Relationship Between Akkermansia muciniphila Abundance and Exercise-Induced Fat Mass Reduction
DOI:
https://doi.org/10.12775/QS.2026.54.70092Keywords
Akkermansia muciniphila, gut microbiota, obesity, type 2 diabetes, exercise, fat mass, metabolic healthAbstract
Background: Obesity is a major health concern linked to type 2 diabetes, cardiovascular diseases, and NAFLD. Growing evidence highlights the role of gut microbiota dysbiosis in these disorders. Akkermansia muciniphila, a mucin-degrading bacterium, is inversely associated with adiposity, inflammation, and insulin resistance. Physical activity improves metabolic health, but variability in outcomes suggests additional modulators, including gut microbiota.
Aim: This review aimed to summarize the relationship between A. muciniphila, physical exercise, and fat mass reduction, and to examine underlying physiological and microbiological mechanisms.
Materials and Methods: A structured narrative review with elements of systematic analysis was conducted. Databases (including PubMed) were searched for experimental and clinical studies assessing associations between A. muciniphila and metabolic parameters, the effects of exercise on gut microbiota, and mechanisms linking microbiota changes with metabolic outcomes. Both animal and human studies were included.
Results: Animal studies consistently show that aerobic and moderate exercise increase A. muciniphila abundance, enhance microbial diversity, improve glucose tolerance, and reduce fat mass. Human studies show more variable results, with modest increases in A. muciniphila and metabolic improvements, particularly in overweight or metabolically impaired individuals. Proposed mechanisms include improved gut barrier integrity, immune modulation, increased short-chain fatty acid production, AMPK activation, and microbiota–adipose tissue cross-talk.
Conclusions: Physical activity modulates gut microbiota, with A. muciniphila as a potential mediator of exercise-induced fat loss and metabolic improvement. Although human evidence is heterogeneous, targeting this bacterium through exercise and lifestyle interventions may support obesity prevention and metabolic health.
References
1. World Health Organization. Obesity and overweight. WHO Fact Sheet. 8 Dec 2025. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
2. World Health Organization. Obesity. WHO Health Topics. https://www.who.int/topics/obesity
3. Zmora N, et al. Personalized gut mucosal colonization resistance to empiric probiotics is associated with unique host and microbiome features. Cell. 2018;174:1388–1405. https://doi.org/10.1016/j.cell.2018.07.041
4. World Health Organization. Physical activity. WHO Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/physical-activity
5. Turnbaugh PJ, et al. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature. 2006;444:1027–1031. https://doi.org/10.1038/nature05414
6. Qin J, et al. A metagenome-wide association study of gut microbiota in type 2 diabetes. Nature. 2012;490:55–60. https://doi.org/10.1038/nature11450
7. Plovier H, et al. A purified membrane protein from Akkermansia muciniphila improves metabolism. Nat Med. 2017;23:107–113. https://doi.org/10.1038/nm.4236
8. Derrien M, et al. Akkermansia muciniphila gen. nov., sp. nov. Int J Syst Evol Microbiol. 2004;54:1469–1476. https://doi.org/10.1099/ijs.0.02873-0
9. Everard A, et al. Cross-talk between Akkermansia muciniphila and intestinal epithelium controls diet-induced obesity. Proc Natl Acad Sci USA. 2013;110:9066–9071. https://doi.org/10.1073/pnas.1219451110
10. Dao MC, et al. Akkermansia muciniphila and improved metabolic health during dietary intervention. Gut. 2016;65:426–436. https://doi.org/10.1136/gutjnl-2014-308778
11. Depommier C, et al. Supplementation with Akkermansia muciniphila in overweight and obese volunteers. Nat Med. 2019;25:1096–1103. https://doi.org/10.1038/s41591-019-0495-2
12. Ashrafian F, et al. Akkermansia muciniphila-derived extracellular vesicles as a potential therapeutic agent in obesity. J Transl Med. 2019;17:26. https://doi.org/10.1186/s12967-019-1785-9
13. Ottman N, et al. Pili-like proteins of Akkermansia muciniphila modulate host immune responses and gut barrier function. Gut. 2017;66:2059–2069. https://doi.org/10.1136/gutjnl-2016-313597
14. Aguiar SS, et al. Effects of physical exercise on Akkermansia muciniphila: a systematic review. Benef Microbes. 2024;15:565–587. https://doi.org/10.1163/18762891-bja10094
15. Clarke SF, et al. Exercise and associated dietary extremes impact on gut microbial diversity. Gut. 2014;63:1913–1920. https://doi.org/10.1136/gutjnl-2013-306541
16. Denou E, et al. High-intensity exercise increases Akkermansia muciniphila abundance. Am J Physiol Endocrinol Metab. 2016;310:E582–E590. https://doi.org/10.1152/ajpendo.00500.2015
17. Liu Z, et al. Lactobacillus acidophilus LA5 enhances Akkermansia muciniphila to improve metabolism in high-fat diet mice. Sci Rep. 2021;11:12498. https://doi.org/10.1038/s41598-021-85449-2
18. Bressa C, et al. Differences in gut microbiota between active and sedentary women. PLoS One. 2017;12:e0171352. https://doi.org/10.1371/journal.pone.0171352
19. Zhang C, et al. Exercise and diet synergistically modulate gut microbiota to enhance metabolic health. Biochim Biophys Acta Mol Cell Biol Lipids. 2021;1866:159059. https://doi.org/10.1016/j.bbalip.2021.159059
20. Lambert JE, et al. Exercise training modifies gut microbiota. Appl Physiol Nutr Metab. 2015;40:203–212. https://doi.org/10.1139/apnm-2014-0317
21. Evans CC, et al. Exercise prevents weight gain and alters gut microbiota. PLoS One. 2014;9:e92193. https://doi.org/10.1371/journal.pone.0092193
22. O'Neill HM, Hardie DG. Metabolic regulation by AMPK. Nat Rev Endocrinol. 2013;9:611–622. https://doi.org/10.1038/nrendo.2013.60
23. Munukka E, et al. Six-week endurance exercise alters gut microbiota. Sci Rep. 2018;8:10116. https://doi.org/10.1038/s41598-018-28526-1
24. Allen JM, et al. Exercise alters gut microbiota composition and function. Med Sci Sports Exerc. 2018;50:747–757. https://doi.org/10.1249/MSS.0000000000001495
25. Dao MC, et al. Prebiotic treatment increases Akkermansia muciniphila and improves metabolic health in overweight adults. Gut Microbes. 2021;13:1–15. https://doi.org/10.1080/19490976.2021.1901841
26. Dziewiecka H, et al. Physical activity induced alterations of gut microbiota in humans: a systematic review. BMC Sports Sci Med Rehabil. 2022;14:1–15. https://doi.org/10.1186/s13102-022-00513-2
27. Fassatoui M, Lopez-Siles M, Díaz-Rizzolo DA, Jmel H, Naouali C, Abdessalem G, Chikhaoui A, Nadal B, Jamoussi H, Abid A, Gomis R, Abdelhak S, Martinez-Medina M, Kefi R. Gut microbiota imbalances in Tunisian participants with type 1 and type 2 diabetes mellitus. Biosci Rep. 2019 Jun 18;39(6):BSR20182348. https://doi.org/10.1042/BSR20182348 Print 2019 Jun 28. PMID: 31147456
28. Hruby A, Hu FB. The epidemiology of obesity: a big picture. Pharmacoeconomics. 2015;33:673–689. https://doi.org/10.1007/s40273-014-0243-x
29. Peterson CT, et al. Effects of diet and exercise on the gut microbiome: clinical and mechanistic insights. Curr Opin Clin Nutr Metab Care. 2022;25:117–125. https://doi.org/10.1097/MCO.0000000000000800
30. Chelakkot C, et al. Akkermansia muciniphila-derived extracellular vesicles influence gut permeability through AMPK. Exp Mol Med. 2018;50:1–14. https://doi.org/10.1038/s12276-018-0069-4
31. O'Callaghan A, van Sinderen D. Lifestyle factors and gut microbiota: implications for health and disease. Nat Rev Gastroenterol Hepatol. 2020;17:669–682. https://doi.org/10.1038/s41575-020-0333-2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Agnieszka Chmurska, Aleksandra Majchrzyk, Aleksandra Strzępek, Mateusz Smerdzyński, Agnieszka Janaszek, Kinga Kałuża, Karolina Frączek, Julia Łyżwa, Michał Pater , Natalia Kałwa

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 65
Number of citations: 0