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Association of Trimethylamine N-Oxide and Metabolites With Mortality in Older Adults

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Key Points Question Are trimethylamine N-oxide (TMAO), a novel plasma metabolite derived from L-carnitine and phosphatidylcholine, and related metabolites (ie, choline, betaine, carnitine, and butyrobetaine) associated with risk of death… Click to show full abstract

Key Points Question Are trimethylamine N-oxide (TMAO), a novel plasma metabolite derived from L-carnitine and phosphatidylcholine, and related metabolites (ie, choline, betaine, carnitine, and butyrobetaine) associated with risk of death among older adults in the general US population? Findings In this cohort study of 5333 older adults enrolled in the Cardiovascular Heart Study, TMAO and related metabolites were positively associated with risk of death, and this risk was highest among those with lower kidney function. Meaning This study’s findings suggest that circulating TMAO is an important novel risk factor associated with risk of death among older adults.

Keywords: association trimethylamine; older adults; trimethylamine oxide; risk death; associated risk

Journal Title: JAMA Network Open
Year Published: 2022

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