Abstract
Healthy dietary patterns have been linked to a decreased risk of chronic diseases. However, it remains uncertain whether proteomic signatures can reflect proteome response to healthy diet patterns, and whether these proteomic signatures are associated with health outcomes. Using data from the UK Biobank including Olink plasma proteins, we identified substantial proteomic variation in relation to adherence to eight healthy dietary patterns. The proteomic signatures, reflecting adherence and proteome response to healthy dietary patterns, were prospectively associated with lower risks of diabetes, cardiovascular diseases, chronic respiratory diseases, chronic kidney diseases and cancers, along with longer life expectancy, even after adjusting for corresponding dietary patterns. These findings suggest proteomic signatures have the potential to complement traditional dietary assessments and deepen our understanding of the relationships between dietary patterns and chronic diseases.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 digital issues and online access to articles
$119.00 per year
only $9.92 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
Data availability
UK Biobank data are available to all researchers for health-related research and public interest through registration on the UK Biobank (www.ukbiobank.ac.uk). In addition, the UK Nutrient Databank food composition tables are openly accessible at www.gov.uk/government/publications/composition-of-foods-integrated-dataset-cofid.
Code availability
The analytic code used in this study will be made available upon request.
References
Afshin, A. et al. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 393, 1958–1972 (2019).
Key, T. J. et al. Diet, nutrition, and cancer risk: what do we know and what is the way forward? BMJ 368, m511 (2020).
Kimokoti, R. W. & Millen, B. E. Nutrition for the prevention of chronic diseases. Med. Clin. North Am. 100, 1185–1198 (2016).
Wang, P. et al. Optimal dietary patterns for prevention of chronic disease. Nat. Med. 29, 719–728 (2023).
Guasch-Ferré, M. & Willett, W. C. The Mediterranean diet and health: a comprehensive overview. J. Intern. Med. 290, 549–566 (2021).
Mozaffarian, D. Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: a comprehensive review. Circulation 133, 187–225 (2016).
Shang, X. et al. Healthy dietary patterns and the risk of individual chronic diseases in community-dwelling adults. Nat. Commun. 14, 6704 (2023).
Du, S. et al. Plasma protein biomarkers of healthy dietary patterns: results from the atherosclerosis risk in communities study and the Framingham Heart Study. J. Nutr. 153, 34–46 (2023).
Williams, S. A. et al. Plasma protein patterns as comprehensive indicators of health. Nat. Med. 25, 1851–1857 (2019).
Shim, J. S., Oh, K. & Kim, H. C. Dietary assessment methods in epidemiologic studies. Epidemiol. Health 36, e2014009 (2014).
Sun, B. B. et al. Genomic atlas of the human plasma proteome. Nature 558, 73–79 (2018).
Karczewski, K. J. & Snyder, M. P. Integrative omics for health and disease. Nat. Rev. Genet. 19, 299–310 (2018).
Emilsson, V., Gudnason, V. & Jennings, L. L. Predicting health and life span with the deep plasma proteome. Nat. Med. 25, 1815–1816 (2019).
García-Bailo, B. et al. Dietary patterns and ethnicity are associated with distinct plasma proteomic groups. Am. J. Clin. Nutr. 95, 352–361 (2012).
Warensjö Lemming, E. et al. Dietary pattern specific protein biomarkers for cardiovascular disease: a cross-sectional study in 2 independent cohorts. J. Am. Heart Assoc. 8, e011860 (2019).
Kim, Y. et al. Proteins as mediators of the association between diet quality and incident cardiovascular disease and all-cause mortality: the Framingham Heart Study. J. Am. Heart Assoc. 10, e021245 (2021).
Walker, M. E. et al. Proteomic and metabolomic correlates of healthy dietary patterns: the Framingham Heart Study. Nutrients 12, 1476 (2020).
Hill, E. B. et al. Proteomics, dietary intake, and changes in cardiometabolic health within a behavioral weight-loss intervention: a pilot study. Obesity 30, 2134–2145 (2022).
Bhargava, S., de la Puente-Secades, S., Schurgers, L. & Jankowski, J. Lipids and lipoproteins in cardiovascular diseases: a classification. Trends Endocrinol. Metab. 33, 409–423 (2022).
Sato, Y., Silina, K., van den Broek, M., Hirahara, K. & Yanagita, M. The roles of tertiary lymphoid structures in chronic diseases. Nat. Rev. Nephrol. 19, 525–537 (2023).
Xu, Y. et al. An atlas of genetic scores to predict multi-omic traits. Nature 616, 123–131 (2023).
Emilsson, V. et al. Co-regulatory networks of human serum proteins link genetics to disease. Science 361, 769–773 (2018).
Mukherjee, A. et al. FSTL3 deletion reveals roles for TGF-beta family ligands in glucose and fat homeostasis in adults. Proc. Natl Acad. Sci. USA 104, 1348–1353 (2007).
Chakraborty, A. et al. Stanniocalcin-1 regulates endothelial gene expression and modulates transendothelial migration of leukocytes. Am. J. Physiol. Renal Physiol. 292, F895–F904 (2007).
Murai, R. et al. Stanniocalcin-1 promotes metastasis in a human breast cancer cell line through activation of PI3K. Clin. Exp. Metastasis 31, 787–794 (2014).
Basisty, N. et al. A proteomic atlas of senescence-associated secretomes for aging biomarker development. PLoS Biol. 18, e3000599 (2020).
Roh, J. D. et al. Activin type II receptor signaling in cardiac aging and heart failure. Sci. Transl. Med. 11, eaau8680 (2019).
Wollert, K. C., Kempf, T. & Wallentin, L. Growth differentiation factor 15 as a biomarker in cardiovascular disease. Clin. Chem. 63, 140–151 (2017).
Mehta, R. S. et al. A prospective study of macrophage inhibitory cytokine-1 (MIC-1/GDF15) and risk of colorectal cancer. J. Natl Cancer Inst. 106, dju016 (2014).
Bycroft, C. et al. The UK Biobank resource with deep phenotyping and genomic data. Nature 562, 203–209 (2018).
Bradbury, K. E., Young, H. J., Guo, W. & Key, T. J. Dietary assessment in UK Biobank: an evaluation of the performance of the touchscreen dietary questionnaire. J. Nutr. Sci. 7, e6 (2018).
Nagel, G., Zoller, D., Ruf, T., Rohrmann, S. & Linseisen, J. Long-term reproducibility of a food-frequency questionnaire and dietary changes in the European Prospective Investigation into Cancer and Nutrition (EPIC)–Heidelberg cohort. Brit. J. Nutr. 98, 194–200 (2007).
Jankovic, N. et al. Stability of dietary patterns assessed with reduced rank regression; the Zutphen Elderly Study. Nutr. J. 13, 30 (2014).
Sudlow, C. et al. UK Biobank: an open access resource for identifying the causes of a wide range of complex diseases of middle and old age. PLoS Med. 12, e1001779 (2015).
Greenwood, D. C. et al. Validation of the Oxford WebQ online 24-hour dietary questionnaire using biomarkers. Am. J. Epidemiol. 188, 1858–1867 (2019).
Martinez-Gonzalez, M. A. et al. Cohort profile: design and methods of the PREDIMED study. Int. J. Epidemiol. 41, 377–385 (2012).
Papadaki, A. et al. Validation of the English version of the 14-item Mediterranean diet adherence screener of the PREDIMED study, in people at high cardiovascular risk in the UK. Nutrients 10, 138 (2018).
Morris, M. C. et al. MIND diet associated with reduced incidence of Alzheimer’s disease. Alzheimers Dement. 11, 1007–1014 (2015).
Cornelis, M. C., Agarwal, P., Holland, T. M. & van Dam, R. M. MIND dietary pattern and its association with cognition and incident dementia in the UK Biobank. Nutrients 15, 32 (2022).
Chiuve, S. E. et al. Alternative dietary indices both strongly predict risk of chronic disease. J. Nutr. 142, 1009–1018 (2012).
Fung, T. T. et al. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch. Intern. Med. 168, 713–720 (2008).
Mompeo, O. et al. Genome-wide association analysis of over 170,000 individuals from the UK Biobank identifies seven loci Associated with dietary approaches to stop hypertension (DASH) diet. Nutrients 14, 4431 (2022).
Heianza, Y., Zhou, T., Sun, D., Hu, F. B. & Qi, L. Healthful plant-based dietary patterns, genetic risk of obesity, and cardiovascular risk in the UK Biobank study. Clin. Nutr. 40, 4694–4701 (2021).
Shivappa, N., Steck, S. E., Hurley, T. G., Hussey, J. R. & Hebert, J. R. Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr. 17, 1689–1696 (2014).
Shan, Z. L., Guo, Y. J., Hu, F. B., Liu, L. G. & Qi, Q. B. Association of low-carbohydrate and low-fat diets with mortality among US adults. JAMA Intern. Med. 180, 513–523 (2020).
Willett, W. C., Howe, G. R. & Kushi, L. H. Adjustment for total energy intake in epidemiologic studies. Am. J. Clin. Nutr. 65, 1220S–1228S (1997).
Sun, B. B. et al. Plasma proteomic associations with genetics and health in the UK Biobank. Nature 622, 329–338 (2023).
Feng, H. et al. Association between accelerometer-measured amplitude of rest–activity rhythm and future health risk: a prospective cohort study of the UK Biobank. Lancet Healthy Longev. 4, e200–e210 (2023).
Cao, Z., Xu, C., Zhang, P. & Wang, Y. Associations of sedentary time and physical activity with adverse health conditions: outcome-wide analyses using isotemporal substitution model. eClinicalMedicine 48, 101424 (2022).
Wang, Y. et al. Plasma lipidomics in early pregnancy and risk of gestational diabetes mellitus: a prospective nested case–control study in Chinese women. Am. J. Clin. Nutr. 114, 1763–1773 (2021).
Chudasama, Y. V. et al. Physical activity, multimorbidity, and life expectancy: a UK Biobank longitudinal study. BMC Med. 17, 108 (2019).
Geng, T. T. et al. Healthy lifestyle behaviors, mediating biomarkers, and risk of microvascular complications among individuals with type 2 diabetes: a cohort study. PLoS Med. 20, e1004135 (2023).
Acknowledgements
This research was performed using the UK Biobank resource. We thank the participants of the UK Biobank. A.P. was supported by grants from the National Natural Science Foundation of China (82325043 and 81930124) and the National Key R&D Program of China (2023YFC3606305). G.L. was funded by the National Natural Science Foundation of China (82273623 and 82073554) and the Fundamental Research Funds for the Central Universities (2021GCRC076). The funders had no role in the study design or implementation; data collection, management, analysis or interpretation; manuscript preparation, review or approval; the decision to publish or preparation of the manuscript.
Author information
Authors and Affiliations
Contributions
K.Z., R.L. and G.L. planned and designed the study. K.Z. and R.L. accessed and verified the data, did the statistical analysis and drafted the article. K.Z., R.L. and H.Y. checked the accuracy of the statistical analysis. G.L., Y.P., J.E.M., E.B.R., W.C.W. and A.P. contributed to reviewing and editing. All authors participated in the interpretation of the results and critical revision of the article. All authors had full access to all the data in the study and accept responsibility to submit for publication. G.L. was the guarantor of this work and, as such, had final responsibility for the integrity of the data, the accuracy of the data analysis and the decision to submit for publication.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Peer review
Peer review information
Nature Food thanks Jiantao Ma, Francesco Sofi, Nicholas Wareham and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Supplementary Information
Supplementary Methods and Figs. 1–17.
Supplementary Tables
Supplementary Tables 1–29.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Zhu, K., Li, R., Yao, P. et al. Proteomic signatures of healthy dietary patterns are associated with lower risks of major chronic diseases and mortality. Nat Food (2024). https://doi.org/10.1038/s43016-024-01059-x
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/s43016-024-01059-x
This article is cited by
-
Proteomic scores and dietary patterns
Nature Food (2024)