysis of Prospective Cohort Studies10.1016/j.numecd.2014.09.002 ↗
67. Iron and Cancer Risk—A Systematic Review and Meta-Analysis of the Epidemiological Evidence10.1158/1055-9965.EPI-13-0733 ↗
68. Kataria, Y., Wu, Y., Horskjær, P.D.H., Mandrup-Poulsen, T., and Ellervik, C. (2018). Iron Status and Gestational Diabetes—A Meta-Analysis. Nutrients, 10.10.3390/nu10050621 ↗
69. Ferritin and Iron Supplements in Gestational Diabetes Mellitus: Less or More?10.1007/s00394-023-03250-5 ↗
70. Iron Supplementation Regulates the Progression of High Fat Diet Induced Obesity and Hepatic Steatosis via Mitochondrial Signaling Pathways10.1038/s41598-021-89673-8 ↗
71. Elemental Iron Modifies the Redox Environment of the Gastrointestinal Tract: A Novel Therapeutic Target and Test for Metabolic Syndrome10.1016/j.freeradbiomed.2021.03.032 ↗
72. Ma, W., Jia, L., Xiong, Q., and Du, H. (2021). Iron Overload Protects from Obesity by Ferroptosis. Foods, 10.10.3390/foods10081787 ↗
73. Vitamin a Supplementation, Serum Lipids, Liver Enzymes and C-Reactive Protein Concentrations in Obese Women of Reproductive Age10.1258/acb.2012.012096 ↗
74. Perna, S. (2019). Is Vitamin D Supplementation Useful for Weight Loss Programs? A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Medicina, 55.10.3390/medicina55070368 ↗
75. Effects of Vitamin C Supplementation with and without Endurance Physical Activity on Components of Metabolic Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial10.1016/j.yclnex.2019.05.003 ↗
76. Effect of Thiamine Administration on Metabolic Profile, Cytokines and Inflammatory Markers in Drug-Naïve Patients with Type 2 Diabetes10.1007/s00394-010-0123-x ↗
77. The Effect of Pyridoxine Hydrochloride Supplementation on Leptin, Adiponectin, Glycemic Indices, and Anthropometric Indices in Obese and Overweight Women10.7762/cnr.2021.10.3.230 ↗
78. The Effect of Folic Acid Supplementation on Body Weight and Body Mass Index: A Systematic Review and Meta-Analysis of Randomized Controlled Trials10.1016/j.clnesp.2022.11.020 ↗
79. The Effects of Vitamin B12 Supplementation on Metabolic Profile of Patients with Non-Alcoholic Fatty Liver Disease: A Randomized Controlled Trial10.1038/s41598-022-18195-8 ↗
80. The Effects of Magnesium Supplementation on Obesity Measures in Adults: A Systematic Review and Dose-Response Meta-Analysis of Randomized Controlled Trials10.1080/10408398.2020.1790498 ↗
81. Efficacy of Calcium Supplementation for Management of Overweight and Obesity: Systematic Review of Randomized Clinical Trials10.1111/j.1753-4887.2011.00397.x ↗
82. The Effects of a Novel Combination of Selenium and Probiotic on Weight Loss, Glycemic Control and Markers of Cardio-Metabolic Risk in Women with Polycystic Ovary Syndrome10.1016/j.jff.2018.04.071 ↗
83. Frequent Consumption of Selenium-Enriched Chicken Meat by Adults Causes Weight Loss and Maintains Their Antioxidant Status10.1007/s12011-010-8831-x ↗
84. Selenium Supplementation, Body Mass Composition, and Leptin Levels in Patients with Obesity on a Balanced Mildly Hypocaloric Diet: A Pilot Study10.1155/2020/4802739 ↗
85. Effects of Calcium Supplementation on Body Weight: A Meta-Analysis10.3945/ajcn.116.136242 ↗
86. Effect of Increasing Dietary Calcium through Supplements and Dairy Food on Body Weight and Body Composition: A Meta-Analysis of Randomised Controlled Trials10.1017/S0007114515001518 ↗
87. Sochol, K.M., Johns, T.S., Buttar, R.S., Randhawa, L., Sanchez, E., Gal, M., Lestrade, K., Merzkani, M., Abramowitz, M.K., and Mossavar-Rahmani, Y. (2019). The Effects of Dairy Intake on Insulin Resistance: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Nutrients, 11.10.3390/nu11092237 ↗
88. Khajeh, M., Hassanizadeh, S., Pourteymour Fard Tabrizi, F., Hassanizadeh, R., Vajdi, M., and Askari, G. (2024). Effect of Zinc Supplementation on Lipid Profile and Body Composition in Patients with Type 2 Diabetes Mellitus: A GRADE-Assessed Systematic Review and Dose-Response Meta-Analysis. Biol. Trace Elem. Res.10.1007/s12011-024-04059-x ↗
89. Efficacy of Vitamin D Supplementation on Child and Adolescent Overweight/Obesity: A Systematic Review and Meta-Analysis of Randomized Controlled Trials10.1007/s00431-022-04673-8 ↗
90. Does Vitamin C Supplementation Exert Profitable Effects on Serum Lipid Profile in Patients with Type 2 Diabetes? A Systematic Review and Dose-Response Meta-Analysis10.1016/j.phrs.2021.105665 ↗
91. Effect of Thiamine Supplementation on Glycaemic Outcomes in Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis10.1136/bmjopen-2021-059834 ↗
92. Beneficial Effects of Folic Acid Supplementation on Lipid Markers in Adults: A GRADE-Assessed Systematic Review and Dose-Response Meta-Analysis of Data from 21,787 Participants in 34 Randomized Controlled Trials10.1080/10408398.2021.1928598 ↗
93. Effect of Magnesium Supplementation on Lipid Profile: A Systematic Review and Meta-Analysis of Randomized Controlled Trials10.1007/s00228-017-2212-8 ↗
94. The Effect of Calcium Supplement Intake on Lipid Profile: A Systematic Review and Meta-Analysis of Randomized Controlled Clinical Trials10.1080/10408398.2020.1850414 ↗
95. Kelishadi, M.R., Ashtary-Larky, D., Davoodi, S.H., Clark, C.C.T., and Asbaghi, O. (2022). The Effects of Selenium Supplementation on Blood Lipids and Blood Pressure in Adults: A Systematic Review and Dose-Response Meta-Analysis of Randomized Control Trials. J. Trace Elem. Med. Biol., 74.10.1016/j.jtemb.2022.127046 ↗
96. Global Epidemiology of Dyslipidaemias10.1038/s41569-021-00541-4 ↗
97. Zinc Status Is Associated with Inflammation, Oxidative Stress, Lipid, and Glucose Metabolism10.1007/s12576-017-0571-7 ↗
98. Orsso, C.E., Colin-Ramirez, E., Field, C.J., Madsen, K.L., Prado, C.M., and Haqq, A.M. (2020). Adipose Tissue Development and Expansion from the Womb to Adolescence: An Overview. Nutrients, 12.10.3390/nu12092735 ↗
99. Nutritional Status of Selenium in Overweight and Obesity: A Systematic Review and Meta-Analysis10.1016/j.clnu.2022.02.007 ↗
100. Zinc Supplementation Alleviates Lipid and Glucose Metabolic Disorders Induced by a High-Fat Diet10.1021/acs.jafc.0c01103 ↗