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The harms of high protein intake: conjectured, postulated, claimed, and presumed, but shown?
Abstract
High-protein (HP) diets and protein-supplemented foods and beverages have become increasingly popular in adults due to potential benefits relating to appetite, energy intake, body weight, and body composition, and questions have been posed regarding whether current dietary recommendations for protein are too low. At the same time, health concerns relating to high-protein diets have been widespread in the literature for >60 y. However, the conjectured harms of HP diets, which remain prevalent in the lay and sometimes academic literature, are often without strong scientific evidence or may actually be contradicted to a reasonable degree of certainty by scientific evidence. In this paper, we discuss several of the postulated harms cited in academic and lay publications and investigate the strength of evidence to support or refute these asserted harms. We highlight areas of caution relating to experimental design and interpretation of results and propose areas of research that would be helpful to better determine the potential risks associated with high dietary protein intake.
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Traditional concerns with high protein intakes (adverse effects on kidney, liver, and bone health) lack evidentiary support in healthy populations.
“It is worth noting that traditional concerns with high protein intakes (i.e. adverse effects on kidney, liver, and bone health) lack evidentiary support in healthy populations [123–128].”
From International Society of Sports Nutrition position stand: diets for body weight reduction (2026) · cites this paper as [125]
Citations
Cites
International Society of Sports Nutrition Position Stand: protein and exercise
Jäger, R., Kerksick, C. M., Campbell, B. I., Cribb, P. J., Wells, S. D., Skwiat, T. M., Purpura, M., Ziegenfuss, T. N., Ferrando, A. A., Arent, S. M., et al. (2017) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-017-0177-8 · Cited by 873
Dietary protein intake and human health
Wu, G. (2016) · Food & Function · doi:10.1039/c5fo01530h · Cited by 748
Association of animal and plant protein intake with all-cause and cause-specific mortality.
Song, M., Fung, T. T., Hu, F. B., Willett, W. C., Longo, V. D., Chan, A. T., & Giovannucci, E. L. (2016) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2016.4182 · Cited by 735
Myths, Presumptions, and Facts about Obesity
Casazza, K., Fontaine, K. R., Astrup, A., Birch, L. L., Brown, A. W., Bohan Brown, M. M., Durant, N., Dutton, G., Foster, E. M., Heymsfield, S. B., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmsa1208051 · Cited by 442
Self-citationRizzoli, R., Biver, E., Bonjour, J.-P., Coxam, V., Goltzman, D., Kanis, J. A., Lappe, J., Rejnmark, L., Sahni, S., Weaver, C., et al. (2018) · Osteoporosis International · doi:10.1007/s00198-018-4534-5 · Cited by 164
Speakman, J. R., Mitchell, S. E., & Mazidi, M. (2016) · Experimental Gerontology · doi:10.1016/j.exger.2016.03.011 · Cited by 131
Devries, M. C., Sithamparapillai, A., Brimble, K. S., Banfield, L., Morton, R. W., & Phillips, S. M. (2018) · The Journal of Nutrition · doi:10.1093/jn/nxy197 · Cited by 108
Guidance on Energy and Macronutrients across the Life Span
Heymsfield, S. B., & Shapses, S. A. (2024) · New England Journal of Medicine · doi:10.1056/nejmra2214275 · Cited by 52
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Research works printed but not linked: 61
- Weickert, 2011, Effects of supplemented isoenergetic diets differing in cereal fiber and protein content on insulin sensitivity in overweight humans, Am. J. Clin. Nutr., 94, 459, 10.3945/ajcn.110.004374 · DOI · Paper page
- Mittendorfer, 2020, A word of caution against excessive protein intake, Nat. Rev. Endocrinol., 16, 59, 10.1038/s41574-019-0274-7 · DOI
- Ortega, 2024, High-protein processed foods: impact on diet, nutritional status, and possible effects on health, Nutrients, 16, 1697, 10.3390/nu16111697 · DOI
- Harrison, 2019, High-protein diet could be harmful, even for healthy kidneys, Medscape
- Ancu, 2021, Does high dietary protein intake contribute to the increased risk of developing prediabetes and type 2 diabetes?, Appl. Physiol. Nutr. Metab., 46, 1, 10.1139/apnm-2020-0396 · DOI
- Xu, 2020, High-protein diet more effectively reduces hepatic fat than low-protein diet despite lower autophagy and FGF21 levels, Liver Int, 40, 2982, 10.1111/liv.14596 · DOI
- Weiler, 2023, Is it time to reconsider the U.S. recommendations for dietary protein and amino acid intake?, Nutrients, 15, 838, 10.3390/nu15040838 · DOI
- Millward, 2024, Post-prandial tracer studies of protein and amino acid utilisation: what can they tell us about human amino acid and protein requirements, Br. J. Nutr., 131, 2005, 10.1017/S0007114524000734 · DOI
- Wolfe, 2017, Optimizing protein intake in adults: interpretation and application of the recommended dietary allowance compared with the acceptable macronutrient distribution range, Adv. Nutr., 8, 266, 10.3945/an.116.013821 · DOI · Paper page
- Karpik, 2020, Evaluation of protein content in the diet of amateur male bodybuilder, Am J Mens Health, 14, 10.1177/1557988320970267 · DOI
- Antonio, 2024, Common questions and misconceptions about protein supplementation: what does the scientific evidence really show, J. Int. Soc. Sports Nutr., 21
- Cuenca-Sánchez, 2015, Controversies surrounding high-protein diet intake: satiating effect and kidney and bone health, Adv. Nutr., 6, 260, 10.3945/an.114.007716 · DOI
- Speth, 1987, Early hominid subsistence strategies in seasonal habitats, J. Archaeol. Sci., 14, 13, 10.1016/S0305-4403(87)80003-1 · DOI
- Speth, 1983, Energy source, protein metabolism, and hunter-gatherer subsistence strategies, J. Anthropol. Archaeol., 2, 1, 10.1016/0278-4165(83)90006-5 · DOI
- Lieb, 1929, The effects on human beings of a twelve months’ exclusive meat diet: based on intensive clinical and laboratory studies on two arctic explorers living under average conditions in a New York climate, JAMA, 93, 20, 10.1001/jama.1929.02710010026005 · DOI
- Maki, 2014, Limitations of observational evidence: implications for evidence-based dietary recommendations, Adv. Nutr., 5, 7, 10.3945/an.113.004929 · DOI
- Ruxton, 2022, Interpretation of observational studies: the good, the bad and the sensational, Proc. Nutr. Soc., 81, 279, 10.1017/S0029665122000775 · DOI
- Trepanowski, 2018, Perspective: limiting dependence on nonrandomized studies and improving randomized trials in human nutrition research: why and how, Adv. Nutr., 9, 367, 10.1093/advances/nmy014 · DOI
- Simpson, 2017, Dietary protein, aging and nutritional geometry, Ageing Res. Rev., 39, 78, 10.1016/j.arr.2017.03.001 · DOI · Paper page
- Nakagawa, 2012, Comparative and meta-analytic insights into life extension via dietary restriction, Aging Cell, 11, 401, 10.1111/j.1474-9726.2012.00798.x · DOI
- Simpson, 2005, Obesity: the protein leverage hypothesis, Obes. Rev., 6, 133, 10.1111/j.1467-789X.2005.00178.x · DOI · Paper page
- Meroño, 2022, Animal protein intake is inversely associated with mortality in older adults: the InCHIANTI Study, J. Gerontol. A Biol. Sci. Med. Sci., 77, 1866, 10.1093/gerona/glab334 · DOI
- Chen, 2020, Dietary protein intake and all-cause and cause-specific mortality: results from the Rotterdam Study and a meta-analysis of prospective cohort studies, Eur. J. Epidemiol., 35, 411, 10.1007/s10654-020-00607-6 · DOI
- 2016, JAMA Intern. Med., 176, 1728
- Freedman, 2011, Dealing with dietary measurement error in nutritional cohort studies, J. Natl. Cancer Inst., 103, 1086, 10.1093/jnci/djr189 · DOI
- Austad, 2024, Amino acid restriction, aging, and longevity: an update, Front. Aging., 5, 10.3389/fragi.2024.1393216 · DOI
- Johnson, 1970, Effect of level of protein intake on urinary and fecal calcium and calcium retention of young adult males, J. Nutr., 100, 1425, 10.1093/jn/100.12.1425 · DOI
- Allen, 1979, Protein-induced hypercalciuria: a longer term study, Am. J. Clin. Nutr., 32, 741, 10.1093/ajcn/32.4.741 · DOI
- Heaney, 1993, Protein intake and the calcium economy, J. Am. Diet. Assoc., 93, 1259, 10.1016/0002-8223(93)91951-L · DOI
- Dawson-Hughes, 2002, Calcium intake influences the association of protein intake with rates of bone loss in elderly men and women, Am. J. Clin. Nutr., 75, 773, 10.1093/ajcn/75.4.773 · DOI
- Halton, 2004, The effects of high protein diets on thermogenesis, satiety and weight loss: a critical review, J. Am. Coll. Nutr., 23, 373, 10.1080/07315724.2004.10719381 · DOI · Paper page
- Mensink, 2024, Dietary protein, amino acids and type 2 diabetes mellitus: a short review, Front. Nutr., 11, 10.3389/fnut.2024.1445981 · DOI
- Chen, 2020, Associations of specific dietary protein with longitudinal insulin resistance, prediabetes and type 2 diabetes: the Rotterdam Study, Clin. Nutr., 39, 242, 10.1016/j.clnu.2019.01.021 · DOI
- Tian, 2017, Dietary protein consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies, Nutrients, 9, 982, 10.3390/nu9090982 · DOI
- Sanders, 2023, Red meat consumption and risk factors for type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials, Eur. J. Clin. Nutr., 77, 156, 10.1038/s41430-022-01150-1 · DOI
- O'Connor, 2021, Effects of total red meat intake on glycemic control and inflammatory biomarkers: a meta-analysis of randomized controlled trials, Adv. Nutr., 12, 115, 10.1093/advances/nmaa096 · DOI
- Maki, 2017, Replacement of refined starches and added sugars with egg protein and unsaturated fats increases insulin sensitivity and lowers triglycerides in overweight or obese adults with elevated triglycerides, J. Nutr., 147, 1267, 10.3945/jn.117.248641 · DOI
- Wolfe, 2024, Consideration of the role of protein quality in determining dietary protein recommendations, Front. Nutr., 11, 10.3389/fnut.2024.1389664 · DOI
- Brenner, 1982, Dietary protein intake and the progressive nature of kidney disease: the role of hemodynamically mediated glomerular injury in the pathogenesis of progressive glomerular sclerosis in aging, renal ablation, and intrinsic renal disease, N. Engl. J. Med., 307, 652, 10.1056/NEJM198209093071104 · DOI
- Bosch, 1983, Renal functional reserve in humans. Effect of protein intake on glomerular filtration rate, Am. J. Med., 75, 943, 10.1016/0002-9343(83)90873-2 · DOI
- Seney, 1985, Dietary protein suppresses feedback control of glomerular filtration in rats, J. Clin. Invest., 75, 558, 10.1172/JCI111732 · DOI
- O'Connor, 1976, The effect of a meal of meat on glomerular filtration rate in dogs at normal urine flows, J. Physiol., 256, 81, 10.1113/jphysiol.1976.sp011312 · DOI
- Dicker, 1949, Effect of the protein content of the diet on the glomerular filtration rate of young and adult rats, J. Physiol., 108, 197, 10.1113/jphysiol.1949.sp004323 · DOI
- Wei, 2019, High-protein diet-induced glomerular hyperfiltration is dependent on neuronal nitric oxide synthase β in the macula densa via tubuloglomerular feedback response, Hypertension, 74, 864, 10.1161/HYPERTENSIONAHA.119.13077 · DOI
- Sällström, 2010, High-protein-induced glomerular hyperfiltration is independent of the tubuloglomerular feedback mechanism and nitric oxide synthases, Am. J. Physiol. Regul. Integr. Comp. Physiol., 299, R1263, 10.1152/ajpregu.00649.2009 · DOI
- Hostetter, 1986, Chronic effects of dietary protein in the rat with intact and reduced renal mass, Kidney Int, 30, 509, 10.1038/ki.1986.215 · DOI · Paper page
- Björnson Granqvist, 2020, High-protein diet accelerates diabetes and kidney disease in the BTBRob/ob mouse, Am. J. Physiol. Renal. Physiol., 318, F763, 10.1152/ajprenal.00484.2019 · DOI
- Van Elswyk, 2018, A systematic review of renal health in healthy individuals associated with protein intake above the US recommended daily allowance in randomized controlled trials and observational studies, Adv. Nutr., 9, 404, 10.1093/advances/nmy026 · DOI
- Park, 2021, Causal effects of relative fat, protein, and carbohydrate intake on chronic kidney disease: a Mendelian randomization study, Am. J. Clin. Nutr., 113, 1023, 10.1093/ajcn/nqaa379 · DOI
- Remer, 2023, Protein intake and risk of urolithiasis and kidney diseases: an umbrella review of systematic reviews for the evidence-based guideline of the German Nutrition Society, Eur. J. Nutr., 62, 1957, 10.1007/s00394-023-03143-7 · DOI
- Cirillo, 2014, Protein intake and kidney function in the middle-age population: contrast between cross-sectional and longitudinal data, Nephrol. Dial. Transplant., 29, 1733, 10.1093/ndt/gfu056 · DOI
- Jhee, 2020, High-protein diet with renal hyperfiltration is associated with rapid decline rate of renal function: a community-based prospective cohort study, Nephrol. Dial. Transplant., 35, 98, 10.1093/ndt/gfz115 · DOI
- Halbesma, 2009, High protein intake associates with cardiovascular events but not with loss of renal function, J. Am. Soc. Nephrol., 20, 1797, 10.1681/ASN.2008060649 · DOI · Paper page
- Skov, 1999, Changes in renal function during weight loss induced by high vs low-protein low-fat diets in overweight subjects, Int. J. Obes. Relat. Metab. Disord., 23, 1170, 10.1038/sj.ijo.0801048 · DOI
- Chang, 2018, Kidney function in obesity - challenges in indexing and estimation, Adv. Chronic Kidney Dis., 25, 31, 10.1053/j.ackd.2017.10.007 · DOI
- Antonio, 2016, A high protein diet has no harmful effects: a one-year crossover study in resistance-trained males, J. Nutr. Metab, 2016
- de Lorenzo, 2024, High protein diets and glomerular hyperfiltration in athletes and bodybuilders: is chronic kidney disease the real finish line, Sports Med, 54, 2481, 10.1007/s40279-024-02086-1 · DOI
- Cheng, 2024, Association between dietary protein intake and risk of chronic kidney disease: a systematic review and meta-analysis, Front. Nutr., 11, 10.3389/fnut.2024.1408424 · DOI · Paper page
- Palliyaguru, 2021, Fasting blood glucose as a predictor of mortality: lost in translation, Cell Metab., 33, 2189, 10.1016/j.cmet.2021.08.013 · DOI
- Zhang, 2024, Identification of a leucine-mediated threshold effect governing macrophage mTOR signalling and cardiovascular risk, Nat. Metab., 6, 359, 10.1038/s42255-024-00984-2 · DOI
- Smith, 2017, How dangerous conservation ideas can develop through citation errors, Aust Zool., 38, 408, 10.7882/AZ.2014.047 · DOI
Cited by
Sorted by citations
International Society of Sports Nutrition position stand: diets for body weight reduction
Aragon, A. A., Campbell, B. I., Schoenfeld, B. J., Stout, J. R., Kalman, D., Arciero, P. J., Arent, S. M., Kreider, R. B., Taylor, L. W., Bannock, L., et al. (2026) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2026.2740266
Metadata
- Authors
- French, S. J., Kanter, M., Maki, K. C., Rust, B. M., & Allison, D. B.
- ORCID
- French, Stephen J
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2025-07
- Volume
- 122
- Issue
- 1
- Pages
- 9-16
- ISSN
- 0002-9165
- Cited by
- 15
- References
- 8
- Language
- en
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