Evidence map›Paper›PMID 38427291›Full record

ReviewCurrent nutrition reports2024

The Interplay Between Dietary Choline and Cardiometabolic Disorders: A Review of Current Evidence.

Natalia G Vallianou, Dimitris Kounatidis, Sotiria Psallida, Fotis Panagopoulos, Theodora Stratigou, Eleni Geladari, Irene Karampela, Dimitrios Tsilingiris, Maria Dalamaga

Open access · hybridAbstract readReview
In one paragraph

Review in Current nutrition reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% of its field
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  3. Functional PET imaging of gut microbiota with [European journal of nuclear medicine and molecular imaging · 2026
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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 at 6 institutions in 1 country.

Natalia G VallianouDepartment of Internal Medicine, Evangelismos General Hospital, 45-47 Ipsilantou str, Athens, Greece. natalia.vallianou@hotmail.com.
Dimitris KounatidisDepartment of Internal Medicine, Hippokration General Hospital, 114 Vassilissis Sofias str, Athens, Greece.
Sotiria PsallidaDepartment of Microbiology, KAT General Hospital of Attica, 2 Nikis str, Athens, Greece.
Fotis PanagopoulosDepartment of Internal Medicine, Evangelismos General Hospital, 45-47 Ipsilantou str, Athens, Greece.
Theodora StratigouDepartment of Endocrinology and Metabolism, Evangelismos General Hospital, 45-47 Ipsilantou str, Athens, Greece.
Eleni GeladariDepartment of Internal Medicine, Evangelismos General Hospital, 45-47 Ipsilantou str, Athens, Greece.
Irene Karampela2nd Department of Critical Care, Medical School, University of Athens, Attikon General University Hospital, 1 Rimini str, Athens, Greece.
Dimitrios TsilingirisFirst Department of Internal Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, Dragana, 68100, Alexandroupoli, Greece.
Maria DalamagaDepartment of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 75 Mikras Asias str, Athens, Greece. madalamaga@med.uoa.gr.
Evangelismos Hospital · GRDemocritus University of Thrace · GRGeneral Hospital of Attica · GRHippocration General Hospital · GRNational and Kapodistrian University of Athens · GRUniversity General Hospital Attikon · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewCholine is an essential nutrient for human health and cellular homeostasis as it is necessary for the synthesis of lipid cell membranes, lipoproteins, and the synthesis of the neurotransmitter acetylcholine. The aim of this review is to analyze the beneficial effects of choline and its significance in cellular metabolism and various inflammatory pathways, such as the inflammasome. We will discuss the significance of dietary choline in cardiometabolic disorders, such as non-alcoholic fatty liver disease (NAFLD), cardiovascular disease (CVD), and chronic kidney disease (CKD) as well as in cognitive function and associated neuropsychiatric disorders. RECENT

findingsCholine deficiency has been related to the development of NAFLD and cognitive disability in the offspring as well as in adulthood. In sharp contrast, excess dietary intake of choline mediated via the increased production of trimethylamine by the gut microbiota and increased trimethylamine-N-oxide (TMAO) levels has been related to atherosclerosis in most studies. In this context, CVD and CKD through the accumulation of TMAO, p-Cresyl-sulfate (pCS), and indoxyl-sulfate (IS) in serum may be the result of the interplay between excess dietary choline, the increased production of TMAO by the gut microbiota, and the resulting activation of inflammatory responses and fibrosis. A balanced diet, with no excess nor any deficiency in dietary choline, is of outmost importance regarding the prevention of cardiometabolic disorders as well as cognitive function. Large-scale studies with the use of next-generation probiotics, especially Akkermansia muciniphila and Faecalibacterium prausnitzii, should further examine their therapeutic potential in this context.

Indexed as

Cardiovascular DiseasesCholineDietGastrointestinal MicrobiomeRenal Insufficiency, ChronicCholine DeficiencyHumansMethylaminesNon-alcoholic Fatty Liver DiseaseCholineMethylaminestrimethyloxamineAlzheimer’s diseaseCardiovascular diseaseCholineChronic kidney diseaseCognitionDietGut microbiotaNon-alcoholic fatty liver disease

Identifiers

PMID38427291
PMCPMC11133147
OpenAlexW4392359401

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.