Evidence map›Paper›PMID 32060497›Full record

Trial reportThe American journal of clinical nutrition2020

Glycolysis/gluconeogenesis- and tricarboxylic acid cycle-related metabolites, Mediterranean diet, and type 2 diabetes.

Marta Guasch-Ferré, José L Santos, Miguel A Martínez-González, Clary B Clish, Cristina Razquin, Dong Wang, Liming Liang, Jun Li, Courtney Dennis, Dolores Corella and 17 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 122 citations in OpenAlex.

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  18. Antioxidant and Anti-Inflammatory Effects of CrudeAntioxidants (Basel, Switzerland) · 2025
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 10 institutions in 4 countries.

Marta Guasch-FerréDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA.
José L SantosDepartment of Nutrition, Diabetes and Metabolism, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Miguel A Martínez-GonzálezDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA.
Clary B ClishBroad Institute of MIT and Harvard University, Cambridge, MA, USA.
Cristina RazquinDepartment of Preventive Medicine and Public Health, IdiSNA (Health Research Institute of Navarra), University of Navarra, Pamplona, Spain.
Dong WangDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA.
Liming LiangDepartment of Biostatistics, Harvard TH Chan School of Public Health, Boston, MA, USA.
Jun LiDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA.
Courtney DennisBroad Institute of MIT and Harvard University, Cambridge, MA, USA.
Dolores CorellaThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Carlos Muñoz-BravoDepartment of Public Health and Psychiatry, University of Málaga, Málaga, Spain.
Dora RomagueraThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Ramón EstruchThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
José Manuel Santos-LozanoThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Olga CastañerThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Angel Alonso-GómezThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Luis Serra-MajemThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Emilio RosThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Sílvia CanudasHuman Nutrition Unit, Faculty of Medicine and Health Sciences, Pere Virgili Health Research Institute, Rovira i Virgili University, Reus, Spain.
Eva M AsensioDepartment of Preventive Medicine, University of Valencia, Valencia, Spain.
Montserrat FitóThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Kerry PierceBroad Institute of MIT and Harvard University, Cambridge, MA, USA.
J Alfredo MartínezThe Spanish Biomedical Research Center in Physiopathology of Obesity and Nutrition, Health Institute Carlos III, Madrid, Spain.
Jordi Salas-SalvadóHuman Nutrition Unit, Faculty of Medicine and Health Sciences, Pere Virgili Health Research Institute, Rovira i Virgili University, Reus, Spain.
Estefanía ToledoDepartment of Preventive Medicine and Public Health, IdiSNA (Health Research Institute of Navarra), University of Navarra, Pamplona, Spain.
Frank B HuDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA.
Miguel Ruiz-CanelaDepartment of Preventive Medicine and Public Health, IdiSNA (Health Research Institute of Navarra), University of Navarra, Pamplona, Spain.
Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition · ESHarvard University · USBroad Institute · USInstituto de Salud Carlos III · ESBrigham and Women's Hospital · USUniversitat de València · ESPontificia Universidad Católica de Chile · CLUniversidad de Las Palmas de Gran Canaria · ESUniversidad de Málaga · ESUniversity of the Basque Country · ES

Funding

Dietary Interventions, Metabolites, and Risk of Type 2 DiabetesR01DK102896 · NIDDK · HARVARD SCHOOL OF PUBLIC HEALTH · PI HU, FRANK B, MARTINEZ GONZALEZ, MIGUEL A. · 2014 to 2017
$1.9M
Chronic Inflammation and Type 2 Diabetes: A Multi-omics ApproachK99DK122128 · NIDDK · HARVARD SCHOOL OF PUBLIC HEALTH · PI LI, JUN · 2019 to 2021
$249k
Mediterranean Diet, Polyphenol-Rich Foods, Gut Microbiota and Type 2 DiabetesK99DK119412 · NIDDK · HARVARD SCHOOL OF PUBLIC HEALTH · PI WANG, DONG · 2018 to 2019
$181k
NIDDK NIH HHS K99 DK119412NIDDK NIH HHS K99 DK122128NIDDK NIH HHS R01 DK102896
6 · The paper itself

Abstract

backgroundGlycolysis/gluconeogenesis and tricarboxylic acid (TCA) cycle metabolites have been associated with type 2 diabetes (T2D). However, the associations of these metabolites with T2D incidence and the potential effect of dietary interventions remain unclear.

objectivesWe aimed to evaluate the association of baseline and 1-y changes in glycolysis/gluconeogenesis and TCA cycle metabolites with insulin resistance and T2D incidence, and the potential modifying effect of Mediterranean diet (MedDiet) interventions.

methodsWe included 251 incident T2D cases and 638 noncases in a nested case-cohort study within the PREDIMED Study during median follow-up of 3.8 y. Participants were allocated to MedDiet + extra-virgin olive oil, MedDiet + nuts, or control diet. Plasma metabolites were measured using a targeted approach by LC-tandem MS. We tested the associations of baseline and 1-y changes in glycolysis/gluconeogenesis and TCA cycle metabolites with subsequent T2D risk using weighted Cox regression models and adjusting for potential confounders. We designed a weighted score combining all these metabolites and applying the leave-one-out cross-validation approach.

resultsBaseline circulating concentrations of hexose monophosphate, pyruvate, lactate, alanine, glycerol-3 phosphate, and isocitrate were significantly associated with higher T2D risk (17-44% higher risk for each 1-SD increment). The weighted score including all metabolites was associated with a 30% (95% CI: 1.12, 1.51) higher relative risk of T2D for each 1-SD increment. Baseline lactate and alanine were associated with baseline and 1-y changes of homeostasis model assessment of insulin resistance. One-year increases in most metabolites and in the weighted score were associated with higher relative risk of T2D after 1 y of follow-up. Lower risks were observed in the MedDiet groups than in the control group although no significant interactions were found after adjusting for multiple comparisons.

conclusionsWe identified a panel of glycolysis/gluconeogenesis-related metabolites that was significantly associated with T2D risk in a Mediterranean population at high cardiovascular disease risk. A MedDiet could counteract the detrimental effects of these metabolites.This trial was registered at controlled-trials.com as ISRCTN35739639.

Indexed as

Citric Acid CycleDiet, MediterraneanGluconeogenesisGlycolysisAgedAged, 80 and overCase-Control StudiesCohort StudiesDiabetes Mellitus, Type 2FemaleHumansMaleMiddle Agedglycolysis metabolitesinsulin resistancemetabolomicstricarboxylic acid cycle metabolitestype 2 diabetes

Identifiers

PMID32060497
PMCPMC7138680
OpenAlexW3005849052

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.