Evidence map›Paper›PMID 32438689›Full record

ReviewNutrients2020

The Firmicutes/Bacteroidetes Ratio: A Relevant Marker of Gut Dysbiosis in Obese Patients?

Fabien Magne, Martin Gotteland, Lea Gauthier, Alejandra Zazueta, Susana Pesoa, Paola Navarrete, Ramadass Balamurugan

Abstract readReview
In one paragraph

Review in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1,274 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,274citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1,274 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Impacts of Lifestyle and Microbiota-Targeted Interventions for Overweight and Obesity on the Human Gut Microbiome: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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  15. Veterinary sciences · 2026
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1,214 more citing papers are in PubMed but not listed here.

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

7 authors.

Fabien MagneMicrobiology and Mycology Program, ICBM, Faculty of Medicine, University of Chile, Santiago 8320000, Chile.ORCID 0000-0002-8210-4561
Martin GottelandDepartment of Nutrition, Faculty of Medicine, University of Chile, Santiago 8320000, Chile.
Lea GauthierDepartment of Nutrition, Faculty of Medicine, University of Chile, Santiago 8320000, Chile.
Alejandra ZazuetaMicrobiology and Mycology Program, ICBM, Faculty of Medicine, University of Chile, Santiago 8320000, Chile.
Susana PesoaDepartment of Molecular Diagnosis, LACE Laboratories, Córdoba X5000, Argentina.
Paola NavarreteInstitute of Nutrition and Food Technology (INTA), University of Chile, Santiago 7830490, Chile.ORCID 0000-0003-0692-2324
Ramadass BalamuruganDepartment of Biochemistry, AIIMS, Bhubaneswar 751019, India.ORCID 0000-0002-8158-230X

Funding

Fondo Nacional de Desarrollo Científico y Tecnológico 1191311
6 · The paper itself

Abstract

The gut microbiota is emerging as a promising target for the management or prevention of inflammatory and metabolic disorders in humans. Many of the current research efforts are focused on the identification of specific microbial signatures, more particularly for those associated with obesity, type 2 diabetes, and cardiovascular diseases. Some studies have described that the gut microbiota of obese animals and humans exhibits a higher Firmicutes/Bacteroidetes ratio compared with normal-weight individuals, proposing this ratio as an eventual biomarker. Accordingly, the Firmicutes/Bacteroidetes ratio is frequently cited in the scientific literature as a hallmark of obesity. The aim of the present review was to discuss the validity of this potential marker, based on the great amount of contradictory results reported in the literature. Such discrepancies might be explained by the existence of interpretative bias generated by methodological differences in sample processing and DNA sequence analysis, or by the generally poor characterization of the recruited subjects and, more particularly, the lack of consideration of lifestyle-associated factors known to affect microbiota composition and/or diversity. For these reasons, it is currently difficult to associate the Firmicutes/Bacteroidetes ratio with a determined health status and more specifically to consider it as a hallmark of obesity.

Indexed as

AdultAgedBacillotaBacteroidetesBiomarkersColony Count, MicrobialDysbiosisFemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedObesityReproducibility of ResultsSequence Analysis, DNABiomarkersBacteroidetesdysbiosisFirmicutesgutmarkerMicrobiotaobesity

Identifiers

PMID32438689
PMCPMC7285218

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Registered trials

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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.