Tier 4 — mechanistic

Prospective study on dietary intakes of folate, betaine, and choline and cardiovascular disease risk in women

G W Dalmeijer, M R Olthof, P Verhoef, M L Bots, Y T van der Schouw
European journal of clinical nutrition 2008 62(3):386-394

Bibliography

PubMed
PMID 17375117
Funding
Funding was not specified in the indexed record or accessible funding metadata.
Competing interests
A competing-interest declaration was not available in the indexed record or accessible disclosure metadata.

Study snapshot

DesignProspective cohort
ModelHuman participants
Sample16165 Dutch women without prior cardiovascular disease
InterventionHabitual dietary choline and/or betaine intake; no randomized TMG treatment
DurationMedian 97 months
EndpointsCardiovascular incidence

What the study showed, in plain terms

Published in 2008, this source examined human observational and biomarker research. Design: Prospective cohort. Sample/model: 16165 Dutch women without prior cardiovascular disease. The exposure or intervention was Habitual dietary choline and/or betaine intake; no randomized TMG treatment. Follow-up or treatment period: Median 97 months.

Habitual dietary betaine was not significantly associated with cardiovascular-disease risk.

Observational exposure analysis: residual confounding and reverse causation remain possible. Associations do not establish that betaine supplementation causes the same outcome.

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Key findings

  • Habitual dietary betaine was not significantly associated with cardiovascular-disease risk.
  • The recorded outcome domains were Cardiovascular incidence.
  • The exposure was observed rather than assigned as an isolated supplement treatment.

What this study can and cannot tell us

  • Observational exposure analysis: residual confounding and reverse causation remain possible. Associations do not establish that betaine supplementation causes the same outcome.
  • Confounding, dietary patterns, illness, medication use and reverse causation can influence an association. Blood or dietary concentrations do not identify the effect of starting a capsule.
  • Source basis: Indexed abstract and bibliographic data. Missing method details, funding information or participant denominators are not inferred.

Editorial review

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