Key Research Interests and Expertise
- cardiometabolic effects of dietary fat, especially of plant and marine omega-3 fatty acids
- bioavailability, metabolism and cardiometabolic effects of polyphenols (e.g., quercetin, catechins, xanthohumol)
- postprandial metabolism and determinants
- cardiometabolic effects of dietary patterns
- nutritional evaluation of plant proteins
- nutrient-genotype interactions with a focus on the APOE genotype
- risk phenotypes for cardiovascular and neurodegenerative diseases
Main Methods Focus
- human intervention trials including (strictly) controlled dietary studies (iso- or hypoenergetic), placebo-controlled trials (RCTs), postprandial protocols and bioavailability studies
- study subjects are e.g. metabolically healthy participants and subjects with a risk phenotype for cardiovascular and neurodegenerative disease
Selected projects
Nutritional evaluation of a legume-rich diet in a dietary pattern approach (Planetary Health Concept) and in comparison to a Western dietary pattern in subjects at risk for cardiovascular and neurodegenerative diseases (BMEL, LeguPlan)
The aim of the research project is the nutritional evaluation of the acute (Human Study 1) and chronic (Human Study 2) effects of a legume-rich diet in the dietary pattern approach (Planetary Health Diet Concept), compared to a Western diet, in individuals with risk factors for cardiovascular and neurodegenerative diseases. Via Study 1, we aim to determine whether a legume-rich, plant-based meal can already have acute positive effects on the magnitude and duration of postprandial metabolic processes. Assessment of the legume-rich meal will be based on a wide range of physiological parameters as well as neuropsychological outcome measures. Study 2 will examine the longer-term effects of a legume-rich, plant-based diet compared to a Western dietary pattern. Study variables of the intervention are cardiovascular and metabolic parameters, as well as biomarkers of neurodegeneration and neuropsychological targets.
LeguPlan is carried out in collaboration with the University Hospital Bonn, the German Center for Neurodegernerative Diseases (DZNE, Bonn) and the University Hospital Cologne.
BMEL: 2822EPS008
Nutritional evaluation of plant proteins in the context of nutritional intervention studies (BMBF, AlProPlant)
The aim of this research project is the nutritional evaluation of the influence of plant proteins or protein ingredients (e.g. concentrate, isolate, texturate) on postprandial metabolic responses in metabolically healthy men and women. The research project includes two human intervention studies. Using pea as an example, the first study compares the “digestibility“, availability (including plasma profiles of individual amino acids), and acceptability/tolerability of plant protein components with different degrees of processing. In the second study, physiological and biofunctional effects (e.g., parameters of lipid and glucose metabolism, hunger- and satiety-associated hormones) of the pea protein will be compared with the physiological / biofunctional effects of other protein sources (e.g., poultry, gluten).
AlProPlant is carried out in collaboration with the Professorship of Food Sciences (Prof. Dr. Ute Weisz) at the University of Bonn, the Fraunhofer IVV Freising, the University Hospital Bonn and Prof. em. Dr. Hannerole Daniel (former TU Munich).
The research project will be conducted and funded within the Innovation Space NewFoodSystems (https://newfoodsystems.de/).
BMBF FKZ: 031B1366
Influence of Ambient Temperature on Resting Energy Expenditure of Healthy Adults
Resting energy expenditure is defined as the energy required to maintain metabolism and body functions. Several determinants of resting energy expenditure are known, such as body height, body weight, body composition and age. The aim of this study is to investigate the influence of ambient temperature on the resting energy expenditure of healthy adults. In this context, the resting energy expenditure is measured for each participant at different ambient temperatures (from 18 to 38°C) using indirect calorimetry.
The research project is carried out in close collaboration with the German Aerospace Center (DLR) and the University Hospital Bonn.
ClinicalTrials.gov Identifier: NCT05505240
Plasma Appearance of Xanthohumol in Healthy Adults
Xanthohumol is a secondary plant compound found in hops that has been attributed with various health-promoting properties, especially in animal model studies. The aim of this study is to investigate the bioavailability of Xanthohumol in humans. In this context, the rate and extend of the plasma appearance of native Xanthohumol and Xanthohumol integrated into micelles is investigated in healthy men and women. In an observational period of 24 hours, Xanthohumol and its major metabolites are analyzed in plasma.
The research project is carried out in collaboration with the Department of Food Biofunctionality at the Institute of Nutritional Sciences of the University of Hohenheim (Prof. Dr. Jan Frank), the University Hospital Bonn and AQUANOVA AG.
ClinicalTrials.gov Identifier: NCT05524714
Effects of canola oil and coconut oil on postprandial metabolism
The aim of this study is to investigate the postprandial effects of fat content and fatty acid composition of mixed meals enriched with canola oil or coconut oil on parameters associated with cardiometabolic and neurodegenerative diseases in older adults.
ClinicalTrials.gov ID: NCT05208346
Acute effects of different meals on postprandial metabolism in elderly men and women with a risk phenotype for cardiovascular diseases
There is increasing evidence that the postprandial state is an important contributing factor to chronic diseases. The postprandial situation is generally characterized by hyperlipemia, hyperglycaemia/insulinaemia, and associated events such as low-grade oxidative stress and inflammation. The physiology and pathophysiology of the postprandial responses are influenced by nutrient-independent (e.g., metabolic diseases) and nutrient-dependent (e.g., energy content of a meal) factors. The aim of our research project was to systematically investigate the effects of different meals on postprandial metabolic events and to identify dietary, physiological and genetic determinants of postprandial reactions. The study was supported by the German Federal Ministry of Education and Research (BMBF) within the project “Diet-Body-Brain” (grant no. 01EA1372D).
DRKS-ID: DRKS00009861
Schönknecht YB, Crommen S, Stoffel-Wagner B, Coenen M, Fimmers R, Stehle P, Ramirez A, Egert S: APOE ɛ4 is associated with postprandial inflammation in older adults with metabolic syndrome traits. Nutrients 2021; Nov 2;13(11):3924
Schönknecht YB, Crommen S, Stoffel-Wagner B, Coenen M, Fimmers R, Holst JJ, Simon MC, Stehle P, Egert S: Acute effects of three different meal patterns on postprandial metab-olism in older individuals with a risk phenotype for cardiometabolic diseases: a randomized controlled crossover trial. Molecular Nutrition and Food Research 2020; Mar 29;e1901035
Acute impact of dietary pattern and walking on postprandial metabolism, attention, and mood in older adults with a cardiovascular disease risk phenotype
Attenuating the postprandial stress response and its associated inflammatory and endothelial events through specific nutritional and lifestyle interventions seems to be a promising and important approach to decrease the susceptibility to the development of cardiovascular diseases in the long term. This might be particularly relevant in individuals already at increased risk to develop cardiovascular or neurodegenerative complications (e.g., individuals with metabolic syndrome). The research project followed a holistic approach and examined the effects of meal composition and moderate physical activity on postprandial events in older subjects with increased risk for the development of cardiovascular and neurodegenerative diseases.
DRKS-ID: DRKS00012409
Diekmann C, Wagner M, Huber H, Preuß M, Preuß P, Predel HG, Stoffel-Wagner B, Fimmers R, Stehle P, Egert S: Acute Impact of Dietary Pattern and Walking on Postprandial Attention, Mood, and Satiety in Older Adults: A Randomized Crossover Trial. Nutrients. 2019 Sep 26;11(10). pii: E2294. doi: 10.3390/nu11102294 .
Diekmann C, Huber H, Preuß M, Preuß P, Predel HG, Stoffel-Wagner B, Fimmers R, Stehle P, Egert S: Moderate postmeal walking has no beneficial effects over resting on postprandial lipemia, glycemia, insulinemia, and selected oxidative and inflammatory parameters in older adults with a cardiovascular disease risk phenotype: A randomized crossover trial. Journal of Nutrition. 2019 Nov 1;149(11):1930-1941. doi: 10.1093/jn/nxz14 .
Human intervention study to examine interactions between alpha-linolenic acid and quercetin
Increased dietary intake and tissue status of the long-chain n-3 PUFA, EPA and DHA, is associated with cardiovascular benefits. Epidemiological and animal studies suggest that concomitant nutritive intake of flavonoids may increase the conversion of α-linolenic acid (ALA) to longer-chain n-3 fatty acids EPA and DHA. We investigated the effects of increased ALA intake on fatty acid composition of serum phospholipids and erythrocytes in metabolically healthy men and women and whether fatty acid profiles and ALA conversion were affected by regular quercetin intake or sex. In addition, the potential independent and additive effects of plant ALA and quercetin on markers of cardiovascular disease risk (e.g., blood pressure, lipid and glucose metabolism, inflammation) were studied.
DRKS-ID: DRKS00005076
Burak C, Wolffram S, Zur B, Langguth P, Fimmers R, Alteheld B, Stehle P, Egert S: Effect of alpha-linolenic acid in combination with the flavonol quercetin on markers of cardiovascular disease risk in healthy, non-obese adults: a randomized double-blinded placebo-controlled crossover trial. Nutrition 2019 Feb;58:47-56.
Burak C, Wolffram S, Zur B, Langguth P, Fimmers R, Alteheld B, Stehle P, Egert S: Effect of alpha-linolenic acid supplementation in combination with quercetin and conversion to n-3 long-chain polyunsaturated fatty acids in humans: a randomized double-blinded placebo-controlled crossover trial. British Journal of Nutrition 2017 Mar;117(5):698-711.
Effects of quercetin on blood pressure and endothelial function in subjects with a high CVD risk phenotype
Quercetin is one of the most abundant flavonol in the Western European diet. The aim of this project was to investigate the effects of dietary quercetin supplementation on blood pressure parameters, direct and indirect biomarkers of endothelial function, as well as biomarkers of oxidation and inflammation in patients with components of a metabolic syndrome. To this end, a double-blinded, placebo-controlled crossover trial in overweight men and women was conducted. The study was supported by Grant No. EG292/3-1 of the German Research Foundation (DFG).
DRKS-ID: DRKS00000555
Brüll V, Burak C, Stoffel-Wagner B, Wolffram S, Nickenig G, Müller C, Langguth P, Alteheld B, Stehle P, Egert S: Acute intake of quercetin does not influence postprandial blood pressure and endothelial function in overweight-to-obese adults with hypertension in a randomized double-blinded placebo-controlled crossover trial. European Journal of Nutrition 2017; 56(3): 1347-1357.
Brüll V, Burak C, Stoffel-Wagner B, Wolffram S, Nickenig G, Müller C, Langguth P, Alteheld B, Stehle P, Egert S: No effects of quercetin on serum leptin and adiponectin concentrations in overweight-to-obese patients with hypertension: a randomized double-blinded placebo-controlled crossover trial. European Journal of Nutrition 2017; 56(7):2265-2275.
Brüll V, Burak C, Stoffel-Wagner B, Wolffram S, Nickenig G, Müller C, Langguth P, Alteheld B, Fimmers R, Naaf S, Zimmermann BF, Stehle P, Egert S: Effects of a quercetin-rich onion skin extract on 24 h ambulatory blood pressure and endothelial function in overweight-to-obese patients with (pre-)hypertension: a randomised double-blinded placebo-controlled crossover trial. British Journal of Nutrition 2015; 114(8):1263-77.
Bioavailability of quercetin in healthy men and women
The flavonol quercetin is one of the major flavonoids found in edible plants. The bioavailability of quercetin in humans may be influenced by the food matrix in which it is consumed as well as by its chemical and physical form. The objective of our study was to investigate in metabolically healthy normal-weight men and women the systemic availability of quercetin aglycone from hard capsules filled with onion skin extract powder and from hard capsules filled with pure quercetin dihydrate. A secondary objective was to examine potential sex-specific differences in the bioavailability of quercetin.
DRKS-ID: DRKS00004350
Burak C, Brüll V, Langguth P, Zimmermann BZ, Stoffel-Wagner B, Sausen U, Stehle P, Wolffram S, Egert S: Higher plasma quercetin levels following oral administration of an onion skin extract compared with pure quercetin dihydrate in humans. European Journal of Nutrition 2017 Feb;56(1):343-353