Cited by 355Nutritional Studies and DietMuscle metabolism and nutritionMetabolomics and Mass Spectrometry Studies

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Plasma concentrations and intakes of amino acids in male meat-eaters, fish-eaters, vegetarians and vegans: a cross-sectional analysis in the EPIC-Oxford cohort

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Abstract

BACKGROUND/OBJECTIVES: We aimed to investigate the differences in plasma concentrations and in intakes of amino acids between male meat-eaters, fish-eaters, vegetarians and vegans in the Oxford arm of the European Prospective Investigation into Cancer and Nutrition. SUBJECTS/METHODS: This cross-sectional analysis included 392 men, aged 30-49 years. Plasma amino acid concentrations were measured with a targeted metabolomic approach using mass spectrometry, and dietary intake was assessed using a food frequency questionnaire. Differences between diet groups in mean plasma concentrations and intakes of amino acids were examined using analysis of variance, controlling for potential confounding factors and multiple testing. RESULTS: In plasma, concentrations of 6 out of 21 amino acids varied significantly by diet group, with differences of -13% to +16% between meat-eaters and vegans. Concentrations of methionine, tryptophan and tyrosine were highest in fish-eaters and vegetarians, followed by meat-eaters, and lowest in vegans. A broadly similar pattern was seen for lysine, whereas alanine concentration was highest in fish-eaters and lowest in meat-eaters. For glycine, vegans had the highest concentration and meat-eaters the lowest. Intakes of all 18 dietary amino acids differed by diet group; for the majority of these, intake was highest in meat-eaters followed by fish-eaters, then vegetarians and lowest in vegans (up to 47% lower than in meat-eaters). CONCLUSIONS: Men belonging to different habitual diet groups have significantly different plasma concentrations of lysine, methionine, tryptophan, alanine, glycine and tyrosine. However, the differences in plasma concentrations were less marked than and did not necessarily mirror those seen for amino acid intakes.

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TL;DR

In 392 British men aged 30–49 from EPIC-Oxford, plasma concentrations of 6 of 21 amino acids differed significantly by habitual diet group, but these differences were smaller than and did not closely mirror dietary amino acid intakes. Intakes of all 18 measured dietary amino acids differed by diet group, generally highest in meat-eaters and lowest in vegans.

Key findings

  • Plasma concentrations of lysine, methionine, tryptophan, alanine, glycine and tyrosine varied significantly by diet group after multiple-testing correction, with differences of −13% to +16% between meat-eaters and vegans.
  • Methionine, tryptophan and tyrosine were highest in fish-eaters and vegetarians, followed by meat-eaters, and lowest in vegans; lysine showed a broadly similar pattern, alanine was highest in fish-eaters and lowest in meat-eaters, and glycine was highest in vegans and lowest in meat-eaters (vegans 16% higher than meat-eaters).
  • Intakes of all 18 dietary amino acids differed by diet group (P<0.0001 for all); for most, intake was highest in meat-eaters, then fish-eaters, then vegetarians, and lowest in vegans, with lysine and methionine intakes in vegans at 56% and 53% of those in meat-eaters, respectively.
  • Plasma concentrations and dietary intakes of amino acids were not strongly correlated, although significant positive correlations were found for leucine, lysine, methionine, tryptophan and tyrosine (r≤0.21).

Methods

  • Cross-sectional analysis within EPIC-Oxford including 392 men aged 30–49 years, with 98 participants in each diet group: meat-eaters, fish-eaters, vegetarians and vegans.
  • Plasma amino acid concentrations were measured with a targeted metabolomic assay (BIOCRATES AbsoluteIDQ p180 Kit, liquid chromatography-tandem mass spectrometry) quantifying 21 amino acids; dietary intake was assessed with a validated semi-quantitative food frequency questionnaire, and 18 amino acid intakes were estimated using the USDA National Nutrient Database.
  • Differences between diet groups in mean plasma concentrations and intakes were tested using analysis of variance, adjusted for age, BMI, smoking status and alcohol intake; plasma models additionally adjusted for time since last food/drink and time between blood collection and processing, intake models adjusted for energy intake, and results were interpreted after Bonferroni correction for multiple testing.

Limitations

  • Stated: plasma amino acid measurements could be affected by pre-analytic conditions such as thaw–freeze cycles, and some values were unavailable because of detector signal saturation (e.g., phenylalanine n=93, proline n=45, lysine n=11); the authors note thaw–freeze cycles were independent of diet group and most amino acids are stable over two cycles.
  • Stated: FFQ-based amino acid intakes may be underestimated as more animal foods are omitted, may miss some plant foods or use non-representative portion sizes, and validation showed protein intake was particularly difficult to estimate; matching UK foods to a US nutrient database may also introduce differences in amino acid content.
  • Stated/evident: some correlation analyses had lower power because diet groups with zero intake were excluded; the cross-sectional design and the sample of British men aged 30–49 in EPIC-Oxford limit causal inference and generalizability to other populations.

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Integrity signals

Registry

Crossref · 10.1038/ejcn.2015.144

Cites

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  • Probably not a substantial claim. 11
  • It may state two separate claims as one. 21
  • The quote only partly states this claim. 1
29 of 29
  • The paper relies on this without support.

    Other pre-analytical conditions, which the study did not have information about, are not related to diet group.

    “Other pre-analytical conditions, which we do not have information about, are most likely also not related to diet group.”
  • The paper relies on this without support.

    Matching UK foods to the nearest food in the US nutrient database by total protein content yields valid estimates of amino acid intakes for the UK diet groups.

    “All UK foods were matched to the nearest food in the US nutrient database, paying specific attention to match on the total protein content so that scaling was not necessary.”
  • The paper relies on this without support.

    The FFQ-based categorisation of participants into diet groups accurately reflects their habitual diet.

    “Categorisation of the four diet groups was based on the answers to the questions 'Do you eat any meat; fish; dairy products; and eggs?'”
  • The paper relies on this without support.

    The covariates adjusted for are sufficient to control confounding of the diet-group differences in amino acid concentrations and intakes.

    “The analyses of concentrations and intakes were both adjusted for age (30–34; 35–39; 40–44; 45–49 years), body mass index (BMI; <22.5; 22.5–24.9; ⩾25 kg/m2; unknown), smoking status (never; former; current) and alcohol intake (<1; 1–7; 8–15; ⩾16 g/d).”
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Research works printed but not linked: 1

  1. Holland B, Welch AA, Unwin ID, Buss DH, Paul AA . . Southgate DAT. McCance and Widdowson's The Composition of Foods, 5th edn. The Royal Society of Chemistry: Cambridge, 1991.

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Metadata

Authors
Schmidt, J. A., Rinaldi, S., Scalbert, A., Ferrari, P., Achaintre, D., Gunter, M. J., Appleby, P. N., Key, T. J., & Travis, R. C.
Affiliations
  • University of Oxford (GB)
  • Centre international de recherche sur le cancer (FR)
  • Imperial College London (GB)
Corresponding author
Schmidt, J A
Venue
European Journal of Clinical Nutrition
Published
2015-09-23
Volume
70
Issue
3
Pages
306-312
ISSN
  • 0954-3007 (ISSN-L)
  • 1476-5640
OpenAlex
W2190313991
Cited by
349
References
40
Citations by year
2026: 21 · 2025: 35 · 2024: 34 · 2023: 34 · 2022: 54 · 2021: 43 · 2020: 44 · 2019: 35 · 2018: 23 · 2017: 17 · 2016: 9
FWCI
17.48
Type
journal article
Language
en
Open access
Locations
  • European Journal of Clinical Nutrition (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Spiral (Imperial College London) (submittedVersion, cc-by)
Funders
  • U.S. Department of Agriculture
  • World Health Organization
  • Cancer Research UK (19170, 16491, C8221/A19170, A16491, 570/A16491, A19170)
  • Medical Research Council (MR/M012190/1)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
Keywords
plasma amino acids, meat-eaters, vegetarians, vegans, dietary protein quality, methionine, tryptophan, tyrosine, lysine, glycine, alanine, amino acid metabolism
MeSH terms
Diet, Vegan, Adult, Alanine, Amino Acids, Animals, Energy Intake, Cross-Sectional Studies, Fishes, Glycine, Humans, Lysine, Male, Meat, Methionine, Middle Aged, Surveys and Questionnaires, Tryptophan, Tyrosine, Diet, Vegetarian, Seafood

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