Evidence map›Paper›PMID 33922680›Full record

ReviewNutrients2021

Association of Urinary and Plasma Levels of Trimethylamine N-Oxide (TMAO) with Foods.

Mauro Lombardo, Giovanni Aulisa, Daniele Marcon, Gianluca Rizzo, Maria Grazia Tarsisano, Laura Di Renzo, Massimo Federici, Massimiliano Caprio, Antonino De Lorenzo

Abstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Gut microbes · 2026
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  19. TrimethylamineNutrients · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mauro LombardoDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Open University, 00166 Rome, Italy.ORCID 0000-0001-7509-5487
Giovanni AulisaDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Open University, 00166 Rome, Italy.
Daniele MarconDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Open University, 00166 Rome, Italy.ORCID 0000-0002-6039-3083
Gianluca RizzoIndependent Researcher, via Venezuela 66, 98121 Messina, Italy.ORCID 0000-0002-5540-0621
Maria Grazia TarsisanoDepartment of Experimental Medicine, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
Laura Di RenzoSection of Clinical Nutrition and Nutrigenomic, Department of Biomedicine and Prevention, University of Tor Vergata, via Montpellier 1, 00133 Rome, Italy.ORCID 0000-0001-8875-6723
Massimo FedericiDepartment of Systems Medicine, University of Rome "Tor Vergata", 00173 Rome, Italy.
Massimiliano CaprioDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Open University, 00166 Rome, Italy.
Antonino De LorenzoSection of Clinical Nutrition and Nutrigenomic, Department of Biomedicine and Prevention, University of Tor Vergata, via Montpellier 1, 00133 Rome, Italy.ORCID 0000-0001-6524-4493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTrimethylamine N-oxide (TMAO) may play a key mediator role in the relationship between the diet, gut microbiota and cardiovascular diseases, particularly in people with kidney failure. The aim of this review is to evaluate which foods have a greater influence on blood or urinary trimethylamine N-oxide (TMAO) levels.

methods391 language articles were screened, and 27 were analysed and summarized for this review, using the keywords "TMAO" AND "egg" OR "meat" OR "fish" OR "dairy" OR "vegetables" OR "fruit" OR "food" in December 2020.

resultsA strong correlation between TMAO and fish consumption, mainly saltwater fish and shellfish, but not freshwater fish, has been demonstrated. Associations of the consumption of eggs, dairy and meat with TMAO are less clear and may depend on other factors such as microbiota or cooking methods. Plant-based foods do not seem to influence TMAO but have been less investigated. DISCUSSION: Consumption of saltwater fish, dark meat fish and shellfish seems to be associated with an increase in urine or plasma TMAO values. Further studies are needed to understand the relationship between increased risk of cardiovascular disease and plasma levels of TMAO due to fish consumption. Interventions coupled with long-term dietary patterns targeting the gut microbiota seem promising.

Indexed as

FoodAnimalsDairy ProductsEggsHumansMeatMethylaminesSeafoodMethylaminestrimethyloxaminedairyeggsfishfoodsmeatmicrobiotaTMAOtrimethylamine N-oxide

Identifiers

PMID33922680
PMCPMC8145508

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.