Evidence map›Paper›PMID 40035864›Full record

Trial reportEuropean journal of nutrition2025

Multi-study feasibility analysis on a composite biomarker of inflammatory resilience to quantify the effects of energy restriction on low-grade inflammation in overweight and obese individuals.

Mark C Dessing, Tim J van den Broek, Femke P M Hoevenaars, Willem J van den Brink, Milena Rundle, Gary Frost, Lydia Afman, Suzan Wopereis

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT01684917 nacompletednot on this map

Application of New Technologies and Tools to Nutrition Research

TypeinterventionalSponsorImperial College LondonRan2012 to 2016Enrolled36ConditionsObesity, DiabetesArmsMetabolomic and Energy Intake Restriction
NCT02194504 nacompletednot on this map

The Belly Fat Study: Nutritional Intervention to Improve Metabolic Health in Subjects With Increased Abdominal Adiposity

TypeinterventionalSponsorWageningen UniversityRan2014 to 2015Enrolled110ConditionsAbdominal Obesity, Liver FatArmsDietary advice, Western, Dietary advice, Targeted
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
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

8 authors.

Mark C DessingNetherlands Organization for Applied Scientific Research (TNO), 2333 BE, Leiden, The Netherlands. mark.dessing@tno.nl.ORCID http://orcid.org/0009-0006-4438-8176
Tim J van den BroekNetherlands Organization for Applied Scientific Research (TNO), 2333 BE, Leiden, The Netherlands.
Femke P M HoevenaarsNetherlands Organization for Applied Scientific Research (TNO), 2333 BE, Leiden, The Netherlands.
Willem J van den BrinkNetherlands Organization for Applied Scientific Research (TNO), 2333 BE, Leiden, The Netherlands.
Milena RundleSection of Nutrition, Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, UK.
Gary FrostSection of Nutrition, Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, UK.
Lydia AfmanDivision of Human Nutrition and Health, Wageningen University, Wageningen, The Netherlands.
Suzan WopereisNetherlands Organization for Applied Scientific Research (TNO), 2333 BE, Leiden, The Netherlands.

Funding

Top Sector Agri and Food TKI-AF-16035
6 · The paper itself

Abstract

purposeAssessing the health impacts of nutritional interventions in metabolically compromised but otherwise healthy individuals is challenging, necessitating sensitive tools. Phenotypic flexibility offers an innovative way to measure homeostatic capacity during challenge tests. A composite biomarker of inflammatory resilience has proven useful in evaluating the health benefits of whole-grain wheat interventions in overweight and obese individuals. Expanding this method to other dietary interventions to combat low-grade inflammation is essential.

methodsThis study investigated the feasibility of a composite biomarker of inflammatory resilience through secondary analysis of samples from two independent energy restriction (ER) trials, Bellyfat (NCT02194504) and Nutritech (NCT01684917). In these trials, fasting and postprandial inflammation was analysed using a variety of markers. Four composite biomarker models were developed on the basis of postprandial inflammatory marker responses via the 'health space' model method. These models were statistically evaluated for their sensitivity in detecting the effects of 12 weeks of ER.

resultsThe minimal composite biomarkers, consisting of IL-6, IL-8, IL-10, and TNF-α, lacked the ability to detect postprandial intervention effects in both ER trials. However, in the Nutritech study, the extended, endothelial, and optimized composite biomarkers of inflammatory resilience displayed significant responses to the ER (all P < 0.005). In the latter 3 models, a reduction in the inflammatory score was correlated with a reduction in BMI and body fat percentage.

conclusionThis study underscores the feasibility of employing a composite biomarker of inflammatory resilience to evaluate ER interventions. Further validation in additional nutritional intervention studies is necessary. Once validated, this composite biomarker could offer a novel approach for assessing low-grade inflammation and phenotypic flexibility.

Indexed as

Caloric RestrictionInflammationObesityOverweightAdultBiomarkersFeasibility StudiesFemaleHumansMaleMiddle AgedPostprandial PeriodBiomarkersBiomarkerInflammationLow-grade inflammationObesityResilience

Identifiers

PMID40035864
PMCPMC11880040

What OpenQuestion holds

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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.