Evidence map›Paper›PMID 40970516›Full record

Trial reportJournal of the American Heart Association2025

Effect of Varying Quantities of Lean Beef as Part of a Mediterranean-Style Dietary Pattern on Gut Microbiota and Plasma, Fecal, and Urinary Metabolites: A Randomized Crossover Controlled Feeding Trial.

Zachary S DiMattia, Jingcheng Zhao, Fuhua Hao, Sergei Koshkin, Jordan E Bisanz, Andrew D Patterson, Jennifer A Fleming, Penny M Kris-Etherton, Kristina S Petersen

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02723617 (The Dose-Response Effects of Lean Beef in a Mediterranean-Style Dietary Pattern on Cardiovascular Disease Risk Factors), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

NCT02723617 nacompletednot on this map

The Dose-Response Effects of Lean Beef in a Mediterranean-Style Dietary Pattern on Cardiovascular Disease Risk Factors

TypeinterventionalSponsorUSDA Beltsville Human Nutrition Research CenterRan2016 to 2018Enrolled66ConditionsHealthy VolunteersArmsMED 0.5, MED 2.5, MED 5.5, AAD 2.5
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Zachary S DiMattiaDepartment of Nutritional Sciences The Pennsylvania State University University Park PA USA.ORCID 0000-0002-6275-9405
Jingcheng ZhaoDepartment of Biochemistry and Molecular Biology The Pennsylvania State University University Park PA USA.
Fuhua HaoDepartment of Veterinary and Biomedical Sciences The Pennsylvania State University University Park PA USA.ORCID 0000-0002-0865-5269
Sergei KoshkinThe Huck Institutes of the Life Sciences, The Pennsylvania State University University Park PA USA.
Jordan E BisanzDepartment of Biochemistry and Molecular Biology The Pennsylvania State University University Park PA USA.ORCID 0000-0002-8649-1706
Andrew D PattersonDepartment of Veterinary and Biomedical Sciences The Pennsylvania State University University Park PA USA.ORCID 0000-0003-2073-0070
Jennifer A FlemingDepartment of Nutritional Sciences The Pennsylvania State University University Park PA USA.
Penny M Kris-EthertonDepartment of Nutritional Sciences The Pennsylvania State University University Park PA USA.ORCID 0000-0001-6012-4900
Kristina S PetersenDepartment of Nutritional Sciences The Pennsylvania State University University Park PA USA.ORCID 0000-0003-3914-0353

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsumption of trimethylamine

methodsThis randomized, 4-period crossover, controlled-feeding study investigated the effects of Mediterranean-style (MED) diets (carbohydrate 42%, protein 17%, fat 41%) with 14 (MED0.5; 0.5 oz), 71 (MED2.5; 2.5 oz), and 156 (MED5.5; 5.5 oz) g/day/2000 kcal of lean beef, compared with an average American diet (AAD; carbohydrate 52%, protein 15%, fat 33%; 71 g/day/2000 kcal beef), on gut microbiota composition and plasma, urinary, and fecal metabolites including TMAO and precursor molecules. Thirty generally healthy individuals consumed each diet for 4 weeks with a ≥1-week washout. Fasting blood samples, 24-hour urine samples, and fecal samples were collected at baseline and at the end of each 4-week diet period. Metabolites were measured by proton nuclear magnetic resonance and liquid chromatography/mass spectrometry. Gut microbiota composition was measured using amplicon sequencing of the 16S rRNA gene.

resultsThe 3 MED diets increased gut microbiota diversity compared with the AAD. Plasma TMAO was higher following the AAD compared with the MED0.5 (mean fold difference, 1.78 [95% CI, 1.05-3.06]) and MED2.5 (2.04 [95% CI, 1.18-3.52]). Urinary TMAO was higher following the AAD compared with the MED0.5 (1.88 [95% CI, 1.19-2.97]), MED2.5 (2.15 [95% CI, 1.37- 3.39]), and MED5.5 (1.76 [95% CI, 1.12-2.77]).

conclusionsCompared with an AAD, inclusion of up to 71 g/day of lean beef in a Mediterranean-style diet increased gut microbiota diversity and lowered TMAO concentrations in healthy adults. REGISTRATION: URL: https://clinicaltrials.gov; Unique identifier: NCT02723617.

Indexed as

Diet, MediterraneanFecesGastrointestinal MicrobiomeMethylaminesRed MeatAdultAnimalsBiomarkersCarnitineCattleCross-Over StudiesFemaleHumansMaleMiddle AgedYoung AdultBiomarkersCarnitineMethylaminestrimethyloxaminecardiovascular diseaselean beefMediterranean dietmicrobiometrimethylamine N‐oxide

Identifiers

PMID40970516
PMCPMC12684572

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Registered trials

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.