Evidence map›Paper›PMID 40812475›Full record

ArticleThe Journal of nutrition2025

Urine Stable Isotope Ratios Are Associated with Proportional Intakes of Animal Protein and Added Sugars in a 15-Day Controlled Feeding Study.

Diane M O'Brien, Laurence S Freedman, Patricia Rivera, Virag Sagi-Kiss, Susana A Palma-Duran, Brian Barrett, John Commins, Natasha Tasevska

Abstract read
In one paragraph

Article in The Journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Diane M O'BrienCenter for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK, United States; Department of Biology and Wildlife, University of Alaska Fairbanks, Fairbanks, AK, United States. Electronic address: dmobrien@alaska.edu.
Laurence S FreedmanGertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Israel.
Patricia RiveraCenter for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK, United States.
Virag Sagi-KissCollege of Health Solutions, Arizona State University, Phoenix, AZ, United States.
Susana A Palma-DuranCollege of Health Solutions, Arizona State University, Phoenix, AZ, United States.
Brian BarrettInformation Management Services, Inc., Rockville, MD, United States.
John ComminsCollege of Health Solutions, Arizona State University, Phoenix, AZ, United States.
Natasha TasevskaCollege of Health Solutions, Arizona State University, Phoenix, AZ, United States.

Funding

Investigation of Biomarkers for Sugars Intake - A Controlled Feeding StudyU01CA197902 · NCI · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI TASEVSKA, NATASHA · 2018 to 2025
$3.0M
Investigation of Biomarkers for Sugars Intake - A Controlled Feeding StudyR01CA197902 · NCI · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI TASEVSKA, NATASHA · 2015 to 2017
$1.7M
NCI NIH HHS R01 CA197902NCI NIH HHS U01 CA197902
6 · The paper itself

Abstract

backgroundCarbon and nitrogen isotope ratios (CIR and NIR) of blood and hair have shown promise as candidate dietary biomarkers, particularly for sources of dietary protein and sugars. However, whether urine CIR and NIR can provide similar dietary information has not been assessed in United States populations.

objectivesThis was an exploratory analysis that aimed to evaluate the urine CIR and NIR as biomarkers of dietary animal protein ratio (APR; animal protein/total protein) and added sugars ratio (ASR; added sugars/total sugars). We also explored associations with foods contributing to those patterns.

methodsOne-hundred adults [55% females, median age 39 (interquartile range 30-53)] from the Phoenix metropolitan area participated in a 15-d controlled feeding study, where all foods and drinks consumed by the participants were provided by the metabolic kitchen at Arizona State University, and diets were individually designed to simulate participants' usual intakes. Participants collected 6 nonconsecutive 24-h urines and CIR and NIR were measured by elemental analysis-isotope ratio mass spectrometry. The effects of diet and participant characteristics on urine CIR and NIR were evaluated using linear mixed models.

resultsUrine CIR was correlated with APR (r = 0.79, P < 0.001) and ASR (r = 0.37, P < 0.001). In the final linear mixed model, daily and 15-d mean intakes of APR, ASR, and corn intake, urine NIR and C:N were all significant predictors of urinary CIR (marginal R

conclusionsDespite its strong association with APR, urine CIR has limitations as a sole biomarker of animal protein due to its association with other dietary factors, primarily added sugars. Nonetheless, its potential to contribute intake information when combined with other biomarker measures should be further explored.

Indexed as

Animal Proteins, DietaryCarbon IsotopesDietDietary ProteinsDietary SugarsNitrogen IsotopesAdultAnimalsBiomarkersFemaleHairHumansMaleMiddle AgedAnimal Proteins, DietaryBiomarkersCarbon IsotopesDietary ProteinsDietary SugarsNitrogen Isotopesadded sugar intakeanimal protein intakedietary biomarkersstable isotope ratiosurine biomarkers

Identifiers

PMID40812475
PMCPMC12443068

What OpenQuestion holds

Textmetadata
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.