Methane and Hydrogen Positivity on Breath Test Is Associated With Greater Body Mass Index and Body Fat

Context:Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and breath methane is associated with a greater body mass index (BMI) among obese human subjects.Objective:The objective of the study was...

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Published inThe journal of clinical endocrinology and metabolism Vol. 98; no. 4; pp. E698 - E702
Main Authors Mathur, R., Amichai, M., Chua, K. S., Mirocha, J., Barlow, G. M., Pimentel, M.
Format Journal Article
LanguageEnglish
Published United States Oxford University Press 01.04.2013
Copyright by The Endocrine Society
Endocrine Society
Subjects
Online AccessGet full text
ISSN0021-972X
1945-7197
1945-7197
DOI10.1210/jc.2012-3144

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Abstract Context:Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and breath methane is associated with a greater body mass index (BMI) among obese human subjects.Objective:The objective of the study was to characterize the relationship between methane and hydrogen on breath test (as a surrogate for colonization with the hydrogen requiring methanogen, Methanobrevibacter smithii), body weight, and percent body fat in a general population cohort.Design and Subjects:This was a prospective study (n = 792) of consecutive subjects presenting for breath testing.Setting:The study was conducted at a tertiary care center.Outcome Measurements:BMI and percent body fat were measured.Results:Subjects were classified into 4 groups based on breath testing: normal (N) (methane <3 ppm and hydrogen <20 ppm at or before 90 minutes); hydrogen positive only (H+) [methane <3 ppm and hydrogen ≥20 ppm); methane positive only (M+) (methane ≥3 ppm and hydrogen <20 ppm), or methane and hydrogen positive (M+/H+) (methane ≥3 ppm and hydrogen ≥20 ppm]. There were significant differences in age but not in gender across the groups. After controlling for age as a confounding variable, M+/H+ subjects had significantly higher BMI than other groups (N: 24.1 ± 5.2 kg/m2; H+: 24.2 ± 4.5 kg/m2; M+: 24.0 ± 3.75 kg/m2; M+/H+: 26.5 ± 7.1 kg/m2, P < .02) and also had significantly higher percent body fat (N: 28.3 ± 10.0%; H+: 27.5 ± 9.0%; M+: 28.0 ± 8.9%; M+/H+; 34.1 ± 10.9%, P < .001).Conclusions:The presence of both methane and hydrogen on breath testing is associated with increased BMI and percent body fat in humans. We hypothesize that this is due to colonization with the hydrogen-requiring M smithii, which affects nutrient availability for the host and may contribute to weight gain.
AbstractList Context:Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and breath methane is associated with a greater body mass index (BMI) among obese human subjects.Objective:The objective of the study was to characterize the relationship between methane and hydrogen on breath test (as a surrogate for colonization with the hydrogen requiring methanogen, Methanobrevibacter smithii), body weight, and percent body fat in a general population cohort.Design and Subjects:This was a prospective study (n = 792) of consecutive subjects presenting for breath testing.Setting:The study was conducted at a tertiary care center.Outcome Measurements:BMI and percent body fat were measured.Results:Subjects were classified into 4 groups based on breath testing: normal (N) (methane <3 ppm and hydrogen <20 ppm at or before 90 minutes); hydrogen positive only (H+) [methane <3 ppm and hydrogen ≥20 ppm); methane positive only (M+) (methane ≥3 ppm and hydrogen <20 ppm), or methane and hydrogen positive (M+/H+) (methane ≥3 ppm and hydrogen ≥20 ppm]. There were significant differences in age but not in gender across the groups. After controlling for age as a confounding variable, M+/H+ subjects had significantly higher BMI than other groups (N: 24.1 ± 5.2 kg/m2; H+: 24.2 ± 4.5 kg/m2; M+: 24.0 ± 3.75 kg/m2; M+/H+: 26.5 ± 7.1 kg/m2, P < .02) and also had significantly higher percent body fat (N: 28.3 ± 10.0%; H+: 27.5 ± 9.0%; M+: 28.0 ± 8.9%; M+/H+; 34.1 ± 10.9%, P < .001).Conclusions:The presence of both methane and hydrogen on breath testing is associated with increased BMI and percent body fat in humans. We hypothesize that this is due to colonization with the hydrogen-requiring M smithii, which affects nutrient availability for the host and may contribute to weight gain.
Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and breath methane is associated with a greater body mass index (BMI) among obese human subjects.CONTEXTColonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and breath methane is associated with a greater body mass index (BMI) among obese human subjects.The objective of the study was to characterize the relationship between methane and hydrogen on breath test (as a surrogate for colonization with the hydrogen requiring methanogen, Methanobrevibacter smithii), body weight, and percent body fat in a general population cohort.OBJECTIVEThe objective of the study was to characterize the relationship between methane and hydrogen on breath test (as a surrogate for colonization with the hydrogen requiring methanogen, Methanobrevibacter smithii), body weight, and percent body fat in a general population cohort.This was a prospective study (n = 792) of consecutive subjects presenting for breath testing.DESIGN AND SUBJECTSThis was a prospective study (n = 792) of consecutive subjects presenting for breath testing.The study was conducted at a tertiary care center.SETTINGThe study was conducted at a tertiary care center.BMI and percent body fat were measured.OUTCOME MEASUREMENTSBMI and percent body fat were measured.Subjects were classified into 4 groups based on breath testing: normal (N) (methane <3 ppm and hydrogen <20 ppm at or before 90 minutes); hydrogen positive only (H+) [methane <3 ppm and hydrogen ≥20 ppm); methane positive only (M+) (methane ≥3 ppm and hydrogen <20 ppm), or methane and hydrogen positive (M+/H+) (methane ≥3 ppm and hydrogen ≥20 ppm]. There were significant differences in age but not in gender across the groups. After controlling for age as a confounding variable, M+/H+ subjects had significantly higher BMI than other groups (N: 24.1 ± 5.2 kg/m(2); H+: 24.2 ± 4.5 kg/m(2); M+: 24.0 ± 3.75 kg/m(2); M+/H+: 26.5 ± 7.1 kg/m(2), P < .02) and also had significantly higher percent body fat (N: 28.3 ± 10.0%; H+: 27.5 ± 9.0%; M+: 28.0 ± 8.9%; M+/H+; 34.1 ± 10.9%, P < .001).RESULTSSubjects were classified into 4 groups based on breath testing: normal (N) (methane <3 ppm and hydrogen <20 ppm at or before 90 minutes); hydrogen positive only (H+) [methane <3 ppm and hydrogen ≥20 ppm); methane positive only (M+) (methane ≥3 ppm and hydrogen <20 ppm), or methane and hydrogen positive (M+/H+) (methane ≥3 ppm and hydrogen ≥20 ppm]. There were significant differences in age but not in gender across the groups. After controlling for age as a confounding variable, M+/H+ subjects had significantly higher BMI than other groups (N: 24.1 ± 5.2 kg/m(2); H+: 24.2 ± 4.5 kg/m(2); M+: 24.0 ± 3.75 kg/m(2); M+/H+: 26.5 ± 7.1 kg/m(2), P < .02) and also had significantly higher percent body fat (N: 28.3 ± 10.0%; H+: 27.5 ± 9.0%; M+: 28.0 ± 8.9%; M+/H+; 34.1 ± 10.9%, P < .001).The presence of both methane and hydrogen on breath testing is associated with increased BMI and percent body fat in humans. We hypothesize that this is due to colonization with the hydrogen-requiring M smithii, which affects nutrient availability for the host and may contribute to weight gain.CONCLUSIONSThe presence of both methane and hydrogen on breath testing is associated with increased BMI and percent body fat in humans. We hypothesize that this is due to colonization with the hydrogen-requiring M smithii, which affects nutrient availability for the host and may contribute to weight gain.
Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and breath methane is associated with a greater body mass index (BMI) among obese human subjects. The objective of the study was to characterize the relationship between methane and hydrogen on breath test (as a surrogate for colonization with the hydrogen requiring methanogen, Methanobrevibacter smithii), body weight, and percent body fat in a general population cohort. This was a prospective study (n = 792) of consecutive subjects presenting for breath testing. The study was conducted at a tertiary care center. BMI and percent body fat were measured. Subjects were classified into 4 groups based on breath testing: normal (N) (methane <3 ppm and hydrogen <20 ppm at or before 90 minutes); hydrogen positive only (H+) [methane <3 ppm and hydrogen ≥20 ppm); methane positive only (M+) (methane ≥3 ppm and hydrogen <20 ppm), or methane and hydrogen positive (M+/H+) (methane ≥3 ppm and hydrogen ≥20 ppm]. There were significant differences in age but not in gender across the groups. After controlling for age as a confounding variable, M+/H+ subjects had significantly higher BMI than other groups (N: 24.1 ± 5.2 kg/m(2); H+: 24.2 ± 4.5 kg/m(2); M+: 24.0 ± 3.75 kg/m(2); M+/H+: 26.5 ± 7.1 kg/m(2), P < .02) and also had significantly higher percent body fat (N: 28.3 ± 10.0%; H+: 27.5 ± 9.0%; M+: 28.0 ± 8.9%; M+/H+; 34.1 ± 10.9%, P < .001). The presence of both methane and hydrogen on breath testing is associated with increased BMI and percent body fat in humans. We hypothesize that this is due to colonization with the hydrogen-requiring M smithii, which affects nutrient availability for the host and may contribute to weight gain.
CONTEXT:Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and breath methane is associated with a greater body mass index (BMI) among obese human subjects. OBJECTIVE:The objective of the study was to characterize the relationship between methane and hydrogen on breath test (as a surrogate for colonization with the hydrogen requiring methanogen, Methanobrevibacter smithii), body weight, and percent body fat in a general population cohort. DESIGN AND SUBJECTS:This was a prospective study (n = 792) of consecutive subjects presenting for breath testing. SETTING:The study was conducted at a tertiary care center. OUTCOME MEASUREMENTS:BMI and percent body fat were measured. RESULTS:Subjects were classified into 4 groups based on breath testingnormal (N) (methane <3 ppm and hydrogen <20 ppm at or before 90 minutes); hydrogen positive only (H+) [methane <3 ppm and hydrogen ≥20 ppm); methane positive only (M+) (methane ≥3 ppm and hydrogen <20 ppm), or methane and hydrogen positive (M+/H+) (methane ≥3 ppm and hydrogen ≥20 ppm]. There were significant differences in age but not in gender across the groups. After controlling for age as a confounding variable, M+/H+ subjects had significantly higher BMI than other groups (N24.1 ± 5.2 kg/m; H+24.2 ± 4.5 kg/m; M+24.0 ± 3.75 kg/m; M+/H+26.5 ± 7.1 kg/m, P < .02) and also had significantly higher percent body fat (N28.3 ± 10.0%; H+27.5 ± 9.0%; M+28.0 ± 8.9%; M+/H+; 34.1 ± 10.9%, P < .001). CONCLUSIONS:The presence of both methane and hydrogen on breath testing is associated with increased BMI and percent body fat in humans. We hypothesize that this is due to colonization with the hydrogen-requiring M smithii, which affects nutrient availability for the host and may contribute to weight gain.
Context:Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and breath methane is associated with a greater body mass index (BMI) among obese human subjects.Objective:The objective of the study was to characterize the relationship between methane and hydrogen on breath test (as a surrogate for colonization with the hydrogen requiring methanogen, Methanobrevibacter smithii), body weight, and percent body fat in a general population cohort.Design and Subjects:This was a prospective study (n = 792) of consecutive subjects presenting for breath testing.Setting:The study was conducted at a tertiary care center.Outcome Measurements:BMI and percent body fat were measured.Results:Subjects were classified into 4 groups based on breath testing: normal (N) (methane <3 ppm and hydrogen <20 ppm at or before 90 minutes); hydrogen positive only (H+) [methane <3 ppm and hydrogen greater than or equal to 20 ppm); methane positive only (M+) (methane greater than or equal to 3 ppm and hydrogen <20 ppm), or methane and hydrogen positive (M+/H+) (methane greater than or equal to 3 ppm and hydrogen greater than or equal to 20 ppm]. There were significant differences in age but not in gender across the groups. After controlling for age as a confounding variable, M+/H+ subjects had significantly higher BMI than other groups (N: 24.1 plus or minus 5.2 kg/m2; H+: 24.2 plus or minus 4.5 kg/m2; M+: 24.0 plus or minus 3.75 kg/m2; M+/H+: 26.5 plus or minus 7.1 kg/m2, P < .02) and also had significantly higher percent body fat (N: 28.3 plus or minus 10.0%; H+: 27.5 plus or minus 9.0%; M+: 28.0 plus or minus 8.9%; M+/H+; 34.1 plus or minus 10.9%, P < .001).Conclusions:The presence of both methane and hydrogen on breath testing is associated with increased BMI and percent body fat in humans. We hypothesize that this is due to colonization with the hydrogen-requiring M smithii, which affects nutrient availability for the host and may contribute to weight gain.
Author Barlow, G. M.
Amichai, M.
Mathur, R.
Mirocha, J.
Pimentel, M.
Chua, K. S.
AuthorAffiliation Division of Endocrinology, Diabetes, and Metabolism (R.M.), GI Motility Program (M.A., K.S.C., G.M.B., M.P.), and Biostatistics Core (J.M.), Research Institute, Cedars-Sinai Medical Center, Los Angeles, California 90048
AuthorAffiliation_xml – name: Division of Endocrinology, Diabetes, and Metabolism (R.M.), GI Motility Program (M.A., K.S.C., G.M.B., M.P.), and Biostatistics Core (J.M.), Research Institute, Cedars-Sinai Medical Center, Los Angeles, California 90048
Author_xml – sequence: 1
  givenname: R.
  surname: Mathur
  fullname: Mathur, R.
  email: ruchi.mathur@cshs.org
  organization: 1Division of Endocrinology, Diabetes, and Metabolism (R.M.)
– sequence: 2
  givenname: M.
  surname: Amichai
  fullname: Amichai, M.
  organization: 2GI Motility Program (M.A., K.S.C., G.M.B., M.P.)
– sequence: 3
  givenname: K. S.
  surname: Chua
  fullname: Chua, K. S.
  organization: 3Biostatistics Core (J.M.), Research Institute, Cedars-Sinai Medical Center, Los Angeles, California 90048
– sequence: 4
  givenname: J.
  surname: Mirocha
  fullname: Mirocha, J.
  organization: 3Biostatistics Core (J.M.), Research Institute, Cedars-Sinai Medical Center, Los Angeles, California 90048
– sequence: 5
  givenname: G. M.
  surname: Barlow
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  givenname: M.
  surname: Pimentel
  fullname: Pimentel, M.
  organization: 2GI Motility Program (M.A., K.S.C., G.M.B., M.P.)
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23533244$$D View this record in MEDLINE/PubMed
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Copyright Copyright © 2013 by The Endocrine Society 2013
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Snippet Context:Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal...
CONTEXT:Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal...
Colonization of the gastrointestinal tract with methanogenic archaea (methanogens) significantly affects host metabolism and weight gain in animal models, and...
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SubjectTerms Adipose Tissue - anatomy & histology
Adiposity - physiology
Adult
Aged
Animal models
Body Composition - physiology
Body fat
Body Mass Index
Breath Tests
Cohort Studies
Colonization
Fat metabolism
Female
Gastrointestinal tract
Humans
Hydrogen
Hydrogen - analysis
Hydrogen - metabolism
JCEM Online: Brief Reports
Lactulose
Male
Methane
Methane - analysis
Methane - metabolism
Methanogenic archaea
Methanogenic bacteria
Middle Aged
Mouth Breathing - metabolism
Nutrient availability
Obesity - metabolism
Population studies
Weight
Title Methane and Hydrogen Positivity on Breath Test Is Associated With Greater Body Mass Index and Body Fat
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