Evidence map›Paper›PMID 40050437›Full record

ArticleNature metabolism2025

Dietary protein restriction elevates FGF21 levels and energy requirements to maintain body weight in lean men.

Trine S Nicolaisen, Aslak E Lyster, Kim A Sjøberg, Daniel T Haas, Christian T Voldstedlund, Anne-Marie Lundsgaard, Jakob K Jensen, Ea M Madsen, Casper K Nielsen, Mads Bloch-Ibenfeldt and 7 more

Abstract read
In one paragraph

Article in Nature metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

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

19 citing papers in PubMed.

  1. Gut microbes · 2026
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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

17 authors.

Trine S NicolaisenSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.
Aslak E LysterSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-4404-0605
Kim A SjøbergSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.
Daniel T HaasInstitute for Diabetes and Obesity, Helmholtz Diabetes Center at Helmholtz Munich, German Research Center for Environmental Health, Neuherberg, Germany.
Christian T VoldstedlundSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-6368-8995
Anne-Marie LundsgaardSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.
Jakob K JensenSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.
Ea M MadsenNovo Nordisk A/S, Novo Nordisk, Søborg, Denmark.
Casper K NielsenCenter for Clinical Metabolic Research, Gentofte Hospital, Hellerup, Denmark.
Mads Bloch-IbenfeldtInstitute of Sports Medicine Copenhagen (ISMC), Department of Orthopedic Surgery M81, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Nicolai J Wewer AlbrechtsenDepartment of Clinical Biochemistry, Copenhagen University Hospital - Bispebjerg, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-4230-5753
Adam J RoseDepartment of Biochemistry and Molecular Biology, Metabolism, Diabetes and Obesity Program, Biomedicine Discovery Institute, Monash University, Clayton, Victoria, Australia.ORCID http://orcid.org/0000-0001-9132-8244
Natalie KrahmerInstitute for Diabetes and Obesity, Helmholtz Diabetes Center at Helmholtz Munich, German Research Center for Environmental Health, Neuherberg, Germany.ORCID http://orcid.org/0000-0003-4063-7367
Christoffer ClemmensenNovo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-2456-9667
Erik A RichterSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-6850-3056
Andreas M FritzenSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-8793-9739
Bente KiensSection for Molecular Physiology, Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark. bkiens@nexs.ku.dk.ORCID http://orcid.org/0000-0001-5705-5625

Funding

European Foundation for the Study of Diabetes (EFSD) Lily AwardEuropean Foundation for the Study of Diabetes (EFSD) NNF20SA0066171Novo Nordisk Fonden (Novo Nordisk Foundation) NNF17OC0029054Novo Nordisk Fonden (Novo Nordisk Foundation) NNF18CC0034900Novo Nordisk Fonden (Novo Nordisk Foundation) NNF23SA0084103Novo Nordisk Fonden (Novo Nordisk Foundation) NNFOC0074110
6 · The paper itself

Abstract

Dietary protein restriction increases energy expenditure and enhances insulin sensitivity in mice. However, the effects of a eucaloric protein-restricted diet in healthy humans remain unexplored. Here, we show in lean, healthy men that a protein-restricted diet meeting the minimum protein requirements for 5 weeks necessitates an increase in energy intake to uphold body weight, regardless of whether proteins are replaced with fats or carbohydrates. Upon reverting to the customary higher protein intake in the following 5 weeks, energy requirements return to baseline levels, thus preventing weight gain. We also show that fasting plasma FGF21 levels increase during protein restriction. Proteomic analysis of human white adipose tissue and in FGF21-knockout mice reveal alterations in key components of the electron transport chain within white adipose tissue mitochondria. Notably, in male mice, these changes appear to be dependent on FGF21. In conclusion, we demonstrate that maintaining body weight during dietary protein restriction in healthy, lean men requires a higher energy intake, partially driven by FGF21-mediated mitochondrial adaptations in adipose tissue.

Indexed as

Body WeightDietary ProteinsDiet, Protein-RestrictedEnergy IntakeEnergy MetabolismFibroblast Growth FactorsThinnessAdipose Tissue, WhiteAdultAnimalsHumansMaleMiceMice, Inbred C57BLMice, KnockoutMitochondriaDietary ProteinsFGF21 protein, humanfibroblast growth factor 21Fibroblast Growth Factors

Identifiers

PMID40050437
PMCPMC11946896

What OpenQuestion holds

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Registered trials

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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.