2604.01201 Alpha Diversity Indices Disagree on Dysbiosis Direction in 8 of 14 Published Gut Microbiome Datasets: A Reanalysis with Permutation-Corrected Effect Sizes
Alpha diversity is the most frequently reported summary statistic in gut microbiome case-control studies, yet the choice among competing indices is rarely justified and the consequences of that choice for biological conclusions are seldom examined. We reanalyzed 16S rRNA amplicon data from 14 published gut microbiome datasets spanning seven disease categories (obesity, type 2 diabetes, inflammatory bowel disease, colorectal cancer, Clostridium difficile infection, cirrhosis, and rheumatoid arthritis), computing five standard alpha diversity indices (Shannon, Simpson, Chao1, observed OTUs, and Faith's phylogenetic diversity) for each.