Evidence map›Paper›PMID 32482913›Full record

Observational studyAging2020

Gut microbiota-dependent Trimethylamine N-Oxide are related with hip fracture in postmenopausal women: a matched case-control study.

Yakun Liu, Yan-Long Guo, Shan Meng, Hua Gao, Li-Juan Sui, Shaobin Jin, Yang Li, Shao-Guang Fan

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Gut microbiome and bone health: update on mechanisms, clinical correlations, and possible treatment strategies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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  12. Gut microbiome in early life and bone health outcomes at age 6: a Danish mother-child cohort study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
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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

8 authors at 3 institutions in 1 country.

Yakun LiuDepartment of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, China.
Yan-Long GuoInstitute of Traumatic Orthopedics, The 80th Army Hospital of the Chinese People's Liberation Army, Weifang, Shandong Province, China.
Shan MengDepartment of Rheumatology, Affiliated Hospital of Weifang Medical College, Weifang, Shandong Province, China.
Hua GaoDepartment of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, China.
Li-Juan SuiInstitute of Traumatic Orthopedics, The 80th Army Hospital of the Chinese People's Liberation Army, Weifang, Shandong Province, China.
Shaobin JinDepartment of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, China.
Yang LiDepartment of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, China.
Shao-Guang FanInstitute of Traumatic Orthopedics, The 80th Army Hospital of the Chinese People's Liberation Army, Weifang, Shandong Province, China.
Qilu Hospital of Shandong University · CNChinese People's Liberation Army · CNWeifang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The study evaluates the serum levels of Trimethylamine N-Oxide (TMAO), a gut microbial metabolite, in 286 postmenopausal women with hip fracture. From January 1, 2018 to December 31, 2018, eligible patients were included. Same women without fracture mated age were enrolled. TMAO serum levels were tested by ultra-high-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). The serum levels of TMAO were significantly higher in patients with hip fracture than in those controls (P<0.001). The serum levels of TMAO were also higher in patients with hip fracture only than in those who also had upper limb fracture (P=0.001). High level of TMAO was proved a predictor of both hip fracture and had upper limb fracture combined hip fracture, after the adjustment of other existing risk factors [e.g., for each 1 uM increase of TMAO, odd ratio 1.16 (95% CI, 1.07-1.25), P < 0.001; and 1.12 (95% CI, 1.03-1.26), P=0.008, respectively]. In summary, increased TMAO serum levels associated with high risk of hip fracture, suggesting that increase TMAO may contribute to osteoporosis and fracture in postmenopausal women.

Indexed as

AgedCase-Control StudiesFemaleGastrointestinal MicrobiomeHip FracturesHumansMethylaminesMiddle AgedOsteoporotic FracturesPostmenopauseRisk FactorsTandem Mass SpectrometryMethylaminestrimethyloxamineChinesehip fracturepostmenopausal womenTrimethylamine N-Oxide

Identifiers

PMID32482913
PMCPMC7346070
OpenAlexW3029149893

What OpenQuestion 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 OpenQuestion graph.