Randomized controlled trial2025Open access

A randomized controlled cross-over trial of differences in acute effects on serum metabolites from isocaloric meals based on red meat, fatty fish, or soy protein

Lindqvist HM, Hulander E, Bärebring L, Gjertsson I, Winkvist A

European journal of nutrition · 6 citations

Review labels

Controlled feeding

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Food provided by researchers

Who paid for it

Funding
Independent funding
Government
Vetenskapsrådet
University or hospital
Göteborgs Universitet
University or hospital
University of Gothenburg

Based on 3 listed funder(s) and full-text disclosure statement.

Publication

Published
2025-05-26 · Eur J Nutr · vol. 64 · issue 5 · p. 187
Publisher
Springer Science+Business Media
Cited
5 citations · more than 83% of similar papers · 1.7× the field average
References
37 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Metabolomics and Mass Spectrometry Studies · Nutritional Studies and Diet · Fatty Acid Research and Health
Keywords
Metabolite, Postprandial, Food science, Red meat, Soy protein, Meal, Plant protein, Chemistry, Fish meal, Biology, Biochemistry, Endocrinology, Fish <Actinopterygii>, Insulin
MeSH
animals, humans, arthritis, rheumatoid, methylamines, creatinine, dietary fats, dietary proteins, soybean proteins, diet, cross-over studies, postprandial period, adult, aged, middle aged, female, meals, red meat

5 authors

From SE

  • Helen M. Lindqvist · correspondingUniversity of Gothenburg
  • Erik HulanderUniversity of Gothenburg
  • Linnea BärebringUniversity of Gothenburg
  • Inger GjertssonSahlgrenska University Hospital; University of Gothenburg
  • Anna WinkvistUniversity of Gothenburg

Abstract

Purpose

Reducing red meat intake in the Western diet is beneficial for health and the environment. However, red meat is nutrient-rich, so understanding the impact of substituting it with other protein sources such as fish or plant-based proteins is essential, especially for vulnerable groups like the elderly and those with chronic diseases. The purpose of this study was to study the postprandial response in serum metabolites in women with Rheumatoid Arthritis (RA) after intake of red meat, fatty fish, and soy protein.

Methods

Women with RA (n = 24) consumed isocaloric meals that included burgers made from either red meat, fatty fish, or soy protein in a crossover design. Blood samples were taken in fasting state before the meal (0 h) and at intervals up to 5 h after eating. Nuclear Magnetic Resonance (NMR) analysis quantified serum metabolites, and multivariate models and univariate statistics were applied to compare postprandial metabolite changes across protein sources.

Results

Postprandial metabolite patterns varied significantly by protein type. The fatty fish meal led to a faster and higher increase in metabolites, including creatinine, isoleucine, valine, and trimethylamine N-oxide, compared to red meat. Unidentified lipids also differed. However, metabolite patterns after soy protein were similar to those after red meat.

Conclusion

This postprandial crossover trial found that intake of fatty fish lead to a quicker and more pronounced increase in key blood concentrations of metabolites compared to red meat. However, metabolite profiles in serum based on NMR-analysis were similar after intake of soy protein compared to red meat.

Trial registration

The PIRA (Postprandial Inflammation in Rheumatoid Arthritis) trial is Registered at Clinicaltrials.gov (NCT04247009).

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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