Evidence map›Paper›PMID 35448421›Full record

ReviewToxics2022

Urinary Malondialdehyde (MDA) Concentrations in the General Population-A Systematic Literature Review and Meta-Analysis.

Antonio Toto, Pascal Wild, Mélanie Graille, Veronica Turcu, Camille Crézé, Maud Hemmendinger, Jean-Jacques Sauvain, Enrico Bergamaschi, Irina Guseva Canu, Nancy B Hopf

Open access · goldAbstract readReview
In one paragraph

Review in Toxics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Ononin combined withBiochemistry and biophysics reports · 2026
    Article
  5. Article
  6. Article
  7. Foods (Basel, Switzerland) · 2026
    Article
  8. Article
  9. The effects of polysaccharides fromFrontiers in veterinary science · 2026
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. A Tandem MS Platform for Simultaneous Determination of Urinary Malondialdehyde and Diphenyl Phosphate.International journal of environmental research and public health · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

10 authors at 2 institutions in 2 countries.

Antonio TotoCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.ORCID 0000-0001-6573-6578
Pascal WildCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.ORCID 0000-0003-3165-3808
Mélanie GrailleCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.ORCID 0000-0002-5790-2908
Veronica TurcuCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.
Camille CrézéCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.
Maud HemmendingerCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.ORCID 0000-0002-3702-1054
Jean-Jacques SauvainCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.ORCID 0000-0002-9541-9749
Enrico BergamaschiLaboratory of Toxicology and Industrial Epidemiology, Department of Public Health and Pediatrics, University of Turin, Via Zuretti 29, 10125 Turin, Italy.ORCID 0000-0002-1242-4623
Irina Guseva CanuCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.ORCID 0000-0001-7059-8421
Nancy B HopfCenter for Primary Care and Public Health (Unisanté), University of Lausanne, Route de la Corniche 2, 1066 Lausanne, Switzerland.ORCID 0000-0002-4490-6109
Centre universitaire de médecine générale et santé publique, Lausanne · CHUniversity of Turin · IT

Funding

EU Life Project LIFE17 ENV/GR/000285Swiss National Science Foundation N IZCOZ0_177067
6 · The paper itself

Abstract

Oxidative stress has been associated with various inflammation-related human diseases. It is defined as an imbalance between the production and elimination of reactive oxygen species (ROS). ROS can oxidize proteins, lipids, and DNA, and some of these oxidized products are excreted in urine, such as malondialdehyde (MDA), which is considered a biomarker for oxidative damage of lipids. To interpret changes of this biomarker as a measure of oxidative species overproduction in humans, a background range for urinary MDA concentration in the general population is needed. We sought to establish urinary MDA concentration ranges for healthy adult populations based on reported values in the available scientific literature. We conducted a systematic review and meta-analysis using the standardized protocol registered in PROSPERO (CRD42020146623). EMBASE, PubMed, Web of Science, and Cochrane library databases were searched from journal inception up to October 2020. We included 35 studies (divided into 47 subgroups for the quantitative analysis). Only studies that measured creatinine-corrected urinary MDA with high-performance liquid chromatography (HPLC) with mass spectrometry (MS), fluorescence detection, or UV photometry were included. The geometric mean (GM) of urinary MDA concentration was 0.10 mg/g creatinine and 95% percentile confidence interval (CI) 0.07-0.12. Age, geographical location but not sex, and smoking status had a significant effect on urinary MDA concentrations. There was a significant increasing trend of urinary MDA concentrations with age. These urinary MDA values should be considered preliminary, as they are based on mostly moderate to some low-quality evidence studies. Although urinary MDA can reliably reflect excessive oxidative stress in a population, the influence of physiological parameters that affect its meaning needs to be addressed as well as harmonizing the chemical analytical methods.

Indexed as

general populationMDAmeta-analysisoxidative stressreference rangesystematic reviewurinary biomarker

Identifiers

PMID35448421
PMCPMC9024833
OpenAlexW4221008773

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.