Evidence map›Paper›PMID 39861431›Full record

ArticleNutrients2025

Impact of the Healthy Lifestyle Community Program (HLCP-3) on Trimethylamine N-Oxide (TMAO) and Risk Profile Parameters Related to Lifestyle Diseases During the Six Months Following an Intervention Study.

Dima-Karam Nasereddin Alzughayyar, Ragna-Marie Weber, Sarah Husain, Nora Schoch, Heike Englert

Abstract read
In one paragraph

Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Dima-Karam Nasereddin AlzughayyarFaculty for Biology, University of Munster, Schlossplatz 4, D-48149 Munster, GermanyORCID 0009-0005-6151-2848
Ragna-Marie WeberDepartment of Nutrition, University of Applied Sciences, Corrensstraße 25, D-48149 Munster, GermanyORCID 0000-0002-7191-9888
Sarah HusainDepartment of Nutrition, University of Applied Sciences, Corrensstraße 25, D-48149 Munster, Germany
Nora SchochDepartment of Nutrition, University of Applied Sciences, Corrensstraße 25, D-48149 Munster, Germany
Heike EnglertDepartment of Nutrition, University of Applied Sciences, Corrensstraße 25, D-48149 Munster, Germany

Funding

German Federal Ministry of Education and Research (BMBF) and the Joint Science Con- ference (GWK) 03IHS062A
6 · The paper itself

Abstract

rationaleThe dietary components choline, betaine, and L-carnitine are converted by intestinal microbiota into the molecule trimethylamine (TMA). In the human liver, hepatic flavin-containing monooxygenase 3 oxidizes TMA to trimethylamine-N-oxide (TMAO). TMAO is considered a candidate marker for the risk of cardiovascular disease. METHODOLOGY: The Healthy Lifestyle Community Program cohort 3 (HLCP-3) intervention was conducted with participants recruited from the general population in Germany (intervention: n = 99; control: n = 48). The intervention included intensive educational workshops, seminars, and coaching activities. The assessment was conducted using a complete case analysis (CCA) of the participants. The intervention was carried out for a ten-week intensive phase and an alumni phase. The interventional program emphasizes adopting a healthy plant-based diet and reducing meat consumption, as adherence to such a diet may lead to lowering TMAO levels. Additionally, it provides general recommendations about physical activity, stress management, and community support. The control group did not receive any intervention. TMAO was evaluated using stable isotope dilution liquid chromatography, and tandem mass spectrometry was used to measure fasting plasma levels of TMAO.

objectivesThe present study aimed to determine the impact of the Healthy Lifestyle Community Program (HLCP-3) on risk profiles for lifestyle-related diseases and TMAO plasma levels.

resultsSignificant decreases in most risk profile parameters were detected, and a non-significant decrease in plasma TMAO levels was observed in the intervention group (0.37 (-1.33; 0.59) µmol/L). Furthermore, for the intervention group, after a six-month follow-up period, there was a significant negative correlation between higher healthy plant diet index (hPDI) scores and a decrease in plasma TMAO (ß = -0.200,

conclusionsHLCP-3 is effective at improving adherence to a plant-based diet and improving risk profile parameters. However, long-term interventions involving stricter dietary programs in the sense of a plant-based diet are recommended if significant decreases in TMAO levels are to be obtained.

Indexed as

Cardiovascular DiseasesDiet, HealthyHealthy LifestyleMethylaminesAdultAgedBiomarkersDiet, VegetarianFemaleGermanyHumansLife StyleMaleMiddle AgedRisk FactorsBiomarkersMethylaminestrimethyloxaminehealthy lifestyle community program (HLCP)healthy plant diet index (hPDI)plant diet index (PDI)trimethylamine N-oxide (TMAO)

Identifiers

PMID39861431
PMCPMC11767924

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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 OpenQuestion graph.