The Western diet, characterized by low fiber, vitamins, minerals, and plant-derived molecules but high in saturated fat, refined grains, sugar, alcohol, processed and red meat, and other unhealthy components, has been linked to dysregulation of the gut microbiome. This dysregulation can increase the risk of developing chronic conditions such as inflammatory bowel disease (IBD) and Alzheimer’s disease. In contrast, the Mediterranean diet, which features higher levels of fruits, vegetables, and plant-based proteins, has been associated with lower risk of these conditions. Research has highlighted the roles of specific bacteria in the gut, such as Akkermansia muciniphila and Bacteroides species, which are affected by dietary patterns. A high-fat diet and low-fiber diet have been shown to negatively impact the balance of beneficial bacteria in the gut, leading to potential health risks.
The review authors pointed out the importance of maintaining a healthy gut microbiome, as certain bacteria, such as Akkermansia muciniphila, Faecalibacterium prausnitzii, Bacteroides vulgatus, and Bacteroides dorei, play crucial roles in gut health and immune function. A diet high in saturated fat has been shown to reduce the levels of these beneficial bacteria in the gut. Additionally, the consumption of additives like artificial sweeteners has been associated with lower amounts of Bifidobacteria, which are important for gut health. Eating fast food regularly has been linked to an increased risk of IBD, highlighting the impact of poor dietary habits on gut health and overall well-being.
Metabolic syndrome and type 2 diabetes have also been linked to gut dysbiosis, with dysregulation of the gut barrier leading to chronic inflammation and an increased risk of obesity. The Western diet, with its poor nutrient quality and high levels of saturated fat and sugar, can directly impact systemic inflammation and obesity. Changes to the gut microbiota resulting from the consumption of these foods can indirectly contribute to the development of these conditions. Research suggests that the alteration of the microbiome could be a separate mechanism driving the development of chronic diseases, beyond the direct impact of diet on metabolism and inflammation.
Hasan Zaki, PhD, an associate professor at UT Southwestern Medical School, emphasizes the importance of understanding the specific bacteria or components responsible for the development of certain conditions. While the link between the Western diet, gut dysbiosis, and chronic diseases has been established, further research is needed to pinpoint the exact mechanisms at play. The review provides valuable insights into the role of the gut microbiome in the development of chronic conditions, highlighting the importance of maintaining a healthy and balanced diet to support gut health and overall well-being.