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Table 3 Effects of SAAR on biomarkers1

From: Dietary sulfur amino acid restriction in humans with overweight and obesity: a translational randomized controlled trial

 

4 weeks

8 weeks

β (95% CI) SAAR vs. control

p-value

β (95% CI) SAAR vs. control

p-value

Urinary sulfur amino acids

 Methionine excretion, µmol/24h

− 3.84 (− 5.96, − 1.72)

 < 0.001

− 2.70 (− 4.86, − 0.55)

0.014

 tHcy excretion, µmol/24h

− 3.03 (− 4.80, − 1.26)

 < 0.001

− 3.04 (− 4.84, − 1.24)

 < 0.001

 Cystathionine excretion, µmol/24h

− 30.4 (− 46.7, − 14.1)

 < 0.001

− 32.2 (− 48.8, − 15.6)

 < 0.001

 tCys excretion, µmol/24h

− 52.7 (− 101, − 4.66)

0.03

− 77.3 (− 126, − 28.4)

 < 0.001

 Sulfate excretion, mmol/24h

− 22.3 (− 26.9, − 17.7)

 < 0.001

− 20.2 (− 24.9, − 15.6)

 < 0.001

Plasma sulfur amino acids

 Plasma methionine, µmol/L

− 0.60 (− 2.30, 1.11)

0.49

− 1.26 (− 2.94, 0.43)

0.14

 Plasma tHcy, µmol/L

1.87 (1.01, 2.73)

 < 0.001

2.07 (1.22, 2.92)

 < 0.001

 Plasma cystathionine, µmol/L

− 0.16 (− 0.23, − 0.09)

 < 0.001

− 0.16 (− 0.23, − 0.09)

 < 0.001

 Plasma tCys, µmol/L

13.0 (− 2.17, 28.1)

0.09

12.3 (− 2.67, 27.3)

0.11

Plasma biomarkers

 Triglycerides, mmol/L

0.01 (− 0.17, 0.20)

0.90

− 0.13 (− 0.32, 0.05)

0.15

 Total cholesterol, mmol/L

0.05 (− 0.26, 0.36)

0.75

− 0.07 (− 0.38, 0.24)

0.67

 LDL, mmol/L

− 0.02 (− 0.26, 0.23)

0.90

− 0.05 (− 0.29, 0.2)

0.70

 HDL, mmol/L

0.05 (− 0.05, 0.14)

0.35

0.05 (− 0.04, 0.15)

0.29

 Apolipoprotein B, g/L

0.01 (− 0.07, 0.09)

0.78

− 0.01 (− 0.09, 0.07)

0.76

 Apolipoprotein A1, g/l

0.03 (− 0.06, 0.11)

0.52

− 0.01 (− 0.09, 0.07)

0.82

 Fasting glucose, mmol/L

0.00 (− 0.19, 0.18)

0.98

− 0.07 (− 0.25, 0.11)

0.42

Plasma/serum hormones

 Fasting insulin, pmol/L

− 2.24 (− 19.3, 14.8)

0.80

− 9.24 (− 26.1, 7.62)

0.28

 C-peptide, pmol/L

1.49 (− 94.8, 97.7)

0.98

− 59.4 (− 155, 35.7)

0.22

 TSH, mU/L

− 0.07 (− 0.40, 0.27)

0.70

− 0.30 (− 0.63, 0.03)

0.08

 Free T4, pmol/L

0.08 (− 1.17, 1.33)

0.90

− 0.29 (− 1.53, 0.95)

0.64

 FGF-21, pg/mL2

− 124 (− 503, 256)

0.52

− 83.3 (− 460, 294)

0.66

 IGF-1, pg/mL

–

 

− 11.4 (− 41.7, 18.9)

0.46

 Adiponectin, pg/mL

–

 

− 1.43 (− 4.43, 1.58)

0.35

 Gastric inhibitory peptide, pg/mL

− 11.5 (− 68.5, 45.6)

0.69

23.9 (− 32.7, 80.4)

0.41

 Glucagon-like peptide 1, pg/mL

− 11.7 (− 21.3, -2.11)

0.017

− 7.82 (− 17.3, 1.70)

0.11

 Ghrelin, pg/mL

− 6.36 (− 46.8, 34.0)

0.76

− 11.7 (− 51.8, 28.3)

0.56

 Leptin, ng/mL

− 4.06 (− 9.53, 1.40)

0.14

− 6.01 (− 11.4, -0.59)

0.030

 Pancreatic peptide, pg/mL

39.3 (− 26.8, 105)

0.24

47.3 (− 18.4, 113)

0.16

 Peptide YY, pg/mL

− 5.90 (− 18.8, 6.99)

0.37

− 0.69 (− 13.5, 12.1)

0.91

Ketone bodies

 β-hydroxybutyrate, µmol/L

46.7 (− 54.9, 148)

0.37

117 (16.0, 217)

0.023

 Acetoacetate, µmol/L

11.2 (− 15.0, 37.4)

0.40

27.0 (1.04, 52.9)

0.042

 Acetone, µmol/L

6.33 (− 7.19, 19.9)

0.39

3.67 (-9.71, 17.1)

0.085

 Acetate, µmol/L

4.28 (− 5.45, 14.0)

0.36

8.45 (− 1.18, 18.1)

0.59

Safety markers

 ASAT, U/L

3.20 (− 0.91, 7.31)

0.13

0.76 (− 3.27, 4.79)

0.71

 ALAT, U/L

1.44 (− 5.17, 8.06)

0.67

− 1.89 (− 8.44, 4.65)

0.57

 Urea, mmol/L

− 0.27 (− 0.63, 0.09)

0.14

− 0.10 (− 0.46, 0.26)

0.59

 Creatinine, µmol/L

3.82 (1.09, 6.54)

0.008

3.67 (0.97, 6.37)

0.009

 Vitamin B12, pmol/L

54.5 (− 2.86, 112)

0.06

9.31 (− 47.4, 66.1)

0.75

 MMA, µmol/L

0.00 (− 0.03, 0.04)

0.85

0.03 (− 0.01, 0.06)

0.17

  1. 1 β-estimates and p-values are derived from linear mixed models with body mass as the outcome, and group, visit and their interaction term (group × time) at 4 and 8 weeks as predictors. The models were adjusted for baseline values of the outcome
  2. The p-values indicate the difference between groups at each timepoint
  3. ALAT alanine aminotransferase, ASAT aspartate amino transferase, BMI body mass index, FGF-21 fibroblast growth-factor 21, IGF-1 insulin-like growth factor 1, MMA methylmalonic acid, SAAR sulfur amino acid restriction, SE standard error, tCys total cysteine, tHcy total homocysteine, TSH thyroid stimulating hormone