Evidence map›Paper›PMID 33568158›Full record

ArticleBMC medicine2021

High intake of vegetables is linked to lower white blood cell profile and the effect is mediated by the gut microbiome.

Cristina Menni, Panayiotis Louca, Sarah E Berry, Amrita Vijay, Stuart Astbury, Emily R Leeming, Rachel Gibson, Francesco Asnicar, Gianmarco Piccinno, Jonathan Wolf and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03479866 (Predicting Inter-individual Differences in Biochemical and Behavioral Response to Meals With Different Nutritional Compositions Using Metabolomic and Microbiome Profiling.), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03479866 naunknown statusnot on this map

Predicting Inter-individual Differences in Biochemical and Behavioral Response to Meals With Different Nutritional Compositions Using Metabolomic and Microbiome Profiling.

TypeinterventionalSponsorGuy's and St Thomas' NHS Foundation TrustRan2018 to 2023Enrolled2,500ConditionsDiabetes, Heart Diseases, Diet Habit, Diet ModificationArmsDietary intervention
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 56 citations in OpenAlex.

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  7. 3 Biotech · 2025
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  19. The gut microbiome as a modulator of healthy ageing.Nature reviews. Gastroenterology & hepatology · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Cristina MenniDepartment of Twin Research and Genetic Epidemiology, King's College London, St Thomas' Hospital Campus, Westminster Bridge Road, London, SE1 7EH, UK. cristina.menni@kcl.ac.uk.ORCID 0000-0001-9790-0571
Panayiotis LoucaDepartment of Twin Research and Genetic Epidemiology, King's College London, St Thomas' Hospital Campus, Westminster Bridge Road, London, SE1 7EH, UK.
Sarah E BerryDepartment of Nutritional Sciences, King's College London, Franklin-Wilkins Building, Stamford St, London, SE1 9NH, UK.
Amrita VijaySchool of Medicine, University of Nottingham, Academic Rheumatology Clinical Sciences Building, Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK.
Stuart AstburySchool of Medicine, University of Nottingham, Academic Rheumatology Clinical Sciences Building, Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB, UK.
Emily R LeemingDepartment of Twin Research and Genetic Epidemiology, King's College London, St Thomas' Hospital Campus, Westminster Bridge Road, London, SE1 7EH, UK.
Rachel GibsonDepartment of Nutritional Sciences, King's College London, Franklin-Wilkins Building, Stamford St, London, SE1 9NH, UK.
Francesco AsnicarDepartment CIBIO, University of Trento, Via Sommarive 9, 38123, Povo, Trento, Italy.
Gianmarco PiccinnoDepartment CIBIO, University of Trento, Via Sommarive 9, 38123, Povo, Trento, Italy.
Jonathan WolfZoe Global Ltd, 164 Westminster Bridge Rd, Bishop's, London, SE1 7RW, UK.
Richard DaviesZoe Global Ltd, 164 Westminster Bridge Rd, Bishop's, London, SE1 7RW, UK.
Massimo ManginoDepartment of Twin Research and Genetic Epidemiology, King's College London, St Thomas' Hospital Campus, Westminster Bridge Road, London, SE1 7EH, UK.
Nicola SegataDepartment CIBIO, University of Trento, Via Sommarive 9, 38123, Povo, Trento, Italy.
Tim D SpectorDepartment of Twin Research and Genetic Epidemiology, King's College London, St Thomas' Hospital Campus, Westminster Bridge Road, London, SE1 7EH, UK.
Ana M ValdesDepartment of Twin Research and Genetic Epidemiology, King's College London, St Thomas' Hospital Campus, Westminster Bridge Road, London, SE1 7EH, UK. Ana.Valdes@nottingham.ac.uk.
St Thomas' Hospital · GBUniversity of Trento · ITKing's College London · GBNottingham University Hospitals NHS Trust · GB

Funding

Exploiting Public Metagenomic Data to Uncover Cancer-Microbiome RelationshipsR01CA230551 · NCI · GRADUATE SCHOOL OF PUBLIC HEALTH AND HEALTH POLICY · PI Levi Waldron · 2020 to 2026
$3.9M
Exploiting public metagenomic data to uncover cancer-microbiome relationshipsU01CA230551 · NCI · GRADUATE SCHOOL OF PUBLIC HEALTH AND HEALTH POLICY · PI WALDRON, LEVI · 2019 to 2019
$464k
Biotechnology and Biological Sciences Research Council BB/NO12739/1Chronic Disease Research Foundation CDRF-18/2019Chronic Disease Research Foundation CDRF- 2018H2020 European Research Council ERC-STG project MetaPGHorizon 2020 MASTER-818368 projectHorizon 2020 Framework Programme ONCOBIOME-825410 projectMedical Research Council AIMHY; MR/M016560/1Medical Research Council MR/M016560/1Medical Research Council MR/N030125/1National Institute for Health Research 1U01CA230551NCI NIH HHS R01 CA230551NCI NIH HHS U01 CA230551Wellcome TrustWellcome Trust 212904/Z/18/
6 · The paper itself

Abstract

backgroundChronic inflammation, which can be modulated by diet, is linked to high white blood cell counts and correlates with higher cardiometabolic risk and risk of more severe infections, as in the case of COVID-19.

methodsHere, we assessed the association between white blood cell profile (lymphocytes, basophils, eosinophils, neutrophils, monocytes and total white blood cells) as markers of chronic inflammation, habitual diet and gut microbiome composition (determined by sequencing of the 16S RNA) in 986 healthy individuals from the PREDICT-1 nutritional intervention study. We then investigated whether the gut microbiome mediates part of the benefits of vegetable intake on lymphocyte counts.

resultsHigher levels of white blood cells, lymphocytes and basophils were all significantly correlated with lower habitual intake of vegetables, with vegetable intake explaining between 3.59 and 6.58% of variation in white blood cells after adjusting for covariates and multiple testing using false discovery rate (q < 0.1). No such association was seen with fruit intake. A mediation analysis found that 20.00% of the effect of vegetable intake on lymphocyte counts was mediated by one bacterial genus, Collinsella, known to increase with the intake of processed foods and previously associated with fatty liver disease. We further correlated white blood cells to other inflammatory markers including IL6 and GlycA, fasting and post-prandial glucose levels and found a significant relationship between inflammation and diet.

conclusionA habitual diet high in vegetables, but not fruits, is linked to a lower inflammatory profile for white blood cells, and a fifth of the effect is mediated by the genus Collinsella.

trial registrationThe ClinicalTrials.gov registration identifier is NCT03479866 .

Indexed as

DietFruitLeukocytesVegetablesActinobacteriaAdultBiomarkersClostridiumCOVID-19EubacterialesFastingFemaleGastrointestinal MicrobiomeHumansInterleukin-6Leukocyte CountBiomarkersInterleukin-6RNA, Ribosomal, 16SChronic inflammationDietGut microbiomeVegetable intakeWhite blood cell

Identifiers

PMID33568158
PMCPMC7875684
OpenAlexW3127992070

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.