McNeil · The American journal of clinical nutrition 1984 · narrative review · n=?

The contribution of the large intestine to energy supplies in man.

Cited 697 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and theoretical estimation based on physiological mechanisms

PubMed 6320630 · doi:10.1093/ajcn/39.2.338 · record verified 2026-08-27

What was done

The author reviewed existing evidence regarding anaerobic carbohydrate fermentation into short-chain fatty acids, their absorption, and subsequent metabolism in the human large intestine, drawing comparisons with herbivore physiology.

What was found

Anaerobic fermentation of carbohydrates in the human colon was estimated to yield short-chain fatty acids providing 5% to 10% of human energy requirements. Additional minor energy contributions were attributed to large intestinal absorption of fat and bacterial breakdown products of protein. No primary trial metrics or exact numbers from clinical cohorts were reported in the abstract.

Why it matters

This review provides an early quantitative framework estimating how colonic bacterial fermentation contributes to human dietary energy supply.

Limits

The abstract describes a narrative review and theoretical estimation rather than a systematic review or primary empirical trial. Sample sizes, dietary intake variables, inter-individual microbiome differences, and estimation methodologies are not provided in the abstract.

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