Evidence map›Paper›PMID 32805045›Full record

ArticleThe Journal of nutrition2020

Nonvitamin, Nonmineral Dietary Supplement Use in Individuals with Rheumatoid Arthritis.

Meghan B Skiba, Laura L Hopkins, Allison L Hopkins, Dean Billheimer, Janet L Funk

Open access · greenAbstract read
In one paragraph

Article in The Journal of nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  4. Large variability in the alkaloid content ofFrontiers in pharmacology · 2024
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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.

Meghan B SkibaDepartment of Health Promotion Sciences, University of Arizona, Tucson, AZ, USA.
Laura L HopkinsDepartment of Medicine, University of Arizona, Tucson, AZ, USA.
Allison L HopkinsDepartment of Anthropology, Texas A&M University, College Station, TX, USA.
Dean BillheimerDepartment of Epidemiology and Biostatistics, University of Arizona, Tucson, AZ, USA.
Janet L FunkDepartment of Medicine, University of Arizona, Tucson, AZ, USA.
University of Arizona · USTexas A&M University · US

Funding

Exploiting the Tumor Microenvironment to Block Breast Cancer Bone MetastasisR01CA174926 · NCI · UNIVERSITY OF ARIZONA · PI FUNK, JANET L · 2014 to 2018
$1.6M
Curcuma longa L. in Rheumatoid Arthritis (CLaRA): Clinical Planning StudyR34AT007837 · NCCIH · UNIVERSITY OF ARIZONA · PI FUNK, JANET L · 2013 to 2015
$737k
NCCIH NIH HHS R34 AT007837NCI NIH HHS R01 CA174926
6 · The paper itself

Abstract

backgroundOver-the-counter, natural product-based (nonvitamin, nonmineral) dietary supplement (NVNM DS) use is common in adults with rheumatoid arthritis (RA), a group at risk for drug-DS interactions, due to polypharmacy, but this use is underreported to health care providers. Recent dramatic changes in US sales of specific NVNM DS suggest that the prevalence and types of NVNM DS used in RA populations may also have shifted.

objectivesA study was undertaken to identify current and past use of specific NVNM DS for RA disease treatment and to examine associations between use of NVNM DS, RA pharmaceuticals, and/or vitamin or mineral (VM) DS.

methodsWe developed a survey instrument to capture current and ever use of specific NVNM DS, VM DS, and RA pharmaceuticals, with 696 subjects self-reporting an RA diagnosis recruited online or in clinic for survey participation. Analyses were limited to 611 subjects reporting RA diagnosis after age 18 y and treatment with specific RA pharmaceuticals.

resultsMost participants reported DS use, with current usage prevalence 49.6% (n = 303), 83.5% (n = 510), or 87.6% (n = 535) for NVNM, VM, or any DS, respectively. While not having appeared in previous RA surveys, turmeric and ginger were among the top 3 NVNM DS in current use, along with fish oil/ω-3 (n-3) PUFA. Concurrent NVNM DS use was reported by 48.2% (n = 243) of participants currently using RA pharmaceuticals (n = 504) and was more common in those using disease-modifying antirheumatic drugs only (no biologics). Most methotrexate users (83%) reported concurrent folate supplementation, with one-third also using turmeric, which is notable because methotrexate and turmeric have been associated with hepatotoxicity.

conclusionIndividuals with RA commonly use NVNM DS in combination with RA pharmaceuticals, including a previously undocumented but popular use of turmeric or ginger supplements with an unclear risk/benefit ratio.

Indexed as

Dietary SupplementsAdultAgedAnalgesicsAnti-Inflammatory AgentsAntirheumatic AgentsArthritis, RheumatoidData CollectionFemaleHumansMaleMiddle AgedMineralsVitaminsAnalgesicsAnti-Inflammatory AgentsAntirheumatic AgentsMineralsVitaminscomplementary and alternative medicinedietary supplementsherbalsnatural productsrheumatoid arthritisturmericvitamins

Identifiers

PMID32805045
PMCPMC7540062
OpenAlexW3064706177

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.