1. Elevated dietary carbohydrate and glycemic intake associate with an altered oral microbial ecosystem in two large U.S. cohorts.
- Author
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Monson KR, Peters BA, Usyk M, Um CY, Oberstein PE, McCullough ML, Purdue MP, Freedman ND, Hayes RB, and Ahn J
- Subjects
- Cohort Studies, United States, Glycemic Load, Surveys and Questionnaires, Actinomyces classification, Actinomyces isolation & purification, Gemella classification, Gemella isolation & purification, Humans, Male, Female, Middle Aged, Aged, Dietary Carbohydrates adverse effects, Glycemic Index, Gastrointestinal Microbiome, Mouth microbiology, Leptotrichia classification, Leptotrichia isolation & purification, Diet, Carbohydrate Loading adverse effects, Neoplasms epidemiology, Neoplasms microbiology
- Abstract
The human oral microbiome is associated with chronic diseases including cancer. However, our understanding of its relationship with diet is limited. We assessed the associations between carbohydrate and glycemic index (GI) with oral microbiome composition in 834 non-diabetic subjects from the NCI-PLCO and ACS-CPSII cohorts. The oral microbiome was characterized using 16Sv3-4 rRNA-sequencing from oral mouthwash samples. Daily carbohydrate and GI were assessed from food frequency questionnaires. We used linear regression, permutational MANOVA, and negative binomial Generalized Linear Models (GLM) to test associations of diet with α- and β-diversity and taxon abundance (adjusting for age, sex, cohort, BMI, smoking, caloric intake, and alcohol). A q-value (FDR-adjusted P-value) of <0.05 was considered significant. Oral bacterial α-diversity trended higher in participants in the highest quintiles of carbohydrate intake, with marginally increased richness and Shannon diversity (p-trend=0.06 and 0.07). Greater carbohydrate intake was associated with greater abundance of class Fusobacteriia (q=0.02) and genus Leptotrichia (q=0.01) and with lesser abundance of an Actinomyces OTU (q=4.7E-04). Higher GI was significantly related to greater abundance of genus Gemella (q=0.001). This large, nationwide study provides evidence that diets high in carbohydrates and GI may influence the oral microbiome., Competing Interests: Competing interests: The authors declare no competing financial interests
- Published
- 2022
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