PMID- 35215463 OWN - NLM STAT- MEDLINE DCOM- 20220301 LR - 20220301 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 14 IP - 4 DP - 2022 Feb 15 TI - Exercise for the Diabetic Gut-Potential Health Effects and Underlying Mechanisms. LID - 10.3390/nu14040813 [doi] LID - 813 AB - It can be assumed that changes in the gut microbiota play a crucial role in the development of type 2 diabetes mellitus (T2DM). It is generally accepted that regular physical activity is beneficial for the prevention and therapy of T2DM. Therefore, this review analyzes the effects of exercise training on the gut microbiota composition and the intestinal barrier function in T2DM. The current literature shows that regular exercise can influence the gut microbiota composition and the intestinal barrier function with ameliorative effects on T2DM. In particular, increases in the number of short-chain fatty acid (SCFA)-producing bacteria and improvements in the gut barrier integrity with reduced endotoxemia seem to be key points for positive interactions between gut health and T2DM, resulting in improvements in low-grade systemic inflammation status and glycemic control. However, not all aspects are known in detail and further studies are needed to further examine the efficacy of different training programs, the role of myokines, SCFA-producing bacteria, and SCFAs in the relevant metabolic pathways. As microbial signatures differ in individuals who respond differently to exercise training programs, one scientific focus could be the development of computer-based methods for the personalized analysis of the gut microbiota in the context of a microbiota/microbiome-based training program. FAU - Valder, Sarah AU - Valder S AD - Department of Molecular and Cellular Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, 50933 Cologne, Germany. FAU - Brinkmann, Christian AU - Brinkmann C AUID- ORCID: 0000-0001-8419-7565 AD - Department of Preventive and Rehabilitative Sport Medicine, Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, 50933 Cologne, Germany. AD - Department of Fitness & Health, IST University of Applied Sciences, 40233 Dusseldorf, Germany. LA - eng PT - Journal Article PT - Review DEP - 20220215 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Fatty Acids, Volatile) SB - IM MH - *Diabetes Mellitus, Type 2/microbiology/therapy MH - Exercise MH - Fatty Acids, Volatile MH - *Gastrointestinal Microbiome MH - Humans MH - *Microbiota PMC - PMC8877907 OTO - NOTNLM OT - exercise OT - gut barrier function OT - gut microbiota OT - short-chain fatty acid OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2022/02/27 06:00 MHDA- 2022/03/03 06:00 PMCR- 2022/02/15 CRDT- 2022/02/26 01:05 PHST- 2022/01/14 00:00 [received] PHST- 2022/02/10 00:00 [revised] PHST- 2022/02/12 00:00 [accepted] PHST- 2022/02/26 01:05 [entrez] PHST- 2022/02/27 06:00 [pubmed] PHST- 2022/03/03 06:00 [medline] PHST- 2022/02/15 00:00 [pmc-release] AID - nu14040813 [pii] AID - nutrients-14-00813 [pii] AID - 10.3390/nu14040813 [doi] PST - epublish SO - Nutrients. 2022 Feb 15;14(4):813. doi: 10.3390/nu14040813.