Evidence map›Paper›PMID 40106011›Full record

Observational studyEuropean journal of nutrition2025

Dietary branched-chain amino acids intake and coronary artery calcium progression: insights from the coronary artery risk development in young adults (CARDIA) study.

Qing-Yun Hao, Jun Weng, Ting-Ting Zeng, Yu-Hong Zeng, Jing-Bin Guo, Shi-Chao Li, Yi-Ran Chen, Ping-Zhen Yang, Jing-Wei Gao, Ze-Hua Li

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005130 (Coronary Artery Risk Development in Young Adults), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT00005130 active not recruitingnot on this map

Coronary Artery Risk Development in Young Adults (CARDIA)

TypeobservationalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran1984 to 2033Enrolled5,115ConditionsCardiovascular Diseases, Coronary Disease, Hypertension, Heart Diseases
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

10 authors.

Qing-Yun Hao *Department of Cardiology, Laboratory of Heart Center, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Jun Weng *Department of Endoscopy, SunYat-sen University Cancer Center, Guangzhou, China.
Ting-Ting Zeng *Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Yu-Hong Zeng *Medical Apparatus and Equipment Deployment, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Jing-Bin GuoDepartment of Cardiology, Laboratory of Heart Center, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Shi-Chao LiDepartment of Organ Transplantation, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Yi-Ran ChenInstitute of Public Health, Guangzhou Medical University & Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China.
Ping-Zhen YangDepartment of Cardiology, Laboratory of Heart Center, Zhujiang Hospital, Southern Medical University, Guangzhou, China. y_pingzhen@126.com.
Jing-Wei GaoDepartment of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. gaojw6@mail.sysu.edu.cn.
Ze-Hua LiDepartment of Cardiology, Laboratory of Heart Center, Zhujiang Hospital, Southern Medical University, Guangzhou, China. zehuali@smu.edu.cn.ORCID http://orcid.org/0000-0001-5624-0087

Funding

China Postdoctoral Science Foundation 2022M721507National Natural Science Foundation of China 32100082National Natural Science Foundation of China 82200442National Natural Science Foundation of China 82200902Science and Technology Program of Guangzhou 2025A04J3768
6 · The paper itself

Abstract

objectiveBranched-chain amino acids (BCAA) have been implicated in the risk of cardiovascular disease. However, it is unclear whether dietary BCAA intake, specifically isoleucine, leucine, and valine are associated with coronary artery calcium (CAC) progression.

methodsWe included the participants from the Coronary Artery Risk Development in Young Adults (CARDIA) study cohort for the analysis. Dietary intake of BCAA was assessed at year 7 of the study. CAC was measured using standardized computed tomography scans at years 15, 20, and 25. CAC progression was defined as follows: for participants with a baseline CAC of 0, progression was defined as CAC > 0 at follow-up; for those with 0 < baseline CAC < 100, progression was defined as an annualized change of ≥ 10; and for those with baseline CAC ≥ 100, progression was defined as an annualized percent change of ≥ 10%. Multivariate adjusted Cox regression models were utilized to examine the associations between BCAA intake and CAC progression.

resultsAmong 2381 included participants (average age 40.4 ± 3.5 years, 44.9% men), 629 participants (26.4%) exhibited CAC progression during a follow-up period of 8.90 ± 2.03 years. In the fully adjusted model, high intake of total BCAA, and its individual components, isoleucine, leucine, and valine were associated with an increased risk of CAC progression by 35.6% (HR, 1.356 [95% CI, 1.040-1.769]), 30.5% (HR, 1.305 [95% CI, 1.001-1.701]), 30.9% (HR, 1.309 [95% CI, 1.003-1.706]), and 33.9% (HR, 1.339 [95% CI, 1.026-1.747]), respectively, compared to their corresponding low intake groups. The associations were consistent across various subgroups, including age, sex, race, and body mass index, but were stronger in participants without baseline CAC (interaction P < 0.001). These results remained robust in a series of sensitivity analyses.

conclusionsHigh dietary intake of BCAA, including isoleucine, leucine, and valine, were independently associated with an increased risk of CAC progression. The findings may implication for dietary modifications in primary prevention of subclinical atherosclerosis. REGISTRATION: URL: https://www. CLINICALTRIALS: gov ; Unique identifier: NCT00005130.

Indexed as

Amino Acids, Branched-ChainCalciumCoronary Artery DiseaseCoronary VesselsDietVascular CalcificationAdultCohort StudiesDisease ProgressionFemaleFollow-Up StudiesHumansIsoleucineLeucineMaleRisk FactorsAmino Acids, Branched-ChainCalciumIsoleucineLeucineValineBranched-chain amino acidsCardiovascular diseaseCoronary artery calciumDietary intakeRisk factors

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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.