Health

Eating sweets during antibiotics worsens gut damage, a Nature study finds

Sugar intake during antibiotic treatment predicted lower gut microbiome diversity and a bloom of Enterococcus bacteria.

A stack of white sugar cubes on a plain white surface
Photo: Rawpixel (CC0)

Researchers who paired daily food records with 1,009 stool samples from 158 hospital patients found that eating sweets during antibiotics predicted sharper gut microbiome damage.

By the numbers: The team analysed 1,009 stool samples from 158 patients undergoing stem cell transplants, a median of five samples per patient, profiled by 16S rRNA gene sequencing.

Zoom in: Intake of sweets during antibiotic exposure predicted lowered stool microbiome diversity and increased Enterococcus abundance, the authors report in Nature.

  • The pattern held in mice, where dietary sugar supplementation exacerbated and prolonged antibiotic-induced Enterococcus blooms, validating the prediction drawn from the patient data.

The big picture: The proposed mechanism is straightforward. Simple dietary sugars feed the pathobionts that survive a course of antibiotics, letting them expand while helpful species are knocked back.

Why it matters: The authors name short-term sugar avoidance as a strategy that could be readily evaluated in stem cell transplant patients and across other patient groups treated with various antibiotics.

Go deeper: Nature
  • gut health
  • antibiotics
  • nutrition
  • research

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