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Biomarkers of Individual Foods, and Separation of Diets Using Untargeted LC-MS-based Plasma Metabolomics in a Randomized Controlled Trial.

Molecular nutrition & food research
January 1, 2019
Evrim Acar et al. (9 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to identify biomarkers of dietary patterns, including theobromine (a metabolite associated with chocolate consumption), to distinguish between the New Nordic Diet and the average Danish diet.

Results Summary

The study found that theobromine, a metabolite linked to chocolate intake, was associated with the average Danish diet (ADD), suggesting chocolate consumption was more prevalent in this group compared to the New Nordic Diet (NND). No specific health effects of chocolate were discussed.

Population

146 subjects in a controlled dietary intervention study.

Effective Dosage

Not specified

Duration

26 weeks

Interactions

None mentioned

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
new Nordic diet (NND)
increase
diet-related metabolites
146 subjects
-
is characterized by
#1
new Nordic diet (NND)
increase
pipecolic acid betaine
146 subjects
-
is characterized by
#2
new Nordic diet (NND)
increase
trimethylamine oxide
146 subjects
-
is characterized by
#3
new Nordic diet (NND)
increase
prolyl hydroxyproline
146 subjects
-
is characterized by
#4
average Danish diet (ADD)
increase
theobromine
146 subjects
-
were associated with
#5
average Danish diet (ADD)
increase
proline betaine
146 subjects
-
were associated with
#6
average Danish diet (ADD)
increase
amino acid metabolism
146 subjects
-
characterize
#7
average Danish diet (ADD)
increase
fat metabolism
146 subjects
-
characterize
#8
average Danish diet (ADD)
increase
indolelactic acid
146 subjects
-
characterize
#9
average Danish diet (ADD)
increase
hydroxy-3-methylbutyrate
146 subjects
-
characterize
#10
average Danish diet (ADD)
increase
butyryl carnitine
146 subjects
-
characterize
#11
new Nordic diet (NND)
increase
polyunsaturated phosphatidylcholines
146 subjects
-
is associated with higher concentrations of
#12
new Nordic diet (NND)
change
fat metabolism
146 subjects
-
indicating effects of potential health benefit, including changes in
#13
new Nordic diet (NND)
change
glucose utilization
146 subjects
-
indicating effects of potential health benefit, including changes in
#14
Abstract

SCOPE: Self-reported dietary intake does not represent an objective unbiased assessment. The effect of the new Nordic diet (NND) versus average Danish diet (ADD) on plasma metabolic profiles is investigated to identify biomarkers of compliance and metabolic effects. METHODS AND RESULTS: In a 26-week controlled dietary intervention study, 146 subjects followed either NND, a predominantly organic diet high in fruit, vegetables, whole grains, and fish, or ADD, a diet higher in imported and processed foods. Fasting plasma samples are analyzed with untargeted ultra-performance liquid chromatography-quadruple time-of-flight. It is demonstrated that supervised machine learning with feature selection can separate NND and ADD samples with an average test set performance of up to 0.88 area under the curve. The NND plasma metabolome is characterized by diet-related metabolites, such as pipecolic acid betaine (whole grain), trimethylamine oxide, and prolyl hydroxyproline (both fish intake), while theobromine (chocolate) and proline betaine (citrus) were associated with ADD. Amino acid (i.e., indolelactic acid and hydroxy-3-methylbutyrate) and fat metabolism (butyryl carnitine) characterize ADD whereas NND is associated with higher concentrations of polyunsaturated phosphatidylcholines. CONCLUSIONS: The plasma metabolite profiles are predictive of dietary patterns and reflected good compliance while indicating effects of potential health benefit, including changes in fat metabolism and glucose utilization.

Medical Subject Headings (MeSH)
AdolescentAdultAgedBiomarkersCarbohydrate MetabolismChromatography, High Pressure LiquidDietEatingFastingFemaleHumansMaleMass SpectrometryMetabolomicsMiddle AgedNorwayPhospholipids
Study Links
Quality Scores
SafetyNot Assessed
Efficacy50/10
Quality85/10
Citation Metrics
Total Citations26
Citations/Year4.3
Relative Citation Ratio1.58
NIH Percentile67%
Research Impact Scores
APT Score0.75
Weight Score2.41
Normalized Score0.57
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