Evidence map›Paper›PMID 30611976›Full record

ArticleGait & posture2019

Weight loss changed gait kinematics in individuals with obesity and knee pain.

Jing-Sheng Li, Tsung-Yuan Tsai, Margaret M Clancy, Guoan Li, Cara L Lewis, David T Felson

Open access · greenAbstract read
In one paragraph

Article in Gait & posture, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 15% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 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

6 authors at 3 institutions in 3 countries.

Jing-Sheng LiCollege of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, Massachusetts, United States; Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, Massachusetts, United States; Orthopaedic Bioengineering Research Center, Department of Orthopaedic Surgery, Harvard Medical School and Newton-Wellesley Hospital, Newton, Massachusetts, United States. Electronic address: jsli1@bu.edu.
Tsung-Yuan TsaiSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Margaret M ClancyClinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, Massachusetts, United States.
Guoan LiOrthopaedic Bioengineering Research Center, Department of Orthopaedic Surgery, Harvard Medical School and Newton-Wellesley Hospital, Newton, Massachusetts, United States.
Cara L LewisCollege of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, Massachusetts, United States; Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, Massachusetts, United States.
David T FelsonClinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, Massachusetts, United States; NIHR Manchester Musculoskeletal Biomedical Research Centre, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Boston University · USHarvard University · USShanghai Jiao Tong University · CN

Funding

WORK DISABILITY-- PERSONS WITH RHEUMATOID ARTHRITISP60AR047785 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NEOGI, TUHINA · 2001 to 2016
$18.0M
Research and Evaluation Support Core Unit (RESCU Core)P30AR072571 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI TUHINA NEOGI · 2019 to 2026
$6.9M
Effect of femoroacetabular impingement (FAI) on hip motion in young adultsK23AR063235 · NIAMS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI LEWIS, CARA L · 2013 to 2017
$711k
NIAMS NIH HHS K23 AR063235NIAMS NIH HHS P30 AR072571NIAMS NIH HHS P60 AR047785
6 · The paper itself

Abstract

backgroundObesity is a mechanical risk factor for osteoarthritis. In individuals with obesity, knee joint pain is prevalent. Weight loss reduces joint loads, and therefore potentially delays disease progression; however, how the knee joint responds to weight loss in individuals with obesity and knee pain is not clear. RESEARCH QUESTION: To assess the effect of weight loss on knee joint kinematics during gait in individuals with obesity and knee pain.

methodsWe recruited individuals with obesity (BMI ≥ 35) and knee pain who were participating in a weight loss program which included bariatric surgery or medical management. At baseline and 1 year follow-up, participants walked on a treadmill, and their knee joint kinematics were assessed using a dual-fluoroscopic imaging system and subject-specific magnetic resonance imaging knee joint models. Gait changes were represented by change in range of tibiofemoral motion, i.e., excursions in flexion-extension, adduction-abduction, internal-external rotation, anterior-posterior translation, medial-lateral translation, and superior-inferior translation during gait.

resultsTwelve individuals with obesity and knee pain completed the gait analysis at baseline and 1 year follow-up. Participants lost on average 10.4% (standard deviation: 17.2%) of their baseline body weight. Reduction in body weight was associated with increased range of flexion-extension (r = -0.75, p < 0.01) and decreased range of adduction-abduction (r = 0.60, p = 0.04) during gait. The reduction in body weight was also associated with self-reported pain decrease (r = 0.62, p = 0.04); however, the change in pain was not significantly associated with kinematic changes. SIGNIFICANCE: Weight loss was associated with improved gait kinematics in the sagittal and frontal planes. The change in gait pattern in individuals with obesity and knee pain was not associated with the change in pain given a reduction in body weight.

Indexed as

AdultBiomechanical PhenomenaFemaleFluoroscopyGaitHumansKnee JointMagnetic Resonance ImagingMaleMiddle AgedObesityOsteoarthritis, KneePainRange of Motion, ArticularWeight LossFluoroscopic imagingGaitKinematicsKnee painWeight loss

Identifiers

PMID30611976
PMCPMC6599530
OpenAlexW2906612601

What OpenQuestion holds

Textmetadata
LicenceTDM
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.