Evidence map›Paper›PMID 31798864›Full record

ArticleJournal of nutritional science2019

Changes in human gut microbiota composition are linked to the energy metabolic switch during 10 d of Buchinger fasting.

Robin Mesnage, Franziska Grundler, Andreas Schwiertz, Yvon Le Maho, Françoise Wilhelmi de Toledo

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of nutritional science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07155993 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

FastForward: A Prospective Analysis of Long-term Fasting and Subsequent Food Reintroduction in Humans

Typeobservational_patient_registrySponsorBuchinger Wilhelmi Development & Holding GmbHRan2024 to 2026Enrolled300ConditionsDiabetes (DM), Pre Diabetes, Overweight (BMI &gt, 25)
NCT07651462 narecruitingnot on this mapstarted 2025, after this paper: background citation

Preoperative Metabolic Optimization: Influence of Intermittent and Buchinger-Type Fasting on the Gut Microbiome, Immune Profile, and Postoperative Complications in Patients Undergoing Primary Total Hip Arthroplasty - A Randomized Controlled Trial

TypeinterventionalSponsorCharite University, Berlin, GermanyRan2025 to 2026Enrolled130ConditionsHip Osteoarthritis, Arthroplasty, Replacement, Hip, Postoperative Complications, Surgical Wound InfectionArmsBuchinger Fastenbox + intermittent fasting (20-day preoperative schedule)
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 77 citations in OpenAlex.

  1. Trial
  2. Five Days Periodic Fasting Elevates Levels of Longevity RelatedInternational journal of molecular sciences · 2021
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  3. Review
  4. Remodelling of the gut virome after long-term fasting.NPJ biofilms and microbiomes · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 4 countries.

Robin MesnageGene Expression and Therapy Group, King's College London, Faculty of Life Sciences & Medicine, Department of Medical and Molecular Genetics, 8th Floor, Tower Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT, UK.ORCID 0000-0003-1732-4741
Franziska GrundlerBuchinger Wilhelmi Clinic, Wilhelm-Beck-Straße 27, 88662 Überlingen, Germany.
Andreas SchwiertzInstitute of Microecology, Auf den Lüppen 8, 35745 Herborn, Germany.
Yvon Le MahoUniversité de Strasbourg, CNRS UMR 7178, Institut Pluridisciplinaire Hubert Curien, 23 rue du Loess, 67200 Strasbourg, France.
Françoise Wilhelmi de ToledoBuchinger Wilhelmi Clinic, Wilhelm-Beck-Straße 27, 88662 Überlingen, Germany.ORCID 0000-0002-4578-5812
Buchinger Wilhelmi · DECentre National de la Recherche Scientifique · FRGuy's Hospital · GBHumboldt-Universität zu Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fasting is increasingly popular to manage metabolic and inflammatory diseases. Despite the role that the human gut microbiota plays in health and diseases, little is known about its composition and functional capacity during prolonged fasting when the external nutrient supply is reduced or suppressed. We analysed the effects of a 10-d periodic fasting on the faecal microbiota of fifteen healthy men. Participants fasted according to the peer-reviewed Buchinger fasting guidelines, which involve a daily energy intake of about 1046 kJ (250 kcal) and an enema every 2 d. Serum biochemistry confirmed the metabolic switch from carbohydrates to fatty acids and ketones. Emotional and physical well-being were enhanced. Faecal 16S rRNA gene amplicon sequencing showed that fasting caused a decrease in the abundance of bacteria known to degrade dietary polysaccharides such as Lachnospiraceae and Ruminococcaceae. There was a concomitant increase in Bacteroidetes and Proteobacteria (

Indexed as

Energy MetabolismFastingAdolescentAdultAgedAmino Acids, Branched-ChainBacteriaDietary CarbohydratesFecesGastrointestinal MicrobiomeGastrointestinal TractHumansInflammationInterferon-gammaInterleukin-10Interleukin-6Amino Acids, Branched-ChainDietary CarbohydratesInterferon-gammaInterleukin-10Interleukin-6PolysaccharidesRNA, Ribosomal, 16STumor Necrosis Factor-alphaBCAA, branched-chain amino acidBuchinger fastingBWC, Buchinger Wilhelmi ClinicEDN, eosinophil-derived neurotoxinInflammationIntestinal permeabilityLBP, lipopolysaccharide-binding proteinLPS, lipopolysaccharidePeriodic fastingsIgA, secretory IgAWell-being

Identifiers

PMID31798864
PMCPMC6861737
OpenAlexW2988239310

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.