Low intake of vegetable protein is associated with altered ovulatory function among healthy women of reproductive age

Author(s):  
Keewan Kim ◽  
Samrawit F Yisahak ◽  
Carrie J Nobles ◽  
Victoria C Andriessen ◽  
Elizabeth A DeVilbiss ◽  
...  

Abstract Context Diets high in plant-based protein have gained popularity due to increasing health concerns regarding consumption of animal products. Though links between intakes of certain protein-rich foods and reproductive disorders have been suggested, the relationship of overall animal and vegetable proteins with reproductive hormones among reproductive-aged women is unknown. Objective To evaluate associations between intake of dietary protein with reproductive hormones and sporadic anovulation among reproductive-aged women. Design A prospective cohort study, 2005-2007. Setting University at Buffalo, western New York, USA. Participants 259 premenopausal women (18-44 years) without dietary restrictions. Main Outcome Measure(s) Serum reproductive hormones were determined up to 8 times per cycle for 2 cycles. Protein intake was assessed the day prior to hormone assessment at 4 visits/cycle using 24-hour recalls. Results Overall, 84% of participants met the recommended dietary allowance for total protein set for reproductive-aged women. Neither total nor animal protein intake were associated with reproductive hormones or anovulation. However, vegetable protein intake in the lowest tertile was associated with lower luteal phase progesterone (-18.0%, 95% CI -30.2, -3.6), higher follicle-stimulating hormone (3.8%, 95% CI 0.2, 7.6), and a higher risk of anovulation (risk ratio [RR] 2.53, 95% CI 1.21, 5.26), compared to the middle tertile. Nuts and seeds were the only protein-rich foods associated with an elevated risk of anovulation (RR 2.12, 95% CI 1.17, 3.85). Conclusions Findings suggest that among women who meet the recommended dietary allowance for total protein, low intake of vegetable, but not animal, protein may disturb normal ovulatory function.

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Kathy Pan ◽  
Joseph C Larson ◽  
Ross L Prentice ◽  
Joanne E Mortimer ◽  
Marian L Neuhouser ◽  
...  

Abstract Background Prior studies of dietary protein intake and breast cancer have been mixed and were limited by dietary self-report measurement error. Methods Biomarker-calibrated total protein intake and estimated vegetable protein and animal protein intake were determined from baseline food frequency questionnaires in 100 024 Women’s Health Initiative participants. Associations between total, animal, and vegetable protein intake and breast cancer incidence, deaths from breast cancer, and deaths after breast cancer were estimated using Cox proportional hazards regression. Breast cancers were verified by medical record review and survival outcomes enhanced by National Death Index queries. All statistical tests were 2-sided. Results After 14 years of follow-up, there were 6340 incident breast cancers, 764 deaths from breast cancer, and 2059 deaths after breast cancer. In multivariable analyses, higher calibrated total protein intake was not associated with breast cancer incidence or deaths from or after breast cancer. Vegetable protein intake was associated with statistically significantly lower breast cancer incidence (hazard ratio [HR] = 0.98, 95% confidence interval [CI] = 0.96 to 0.99, Ptrend = .006) and statistically significantly lower risk of death after breast cancer (HR = 0.93, 95% CI = 0.91 to 0.97, Ptrend < .001) but not with deaths from breast cancer. In contrast, higher animal protein intake was associated with statistically significantly higher breast cancer incidence (HR = 1.03, 95% CI = 1.01 to 1.06, Ptrend = .02) but not with deaths from or after breast cancer. Conclusions Calibrated total protein intake was not associated with breast cancer incidence or mortality. Higher vegetable protein intake was associated with lower breast cancer incidence and lower risk of death after breast cancer. Higher animal protein intake was associated with higher breast cancer incidence.


Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Yuni Choi ◽  
Seungho Ryu ◽  
Yoosoo Chang ◽  
Jung Eun Lee ◽  
Eunju Sung ◽  
...  

Introduction: Few studies have evaluated the association between type and amount of dietary protein intake and clinically evident cardiovascular disease, with inconsistent findings, and no study has investigated the association between type and amount of dietary protein intake and subclinical coronary atherosclerosis. Hypothesis: We examined the associations of total, animal, and vegetable protein intakes with coronary artery calcium (CAC) in a large population of asymptomatic adults. Methods: We performed a cross-sectional study of 29,034 asymptomatic young and middle-aged adults (mean age 41.6 years; males 80.3%) who are free of clinically evident cancer or cardiovascular disease. All participants underwent a health screening examination including cardiac computed tomography for CAC scoring and completed a food frequency questionnaire at the Kangbuk Samsung Hospital Total Healthcare Centers in Seoul and Suwon, South Korea from March, 2011 to April, 2013. Protein intake and other nutrient intake were adjusted for total energy intake using the residual method. Multivariable-adjusted CAC score ratios and 95% confidence intervals (CIs) were estimated by robust Tobit regression models for natural logarithm (CAC score + 1). Results: The proportion of study participants with detectable CAC (CAC score > 0) was 13.4 %. After adjustment for total energy intake, other nutrient intake, and potential confounding factors, we found an increased prevalence of CAC with higher animal protein intake, but not with total and vegetable protein intakes. In multivariable-adjusted models, CAC ratios (95% CIs) comparing the highest with the lowest quintiles were 1.82 (1.09-3.04; P for trend = 0.01) for animal protein intake, 1.25 (0.87-1.81; P for trend = 0.13) for vegetable protein intake, and 1.19 (0.74-1.93; P for trend = 0.59) for total protein intake. Conclusion: High animal protein intake, but not total or vegetable protein, was associated with an increased prevalence of subclinical coronary atherosclerosis and with a greater degree of coronary calcification.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1079-1079
Author(s):  
Yanni Papanikolaou ◽  
Victor III Fulgoni

Abstract Objectives Studies have linked animal protein intake with an increased risk in mortality from all-causes and certain chronic diseases, including cancer and heart disease. The objective of the current analysis was to examine associations between usual intake of total and animal protein from various sources and all-cause, cancer, and heart disease-related mortality risk. Methods Data for adults (≥19 y; N = 54,830) from the Third National Health and Nutrition Examination Survey (NHANES) and NHANES 1999–2014 were linked with mortality data through 2015. Individual protein usual intakes were estimated using the National Cancer Institute method. Hazard ratio (HR) models were fit for mortality types (all cause, cancer, heart disease) and measures of total and animal protein usual intake. Multivariable analysis further adjusted for age, gender, ethnicity, waist circumference, smoking status, education level, chronic condition status (i.e., based on cancer, myocardial infarct, and diabetes/diabetes medication reported), weight loss attempts, and % kcal from total fat. Results Total protein usual intake was associated with 10% and 13% lowered risk of mortality from all-causes [HR = 0.90; CI: 0.82–0.99; P = 0.003] and heart disease [HR = 0.87; CI: 0.72–1.05; P = 0.05], respectively. No associations were observed between total protein intake and cancer mortality risk [HR = 0.98; CI: 0.80–1.21; P = 0.84]. No associations were seen between animal protein intake and mortality risk from all-causes [Quartile trend HR = 0.97; confidence intervals (CI): 0.91–1.04; P = 0.32], cancer [HR = 1.08; CI: 0.95–1.23; P = 0.13] and heart disease [HR = 0.98; CI: 0.85–1.13; P = 0.73]. No associations were seen between total dairy protein intake and all-cause and cancer mortality risk, however, there was an 11% reduced risk in heart disease mortality [HR = 0.89; CI: 0.80–1.00; P = 0.008]. No significant associations were seen between total red meat (beef, pork, lamb) protein usual intake and all-cause, cancer, and heart disease-related mortality risk. Conclusions These results contradict previous findings that have linked animal protein intake to increased mortality risk from all-causes, cancer and heart disease. Further, total protein consumption may help lower all-cause and heart disease-related mortality risk in adults. Funding Sources Funded by the Beef Checkoff.


2009 ◽  
Vol 12 (5) ◽  
pp. 644-650 ◽  
Author(s):  
A Coulibaly ◽  
H Turgeon O’Brien ◽  
I Galibois

AbstractObjectiveTo validate a 53-item quantitative FFQ (QFFQ) for the assessment of dietary protein intake in type 2 diabetic outpatients in Bamako, Mali.DesignConsumption of protein-containing foods over the week preceding the interview was measured with a 7d QFFQ and compared with intakes measured with 48-h recalls.SettingCentre National de Lutte contre le Diabète.SubjectsSeventeen male and forty female adults with type 2 diabetes.ResultsCorrelation between protein intakes estimated using the QFFQ and 48h recalls was 0·63 (P< 0·0001). There was no significant difference between the two methods concerning the total protein daily intakes and intakes per kilogram of body weight. The QFFQ indicated that foods of animal origin were a lesser source of protein. Animal protein intake did not differ between men and women but sources did. In men, the main sources were beef (54 % of total animal protein), fish (15 %) and milk powder (8 %). In women, the principal sources were fish (28 %), beef (20 %) and birds (13 %). In contrast, plant protein intake was significantly higher in men than in women (P= 0·01), but the same plant foods contributed in similar proportions for both genders, rice being by far the greatest source (47 % of plant protein in men, 53 % in women).ConclusionThe QFFQ developed in this study is a valid tool to evaluate dietary protein intakes in Malian diabetic subjects. While the total protein intakes were low in both men and women, differences in choices and amounts of protein food sources were shown.


2015 ◽  
Vol 2 (2) ◽  
pp. 51-65
Author(s):  
Abrori ◽  
Indah Budiastutik ◽  
Novia Marsela

Background: the big issue reports on the achievement of the Millennium Development Goals (MDGs) among them; the low nutritional status, health of pregnant women, mothers and infants deaths caused by infection of the postpartum period. The main basic need to be aware of how mom is nutrition. A mother eating a balanced diet with the recommended, enough carbohydrates, proteins, fats, vitamins and minerals. But the problem of the shortage of animal protein and vegetable consumption affect production of breast milk  on the first day of a thousand births. Breast feeding himself became an effective contraceptive method, known as the method of Amenorea Lactation (MAL). Intent and knowledge is the solution for those who have problems in breast feeding. Aim: This study aimed to discover the correlation of knowledge,  types of contraception,and protein intakeonbreast milk productionduringpost partum period at Puskesmas Beduai Kabupaten Sanggau Kapuas. An observational method, as well as a cross sectional approach, was carried out in this study. The samples were 89 mothers. While the instruments were questionnaires and observation sheets. The data were statistically anlyzed by using chi suare test. Findings: The study revealed that the respondents were lack of knowledge on breastmilk production during postpartum (47.4%), used injectable contraception (51,7%), did not consume vegetable protein (56,2%), did not consume animal protein (60,7%), and had adequate breastmilk production . Thus, there were no correlation of knowledge (p=0,352), vegetable protein intake(value=0,407), animal protein intake (value=0,559), and breast milk productionduringpost partum  period. However, there was correlation of types of contraception (value=0,033; OR=0,377) and breast milk productionduringpost partum  period. Conclusion: There is no relationship between the knowledge with the production of breast milk during childbirth; the majority of respondents who use the birth control pills and syringe of type. There is no relationship between the consumption of vegetable protein with the production of breast milk; There is no relationship between the consumption of animal protein with the parturition period breast milk production Suggestions: Postpartum mothers should enhance their knowledge and understanding about breastfeeding production and types of contraception for breastfeeding mothers  through mass,electronic, and printed media.


2015 ◽  
Vol 7 (16) ◽  
pp. 66-76
Author(s):  
Dwi Agnes Setiana ◽  
Sugeng Maryanto ◽  
Indri Mulyasari

Stunting is one of the consequences that arises from a state of malnutrition that lasts a long time. One of the lack of nutrients is proteins. The deficit of intake of animal and vegetable protein will impact on growth. The aim of this study was known the relationship between the intake of animal and vegetable protein and stunting in children aged 3-5 years old in Penawangan Village, Pringapus Subdistrict, Semarang regency. This research was Correlational study with cross-sectional approach. The population in this study was all mothers and children aged 3-5 years old in Penawangan village, Pringapus subdistrict, Semarang regency. It obtained the samples of 64 children with proportional random sampling method. Data collecting used microtoise, bath room scales, and semi-quantitative FFQ. Bivariate analysis used spearman rho (α= 0,05). Most animal protein intake was in the category of severe deficit which was 39.1%, the category of moderate deficit which was 1.6%, the category of mild deficit which was 3.1%, the category of normal which was 37.5%, the category of over which was 18.8%. The intake of vegetable protein was mostly in the category of severe deficit which was 51.6%, the category of moderate deficit which was 32.8%, the category of mild deficit which was 14.1%, the category of normal which was 1.6%. The incidences of stunting were in 33 children (51.6%) and unstunting were in 31 children (48.4%). There was a relationship between the intake of animal protein with the incidences of stunting (p = 0.0001, r = 0.798). There was a relationship between the intake of vegetable protein with the incidences of stunting (p = 0.0001, r = 0.560). There was a relationship between the intake of animal and vegetable protein with stunting in children aged 3-5 years old in Penawangan village, Pringapus subdistrict, Semarang regency.


Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Susanne M Tielemans ◽  
Wieke Altorf - van der Kuil ◽  
Mariëlle F Engberink ◽  
Elizabeth J Brink ◽  
Marleen A van Baak ◽  
...  

Background: Dietary protein may beneficially influence blood pressure (BP), but evidence is not conclusive. Objective: To quantify the association of total protein, plant protein, and animal protein intake with BP and incident hypertension by means of meta-analysis. Methods: A systematic literature search for eligible studies was conducted until January 2012, using MEDLINE and manual search. Of >3,000 titles evaluated, 29 met the inclusion criteria. Dose-response meta-analyses were performed using STATA 11.0. We included 8 cross-sectional studies (total of 48,985 participants), 4 prospective studies (11,761 participants), and 17 randomized controlled trials (1,449 subjects). Results: Total protein intake was significantly inversely associated with systolic BP ([[Unable to Display Character: &#8209;]]0.20 mmHg per SD, 95%-CI: [[Unable to Display Character: &#8209;]]0.39 to [[Unable to Display Character: &#8209;]]0.01) in cross-sectional studies, but no relation was found with incident hypertension in prospective studies (HR of 0.99 per SD, 95%-CI: 0.96 to 1.02). Trials showed an overall reduction of [[Unable to Display Character: &#8209;]]2.1 mmHg in systolic BP (95%-CI:[[Unable to Display Character: &#8209;]]2.9 to [[Unable to Display Character: &#8209;]]1.4) for a weighed difference in protein intake of 41 g/d, compared to carbohydrates. Plant protein, but not animal protein, was weakly inversely associated with BP in cross-sectional studies. Plant protein and animal protein showed similar associations in prospective studies (non-significant HR of 0.96 and 0.98 per SD, respectively) and randomized trials (-2.0 vs -2.2 mmHg, P<0.05, respectively). Conclusion: Dietary protein may have a beneficial effect on BP if consumed instead of carbohydrates. No clear difference was observed between plant and animal protein, but data on protein from different sources and BP is scarce and more research is needed to draw conclusions.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Sevda Alvirdizadeh ◽  
Emad Yuzbashian ◽  
Parvin Mirmiran ◽  
Shahryar Eghtesadi ◽  
Fereidoun Azizi

Abstract Background The link between dietary protein intake and the risk of kidney dysfunction is always a challenging issue. This study aimed to investigate the relationship between total protein, plant protein, and animal protein intake with the risk of incident chronic kidney disease (CKD). Methods This study was performed on 1639 adults aged ≥27 years who participated in the Tehran Lipid and Glucose Study. Dietary data were evaluated using a valid and reliable semi-quantitative food frequency questionnaire (FFQ). Total protein content, plant protein, and animal protein of each participant were calculated. Glomerular filtration rate (GFR) less than 60 mL / min / 1.73 m2 has been considered as the definition of CKD. Odds Ratio (OR) was calculated using logistic regression to show the association between the risk of incident CKD and dietary exposures. Results After adjusting for age, sex, body mass index, smoking, total energy intake, total fiber intake, dietary fat, physical activity, diabetes, and hypertension, there was no significant association of total protein and animal protein consumptions with the incidence of CKD. After adjustment for confounders, compared with the lowest tertile of plant protein consumption, OR of incident CKD in the highest tertile was 0.29 (95% confidence interval [95% CI] 0.15 to 0.55) with a significant trend (P for trend < 0.001). Conclusion The results of this study confirmed an inverse association between plant protein intake and the risk of incident CKD, which demonstrates the protective role of plant-based protein in a diet on kidney function.


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