Evidence map›Paper›PMID 29280322›Full record

ArticleObesity (Silver Spring, Md.)2018

Tissue Sodium Content is Elevated in the Skin and Subcutaneous Adipose Tissue in Women with Lipedema.

Rachelle Crescenzi, Adriana Marton, Paula M C Donahue, Helen B Mahany, Sarah K Lants, Ping Wang, Joshua A Beckman, Manus J Donahue, Jens Titze

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 7% 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.

NCT03634462 nacompletednot on this mapstarted 2019, after this paper: background citation

Complete Decongestive Therapy With Negative Pressure for Lipedema and Lymphedema Therapy

TypeinterventionalSponsorVanderbilt University Medical CenterRan2019 to 2020Enrolled10ConditionsLipedema, Secondary LymphedemaArmsCDT with graded negative pressure
NCT03696433 nacompletednot on this mapstarted 2019, after this paper: background citation

Visualizing Vascular Mechanisms of Salt Sensitivity

TypeinterventionalSponsorVanderbilt University Medical CenterRan2019 to 2022Enrolled19ConditionsObesity, Cardiovascular Risk Factor, Salt, ExcessArmsLow-salt diet, High-salt diet
NCT06549738 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of Intermittent Pneumatic Compression Therapy on Tissue Volume, Pain, and Quality of Life in Women Living With Lipedema

TypeinterventionalSponsorLympha PressRan2023 to 2023Enrolled46ConditionsLipedemaArmsIntermittent pneumatic compression therapy
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Lipedema: Progress, Challenges, and the Road Ahead.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Article
  3. Review
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  5. Review
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  8. Article
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  11. Vascular changes and their implications in lipedema.Frontiers in cell and developmental biology · 2026
    Review
  12. New Frontiers in modeling the lipedema microenvironmentFrontiers in cell and developmental biology · 2026
    Review
  13. Article
  14. Article
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3 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

Rachelle CrescenziDepartment of Radiology and Radiological Science, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0003-1008-4570
Adriana MartonDivision of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Paula M C DonahueDepartment of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0003-4656-6539
Helen B MahanyDepartment of Radiology and Radiological Science, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sarah K LantsDepartment of Radiology and Radiological Science, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Ping WangDepartment of Radiology and Radiological Science, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Joshua A BeckmanDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Manus J DonahueDepartment of Radiology and Radiological Science, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jens TitzeDivision of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University Medical Center · USVanderbilt University · US

Funding

Postdoctoral Training in Biomedical MRI and MRST32EB001628 · NIBIB · VANDERBILT UNIVERSITY MEDICAL CENTER · PI John C Gore · 2003 to 2026
$7.0M
Quantification of Glymphatic Dysfunction in Patients with Alzheimer's Disease and Related DementiasR01NR015079 · NINR · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DONAHUE, MANUS J · 2014 to 2022
$3.9M
Tissue Sodium, Inflammation, and Blood Pressure in MESAR01HL133860 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GUPTA, DEEPAK, TITZE, JENS MARC · 2016 to 2019
$2.7M
Lymphatic Regulation of Skin Electrolyte Metabolism and Blood PressureR01HL118579 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TITZE, JENS MARC · 2013 to 2017
$1.9M
NHLBI NIH HHS R01 HL118579NHLBI NIH HHS R01 HL133860NIBIB NIH HHS T32 EB001628NINR NIH HHS R01 NR015079
6 · The paper itself

Abstract

objectiveTo test the hypothesis that tissue sodium and adipose content are elevated in patients with lipedema; if confirmed, this could establish precedence for tissue sodium and adipose content representing a discriminatory biomarker for lipedema.

methodsParticipants with lipedema (n = 10) and control (n = 11) volunteers matched for biological sex, age, BMI, and calf circumference were scanned with 3.0-T sodium and conventional proton magnetic resonance imaging (MRI). Standardized tissue sodium content was quantified in the calf skin, subcutaneous adipose tissue (SAT), and muscle. Dixon MRI was employed to quantify tissue fat and water volumes of the calf. Nonparametric statistical tests were applied to compare regional sodium content and fat-to-water volume between groups (significance: two-sided P ≤ 0.05).

resultsSkin (P = 0.01) and SAT (P = 0.04) sodium content were elevated in lipedema (skin: 14.9 ± 2.9 mmol/L; SAT: 11.9 ± 3.1 mmol/L) relative to control participants (skin: 11.9 ± 2.0 mmol/L; SAT: 9.4 ± 1.6 mmol/L). Relative fat-to-water volume in the calf was elevated in lipedema (1.2 ± 0.48 ratio) relative to control participants (0.63 ± 0.26 ratio; P < 0.001). Skin sodium content was directly correlated with fat-to-water volume (Spearman's rho = 0.54; P = 0.01).

conclusionsInternal metrics of tissue sodium and adipose content are elevated in patients with lipedema, potentially providing objective imaging-based biomarkers for differentially diagnosing the under-recognized condition of lipedema from obesity.

Indexed as

AdolescentAdultFemaleHumansLipedemaMaleMiddle AgedSkinSodiumSubcutaneous FatSodium

Identifiers

PMID29280322
PMCPMC5783748
OpenAlexW2781393875

What OpenQuestion holds

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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.