Evidence map›Paper›PMID 29637521›Full record

ReviewEating and weight disorders : EWD2018

The obesity paradox and osteoporosis.

Angelo Fassio, Luca Idolazzi, Maurizio Rossini, Davide Gatti, Giovanni Adami, Alessandro Giollo, Ombretta Viapiana

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Eating and weight disorders : EWD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 134 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 2 pooled it
15.3field-weighted citation impact, top 1% 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

134 citing papers in PubMed, 2 syntheses or guidelines pooled it, 227 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Beyond Weight Loss: Skeletal Considerations in Obesity Treatment.Endocrinology and metabolism (Seoul, Korea) · 2026
    Review
  8. Mechanical Load-Capacity Models for Bone in Youth - Analysis of Risk Signatures.Journal of musculoskeletal & neuronal interactions · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Evaluating the obesity paradox in patients with sepsis and cancer.International journal of obesity (2005) · 2025
    Article
  18. Review
  19. Article
  20. Article

74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Angelo FassioRheumatology Unit, University of Verona, Policlinico G.B. Rossi, piazzale A. Scuro, 37134, Verona, Italy. angelo.fassio@yahoo.it.ORCID http://orcid.org/0000-0001-9187-232X
Luca IdolazziRheumatology Unit, University of Verona, Policlinico G.B. Rossi, piazzale A. Scuro, 37134, Verona, Italy.
Maurizio RossiniRheumatology Unit, University of Verona, Policlinico G.B. Rossi, piazzale A. Scuro, 37134, Verona, Italy.
Davide GattiRheumatology Unit, University of Verona, Policlinico G.B. Rossi, piazzale A. Scuro, 37134, Verona, Italy.
Giovanni AdamiRheumatology Unit, University of Verona, Policlinico G.B. Rossi, piazzale A. Scuro, 37134, Verona, Italy.
Alessandro GiolloRheumatology Unit, University of Verona, Policlinico G.B. Rossi, piazzale A. Scuro, 37134, Verona, Italy.
Ombretta ViapianaRheumatology Unit, University of Verona, Policlinico G.B. Rossi, piazzale A. Scuro, 37134, Verona, Italy.
University of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Overweight and obesity according to the definition of the WHO are considered as an abnormal or excessive fat accumulation that may impair health. Studies comparing fracture incidence in obese and non-obese individuals have demonstrated that obesity, defined on the basis of body mass index (BMI), is associated with increased risk of fracture at some sites but seems to be protective at others. The results of the studies are influenced by the distribution of BMI in the population studied; for example, in cohorts with a low prevalence of obesity, a predilection for certain fracture sites in obese individuals becomes difficult to detect, whereas, in populations with a high prevalence of obesity, previously unreported associations may emerge. Furthermore, obesity can bring with itself many complications (Type 2 diabetes mellitus, vitamin D deficiency, and motor disability) which, in the long run, can have a definite influence in terms of overall risk and quality of life, as well. This is a narrative review focusing on the relationship between bone metabolism and overweight/obesity and dealing with the fundamental dilemma of a disease (obesity) apparently associated with improved values of bone mineral density, part of a complicated relationship which revolves around obesity called "the obesity paradox".

Indexed as

Body Mass IndexBone and BonesBone DensityHumansObesityOsteoporosisProtective FactorsQuality of LifeBone metabolismBone mineral density and obesityObesity paradoxOsteoporosis

Identifiers

PMID29637521
OpenAlexW2797980949

What OpenQuestion holds

Textmetadata
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.