ArticleThe Journal of nutrition2026
EAT-Lancet Diet-Associated Serum Metabolites Are Linked to Cardiovascular Disease and Mortality.
Article in The Journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHigher adherence to the EAT-Lancet diet is associated with lower risk of cardiovascular disease (CVD) and all-cause mortality. Metabolomic profiling can identify biomarkers underlying these associations.
objectivesWe aimed to investigate metabolomic markers of the EAT-Lancet diet and risk of CVD and all-cause mortality.
methodsWe analyzed 2 independent subgroups of Atherosclerosis Risk in Communities study participants (n
resultsTwenty-nine (23 positively and 6 inversely) of 359 metabolites were associated with the PHDI score. During a median follow-up of 24 y for CVD and 29 y for mortality, 1352 incident CVD cases and 2088 deaths occurred. Four PHDI-related metabolites were associated with incident CVD or all-cause mortality. Glycerate was associated with lower risks of these outcomes [incident CVD hazard ratio (HR) = 0.89, 95% confidence interval (CI): 0.82, 0.96; all-cause mortality HR = 0.86, 95% CI: 0.81, 0.91]. Indolepropionate was linked to lower risk of all-cause mortality, and 1-docosahexaenoylglycerophosphocholine (22:6n3) was associated with lower risk of incident CVD. O-methylcatechol sulfate was positively associated with both outcomes.
conclusionsIn a community-based cohort of United States adults, 29 metabolites are associated with the PHDI score. Four of these metabolites are associated with incident CVD or all-cause mortality, highlighting potential mechanisms of the health impacts of the EAT-Lancet diet.
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