Microbiota and your gut type


Microbiota and your gut type

Inspiration to write this note came from one of the classes with my Ayurvedic nutrition teachers - Ayurvedic Doctor Prof. Dr. Shivenarain Gupta MD (Ayu) and Ayurvedic therapist Oliver Becker.

Microbiota is a collection of microorganisms living in the human intestine. The number of publications on the topic of human microbiota research is growing every year and in 2019 there were more than 9500. Microbiota directly affects metabolism, immunity, endocrine and nervous systems, propensity to diseases (diabetes, obesity, autoimmune, etc.), psychological state, synthesis of vitamins and amino acids.
It is interesting to note the similarity between the knowledge of Ayurvedic medicine and modern research in relation to the existence of various types of intestines. What modern science discovered only in the 21st century has been known in Ayurvedic medicine for several thousand years (the oldest Ayurvedic manuscripts are stored in the library of the University of Tubingen in Germany).

Scientific articles – depending on the predominant bacteria type Bacteroides, Prevotella or Ruminococcus - distinguish 3 types of intestines ("entorotype"), which may explain why different people metabolize nutrients differently. The enterotype does not depend on gender, age, nationality and dietary habits. However, the scientific literature notes that further research is needed to confirm these findings.

In the classical texts of Ayurvedic medicine, 3 types of intestines are also distinguished, which often do not depend on the type of metabolism:

1. SENSITIVE – mrdu-koshta
This is what in modern medicine is called food intolerance or sensitivity (not to be confused with allergies). Typical is "soft" stool 2-3 times a day. In scientific studies, people with "soft" stools "(determined according to the Bristol Scale, see illustration below) are dominated by the enetotype Prevotella.

2. MEDIUM madhya-koshta
Well-formed bowel movements are typical 1–2 times a day.

3. INSENSITIVE– krura-koshta
It is characterized by a tendency to constipation. In scientific research in people with "hard" stools the enetrotype Ruminococcus predominates.

Among other factors, in Ayurvedic medicine, knowledge of bowel type influences recommendations for food choices and dosage of medications.

Above shows that it is interesting to combine nutrition science with Ayurveda for personalized approach in nutrition.


Bristol stool chart
Sources:


1. Arumugam, Manimozhiyan et al. Enterotypes of the human gut microbiome. Nature vol. 473,7346 (2011): 174-80. doi:10.1038/nature09944


2. Cheng M, Ning K. Stereotypes About Enterotype: the Old and New Ideas. Genomics Proteomics Bioinformatics. 2019 Feb;17(1):4-12. doi: 10.1016/j.gpb.2018.02.004.


3. Costea, Paul I et al. Enterotypes in the landscape of gut microbial community composition. Nature microbiology vol. 3,1 (2018): 8-16. doi:10.1038/s41564-017-0072-8


4. Li, D., Gao, C., Zhang, F. et al. Seven facts and five initiatives for gut microbiome research. Protein Cell 11, 391–400 (2020). https://doi.org/10.1007/s13238-020-00697-8


5. S. J. Lewis & K. W. Heaton (1997) Stool Form Scale as a Useful Guide to Intestinal Transit Time,Scandinavian Journal of astroenterology, 32:9, 920-924, DOI: 10.3109/00365529709011203


6. Vandeputte D, Falony G, Vieira-Silva S, et al. Stool consistency is strongly associated with gut microbiota richness and composition, enterotypes and bacterial growth rates. Gut 2016;65:57-62.

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