An anoxic/oxic membrane bioreactors (AO-MBR) and three identical anaerobic side-stream reactor coupled with anoxic/oxic membrane bioreactors (ASSR-MBR) were constructed and operated in parallel to investigate the appropriate filling fraction of carriers packed in ASSR, influences on pollutants removal, sludge reduction, membrane fouling and microbial community of ASSR-MBR. Inserting ASSR achieved efficient COD removal and nitrification, and packing carriers in ASSR obtained the highest sludge reduction efficiency of 50.5 % at filling fraction of 25 %. Compared to AO-MBR, inserting ASSR without carriers induced the release of viscous components in extracellular polymeric substances (EPS) and the formation of calcium carbonate-related bacteria on membrane surface, and thus deteriorated membrane fouling. Packing carriers with 25 % filling fraction promoted the hydrolysis of soluble microbial products and EPS, whilst reduced the viscoelasticity of sludge flocs. Higher filling fraction of 50 % increased the shear forces to the biofilm and biomarkers related to membrane fouling, and thus showed little improvement to alleviate membrane fouling. MiSeq sequencing revealed that although it enriched in the bulk sludge of conventional ASSR-MBR and the coupled reactor with filling fraction of 50 %, the floc-forming, hydrolytic and fermentative bacteria were more inclined to attach on the membrane surface and alleviate fouling process.