Evidence map›Paper›PMID 40802072›Full record

SynthesisEuropean journal of nutrition2025

Protein intake and cardiovascular diseases: an umbrella review of systematic reviews for the evidence-based guideline on protein intake of the German Nutrition Society.

Sarah Egert, Anna M Amini, Lea Klug, Nicole Kalotai, Julia Haardt, Heiner Boeing, Anette E Buyken, Anja Kroke, Stefan Lorkowski, Sandrine Louis and 9 more

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

19 authors.

Sarah EgertInstitute of Nutritional and Food Science, Nutritional Physiology, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0003-4092-8981
Anna M AminiGerman Nutrition Society, Bonn, Germany.ORCID http://orcid.org/0000-0003-4288-1769
Lea KlugInstitute of Nutritional and Food Science, Nutritional Physiology, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0009-0007-6137-3715
Nicole KalotaiGerman Nutrition Society, Bonn, Germany.ORCID http://orcid.org/0009-0009-3135-2563
Julia HaardtGerman Nutrition Society, Bonn, Germany.ORCID http://orcid.org/0000-0001-7394-4481
Heiner BoeingDepartment of Epidemiology (closed), German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.ORCID http://orcid.org/0000-0002-3358-1775
Anette E BuykenInstitute for Nutrition, Consumption and Health, Faculty of Natural Science, Paderborn University, Paderborn, Germany.ORCID http://orcid.org/0000-0002-4301-1127
Anja KrokeDepartment of Nutritional, Food and Consumer Science, Fulda University of Applied Sciences, Fulda, Germany.ORCID http://orcid.org/0000-0002-0253-1644
Stefan LorkowskiInstitute of Nutritional Sciences, Friedrich Schiller University Jena, Jena, Germany.ORCID http://orcid.org/0000-0002-9649-840X
Sandrine LouisDepartment of Physiology and Biochemistry of Nutrition, Max Rubner-Institut, Karlsruhe, Germany.ORCID http://orcid.org/0000-0002-9770-9539
Katharina NimptschMolecular Epidemiology Research Group, Max Delbrück Center for Molecular Medicine (MDC) in the Helmholtz Association, Berlin, Germany.ORCID http://orcid.org/0000-0001-7877-205X
Matthias B SchulzeDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.ORCID http://orcid.org/0000-0002-0830-5277
Lukas SchwingshacklInstitute for Evidence in Medicine, Faculty of Medicine, Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-3407-7594
Roswitha SienerDepartment of Urology, University Stone Center, University Hospital Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0001-5068-6950
Gabriele I StanglInstitute of Agricultural and Nutritional Sciences, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.ORCID http://orcid.org/0000-0001-8073-524X
Armin ZittermannClinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum Nordrhein Westfalen, Ruhr University Bochum, Bad Oeynhausen, Germany.ORCID http://orcid.org/0000-0001-6085-6554
Bernhard WatzlGerman Nutrition Society, Bonn, Germany.ORCID http://orcid.org/0000-0003-0762-7423
Sabine EllingerInstitute of Nutritional and Food Science, Nutritional Physiology, University of Bonn, Bonn, Germany. corresponding_author@dge.de.ORCID http://orcid.org/0000-0002-9988-9406
German Nutrition Society

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis umbrella review aimed to investigate the evidence for an association of dietary intake of total protein as well as animal and plant protein with the incidence of coronary heart disease (CHD), stroke and total cardiovascular diseases (CVD).

methodsPubMed, Embase and Cochrane Database were systematically searched for systematic reviews (SRs) of prospective studies with or without meta-analysis (MA) published between January 2012 and April 2024. Methodological quality, outcome-specific certainty of evidence, and overall certainty of evidence were assessed using established tools and predefined criteria.

resultsTen SRs were considered eligible for the umbrella review; all were based on prospective cohort studies, and six conducted a MA. Dietary intakes of total, animal and plant protein were not associated with the risk of CHD or stroke. For CHD, the overall certainty of evidence for the absence of an association was "probable" for total, animal and plant protein. For stroke and total CVD, the overall certainty of evidence was rated as "possible" for the absence of an association with the intake of total protein and plant protein and insufficient for animal protein intake.

conclusionGiven that most SRs on dietary protein intake did not indicate an association, it seems that protein intake plays no major role in the development of CVD. This investigation was registered at PROSPERO as CRD42018082395.

Indexed as

Cardiovascular DiseasesDietDietary ProteinsEvidence-Based MedicineGermanyHumansMeta-Analysis as TopicSystematic Reviews as TopicDietary ProteinsCardiovascular diseasesCoronary heart diseaseProtein intakeStrokeUmbrella review

Identifiers

PMID40802072
PMCPMC12350521

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.