Evidence map›Paper›PMID 40390366›Full record

ArticleJournal of internal medicine2025

Higher circulating FGF21, lower protein intake, and lower muscle mass: Associations with a higher risk of mortality.

Adrian Post, Wendy A Dam, Dion Groothof, Casper F M Franssen, Stephan J L Bakker, Robin P F Dullaart

Abstract read
In one paragraph

Article in Journal of internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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

6 authors.

Adrian PostInternal Medicine Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0001-8645-1627
Wendy A DamInternal Medicine Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Dion GroothofInternal Medicine Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0002-1886-4451
Casper F M FranssenInternal Medicine Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0003-1004-9994
Stephan J L BakkerInternal Medicine Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0003-3356-6791
Robin P F DullaartInternal Medicine Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID https://orcid.org/0000-0002-3844-5254

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThis population-based study explores associations of fibroblast growth factor 21 (FGF21), a key modulator of processes linked to protein metabolism, with protein intake and muscle mass, and their relationships with all-cause mortality.

methodsIn 6395 participants (mean age 54 years; 50% women), circulating FGF21 (immunoassay), protein intake (Maroni equation using 24-h urinary urea excretion; low intake defined as <0.8 g/kg/day), and muscle mass (24-h creatinine excretion rate indexed to height squared (CERI)) were documented.

resultsFGF21 concentration was 896 (540-1384) pg/mL, protein intake was 1.01 (0.85-1.19) g/kg/day, and CERI was 4.1 ± 0.9 mmol/day/m

conclusionHigher FGF21 was associated with higher odds of low protein intake. The observed association of higher FGF21 concentrations and risk mortality was predominantly attributable to lower protein intake. In contrast, both higher protein intake and higher muscle mass were independently associated with lower mortality risk, highlighting the potential relevance of protein intake and maintenance of muscle mass in long-term health.

Indexed as

Dietary ProteinsFibroblast Growth FactorsMortalityMuscle, SkeletalAdultAgedFemaleHumansMaleMiddle AgedRisk FactorsDietary ProteinsFGF21 protein, humanfibroblast growth factor 21Fibroblast Growth Factorsall‐cause mortalityfibroblast growth factor 21general populationmuscle massprotein intake

Identifiers

PMID40390366
PMCPMC12159714

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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.