Effect of antibiotics on gut microbiota, glucose metabolism and body weight regulation: a review of the literature

Diabetes Obes Metab. 2016 May;18(5):444-53. doi: 10.1111/dom.12637. Epub 2016 Mar 4.

Abstract

Gut bacteria are involved in a number of host metabolic processes and have been implicated in the development of obesity and type 2 diabetes in humans. The use of antibiotics changes the composition of the gut microbiota and there is accumulating evidence from observational studies for an association between exposure to antibiotics and development of obesity and type 2 diabetes. In the present paper, we review human studies examining the effects of antibiotics on body weight regulation and glucose metabolism and discuss whether the observed findings may relate to alterations in the composition and function of the gut microbiota.

Keywords: glucose metabolism; observational study; pharmaco-epidemiology; type 2 diabetes.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Bacterial Agents / adverse effects*
  • Anti-Bacterial Agents / pharmacology
  • Appetite Regulation / drug effects*
  • Body Weight / drug effects
  • Diabetes Mellitus, Type 2 / etiology*
  • Diabetes Mellitus, Type 2 / microbiology
  • Dysbiosis / chemically induced*
  • Dysbiosis / microbiology
  • Dysbiosis / physiopathology
  • Energy Metabolism / drug effects
  • Gastrointestinal Microbiome / drug effects*
  • Humans
  • Insulin Resistance
  • Models, Biological*
  • Observational Studies as Topic
  • Overweight / etiology*
  • Overweight / microbiology

Substances

  • Anti-Bacterial Agents