Evidence map›Paper›PMID 34581759›Full record

Observational studyThe American journal of clinical nutrition2022

Habitual intake of dietary advanced glycation end products is not associated with generalized microvascular function-the Maastricht Study.

Armand M A Linkens, Alfons J H M Houben, Abraham A Kroon, Miranda T Schram, Tos T J M Berendschot, Carroll A B Webers, Marleen van Greevenbroek, Ronald M A Henry, Bastiaan de Galan, Coen D A Stehouwer and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
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  5. Review
  6. Article
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

12 authors at 1 institution in 1 country.

Armand M A LinkensDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0001-9296-5878
Alfons J H M HoubenDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0002-1747-8452
Abraham A KroonDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0001-7750-8249
Miranda T SchramDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0003-0515-4124
Tos T J M BerendschotUniversity Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0002-8101-939X
Carroll A B WebersUniversity Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, Netherlands.
Marleen van GreevenbroekDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.
Ronald M A HenryDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0002-0860-3485
Bastiaan de GalanDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0002-1255-7741
Coen D A StehouwerDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0001-8752-3223
Simone J M P EussenCARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, Netherlands.
Casper G SchalkwijkDepartment of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands.ORCID 0000-0003-0190-2690
Maastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndogenously formed advanced glycation end products (AGEs) may be important drivers of microvascular dysfunction and the microvascular complications of diabetes. AGEs are also formed in food products, especially during preparation methods involving dry heat.

objectivesWe aimed to assess cross-sectional associations between dietary AGE intake and generalized microvascular function in a population-based cohort.

methodsIn 3144 participants of the Maastricht Study (mean ± SD age: 60 ± 8 y, 51% men) the dietary AGEs Nε-(carboxymethyl)lysine (CML), Nε-(1-carboxyethyl)lysine (CEL), and Nδ-(5-hydro-5-methyl-4-imidazolon-2-yl)-ornithine (MG-H1) were estimated using the combination of our ultra-performance LC-tandem MS dietary AGE database and an FFQ. Microvascular function was determined in the retina as flicker light-induced arteriolar and venular dilation and as central retinal arteriolar and venular equivalents, in plasma as a z score of endothelial dysfunction biomarkers (soluble vascular adhesion molecule 1 and soluble intracellular adhesion molecule 1, soluble E-selectin, and von Willebrand factor), in skin as the heat-induced skin hyperemic response, and in urine as 24-h albuminuria. Associations were evaluated using multiple linear regression adjusting for demographic, cardiovascular, lifestyle, and dietary factors.

resultsOverall, intakes of CML, CEL, and MG-H1 were not associated with the microvascular outcomes. Although higher intake of CEL was associated with higher flicker light-induced venular dilation (β percentage change over baseline: 0.14; 95% CI: 0.02, 0.26) and lower plasma biomarker z score (β: -0.04 SD; 95% CI: -0.08, -0.00 SD), the effect sizes were small and their biological relevance can be questioned.

conclusionsWe did not show any strong association between habitual intake of dietary AGEs and generalized microvascular function. The contribution of dietary AGEs to generalized microvascular function should be further assessed in randomized controlled trials using specifically designed dietary interventions.

Indexed as

AgedBiomarkersChromatography, LiquidCross-Sectional StudiesDiabetes MellitusDietFemaleGlycation End Products, AdvancedHumansKidneyLysineMaleMass SpectrometryMicrocirculationMiddle AgedNutritional Physiological PhenomenaBiomarkersGlycation End Products, AdvancedLysineN(6)-carboxyethyllysineN(6)-carboxymethyllysineOrnithinedietary advanced glycation end productsendothelial functionmicrovascular functionpopulation-based cohortultra-performance liquid chromatography tandem mass spectrometry

Identifiers

PMID34581759
PMCPMC8827096
OpenAlexW3202686521

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.