Abstract
Diet, the microbiome, and health equity: a public health perspective
APHA 2025 Annual Meeting and Expo
Drawing from epidemiological data and cutting-edge microbiome research, we explore how dietary patterns—particularly fiber intake—directly influence microbial diversity and function. We discuss how the global shift toward industrialized, low-fiber diets has contributed to the loss of beneficial microbes, increased disease susceptibility, and health inequities, particularly in food-insecure and equity-deserving communities. The presentation also examines the role of nutrition transitions, social determinants of health, and food deserts in shaping microbiome-related health outcomes.
Participants will gain a deeper understanding of how diet shapes the gut microbiome and how this relationship contributes to public health challenges. Importantly, we will discuss how microbiome science supports a shift away from narratives of individual blame toward systems-level approaches that address structural barriers to healthy eating. Attendees will leave equipped with knowledge to advocate for public policies and community-based interventions that promote fiber-rich, microbiome-friendly diets as a means to improve metabolic health and reduce chronic disease risk, particularly among vulnerable populations.
By centering the microbiome in public health conversations, we can advance efforts to build healthier, more equitable communities.
Chronic disease management and prevention Other professions or practice related to public health Planning of health education strategies, interventions, and programs Public health biology Public health or related education Systems thinking models (conceptual and theoretical models), applications related to public health