Urine Metabolite Profiles and Nutrient Intake Based on 4-Day Weighed Food Diary in Habitual Vegans, Vegetarians, and Omnivores

Helen M Lindqvist, Millie Rådjursöga, Terese Torstensson, Linda Jansson, Lars Ellegård, Anna Winkvist, Helen M Lindqvist, Millie Rådjursöga, Terese Torstensson, Linda Jansson, Lars Ellegård, Anna Winkvist

Abstract

Background: Increasing interest in diets excluding meat and other products of animal origin emphasizes the importance of objective and reliable methods to measure dietary exposure, to evaluate associations and causation between diet and health, and to quantify nutrient intakes in different diets.

Objectives: This study aimed to investigate if NMR analysis of urine samples can serve as an objective method to discriminate vegan, vegetarian with or without fish, and omnivore diets. A secondary aim was to assess the influence of dietary nutrient intake on the metabolomics results.

Methods: Healthy individuals (43 men and 75 women, age 19-57 y) complying with habitual vegan (n = 42), vegetarian (n = 25), vegetarian + fish (n = 13), or omnivore (n = 38) diets were enrolled. Data were collected on clinical phenotype and lifestyle including a 4-d weighed food diary. Urine was analyzed for metabolites by NMR spectroscopy and data normalized using probabilistic quotient normalization and Pareto-scaled before multivariate analysis. Before orthogonal projections to latent structures with discriminant analysis, participants were assigned as meat consumers or nonmeat consumers (vegans and vegetarians), vegans or nonvegans (omnivores, vegetarian, and vegetarian + fish).

Results: The main results showed that it was possible to discriminate meat and nonmeat consumers (91% correctly classified), but discrimination between vegans and nonvegans was less rigorous (75% correctly classified). Secondary outcomes showed that reported intake of protein was higher in omnivores, and saturated fat lower and fiber higher in vegans, compared with the other groups. Discriminating metabolites were mainly related to differences in protein intake.

Conclusions: NMR urine metabolomics appears suitable to objectively identify and predict habitual intake of meat in healthy individuals, but results should be interpreted with caution because not only food groups but also specific foods contribute to the patterns.This trial was registered at clinicaltrials.gov as NCT02039609.

Keywords: NMR; habitual diet; meat; metabolomics; nutrients; omnivore; urine; vegan; vegetarian.

Copyright © The Author(s) 2020.

Figures

FIGURE 1
FIGURE 1
Consolidated standard reporting trials diagram. FIL, food intake level.
FIGURE 2
FIGURE 2
(A) Percentage of participants reporting intake higher than average requirement. (B) Percentage of participants reporting intake lower than lowest recommended intake. Fiber intake limit was set to 25 g/d and protein intake to 0.83 g protein/kg body weight/d according to Nordic Nutritional Requirements 2012 (21).
FIGURE 3
FIGURE 3
Principal component analysis model (n = 118) for component 1 t[1] and component 2 t[2], showing the impact of habitual diet in the model.
FIGURE 4
FIGURE 4
(A) Meat compared with nonmeat consumers in orthogonal projections to latent structures with discriminant analysis (OPLS-DA) models, n = 105 (38/67). (B) Vegan compared with nonvegan (omnivores, vegetarians, vegetarians adding fish) consumers in OPLS-DA models, n = 118 (42/76). The horizontal component of the OPLS-DA score scatter plot captures variation between the groups and the vertical dimension captures variation within the groups.
FIGURE 5
FIGURE 5
Individual variables for (A) urea, (B) phosphocholine (variable including both o-phosphocholine and sn-glycero-3-phosphocholine), and (C) mannitol. The x-axis shows all individuals (1–118) organized from left to right in the order omnivore, vegan, vegetarian (veg), and vegetarian + fish (veg + f). The y-axis shows the relative variable size that reflects the concentration of the metabolite.

References

    1. Dinu M, Abbate R, Gensini GF, Casini A, Sofi F. Vegetarian, vegan diets and multiple health outcomes: a systematic review with meta-analysis of observational studies. Crit Rev Food Sci Nutr. 2017;57(17):3640–9.
    1. Picasso MC, Lo-Tayraco JA, Ramos-Villanueva JM, Pasupuleti V, Hernandez AV. Effect of vegetarian diets on the presentation of metabolic syndrome or its components: a systematic review and meta-analysis. Clin Nutr. 2019;38(3):1117–32.
    1. Viguiliouk E, Kendall CW, Kahleova H, Rahelic D, Salas-Salvado J, Choo VL, Mejia SB, Stewart SE, Leiter LA, Jenkins DJ et al. .. Effect of vegetarian dietary patterns on cardiometabolic risk factors in diabetes: a systematic review and meta-analysis of randomized controlled trials. Clin Nutr. 2019;38(3):1133–45.
    1. Kristensen NB, Madsen ML, Hansen TH, Allin KH, Hoppe C, Fagt S, Lausten MS, Gobel RJ, Vestergaard H, Hansen T et al. .. Intake of macro- and micronutrients in Danish vegans. Nutr J. 2015;14:115.
    1. Davey GK, Spencer EA, Appleby PN, Allen NE, Knox KH, Key TJ. EPIC-Oxford: lifestyle characteristics and nutrient intakes in a cohort of 33 883 meat-eaters and 31 546 non meat-eaters in the UK. Public Health Nutr. 2003;6(3):259–69.
    1. Clarys P, Deliens T, Huybrechts I, Deriemaeker P, Vanaelst B, De Keyzer W, Hebbelinck M, Mullie P. Comparison of nutritional quality of the vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diet. Nutrients. 2014;6(3):1318–32.
    1. Bruinsma J, editor. World Agriculture: Towards 2015/2030. An FAO Perspective. London: Earthscan Publications Ltd; 2003.
    1. Willett W, Rockstrom J, Loken B, Springmann M, Lang T, Vermeulen S, Garnett T, Tilman D, DeClerck F, Wood A et al. .. Food in the Anthropocene: the EAT-Lancet Commission on healthy diets from sustainable food systems. Lancet. 2019;393(10170):447–92.
    1. Craig WJ. Health effects of vegan diets. Am J Clin Nutr. 2009;89(5):1627S–33S.
    1. Guasch-Ferre M, Bhupathiraju SN, Hu FB. Use of metabolomics in improving assessment of dietary intake. Clin Chem. 2018;64(1):82–98.
    1. Schmidt JA, Rinaldi S, Ferrari P, Carayol M, Achaintre D, Scalbert A, Cross AJ, Gunter MJ, Fensom GK, Appleby PN et al. .. Metabolic profiles of male meat eaters, fish eaters, vegetarians, and vegans from the EPIC-Oxford cohort. Am J Clin Nutr. 2015;102(6):1518–26.
    1. Stella C, Beckwith-Hall B, Cloarec O, Holmes E, Lindon JC, Powell J, van der Ouderaa F, Bingham S, Cross AJ, Nicholson JK. Susceptibility of human metabolic phenotypes to dietary modulation. J Proteome Res. 2006;5(10):2780–8.
    1. O'Sullivan A, Gibney MJ, Brennan L. Dietary intake patterns are reflected in metabolomic profiles: potential role in dietary assessment studies. Am J Clin Nutr. 2011;93(2):314–21.
    1. Garcia-Perez I, Posma JM, Gibson R, Chambers ES, Hansen TH, Vestergaard H, Hansen T, Beckmann M, Pedersen O, Elliott P et al. .. Objective assessment of dietary patterns by use of metabolic phenotyping: a randomised, controlled, crossover trial. Lancet Diabetes Endocrinol. 2017;5(3):184–95.
    1. Xu J, Yang S, Cai S, Dong J, Li X, Chen Z. Identification of biochemical changes in lactovegetarian urine using 1H NMR spectroscopy and pattern recognition. Anal Bioanal Chem. 2010;396(4):1451–63.
    1. Lindqvist HM, Radjursoga M, Malmodin D, Winkvist A, Ellegard L. Serum metabolite profiles of habitual diet: evaluation by 1H-nuclear magnetic resonance analysis. Am J Clin Nutr. 2019;110(1):53–62.
    1. Blaise BJ, Correia G, Tin A, Young JH, Vergnaud AC, Lewis M, Pearce JT, Elliott P, Nicholson JK, Holmes E et al. .. Power analysis and sample size determination in metabolic phenotyping. Anal Chem. 2016;88(10):5179–88.
    1. Dieterle F, Ross A, Schlotterbeck G, Senn H. Probabilistic quotient normalization as robust method to account for dilution of complex biological mixtures. Application in 1H NMR metabonomics. Anal Chem. 2006;78(13):4281–90.
    1. Wishart DS, Jewison T, Guo AC, Wilson M, Knox C, Liu Y, Djoumbou Y, Mandal R, Aziat F, Dong E et al. .. HMDB 3.0–the Human Metabolome Database in 2013. Nucleic Acids Res. 2013;41(Database issue):D801–7.
    1. Cloarec O, Dumas ME, Craig A, Barton RH, Trygg J, Hudson J, Blancher C, Gauguier D, Lindon JC, Holmes E et al. .. Statistical total correlation spectroscopy: an exploratory approach for latent biomarker identification from metabolic 1H NMR data sets. Anal Chem. 2005;77(5):1282–9.
    1. NNR Working Group. Nordic Nutrition Recommendations 2012. Integrating Nutrition and Physical Activity. 5th ed Copenhagen: Nordic Council of Ministers; 2014.
    1. Heymsfield S. Human Body Composition. 2nd ed Champaign (IL): Human Kinetics; 2005.
    1. Brosnan JT, da Silva RP, Brosnan ME. The metabolic burden of creatine synthesis. Amino Acids. 2011;40(5):1325–31.
    1. Wiedeman AM, Barr SI, Green TJ, Xu Z, Innis SM, Kitts DD. Dietary choline intake: current state of knowledge across the life cycle. Nutrients. 2018;10(10):1513.
    1. Ferraro PM, Mandel EI, Curhan GC, Gambaro G, Taylor EN. Dietary protein and potassium, diet-dependent net acid load, and risk of incident kidney stones. Clin J Am Soc Nephrol. 2016;11(10):1834–44.
    1. Yao CK, Tan HL, van Langenberg DR, Barrett JS, Rose R, Liels K, Gibson PR, Muir JG. Dietary sorbitol and mannitol: food content and distinct absorption patterns between healthy individuals and patients with irritable bowel syndrome. J Hum Nutr Diet. 2014;27(Suppl 2):263–75.
    1. Nasrallah MS, Iber LF. Mannitol absorption and metabolism in man. Am J Med Sci. 1969;258(2):80–8.
    1. Livesey G. Health potential of polyols as sugar replacers, with emphasis on low glycaemic properties. Nutr Res Rev. 2003;16(2):163–91.
    1. Rasmussen LG, Winning H, Savorani F, Toft H, Larsen TM, Dragsted LO, Astrup A, Engelsen SB. Assessment of the effect of high or low protein diet on the human urine metabolome as measured by NMR. Nutrients. 2012;4(2):112–31.
    1. Kochhar S, Jacobs DM, Ramadan Z, Berruex F, Fuerholz A, Fay LB. Probing gender-specific metabolism differences in humans by nuclear magnetic resonance-based metabonomics. Anal Biochem. 2006;352(2):274–81.
    1. Siqueira ME, Paiva MJ. Hippuric acid in urine: reference values. Rev Saude Publica. 2002;36(6):723–7.
    1. Krumsiek J, Mittelstrass K, Do KT, Stuckler F, Ried J, Adamski J, Peters A, Illig T, Kronenberg F, Friedrich N et al. .. Gender-specific pathway differences in the human serum metabolome. Metabolomics. 2015;11(6):1815–33.
    1. Elorinne AL, Alfthan G, Erlund I, Kivimaki H, Paju A, Salminen I, Turpeinen U, Voutilainen S, Laakso J. Food and nutrient intake and nutritional status of Finnish vegans and non-vegetarians. PLoS One. 2016;11(2):e0148235.
    1. Haddad EH, Berk LS, Kettering JD, Hubbard RW, Peters WR. Dietary intake and biochemical, hematologic, and immune status of vegans compared with nonvegetarians. Am J Clin Nutr. 1999;70(3 Suppl):586S–93S.
    1. Xiao Q, Moore SC, Keadle SK, Xiang YB, Zheng W, Peters TM, Leitzmann MF, Ji BT, Sampson JN, Shu XO et al. .. Objectively measured physical activity and plasma metabolomics in the Shanghai Physical Activity Study. Int J Epidemiol. 2016;45(5):1433–44.
    1. Chorell E, Svensson MB, Moritz T, Antti H. Physical fitness level is reflected by alterations in the human plasma metabolome. Mol Biosyst. 2012;8(4):1187–96.
    1. Wilson T, Garcia-Perez I, Posma JM, Lloyd AJ, Chambers ES, Tailliart K, Zubair H, Beckmann M, Mathers JC, Holmes E et al. .. Spot and cumulative urine samples are suitable replacements for 24-hour urine collections for objective measures of dietary exposure in adults using metabolite biomarkers. J Nutr. 2019;149:1692–1700.

Source: PubMed

3
Abonnieren