Evidence map›Paper›PMID 41308715›Full record

ArticleJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2026

Vegetarian Dietary Patterns and Diet-Related Metabolites Are Associated With Kidney Function in the Adventist Health Study-2 Cohort.

Fayth M Butler, Roy O Mathew, Lars E Sveen, Gary E Fraser

Abstract read
In one paragraph

Article in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2026. 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. Nutritional modulation of male fertility: a molecular-focused scoping review.Journal of health, population, and nutrition · 2026
    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

4 authors.

Fayth M ButlerAdventist Health Study, Research Affairs, Loma Linda University, Loma Linda, California; Center for Nutrition, Healthy Lifestyles and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, California; School of Public Health, Loma Linda University, Loma Linda, California; Division of Biochemistry, Department of Basic Sciences, School of Medicine, Loma Linda University, Loma Linda, California. Electronic address: fmiles@llu.edu.
Roy O MathewDivision of Nephrology, Department of Medicine, Loma Linda VA Healthcare System, Loma Linda, California; Division of Nephrology, Department of Medicine, Loma Linda University School of Medicine & Loma Linda University Health, Loma Linda, California.
Lars E SveenAdventist Health Study, Research Affairs, Loma Linda University, Loma Linda, California.
Gary E FraserAdventist Health Study, Research Affairs, Loma Linda University, Loma Linda, California; Center for Nutrition, Healthy Lifestyles and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, California; Division of Cardiology, Department of Medicine, Loma Linda University School of Medicine & Loma Linda University Health, Loma Linda, California.

Funding

Influence of Dietary Pattern and Race on Metabolic and Epigenetic Alterations Associated with Cancer DevelopmentK01MD015194 · NIMHD · LOMA LINDA UNIVERSITY · PI MILES, FAYTH · 2020 to 2022
$361k
NIMHD NIH HHS K01 MD015194
6 · The paper itself

Abstract

objectivesChronic kidney disease is a significant global health burden. Plant-based diets have shown potential benefits for kidney function, but the specific impacts of vegetarian dietary patterns and underlying metabolic mechanisms remain unclear.

methodsSerum creatinine was measured in 899 Adventist Health Study-2 cohort participants who were classified as vegan, lacto-ovo-vegetarian, pesco-vegetarian, semivegetarian, or nonvegetarian, and estimated glomerular filtration rate (eGFR) was calculated (<60 or >/ = 60 mL/min/1.73 m

resultsVegan and pesco-vegetarian dietary patterns were associated with significantly higher eGFR compared to nonvegetarians, with minimal attenuation after adjustment. Metabolomics analysis revealed distinct profiles in relation to creatinine, comparing the 90th to 10th percentiles. Creatinine was positively associated with several lipid and amino acid subclasses, which were lower in participants following vegetarian dietary patterns. Key subclasses included acetylated peptides, histidine metabolism, lysine metabolism, plasmalogens, and notably sphingomyelins for pesco-vegetarians. Individual metabolites within many of the differential subclasses consistently showed opposite directions of associations with vegetarian dietary patterns and creatinine.

conclusionsVegan and pesco-vegetarian dietary patterns, relative to nonvegetarian, were associated with higher eGFR, potentially through diet-driven metabolic pathways. Plant-based diets may offer protection against chronic kidney disease by modulating key metabolic pathways.

Indexed as

Diet, VegetarianKidneyAgedCohort StudiesCreatinineFemaleGlomerular Filtration RateHumansMaleMetabolomicsMiddle AgedCreatininecohortcreatininekidney functionmetabolomicsvegetarian dietary patterns

Identifiers

PMID41308715
PMCPMC13379062

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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.