Evidence map›Paper›PMID 32434828›Full record

SynthesisRMD open2020

Association of body mass index on disease activity in axial spondyloarthritis: systematic review and meta-analysis.

Jean W Liew, Irvin J Huang, Diana N Louden, Namrata Singh, Lianne S Gensler

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 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

5 authors at 2 institutions in 1 country.

Jean W LiewMedicine, Division of Rheumatology, University of Washington, Seattle, Washington, USA liew.jw@gmail.com.ORCID 0000-0002-8104-2450
Irvin J HuangMedicine, Division of Rheumatology, University of Washington, Seattle, Washington, USA.
Diana N LoudenUniversity Libraries, University of Washington, Seattle, Washington, USA.
Namrata SinghMedicine, Division of Rheumatology, University of Washington, Seattle, Washington, USA.
Lianne S GenslerDivision of Rheumatology, University of California San Francisco, San Francisco, California, USA.
University of Washington · USUniversity of California, San Francisco · US

Funding

RESEARCH TRAINING IN RHEUMATOLOGYT32AR007108 · NIAMS · UNIVERSITY OF WASHINGTON · PI Shaun Jackson, Tomas M Mustelin · 1986 to 2026
$6.6M
NIAMS NIH HHS T32 AR007108
6 · The paper itself

Abstract

objectivesIn axial spondyloarthritis (axSpA), higher body mass index (BMI) is associated with worse outcomes including response to biologics. Further clarity is needed on whether BMI is associated with disease activity overall, independent of treatment response. We performed a systematic review and meta-analysis to assess the association between BMI and disease activity as reported by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) or Ankylosing Spondylitis Disease Activity Score (ASDAS) in axSpA.

methodsWe systematically searched for studies evaluating BMI and disease activity as the exposure and outcome of interest, respectively, in axSpA. Using random effects models, we estimated summary standardised mean differences (SMDs) and 95% CIs of BASDAI or ASDAS, comparing obese (BMI>30 kg/m

resultsTwelve studies were included in the meta-analysis. Among all studies reporting the BASDAI at baseline, the pooled SMD of the BASDAI for those with an obese or overweight/obese BMI compared to a normal BMI was 0.38 (95% CI 0.21 to 0.55, I

conclusionThese results demonstrate an association between an overweight/obese BMI and higher disease activity in studies of axSpA. Future longitudinal studies of BMI and disease activity should assess how this association changes over time.

Indexed as

Body Mass IndexDisease ProgressionHumansObesityOverweightSeverity of Illness IndexSpondylitis, AnkylosingAdalimumabAnkylosing spondylitisArthritisAutoimmune diseasesDisease activityEpidemiologyOutcomes researchRheumatoid arthritisSpondyloarthritis

Identifiers

PMID32434828
PMCPMC7299511
OpenAlexW3027302119

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.