Evidence map›Paper›PMID 42197054›Full record

ArticleNutrients2026

Circadian Modulation of Protein Catabolism: Insight from a Population Study.

Miriam Lisa Kafader, Sébastien Sare, Martina Zandonà, Rosaria Del Giorno, Maria Luisa Garo, Sandro Bonetti, Luca Gabutti

Abstract read
In one paragraph

Article in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Miriam Lisa KafaderFaculty of Biomedicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.
Sébastien SareService of Family Medicine, Ente Ospedaliero Cantonale, 6962 Viganello, Switzerland.ORCID 0009-0002-4530-2080
Martina ZandonàService of Family Medicine, Ente Ospedaliero Cantonale, 6962 Viganello, Switzerland.ORCID 0009-0000-7470-0235
Rosaria Del GiornoAngiology Service, Ente Ospedaliero Cantonale, 6500 Bellinzona, Switzerland.ORCID 0000-0001-5206-8865
Maria Luisa GaroBiostatistic Unit Mathsly Research, 00128 Rome, Italy.ORCID 0000-0001-6308-975X
Sandro BonettiIstituto di Medicina di Famiglia, Università della Svizzera Italiana, 6900 Lugano, Switzerland.
Luca GabuttiFaculty of Biomedicine, Università della Svizzera Italiana, 6900 Lugano, Switzerland.ORCID 0000-0002-1929-6759

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesUrinary urea excretion is a marker of protein catabolism and follows circadian biological rhythms. Although small-scale studies have suggested a diurnal pattern, its population-level characterisation and determinants remain poorly defined.

methodsThis cross-sectional study was conducted within the Ticino Epidemiological Stiffness Study (TEST-study), a population-based cross-sectional analysis of 1202 adults (≥18 years) recruited in the Italian-speaking region of Switzerland in 2017-2018. A final analytical sample of 859 participants provided 24 h urine collections divided into diurnal and nocturnal fractions, from which a day-to-night (Day/Night) urea excretion ratio was calculated as the primary outcome. Multivariable linear regression was used to identify independent determinants.

resultsAcross the cohort, a predominant nocturnal pattern of urinary urea excretion was observed, with a mean Day/Night ratio below 1. In younger women (<40 years), the ratio approached 1, indicating an attenuated Day/Night pattern, whereas older women (>65 years) displayed a significantly more pronounced nocturnal predominance. No comparable age-related trend was observed in men. In multivariable analysis, advancing age, greater nocturnal blood pressure dipping, and higher sodium excretion were independently associated with the Day/Night urea ratio.

conclusionsUrinary urea excretion, a surrogate marker of protein catabolism, exhibits a measurable Day/Night variation, associated with age, sex, and hemodynamic factors. These findings provide insights for chrononutritional strategies aimed at preserving muscle health across lifespan.

Indexed as

Circadian RhythmProteinsUreaAdultAgedBiomarkersBlood PressureCross-Sectional StudiesFemaleHumansMaleMiddle AgedSwitzerlandBiomarkersProteinsUreaageingblood pressure dippingcircadian rhythmnocturnal catabolismprotein metabolismsex differenceurinary urea excretion

Identifiers

PMID42197054
PMCPMC13209284

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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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.