Evidence map›Paper›PMID 25488953›Full record

ArticleBritish journal of sports medicine2015

Lipids, adiposity and tendinopathy: is there a mechanistic link? Critical review.

Alex Scott, Johannes Zwerver, Navi Grewal, Agnetha de Sa, Thuraya Alktebi, David J Granville, David A Hart

Open access · hybridAbstract read
In one paragraph

Article in British journal of sports medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% 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, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Normative Knee Range of Motion for Children.Life (Basel, Switzerland) · 2025
    Article
  5. Metabolic Risk Factors Relate to Worse Tendon Health in Individuals With Achilles Tendinopathy.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Inflammatory mechanisms linking obesity and tendinopathy.Journal of orthopaedic translation · 2021
    Review
  20. Tendinopathy.Nature reviews. Disease primers · 2021
    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

7 authors at 6 institutions in 2 countries.

Alex ScottDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada Vancouver Coastal Health Research Institute, Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada.
Johannes ZwerverUniversity of Groningen, University Medical Center Groningen, Center for Sports Medicine, Groningen, The Netherlands.
Navi GrewalDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada Vancouver Coastal Health Research Institute, Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada.
Agnetha de SaDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada Vancouver Coastal Health Research Institute, Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada.
Thuraya AlktebiDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada Vancouver Coastal Health Research Institute, Centre for Hip Health and Mobility, Vancouver, British Columbia, Canada.
David J GranvilleUBC James Hogg Research Centre, Institute for Heart + Lung Health, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
David A HartUniversity of Calgary, McCaig Institute for Bone and Joint Health, Calgary, Alberta, Canada.
Vancouver Coastal Health Research Institute · CAAlberta Bone and Joint Health Institute · CASt. Paul's Hospital · CAUniversity of British Columbia · CAUniversity of Groningen · NLVancouver Coastal Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Being overweight or obese is associated with an elevated risk of tendon pathology. However, for sportspeople the epidemiological data linking weight or adiposity on one hand, and risk of tendon pathology on the other, are less consistent. Indeed, the mechanistic links between diet, adiposity and tendon pathology remain largely unexamined. Recent studies have begun to examine the effects of dietary interventions on outcomes such as tendon biomechanics or pain. Oxidised low-density lipoprotein has been shown to (A) accumulate in the tendon tissues of mice that eat a fatty diet and (B) induce a pathological phenotype in human tendon cells. This paper addresses the current debate: is excessive body mass index (causing increased load and strain on tendon tissue) per se the underlying mechanism? Or do local or systemic influences of fat on tendons predispose to tendon pathology? This narrative review argues that excessive blood lipids may be an important avenue for clinical investigations.

Indexed as

AdiposityAdultAgedBiomechanical PhenomenaBlood GlucoseDietEpidemiologic MethodsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipidemiasLipidsMiddle AgedObesityRuptureSedentary BehaviorSportsBlood GlucoseHydroxymethylglutaryl-CoA Reductase InhibitorsLipidsBody compositionFatInjuryOveruseTendon

Identifiers

PMID25488953
PMCPMC4518755
OpenAlexW2154454677

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
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.