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Dietary intake of advanced glycation end products did not affect endothelial function and inflammation in healthy adults in a randomized controlled trial.

The Journal of nutrition
July 1, 2014
Richard D Semba et al. (9 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralResearch Support, N.I.H., IntramuralResearch Support, U.S. Gov't, Non-P.H.S.Human StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of a high-AGE diet versus a low-AGE diet on endothelial function, circulating AGEs, inflammatory mediators, and AGE receptors in healthy adults.

Results Summary

The study found that a low-AGE diet reduced serum and urine CML levels but had no significant impact on endothelial function or inflammatory mediators. A high-AGE diet showed no significant changes in CML levels or any measured health outcomes.

Population

24 healthy adults aged 50-69 years.

Effective Dosage

Not specified (diets prepared at high or mild temperatures).

Duration

6 weeks.

Interactions

None mentioned.

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-AGE diet
decrease
serum carboxymethyl-lysine (CML)
healthy adults
from 763 ± 24 to 679 ± 29 ng/mL
changed from baseline to 6 wk
#1
low-AGE diet
decrease
urine carboxymethyl-lysine (CML)
healthy adults
from 1.37 ± 1.47 to 0.77 ± 2.01 μg/mL creatinine
changed from baseline to 6 wk
#2
high-AGE diet
no change
serum and urinary CML concentrations
healthy adults
no significant changes
no significant changes
#3
high-AGE diet
no change
peripheral arterial tonometry
healthy middle-aged to older adults
no significant impact
had no significant impact
#4
high-AGE diet
no change
inflammatory mediators
healthy middle-aged to older adults
no significant impact
had no significant impact
#5
low-AGE diet
no change
peripheral arterial tonometry
healthy middle-aged to older adults
no significant impact
had no significant impact
#6
low-AGE diet
no change
inflammatory mediators
healthy middle-aged to older adults
no significant impact
had no significant impact
#7
diet high or low in AGEs
no change
endothelial function
healthy middle-aged to older adults
no impact
had no impact
#8
diet high or low in AGEs
no change
inflammatory mediators
healthy middle-aged to older adults
no impact
had no impact
#9
Abstract

When food is heated to high temperatures, the characteristic "browning" generates advanced glycation end products (AGEs). AGEs are associated with an increased risk of cardiovascular disease, diabetes, and other adverse outcomes. Whether dietary AGEs are absorbed and are harmful to human health remains highly controversial. The objective of this study was to compare the effects of a diet high or low in AGEs on endothelial function, circulating AGEs, inflammatory mediators, and circulating receptors for AGEs in healthy adults. A randomized, parallel-arm, controlled dietary intervention was conducted for 6 wk with 24 healthy adults, aged 50-69 y, that compared isocaloric, food-equivalent diets that were prepared at either high or mild temperatures. Peripheral arterial tonometry, serum and urine carboxymethyl-lysine (CML), inflammatory mediators (interleukin-6, C-reactive protein, vascular adhesion molecule-1, and tumor necrosis factor-α receptors I and II), soluble receptor for AGEs, and endogenous secretory receptor for AGEs were measured at baseline and after 6 wk of dietary intervention. In the low-AGE diet group, the following changed from baseline to 6 wk (mean ± SE): serum CML from 763 ± 24 to 679 ± 29 ng/mL (P = 0.03) and urine CML from 1.37 ± 1.47 to 0.77 ± 2.01 μg/mL creatinine (P = 0.02). There were no significant changes in serum and urinary CML concentrations from baseline to follow-up in the high-AGE diet group. A high- or low-AGE diet had no significant impact on peripheral arterial tonometry or any inflammatory mediators after 6 wk of dietary intervention. In healthy middle-aged to older adults, consumption of a diet high or low in AGEs for 6 wk had no impact on endothelial function and inflammatory mediators, 2 precursors of cardiovascular disease.

Medical Subject Headings (MeSH)
AgedBiomarkersDietary ProteinsEndothelium, VascularFemaleFollow-Up StudiesGlycation End Products, AdvancedHumansHyperemiaInflammation MediatorsLysineMaillard ReactionMaleMarylandMiddle AgedPeripheral Vascular DiseasesReceptor for Advanced Glycation End ProductsReceptors, ImmunologicRiskSeverity of Illness IndexSolubilityVascular ResistanceVasculitis
Study Links
Quality Scores
Safety80
Efficacy30/10
Quality75/10
Citation Metrics
Total Citations56
Citations/Year5.1
Relative Citation Ratio2.34
NIH Percentile79%
Research Impact Scores
APT Score0.75
Weight Score1.69
Normalized Score0.59