Evidence map›Paper›PMID 40484934›Full record

Trial reportBMC medicine2025

Nut consumption, linoleic and α-linolenic acid intakes, and genetics: how fatty acid desaturase 1 impacts plasma fatty acids and type 2 diabetes risk in EPIC-InterAct and PREDIMED studies.

Susanne Jäger, Olga Kuxhaus, Marcela Prada, Inge Huybrechts, Tammy Y N Tong, Nita G Forouhi, Cristina Razquin, Dolores Corella, Miguel A Martinez-Gonzalez, Christina C Dahm and 18 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

28 authors.

Susanne JägerDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Arthur-Scheunert-Allee 114-116, Nuthetal, 14558, Germany.
Olga KuxhausDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Arthur-Scheunert-Allee 114-116, Nuthetal, 14558, Germany.
Marcela PradaDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Arthur-Scheunert-Allee 114-116, Nuthetal, 14558, Germany.
Inge HuybrechtsInternational Agency for Research on Cancer, World Health Organization, Lyon, France.
Tammy Y N TongNuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, Richard Doll Building, Old Road Campus, Oxford, UK.
Nita G ForouhiMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, UK.
Cristina RazquinDepartment of Preventive Medicine and Public Health, University of Navarra, IdiSNA (Instituto de Investigación Sanitaria de Navarra), Pamplona, Spain.
Dolores CorellaDepartment of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, Spain.
Miguel A Martinez-GonzalezDepartment of Preventive Medicine and Public Health, University of Navarra, IdiSNA (Instituto de Investigación Sanitaria de Navarra), Pamplona, Spain.
Christina C DahmDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Daniel B IbsenDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Anne TjønnelandDanish Cancer Institute, Diet, Cancer and Health, Copenhagen, DK-2100, Denmark.
Jytte HalkjærDanish Cancer Institute, Diet, Cancer and Health, Copenhagen, DK-2100, Denmark.
Chloé MarquesParis-Saclay University, UVSQ, Inserm, Gustave Roussy, CESP, Villejuif, France.
Claire CadeauParis-Saclay University, UVSQ, Inserm, Gustave Roussy, CESP, Villejuif, France.
Xuan RenParis-Saclay University, UVSQ, Inserm, Gustave Roussy, CESP, Villejuif, France.
Verena KatzkeDivision of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.
Benedetta BendinelliClinical Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Claudia AgnoliEpidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.
Alberto CatalanoDepartment of Translational Medicine, University of Piemonte Orientale, Novara, Italy.
Marta FarràsUnit of Nutrition and Cancer, Epidemiology Research Program, Catalan Institute of Oncology (ICO), Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08908, Spain.
Maria-Jose SánchezEscuela Andaluza de Salud Pública (EASP), Granada, 18011, Spain.
María Dolores Chirlaque LópezDepartment of Epidemiology, IMIB-Arrixaca, Regional Health Council, Murcia University, Murcia, Spain.
Marcela GuevaraCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, 28029, Spain.
Dagfinn AuneDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Stephen J SharpMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, UK.
Nicholas J WarehamMedical Research Council Epidemiology Unit, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, UK.
Matthias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Arthur-Scheunert-Allee 114-116, Nuthetal, 14558, Germany. mschulze@dife.de.

Funding

German Federal Ministry of Education and Research 01EA1704German Federal Ministry of Education and Research and the State of Brandenburg 82DZD00302, 82DZD03D03German Federal Ministry of Food and Agriculture (BMEL) 2822ERA12FInstituto de Salud Carlos III (ISCIII) through MINECO PCIN-2016-007World Health Organization 001
6 · The paper itself

Abstract

backgroundDietary guidelines recommend replacing saturated fatty acid with unsaturated fats, particularly polyunsaturated fatty acids. Cohort studies do not suggest a clear benefit of higher intake of polyunsaturated fatty acids but, in contrast, higher circulating linoleic acid (LA) levels-reflective of dietary LA intake, are associated with a reduced risk of type 2 diabetes. However, genetic variants in the fatty acid desaturase 1 gene (FADS1) may influence individual responses to plant-based fats. We explored whether FADS1 variants influence the relationships of LA and α-linolenic acid (ALA) intakes and nut consumption with plasma phospholipid fatty acid profiles and type 2 diabetes risk in a large-scale cohort study and a randomized controlled trial.

methodsIn the EPIC-InterAct case-cohort (7,498 type 2 diabetes cases, 10,087 subcohort participants), we investigated interactions of dietary and plasma phospholipid fatty acids and nut consumption with FADS1 rs174547 in relation to incident type 2 diabetes using weighted Cox regression. In PREDIMED (492 participants in the Mediterranean Diet + Nuts intervention group, 436 participants in the control group), we compared changes in plasma phospholipid FAs from baseline to year 1.

resultsIn EPIC-InterAct and PREDIMED, nut consumption was positively associated with LA plasma levels and inversely with arachidonic acid, the latter becoming stronger with increasing number of the minor rs174547 C allele (p interaction EPIC-InterAct: 0.030, PREDIMED: 0.003). Although the inverse association of nut consumption with diabetes seemed stronger in participants with rs174547 CC-genotype (HR: 0.73, 95% CI: 0.54-1.00) compared with CT (0.94, 0.81-1.10) or TT (0.90, 0.78-1.05) in EPIC-InterAct, this interaction was not statistically significant.

conclusionsFADS1 variation modified the effect of nut consumption on circulating FAs. We did not observe clear evidence that it modified the association between nut consumption and type 2 diabetes risk.

Indexed as

alpha-Linolenic AcidDiabetes Mellitus, Type 2Fatty Acid DesaturasesFatty AcidsLinoleic AcidNutsAgedCohort StudiesDelta-5 Fatty Acid DesaturaseFemaleHumansMaleMiddle AgedPolymorphism, Single NucleotideRisk Factorsalpha-Linolenic AcidDelta-5 Fatty Acid DesaturaseFADS1 protein, humanFatty Acid DesaturasesFatty AcidsLinoleic AcidCohort studyFatty acid desaturasePlasma phospholipid fatty acidsPolyunsaturated fatty acidsRandomized controlled trial

Identifiers

PMID40484934
PMCPMC12147277

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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.