Evidence map›Paper›PMID 29463015›Full record

ArticleNutrients2018

Association between Bone Mineral Density of Femoral Neck and Geriatric Nutritional Risk Index in Rheumatoid Arthritis Patients Treated with Biological Disease-Modifying Anti-Rheumatic Drugs.

Hiroto Tokumoto, Hiroyuki Tominaga, Yoshiya Arishima, Go Jokoji, Masaki Akimoto, Hideo Ohtsubo, Eiji Taketomi, Nobuhiko Sunahara, Satoshi Nagano, Yasuhiro Ishidou and 2 more

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-weighted citation impact, top 18% 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

20 citing papers in PubMed, 41 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Hiroto TokumotoDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. tokuhiro1984@hotmail.co.jp.
Hiroyuki TominagaDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. hiro-tom@m2.kufm.kagoshima-u.ac.jp.
Yoshiya ArishimaDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. ariyoshi71@gmail.com.
Go JokojiDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. jokojigo@yahoo.co.jp.
Masaki AkimotoDepartment of Hematology and Immunology, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. akimoto@m3.kufm.kagoshima-u.ac.jp.
Hideo OhtsuboCenter for Rheumatic Diseases, Japanese Red Cross Kagoshima Hospital, Kagoshima 891-0133, Japan. h-otsubo@kagoshima-med.jrc.or.jp.
Eiji TaketomiDepartment of Orthopaedic Surgery, Japanese Red Cross Kagoshima Hospital, Kagoshima 891-0133, Japan. eiji.taketomi@nifty.com.
Nobuhiko SunaharaDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. n-sunahara@kagoshima-med.jrc.or.jp.
Satoshi NaganoDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. naga@m2.kufm.kagoshima-u.ac.jp.
Yasuhiro IshidouDepartment of Medical Joint Materials, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. ishidou@m2.kufm.kagoshima-u.ac.jp.
Setsuro KomiyaDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. skomiya@m3.kufm.kagoshima-u.ac.jp.
Takao SetoguchiThe Near-Future Locomotor Organ Medicine Creation Course (Kusunoki Kai), Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima 890-8520, Japan. setoro@m2.kufm.kagoshima-u.ac.jp.
Kagoshima University · JPKagoshima Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of rheumatoid arthritis (RA) with biological disease-modifying anti-rheumatic drugs (bDMARDs) induces rapid remission. However, osteoporosis and its management remains a problem. The Geriatric Nutritional Risk Index (GNRI) evaluates the risk of malnutrition-related complications in elderly patients and has been shown to be a significant predictor of many diseases. We evaluated the correlation between GNRI and RA activity. In addition, risk factors for femoral neck bone loss were evaluated in RA patients treated with bDMARDs. We retrospectively examined the medical records of 146 patients with RA, collecting and recording the patients' demographic and clinical characteristics. Bone mineral density (BMD) was measured by dual-energy X-ray absorptiometry. Inverse correlations were observed between GNRI and disease duration, disease activity score-28 joint count serum C-reactive protein (CRP), simple disease activity index, modified health assessment questionnaire score and CRP. GNRI showed correlation with femoral neck BMD and femoral neck BMD ≤ 70% of young adult men (YAM). Multiple regression analysis showed that female sex, increased age and lower GNRI were risk factors for lower BMD of the femoral neck. Multivariate binomial logistic regression analysis showed that female sex (odd ratio: 3.67) and lower GNRI (odd ratio: 0.87) were risk factors for BMD ≤ 70% of YAM. Because the GNRI is a simple method, it might be a simple predictor for RA activity and BMD status in RA patients. Complementary nutritional therapies might improve RA activity and osteoporosis in RA patients who have undergone treatment with bDMARDs.

Indexed as

Geriatric AssessmentNutritional StatusNutrition AssessmentAbsorptiometry, PhotonAgedAge FactorsAntirheumatic AgentsArthritis, RheumatoidBiological ProductsBone DensityFemaleFemur NeckHumansLogistic ModelsMaleMedical RecordsAntirheumatic AgentsBiological Productsanti-rheumatic drugs (bDMARDs)biological disease-modifyingbone mineral density (BMD)geriatric nutritional risk index (GNRI)osteoporosisrheumatoid arthritis (RA)

Identifiers

PMID29463015
PMCPMC5852810
OpenAlexW2791170823

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.