Fig. 5

The mosaic aetiology of obesity. The gut microbiota diversity is likely altered at multiple stages by the diet. Unhealthy diets may promote an inflammatory state that, in turn, is strictly interconnected with the gut microbial configuration. The combination of these three factors (unhealthy diets, inflammation and a dysbiotic, low-diverse and pro-inflammatory microbial layout) may favour the onset of obesity. High physical activity may protect the human host from obesity, even when diet and microbiota are in a low-diversity and pro-inflammatory configuration. However, human genetics can lead the host to develop obesity, regardless of the microbiome configuration