Evidence map›Paper›PMID 42057198›Full record

ArticleGenome medicine2026

The impact of the COVID-19 pandemic and associated lifestyle changes on early-life microbiome development.

Evgenia Dikareva, Niels van Best, Liene Bervoets, Christina E West, Connor Rossel, Christel Driessen, Monique Mommers, John Penders

Abstract read
In one paragraph

Article in Genome medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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 citing paper in PubMed.

  1. Article
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

8 authors.

Evgenia DikarevaDepartment of Medical Microbiology, Infectious Diseases and Infection Prevention, Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, PO5800, Maastricht, 6202 AZ, The Netherlands.
Niels van BestDepartment of Medical Microbiology, Infectious Diseases and Infection Prevention, Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, PO5800, Maastricht, 6202 AZ, The Netherlands.
Liene BervoetsDepartment of Medical Microbiology, Infectious Diseases and Infection Prevention, Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, PO5800, Maastricht, 6202 AZ, The Netherlands.
Christina E WestDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Connor RosselDepartment of Medical Microbiology, Infectious Diseases and Infection Prevention, Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, PO5800, Maastricht, 6202 AZ, The Netherlands.
Christel DriessenDepartment of Medical Microbiology, Infectious Diseases and Infection Prevention, Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, PO5800, Maastricht, 6202 AZ, The Netherlands.
Monique Mommers *Department of Epidemiology, Care and Public Health Research Institute (CAPHRI), Maastricht University, PO 616, Maastricht, 6200 MD, The Netherlands. Monique.Mommers@maastrichtuniversity.nl.
John Penders *Department of Medical Microbiology, Infectious Diseases and Infection Prevention, Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, PO5800, Maastricht, 6202 AZ, The Netherlands. j.penders@maastrichtuniversity.nl.

Funding

The Netherlands Organization for Health Research and Development (ZonMw) through the European Union Joint Programming Initiative-A Healthy Diet for a Healthy Life 529051010Västerbotten Läns Landsting 967569Vetenskapsrådet 2021-01637ZonMw 09150162410022
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic triggered rapid, population-wide behavioral and environmental changes, offering a unique natural experiment to study how early-life microbiome development responds to abrupt shifts in social and hygiene-related exposures.

methodsUsing longitudinal data from 139 infants in the Dutch LucKi Gut study, we compared gut microbiome development in fecal samples collected before and during the pandemic. Whole metagenome sequencing of 808 stool samples was performed across nine time points in the first 14 months of life. An exposure index (EI) capturing variation in household-level pandemic-related behaviors was constructed for the 36 infants with samples collected during the COVID-pandemic to quantify variations in social distancing, lifestyle and hygiene measures.

resultsMicrobial richness and diversity increased with age, following established developmental trajectories. However, from 6 months onward, the COVID-19 pandemic independently shaped gut microbial composition, explaining up to 2.7% of variation by 11 months of age (Q-value = 0.006). Forty-four species were differentially abundant in pandemic-era samples, including depletion of Gordonibacter pamelaeae and several Actinomyces species. Notably, greater environmental exposure (higher EI scores) was associated with lower abundance of G. pamelaeae, a microbe implicated in bile acid and immunomodulatory metabolism.

conclusionsThis is the first longitudinal whole-genome sequencing study to demonstrate that pandemic-related behavioral changes measurably altered infant gut microbiota maturation. These findings highlight the sensitivity of microbiome development to societal-level environmental disruptions and suggest that early-life microbial exposures, modulated by hygiene and social behavior, may carry long-term implications for child health.

Indexed as

COVID-19Gastrointestinal MicrobiomeLife StyleFecesFemaleHumansHygieneInfantLongitudinal StudiesMaleMetagenomePandemicsSARS-CoV-2COVID-19HygieneMicrobiomePandemicSocial distancing

Identifiers

PMID42057198
PMCPMC13267274

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LicenceCC BY
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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.