Evidence map›Paper›PMID 26828356›Full record

ArticleOsteoarthritis and cartilage2016

Progression of cartilage degeneration and clinical symptoms in obese and overweight individuals is dependent on the amount of weight loss: 48-month data from the Osteoarthritis Initiative.

A S Gersing, M Solka, G B Joseph, B J Schwaiger, U Heilmeier, G Feuerriegel, M C Nevitt, C E McCulloch, T M Link

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing 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.

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

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Advances in cartilage imaging techniques.Nature reviews. Rheumatology · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. MRI-based TSkeletal radiology · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Biomechanical Characteristics of the Knee Joint during Gait in Obese versus Normal Subjects.International journal of environmental research and public health · 2022
    Article
  19. Article
  20. Article
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.

A S GersingDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, United States. Electronic address: alexandra.gersing@ucsf.edu.
M SolkaDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, United States. Electronic address: Solka.Martin@gmail.com.
G B JosephDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, United States. Electronic address: Gabby.Joseph@ucsf.edu.
B J SchwaigerDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, United States. Electronic address: Benedikt.Schwaiger@ucsf.edu.
U HeilmeierDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, United States. Electronic address: Ursula.Heilmeier@ucsf.edu.
G FeuerriegelDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, United States. Electronic address: Georg.Feuerriegel@ucsf.edu.
M C NevittDepartment of Epidemiology and Biostatistics, University of California, San Francisco, United States. Electronic address: MNevitt@psg.ucsf.edu.
C E McCullochDepartment of Epidemiology and Biostatistics, University of California, San Francisco, United States. Electronic address: Charles.McCulloch@ucsf.edu.
T M LinkDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, United States. Electronic address: Thomas.Link@ucsf.edu.

Funding

Translation of Quantitative Imaging in OsteoarthritisP50AR060752 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SOUZA, RICHARD BRIAN · 2011 to 2015
$6.2M
UCSF Core Center for Musculoskeletal Biology and MedicineP30AR066262 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2014 to 2018
$3.0M
Impact of Weight loss on Knee Joint Biochemical and Structural DegenerationR01AR064771 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LINK, THOMAS M · 2014 to 2019
$1.6M
NIAMS NIH HHS P30 AR066262NIAMS NIH HHS P50 AR060752NIAMS NIH HHS R01 AR064771
6 · The paper itself

Abstract

objectiveTo investigate compositional cartilage changes measured with 3T MRI-based T2 values over 48 months in overweight and obese individuals with different degrees of weight loss (WL) and to study whether WL slows knee cartilage degeneration and symptom worsening.

designWe studied participants from the Osteoarthritis Initiative with risk factors or radiographic evidence of mild to moderate knee osteoarthritis with a baseline BMI ≥25 kg/m(2). We selected subjects who over 48 months lost a, moderate (BMI change, 5-10%WL, n = 180) or large amount of weight (≥10%WL, n = 78) and frequency-matched these to individuals with stable weight (<3%, n = 258). Right knee cartilage T2 maps of all compartments and grey-level co-occurrence matrix (GLCM) texture analyses were evaluated and associations with WL and clinical symptoms (WOMAC subscales for pain, stiffness and disability) were assessed using multivariable regression models.

resultsThe amount of weight change was significantly associated with change in cartilage T2 of the medial tibia (β 0.9 ms, 95% CI 0.4 to 1.1, P = 0.001). Increase of T2 in the medial tibia was significantly associated with increase in WOMAC pain (β 0.5 ms, 95% CI 0.2 to 0.6, P = 0.02) and disability (β 0.03 ms, 95% CI 0.003 to 0.05, P = 0.03). GLCM contrast and variance over all compartments showed significantly less progression in the >10%WL group compared to the stable weight group (both comparisons, P = 0.04).

conclusionsWL over 48 months is associated with slowed knee cartilage degeneration and improved knee symptoms.

Indexed as

ObesityOverweightCartilage, ArticularCartilage DiseasesHumansKnee JointMagnetic Resonance ImagingOsteoarthritis, KneeWeight LossCartilage imagingMagnetic resonance imagingOsteoarthritisT2 relaxation timeWeight loss

Identifiers

PMID26828356
PMCPMC4907808

What OpenQuestion holds

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Registered trials

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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.