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Is protein the forgotten ingredient: Effects of higher compared to lower protein diets on cardiometabolic risk factors. A systematic review and meta-analysis of randomised controlled trials
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In chronic interventions, higher-protein conditions consistently outperform lower-protein comparators for weight loss-related outcomes.
“In chronic interventions, higher-protein conditions consistently outperform lower-protein comparators for weight loss-related outcomes.”
From International Society of Sports Nutrition position stand: diets for body weight reduction (2026) · cites this paper as [97]
Section 3.3 (page not available in our copy) reports small pooled advantages for higher-protein diets in weight loss and fat-mass loss. But BMI and waist-circumference differences were not statistically significant, and the weight-regain result weakened when an influential trial was removed. The claim that higher-protein conditions consistently outperform across weight-loss-related outcomes overstates the findings. (LLM, conf=0.90)
Experimental — accuracy not yet measuredA large systematic review and meta-analysis by Vogtschmidt et al. of 54 RCTs found that higher-protein diets (20%-45% of total energy) resulted in greater weight loss, fat loss, and improvements in cardiometabolic risk factors than lower-protein comparator diets (20%-23% of total energy).
“Illustrating this, a large systematic review and meta-analysis by Vogtschmidt et al. [97], which included 54 RCTs found that higher-protein diets (20%–45% of total energy) resulted in greater weight loss, fat loss, and improvements in cardiometabolic risk factors (systolic blood pressure, total cholesterol, triglycerides, and insulin) than lower-protein comparator diets (20%–23% of total energy).”
From International Society of Sports Nutrition position stand: diets for body weight reduction (2026) · cites this paper as [97]
The Study selection process reports 54 RCTs, and the Abstract reports small favourable effects on weight loss, fat mass loss, systolic blood pressure, some lipid outcomes and insulin. Study characteristics gives the higher-protein range as 20–45% of energy, but the lower-protein range as 10–23%, not the claimed 20–23%. (LLM, conf=0.92)
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RoB 2: a revised tool for assessing risk of bias in randomised trials
Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., Eldridge, S. M., et al. (2019) · BMJ · doi:10.1136/bmj.l4898 · Cited by 34,787
Estruch, R., Ros, E., Salas-Salvadó, J., Covas, M.-I., Corella, D., Arós, F., Gómez-Gracia, E., Ruiz-Gutiérrez, V., Fiol, M., Lapetra, J., et al. (2018) · New England Journal of Medicine · doi:10.1056/nejmoa1800389 · Cited by 3,616
Deutz, N. E. P., Bauer, J. M., Barazzoni, R., Biolo, G., Boirie, Y., Bosy-Westphal, A., Cederholm, T., Cruz-Jentoft, A., Krznariç, Z., Nair, K. S., et al. (2014) · Clinical Nutrition · doi:10.1016/j.clnu.2014.04.007 · Cited by 1,738
Reduction in the Incidence of Type 2 Diabetes With the Mediterranean Diet
Salas-Salvadó, J., Bulló, M., Babio, N., Martínez-González, M. Á., Ibarrola-Jurado, N., Basora, J., Estruch, R., Covas, M. I., Corella, D., Arós, F., et al. (2011) · Diabetes Care · doi:10.2337/dc10-1288 · Cited by 901
Diets with high or low protein content and glycemic index for weight-loss maintenance
Larsen, T. M., Dalskov, S.-M., van Baak, M., Jebb, S. A., Papadaki, A., Pfeiffer, A. F. H., Martinez, J. A., Handjieva-Darlenska, T., Kunešová, M., Pihlsgård, M., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa1007137 · Cited by 843
Self-citationDietary protein intake and human health
Wu, G. (2016) · Food & Function · doi:10.1039/c5fo01530h · Cited by 748
Wycherley, T. P., Moran, L. J., Clifton, P. M., Noakes, M., & Brinkworth, G. D. (2012) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.044321 · Cited by 606
Due, A., Toubro, S., Skov, A. R., & Astrup, A. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802767 · Cited by 305
Santesso, N., Akl, E. A., Bianchi, M., Mente, A., Mustafa, R., Heels-Ansdell, D., & Schünemann, H. J. (2012) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2012.37 · Cited by 292
Bray, G. A., Smith, S. R., de Jonge, L., Xie, H., Rood, J., Martin, C. K., Most, M., Brock, C., Mancuso, S., & Redman, L. M. (2012) · JAMA · doi:10.1001/jama.2011.1918 · Cited by 285
High-protein diets increase cardiovascular risk by activating macrophage mTOR to suppress mitophagy
Zhang, X., Sergin, I., Evans, T. D., Jeong, S.-J., Rodriguez-Velez, A., Kapoor, D., Chen, S., Song, E., Holloway, K. B., Crowley, J. R., et al. (2020) · Nature Metabolism · doi:10.1038/s42255-019-0162-4 · Cited by 191
Schwingshackl, L., & Hoffmann, G. (2013) · Nutrition Journal · doi:10.1186/1475-2891-12-48 · Cited by 184
A liver stress-endocrine nexus promotes metabolic integrity during dietary protein dilution
Maida, A., Zota, A., Sjøberg, K. A., Schumacher, J., Sijmonsma, T. P., Pfenninger, A., Christensen, M. M., Gantert, T., Fuhrmeister, J., Rothermel, U., et al. (2016) · Journal of Clinical Investigation · doi:10.1172/jci85946 · Cited by 170
Li, S. S., Blanco Mejia, S., Lytvyn, L., Stewart, S. E., Viguiliouk, E., Ha, V., de Souza, R. J., Leiter, L. A., Kendall, C. W. C., Jenkins, D. J. A., et al. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.117.006659 · Cited by 139
Porter Starr, K. N., Pieper, C. F., Orenduff, M. C., McDonald, S. R., McClure, L. B., Zhou, R., Payne, M. E., & Bales, C. W. (2016) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/glv210 · Cited by 83
Aldrich, N. D., Reicks, M. M., Sibley, S. D., Redmon, J. B., Thomas, W., & Raatz, S. K. (2011) · Nutrition Research · doi:10.1016/j.nutres.2011.01.004 · Cited by 52
Wright, C. S., Zhou, J., Sayer, R. D., Kim, J. E., & Campbell, W. W. (2018) · Nutrients · doi:10.3390/nu10070946 · Cited by 43
Flagged first, then by citations
Research works printed but not linked: 48
- 2012, Scientific opinion on dietary reference values for protein: dietary reference value for protein, EFSA J., 10, 2557, 10.2903/j.efsa.2012.2557 · DOI · Paper page
- Houston, 2008, Dietary protein intake is associated with lean mass change in older, community-dwelling adults: the Health, Aging, and Body Composition (Health ABC) Study, Am. J. Clin. Nutr., 87, 150, 10.1093/ajcn/87.1.150 · DOI · Paper page
- Dorrington, 2020, A review of nutritional requirements of adults aged ≥65 Years in the UK, J. Nutr., 150, 2245, 10.1093/jn/nxaa153 · DOI
- Nordic Council of Ministers, 2014, Nordic Nutrition Recommendations 2012-Integrating nutrition and physical activity, Nord Nutr. Recomm. 2014, 5
- Richter, 2019, Revised reference values for the intake of protein, Ann. Nutr. Metab., 74, 242, 10.1159/000499374 · 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
- Zhong, 2020, Associations of processed meat, unprocessed red meat, poultry, or fish intake with incident cardiovascular disease and all-cause mortality, JAMA Intern. Med., 180, 503, 10.1001/jamainternmed.2019.6969 · DOI
- Tian, 2017, Dietary protein consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies, Nutrients, 9, 10.3390/nu9090982 · DOI
- Levine, 2014, Low protein intake is associated with a major reduction in IGF-1, cancer, and overall mortality in the 65 and younger but not older population, Cell Metabol., 19, 407, 10.1016/j.cmet.2014.02.006 · 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
- Harvey, 2019, Low-carbohydrate diets differing in carbohydrate restriction improve cardiometabolic and anthropometric markers in healthy adults: a randomised clinical trial, PeerJ., 7, 10.7717/peerj.6273 · DOI
- Azadbakht, 2013, Effect of a high protein weight loss diet on weight, high-sensitivity C-reactive protein, and cardiovascular risk among overweight and obese women: a parallel clinical trial, Int. J. Endocrinol. 2013, 10.1155/2013/971724 · DOI
- Bales, 2017, Influence of protein intake, race, and age on responses to a weight-reduction intervention in obese women, Curr. Dev. Nutr., 1, 10.3945/cdn.117.000703 · DOI
- González-Salazar, 2020, Effect of the intake of dietary protein on insulin resistance in subjects with obesity: a randomized controlled clinical trial, Eur. J. Nutr.
- Griffin, 2013, Higher protein diet for weight management in young overweight women: a 12-month randomized controlled trial, Diabetes Obes. Metabol., 15, 572, 10.1111/dom.12056 · DOI
- Jenkins, 2014, Effect of a 6-month vegan low-carbohydrate ('Eco-Atkins') diet on cardiovascular risk factors and body weight in hyperlipidaemic adults: a randomised controlled trial, BMJ Open, 4, 10.1136/bmjopen-2013-003505 · DOI · Paper page
- Kim, 2017, Short term elevation in dietary protein intake does not worsen insulin resistance or lipids in older adults with metabolic syndrome: a randomized-controlled trial, BMC Nutr., 3, 10.1186/s40795-017-0152-4 · DOI
- Mateo-Gallego, 2017, Energy-restricted, high-protein diets more effectively impact cardiometabolic profile in overweight and obese women than lower-protein diets, Clin. Nutr., 36, 371, 10.1016/j.clnu.2016.01.018 · DOI
- Raben, 2020, The PREVIEW intervention study: results from a 3-year randomized 2 x 2 factorial multinational trial investigating the role of protein, glycaemic index and physical activity for prevention of type 2 diabetes, Diabetes Obes. Metabol.
- Tang, 2013, Normal vs. high-protein weight loss diets in men: effects on body composition and indices of metabolic syndrome, Obesity, 21, E204, 10.1002/oby.20078 · DOI
- Witjaksono, 2018, Comparison of low calorie high protein and low calorie standard protein diet on waist circumference of adults with visceral obesity and weight cycling, BMC Res. Notes, 11, 10.1186/s13104-018-3781-z · DOI
- Wycherley, 2012, Comparison of the effects of 52 weeks weight loss with either a high-protein or high-carbohydrate diet on body composition and cardiometabolic risk factors in overweight and obese males, Nutr. Diabetes, 2, e40, 10.1038/nutd.2012.11 · DOI
- Moher, 2009, Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement, PLoS Med., 6, 10.1371/journal.pmed.1000097 · DOI · Paper page
- Clifton, 2014, Long term weight maintenance after advice to consume low carbohydrate, higher protein diets--a systematic review and meta analysis, Nutr. Metabol. Cardiovasc. Dis., 24, 224, 10.1016/j.numecd.2013.11.006 · DOI
- Jenkins, 2001, High-protein diets in hyperlipidemia: effect of wheat gluten on serum lipids, uric acid, and renal function, Am. J. Clin. Nutr., 74, 57, 10.1093/ajcn/74.1.57 · DOI
- Tura, 2010, Insulin sensitivity and secretion in young, healthy subjects are not changed by Zone and Mediterranean diets, Mediterr. J. Nutr. Metabol., 3, 233, 10.3233/s12349-010-0026-7 · DOI
- DerSimonian, 1986, Meta-analysis in clinical trials, Contr. Clin. Trials, 7, 177, 10.1016/0197-2456(86)90046-2 · DOI · Paper page
- Higgins, 2003, Measuring inconsistency in meta-analyses, BMJ, 327, 557, 10.1136/bmj.327.7414.557 · DOI · Paper page
- Egger, 1997, Bias in meta-analysis detected by a simple, graphical test, BMJ, 315, 629, 10.1136/bmj.315.7109.629 · DOI · Paper page
- Duval, 2000, Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis, Biometrics, 56, 455, 10.1111/j.0006-341X.2000.00455.x · DOI · Paper page
- Keogh, 2007, Effects of weight loss on a low-carbohydrate diet on flow-mediated dilatation, adhesion molecules and adiponectin, Br. J. Nutr., 98, 852, 10.1017/S0007114507747815 · DOI
- Altorf-van der Kuil, 2010, Dietary protein and blood pressure: a systematic review, PloS One, 5, 10.1371/journal.pone.0012102 · DOI
- Krieger, 2006, Effects of variation in protein and carbohydrate intake on body mass and composition during energy restriction: a meta-regression 1, Am. J. Clin. Nutr., 83, 260, 10.1093/ajcn/83.2.260 · DOI · Paper page
- Kim, 2016, Effects of dietary protein intake on body composition changes after weight loss in older adults: a systematic review and meta-analysis, Nutr. Rev., 74, 210, 10.1093/nutrit/nuv065 · DOI · Paper page
- Drummen, 2018, Dietary protein and energy balance in relation to obesity and Co-morbidities, Front. Endocrinol., 9, 443, 10.3389/fendo.2018.00443 · DOI · Paper page
- Tielemans, 2013, Intake of total protein, plant protein and animal protein in relation to blood pressure: a meta-analysis of observational and intervention studies, J. Hum. Hypertens., 27, 564, 10.1038/jhh.2013.16 · DOI
- Fekete Á, 2016, Whey protein lowers blood pressure and improves endothelial function and lipid biomarkers in adults with prehypertension and mild hypertension: results from the chronic Whey2Go randomized controlled trial, Am. J. Clin. Nutr., 104, 1534, 10.3945/ajcn.116.137919 · DOI
- Martin, 2020, Plasma concentrations and ACE-inhibitory effects of tryptophan-containing peptides from whey protein hydrolysate in healthy volunteers, Eur. J. Nutr., 59, 1135, 10.1007/s00394-019-01974-x · DOI
- Xue, 2021, Activity and bioavailability of food protein-derived angiotensin-I-converting enzyme-inhibitory peptides, Compr. Rev. Food Sci. Food Saf., 10.1111/1541-4337.12711 · DOI
- Rietman, 2014, Increasing protein intake modulates lipid metabolism in healthy young men and women consuming a high-fat hypercaloric diet, J. Nutr., 144, 1174, 10.3945/jn.114.191072 · DOI
- Melanson, 2003, Weight loss and total lipid profile changes in overweight women consuming beef or chicken as the primary protein source, Nutrition, 19, 409, 10.1016/S0899-9007(02)01080-8 · DOI
- Scott, 1994, Effects of beef and chicken consumption on plasma lipid levels in hypercholesterolemic men, Arch. Intern. Med., 154, 1261, 10.1001/archinte.1994.00420110109012 · DOI
- Davidson, 1999, Comparison of the effects of lean red meat vs lean white meat on serum lipid levels among free-living persons with hypercholesterolemia: a long-term, randomized clinical trial, Arch. Intern. Med., 159, 1331, 10.1001/archinte.159.12.1331 · DOI
- Chalvon-Demersay, 2017, A systematic review of the effects of plant compared with animal protein sources on features of metabolic syndrome, J. Nutr., 147, 281, 10.3945/jn.116.239574 · DOI
- Raben, 2021, The PREVIEW intervention study: results from a 3-year randomized 2 x 2 factorial multinational trial investigating the role of protein, glycaemic index and physical activity for prevention of type 2 diabetes, Diabetes Obes. Metabol., 23, 324, 10.1111/dom.14219 · DOI
- Evangelista, 2021, High-protein vs. standard-protein diets in overweight and obese patients with heart failure and diabetes mellitus: findings of the Pro-HEART trial, ESC Heart Fail, 10.1002/ehf2.13213 · DOI · Paper page
- van Baak, 2017, Dietary intake of protein from different sources and weight regain, changes in body composition and cardiometabolic risk factors after weight loss: the DIOGenes study, Nutrients, 9, 10.3390/nu9121326 · DOI · Paper page
- Baba, 1999, High protein vs high carbohydrate hypoenergetic diet for the treatment of obese hyperinsulinemic subjects, Int. J. Obes. Relat. Metab. Disord., 23, 1202, 10.1038/sj.ijo.0801064 · DOI
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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
- Vogtschmidt, Y. D., Raben, A., Faber, I., de Wilde, C., Lovegrove, J. A., Givens, D. I., Pfeiffer, A. F. H., & Soedamah-Muthu, S. S.
- Venue
- Atherosclerosis
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 328
- Pages
- 124-135
- ISSN
- 0021-9150
- Cited by
- 54
- References
- 17
- Language
- en
- Licence
- Funders
- Mejeribrugets ForskningsFond
- Nederlandse Zuivel Organisatie
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