Loading…

α-Tocopherol disappearance rates from plasma depend on lipid concentrations: studies using deuterium-labeled collard greens in younger and older adults

Background: Little is known about α-tocopherol’s bioavailability as a constituent of food or its dependence on a subject’s age. Objective: To evaluate the α-tocopherol bioavailability from food, we used collard greens grown in deuterated water (²H collard greens) as a source of deuterium-labeled (²H...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of clinical nutrition 2015-04, Vol.101 (4), p.752-759
Main Authors: Traber, Maret G, Leonard, Scott W, Bobe, Gerd, Fu, Xueyan, Saltzman, Edward, Grusak, Michael A, Booth, Sarah L
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c450t-119c6eac19dd2646a7dbf364e5a7c28fc7e8cbcc5940f262ccbbcbe88a1a15b43
cites cdi_FETCH-LOGICAL-c450t-119c6eac19dd2646a7dbf364e5a7c28fc7e8cbcc5940f262ccbbcbe88a1a15b43
container_end_page 759
container_issue 4
container_start_page 752
container_title The American journal of clinical nutrition
container_volume 101
creator Traber, Maret G
Leonard, Scott W
Bobe, Gerd
Fu, Xueyan
Saltzman, Edward
Grusak, Michael A
Booth, Sarah L
description Background: Little is known about α-tocopherol’s bioavailability as a constituent of food or its dependence on a subject’s age. Objective: To evaluate the α-tocopherol bioavailability from food, we used collard greens grown in deuterated water (²H collard greens) as a source of deuterium-labeled (²H) α-tocopherol consumed by younger and older adults in a post hoc analysis of a vitamin K study. Design: Younger (mean ± SD age: 32 ± 7 y; n = 12 women and 9 men) and older (aged 67 ± 8 y; n = 8 women and 12 men) adults consumed a test breakfast that included 120 g ²H collard greens (1.2 ± 0.1 mg ²H-α-tocopherol). Plasma unlabeled α-tocopherol and ²H-α-tocopherol were measured by using liquid chromatography–mass spectrometry from fasting (>12 h) blood samples drawn before breakfast (0 h) and at 24, 48, and 72 h and from postprandial samples collected at 4, 5, 6, 7, 9, 12, and 16 h. Results: Times (12.6 ± 2.5 h) of maximum plasma ²H-α-tocopherol concentrations (0.82% ± 0.59% total α-tocopherol), fractional disappearance rates (0.63 ± 0.26 pools/d), half-lives (30 ± 11 h), and the minimum estimated ²H-α-tocopherol absorbed (24% ± 16%) did not vary between age groups or sexes (n = 41). Unlabeled α-tocopherol concentrations were higher in older adults (26.4 ± 8.6 μmol/L) than in younger adults (19.3 ± 4.2 μmol/L; P = 0.0019) and correlated with serum lipids (r = 0.4938, P = 0.0012). In addition, ²H-α-tocopherol half-lives were correlated with lipids (r = 0.4361, P = 0.0044). Conclusions: Paradoxically, α-tocopherol remained in circulation longer in participants with higher serum lipids, but the ²H-α-tocopherol absorbed was not dependent on the plasma lipid status. Neither variable was dependent on age. These data suggest that plasma α-tocopherol concentrations are more dependent on mechanisms that control circulating lipids rather than those related to its absorption and initial incorporation into plasma. This trial was registered at clinicaltrials.gov as NCT0036232.
doi_str_mv 10.3945/ajcn.114.100966
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4381779</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1678543323</sourcerecordid><originalsourceid>FETCH-LOGICAL-c450t-119c6eac19dd2646a7dbf364e5a7c28fc7e8cbcc5940f262ccbbcbe88a1a15b43</originalsourceid><addsrcrecordid>eNpVkc1u1TAQRiMEopfCmh14ySa3_osTs0BCFQWkSixo15ZjT1JXjh3sBKlvwmvwIjxTHaVUsPJIPvPNjE5VvSb4yCRvzvStCUdC-JFgLIV4Uh2IZF3NKG6fVgeMMa0lEc1J9SLnW4wJ5Z14Xp3QpmVSUnmofv35XV9FE-cbSNEj67KeZ9BJBwMo6QUyGlKc0Ox1njSyMEOwKAbk3ewsMrFwYSmgiyG_R3lZrSs9a3ZhLPS6QHLrVHvdg4eN914ni8YEEDJyAd3FNYyQkN5ivd0qu_olv6yeDdpnePXwnlbXF5-uzr_Ul98-fz3_eFkb3uClJkQaAdoQaS0VXOjW9gMTHBrdGtoNpoXO9MY0kuOBCmpM35seuk4TTZqes9Pqw547r_0Edr_Gqzm5Sac7FbVT__8Ed6PG-FNx1pG2lSXg3UNAij9WyIuaXDZQ7gwQ16yIaLuGM0ZZQc921KSYc4LhcQzBavOpNp-q-FS7z9Lx5t_tHvm_AgvwdgcGHZUek8vq-jvFpCmyGyIIZ_fMoKyq</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1678543323</pqid></control><display><type>article</type><title>α-Tocopherol disappearance rates from plasma depend on lipid concentrations: studies using deuterium-labeled collard greens in younger and older adults</title><source>ScienceDirect®</source><creator>Traber, Maret G ; Leonard, Scott W ; Bobe, Gerd ; Fu, Xueyan ; Saltzman, Edward ; Grusak, Michael A ; Booth, Sarah L</creator><creatorcontrib>Traber, Maret G ; Leonard, Scott W ; Bobe, Gerd ; Fu, Xueyan ; Saltzman, Edward ; Grusak, Michael A ; Booth, Sarah L</creatorcontrib><description>Background: Little is known about α-tocopherol’s bioavailability as a constituent of food or its dependence on a subject’s age. Objective: To evaluate the α-tocopherol bioavailability from food, we used collard greens grown in deuterated water (²H collard greens) as a source of deuterium-labeled (²H) α-tocopherol consumed by younger and older adults in a post hoc analysis of a vitamin K study. Design: Younger (mean ± SD age: 32 ± 7 y; n = 12 women and 9 men) and older (aged 67 ± 8 y; n = 8 women and 12 men) adults consumed a test breakfast that included 120 g ²H collard greens (1.2 ± 0.1 mg ²H-α-tocopherol). Plasma unlabeled α-tocopherol and ²H-α-tocopherol were measured by using liquid chromatography–mass spectrometry from fasting (&gt;12 h) blood samples drawn before breakfast (0 h) and at 24, 48, and 72 h and from postprandial samples collected at 4, 5, 6, 7, 9, 12, and 16 h. Results: Times (12.6 ± 2.5 h) of maximum plasma ²H-α-tocopherol concentrations (0.82% ± 0.59% total α-tocopherol), fractional disappearance rates (0.63 ± 0.26 pools/d), half-lives (30 ± 11 h), and the minimum estimated ²H-α-tocopherol absorbed (24% ± 16%) did not vary between age groups or sexes (n = 41). Unlabeled α-tocopherol concentrations were higher in older adults (26.4 ± 8.6 μmol/L) than in younger adults (19.3 ± 4.2 μmol/L; P = 0.0019) and correlated with serum lipids (r = 0.4938, P = 0.0012). In addition, ²H-α-tocopherol half-lives were correlated with lipids (r = 0.4361, P = 0.0044). Conclusions: Paradoxically, α-tocopherol remained in circulation longer in participants with higher serum lipids, but the ²H-α-tocopherol absorbed was not dependent on the plasma lipid status. Neither variable was dependent on age. These data suggest that plasma α-tocopherol concentrations are more dependent on mechanisms that control circulating lipids rather than those related to its absorption and initial incorporation into plasma. This trial was registered at clinicaltrials.gov as NCT0036232.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.3945/ajcn.114.100966</identifier><identifier>PMID: 25739929</identifier><language>eng</language><publisher>United States: American Society for Clinical Nutrition</publisher><subject>absorption ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; alpha-tocopherol ; alpha-Tocopherol - blood ; alpha-Tocopherol - pharmacokinetics ; bioavailability ; Biological Availability ; blood ; blood lipids ; Body Mass Index ; Brassica - chemistry ; breakfast ; Cholesterol - blood ; Chromatography, Liquid ; clinical nutrition ; collard greens ; Deuterium ; elderly ; fasting ; Female ; food composition ; half life ; Humans ; lipids ; liquid chromatography ; Male ; Mass Spectrometry ; men ; Middle Aged ; Models, Theoretical ; Postprandial Period ; Triglycerides - blood ; vitamin K ; Vitamin K - blood ; Vitamins, Minerals, and Phytochemicals ; women ; Young Adult</subject><ispartof>The American journal of clinical nutrition, 2015-04, Vol.101 (4), p.752-759</ispartof><rights>2015 American Society for Nutrition.</rights><rights>2015 American Society for Nutrition 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-119c6eac19dd2646a7dbf364e5a7c28fc7e8cbcc5940f262ccbbcbe88a1a15b43</citedby><cites>FETCH-LOGICAL-c450t-119c6eac19dd2646a7dbf364e5a7c28fc7e8cbcc5940f262ccbbcbe88a1a15b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25739929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Traber, Maret G</creatorcontrib><creatorcontrib>Leonard, Scott W</creatorcontrib><creatorcontrib>Bobe, Gerd</creatorcontrib><creatorcontrib>Fu, Xueyan</creatorcontrib><creatorcontrib>Saltzman, Edward</creatorcontrib><creatorcontrib>Grusak, Michael A</creatorcontrib><creatorcontrib>Booth, Sarah L</creatorcontrib><title>α-Tocopherol disappearance rates from plasma depend on lipid concentrations: studies using deuterium-labeled collard greens in younger and older adults</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>Background: Little is known about α-tocopherol’s bioavailability as a constituent of food or its dependence on a subject’s age. Objective: To evaluate the α-tocopherol bioavailability from food, we used collard greens grown in deuterated water (²H collard greens) as a source of deuterium-labeled (²H) α-tocopherol consumed by younger and older adults in a post hoc analysis of a vitamin K study. Design: Younger (mean ± SD age: 32 ± 7 y; n = 12 women and 9 men) and older (aged 67 ± 8 y; n = 8 women and 12 men) adults consumed a test breakfast that included 120 g ²H collard greens (1.2 ± 0.1 mg ²H-α-tocopherol). Plasma unlabeled α-tocopherol and ²H-α-tocopherol were measured by using liquid chromatography–mass spectrometry from fasting (&gt;12 h) blood samples drawn before breakfast (0 h) and at 24, 48, and 72 h and from postprandial samples collected at 4, 5, 6, 7, 9, 12, and 16 h. Results: Times (12.6 ± 2.5 h) of maximum plasma ²H-α-tocopherol concentrations (0.82% ± 0.59% total α-tocopherol), fractional disappearance rates (0.63 ± 0.26 pools/d), half-lives (30 ± 11 h), and the minimum estimated ²H-α-tocopherol absorbed (24% ± 16%) did not vary between age groups or sexes (n = 41). Unlabeled α-tocopherol concentrations were higher in older adults (26.4 ± 8.6 μmol/L) than in younger adults (19.3 ± 4.2 μmol/L; P = 0.0019) and correlated with serum lipids (r = 0.4938, P = 0.0012). In addition, ²H-α-tocopherol half-lives were correlated with lipids (r = 0.4361, P = 0.0044). Conclusions: Paradoxically, α-tocopherol remained in circulation longer in participants with higher serum lipids, but the ²H-α-tocopherol absorbed was not dependent on the plasma lipid status. Neither variable was dependent on age. These data suggest that plasma α-tocopherol concentrations are more dependent on mechanisms that control circulating lipids rather than those related to its absorption and initial incorporation into plasma. This trial was registered at clinicaltrials.gov as NCT0036232.</description><subject>absorption</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>alpha-tocopherol</subject><subject>alpha-Tocopherol - blood</subject><subject>alpha-Tocopherol - pharmacokinetics</subject><subject>bioavailability</subject><subject>Biological Availability</subject><subject>blood</subject><subject>blood lipids</subject><subject>Body Mass Index</subject><subject>Brassica - chemistry</subject><subject>breakfast</subject><subject>Cholesterol - blood</subject><subject>Chromatography, Liquid</subject><subject>clinical nutrition</subject><subject>collard greens</subject><subject>Deuterium</subject><subject>elderly</subject><subject>fasting</subject><subject>Female</subject><subject>food composition</subject><subject>half life</subject><subject>Humans</subject><subject>lipids</subject><subject>liquid chromatography</subject><subject>Male</subject><subject>Mass Spectrometry</subject><subject>men</subject><subject>Middle Aged</subject><subject>Models, Theoretical</subject><subject>Postprandial Period</subject><subject>Triglycerides - blood</subject><subject>vitamin K</subject><subject>Vitamin K - blood</subject><subject>Vitamins, Minerals, and Phytochemicals</subject><subject>women</subject><subject>Young Adult</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpVkc1u1TAQRiMEopfCmh14ySa3_osTs0BCFQWkSixo15ZjT1JXjh3sBKlvwmvwIjxTHaVUsPJIPvPNjE5VvSb4yCRvzvStCUdC-JFgLIV4Uh2IZF3NKG6fVgeMMa0lEc1J9SLnW4wJ5Z14Xp3QpmVSUnmofv35XV9FE-cbSNEj67KeZ9BJBwMo6QUyGlKc0Ox1njSyMEOwKAbk3ewsMrFwYSmgiyG_R3lZrSs9a3ZhLPS6QHLrVHvdg4eN914ni8YEEDJyAd3FNYyQkN5ivd0qu_olv6yeDdpnePXwnlbXF5-uzr_Ul98-fz3_eFkb3uClJkQaAdoQaS0VXOjW9gMTHBrdGtoNpoXO9MY0kuOBCmpM35seuk4TTZqes9Pqw547r_0Edr_Gqzm5Sac7FbVT__8Ed6PG-FNx1pG2lSXg3UNAij9WyIuaXDZQ7gwQ16yIaLuGM0ZZQc921KSYc4LhcQzBavOpNp-q-FS7z9Lx5t_tHvm_AgvwdgcGHZUek8vq-jvFpCmyGyIIZ_fMoKyq</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Traber, Maret G</creator><creator>Leonard, Scott W</creator><creator>Bobe, Gerd</creator><creator>Fu, Xueyan</creator><creator>Saltzman, Edward</creator><creator>Grusak, Michael A</creator><creator>Booth, Sarah L</creator><general>American Society for Clinical Nutrition</general><general>American Society for Nutrition</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope></search><sort><creationdate>20150401</creationdate><title>α-Tocopherol disappearance rates from plasma depend on lipid concentrations: studies using deuterium-labeled collard greens in younger and older adults</title><author>Traber, Maret G ; Leonard, Scott W ; Bobe, Gerd ; Fu, Xueyan ; Saltzman, Edward ; Grusak, Michael A ; Booth, Sarah L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-119c6eac19dd2646a7dbf364e5a7c28fc7e8cbcc5940f262ccbbcbe88a1a15b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>absorption</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>alpha-tocopherol</topic><topic>alpha-Tocopherol - blood</topic><topic>alpha-Tocopherol - pharmacokinetics</topic><topic>bioavailability</topic><topic>Biological Availability</topic><topic>blood</topic><topic>blood lipids</topic><topic>Body Mass Index</topic><topic>Brassica - chemistry</topic><topic>breakfast</topic><topic>Cholesterol - blood</topic><topic>Chromatography, Liquid</topic><topic>clinical nutrition</topic><topic>collard greens</topic><topic>Deuterium</topic><topic>elderly</topic><topic>fasting</topic><topic>Female</topic><topic>food composition</topic><topic>half life</topic><topic>Humans</topic><topic>lipids</topic><topic>liquid chromatography</topic><topic>Male</topic><topic>Mass Spectrometry</topic><topic>men</topic><topic>Middle Aged</topic><topic>Models, Theoretical</topic><topic>Postprandial Period</topic><topic>Triglycerides - blood</topic><topic>vitamin K</topic><topic>Vitamin K - blood</topic><topic>Vitamins, Minerals, and Phytochemicals</topic><topic>women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Traber, Maret G</creatorcontrib><creatorcontrib>Leonard, Scott W</creatorcontrib><creatorcontrib>Bobe, Gerd</creatorcontrib><creatorcontrib>Fu, Xueyan</creatorcontrib><creatorcontrib>Saltzman, Edward</creatorcontrib><creatorcontrib>Grusak, Michael A</creatorcontrib><creatorcontrib>Booth, Sarah L</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Traber, Maret G</au><au>Leonard, Scott W</au><au>Bobe, Gerd</au><au>Fu, Xueyan</au><au>Saltzman, Edward</au><au>Grusak, Michael A</au><au>Booth, Sarah L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>α-Tocopherol disappearance rates from plasma depend on lipid concentrations: studies using deuterium-labeled collard greens in younger and older adults</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>101</volume><issue>4</issue><spage>752</spage><epage>759</epage><pages>752-759</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><abstract>Background: Little is known about α-tocopherol’s bioavailability as a constituent of food or its dependence on a subject’s age. Objective: To evaluate the α-tocopherol bioavailability from food, we used collard greens grown in deuterated water (²H collard greens) as a source of deuterium-labeled (²H) α-tocopherol consumed by younger and older adults in a post hoc analysis of a vitamin K study. Design: Younger (mean ± SD age: 32 ± 7 y; n = 12 women and 9 men) and older (aged 67 ± 8 y; n = 8 women and 12 men) adults consumed a test breakfast that included 120 g ²H collard greens (1.2 ± 0.1 mg ²H-α-tocopherol). Plasma unlabeled α-tocopherol and ²H-α-tocopherol were measured by using liquid chromatography–mass spectrometry from fasting (&gt;12 h) blood samples drawn before breakfast (0 h) and at 24, 48, and 72 h and from postprandial samples collected at 4, 5, 6, 7, 9, 12, and 16 h. Results: Times (12.6 ± 2.5 h) of maximum plasma ²H-α-tocopherol concentrations (0.82% ± 0.59% total α-tocopherol), fractional disappearance rates (0.63 ± 0.26 pools/d), half-lives (30 ± 11 h), and the minimum estimated ²H-α-tocopherol absorbed (24% ± 16%) did not vary between age groups or sexes (n = 41). Unlabeled α-tocopherol concentrations were higher in older adults (26.4 ± 8.6 μmol/L) than in younger adults (19.3 ± 4.2 μmol/L; P = 0.0019) and correlated with serum lipids (r = 0.4938, P = 0.0012). In addition, ²H-α-tocopherol half-lives were correlated with lipids (r = 0.4361, P = 0.0044). Conclusions: Paradoxically, α-tocopherol remained in circulation longer in participants with higher serum lipids, but the ²H-α-tocopherol absorbed was not dependent on the plasma lipid status. Neither variable was dependent on age. These data suggest that plasma α-tocopherol concentrations are more dependent on mechanisms that control circulating lipids rather than those related to its absorption and initial incorporation into plasma. This trial was registered at clinicaltrials.gov as NCT0036232.</abstract><cop>United States</cop><pub>American Society for Clinical Nutrition</pub><pmid>25739929</pmid><doi>10.3945/ajcn.114.100966</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0002-9165
ispartof The American journal of clinical nutrition, 2015-04, Vol.101 (4), p.752-759
issn 0002-9165
1938-3207
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4381779
source ScienceDirect®
subjects absorption
Adolescent
Adult
Aged
Aged, 80 and over
alpha-tocopherol
alpha-Tocopherol - blood
alpha-Tocopherol - pharmacokinetics
bioavailability
Biological Availability
blood
blood lipids
Body Mass Index
Brassica - chemistry
breakfast
Cholesterol - blood
Chromatography, Liquid
clinical nutrition
collard greens
Deuterium
elderly
fasting
Female
food composition
half life
Humans
lipids
liquid chromatography
Male
Mass Spectrometry
men
Middle Aged
Models, Theoretical
Postprandial Period
Triglycerides - blood
vitamin K
Vitamin K - blood
Vitamins, Minerals, and Phytochemicals
women
Young Adult
title α-Tocopherol disappearance rates from plasma depend on lipid concentrations: studies using deuterium-labeled collard greens in younger and older adults
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T10%3A23%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=%CE%B1-Tocopherol%20disappearance%20rates%20from%20plasma%20depend%20on%20lipid%20concentrations:%20studies%20using%20deuterium-labeled%20collard%20greens%20in%20younger%20and%20older%20adults&rft.jtitle=The%20American%20journal%20of%20clinical%20nutrition&rft.au=Traber,%20Maret%20G&rft.date=2015-04-01&rft.volume=101&rft.issue=4&rft.spage=752&rft.epage=759&rft.pages=752-759&rft.issn=0002-9165&rft.eissn=1938-3207&rft_id=info:doi/10.3945/ajcn.114.100966&rft_dat=%3Cproquest_pubme%3E1678543323%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c450t-119c6eac19dd2646a7dbf364e5a7c28fc7e8cbcc5940f262ccbbcbe88a1a15b43%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1678543323&rft_id=info:pmid/25739929&rfr_iscdi=true