Evidence map›Paper›PMID 33774766›Full record

ArticleClinical rheumatology2021

Synergistic effect of sarcopenia and poor balance on osteoporotic vertebral fracture in Chinese patients with rheumatoid arthritis.

Yang-Fan Chen, He-Xiang Zong, Sheng-Qian Xu, Yi-Ran Chu, Jian-Xiong Wang, Wan-Jun Li, Ke-Ming Chen

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Damaged bone microarchitecture by Trabecular Bone Score (TBS) and low appendicular muscle mass: main risk factors for vertebral and non-vertebral fractures in women with long-standing rheumatoid arthritis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  6. Article
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

7 authors at 2 institutions in 1 country.

Yang-Fan Chen *Department of Rheumatology and Immunology, The First Affiliated hospital of Anhui Medical University, NO.218, Ji-xi Road, Hefei, 230022, China.
He-Xiang ZongDepartment of Rheumatology and Immunology, The First Affiliated hospital of Anhui Medical University, NO.218, Ji-xi Road, Hefei, 230022, China.
Sheng-Qian XuDepartment of Rheumatology and Immunology, The First Affiliated hospital of Anhui Medical University, NO.218, Ji-xi Road, Hefei, 230022, China. xsqian-1112@163.com.
Yi-Ran ChuDepartment of Rheumatology and Immunology, The First Affiliated hospital of Anhui Medical University, NO.218, Ji-xi Road, Hefei, 230022, China.
Jian-Xiong Wang *Department of Rheumatology and Immunology, The First Affiliated hospital of Anhui Medical University, NO.218, Ji-xi Road, Hefei, 230022, China.
Wan-Jun LiDepartment of Rheumatology and Immunology, The First Affiliated hospital of Anhui Medical University, NO.218, Ji-xi Road, Hefei, 230022, China.
Ke-Ming ChenDepartment of Rheumatology and Immunology, The First Affiliated hospital of Anhui Medical University, NO.218, Ji-xi Road, Hefei, 230022, China.
Anhui Medical University · CNFirst Affiliated Hospital of Anhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to investigate the synergistic effect of sarcopenia and poor balance on osteoporotic vertebral fracture (VOPF) in Chinese patients with rheumatoid arthritis (RA).

methodsA total of 238 RA patients and 158 normal subjects were enrolled in the case-control study. Poor balance capability (Berg balance scale (BBS) score < 40) and sarcopenia (skeletal muscle mass index (SMI) <7.0 (male)/5.7 (female)) between RA patients and normal subjects were compared. Associations of poor balance capability or sarcopenia with disease activity, structural damage, and joint function in different groups were also investigated.

resultsThe incidence of sarcopenia in RA was 58.4%, significantly higher than that in controls (P<0.0001). Moreover, the percentages of low balance capacity (BBS<40) in RA were 43.7%, which was higher than that in controls (P<0.0001). The prevalence of VOPF in the case group was 19.3%, which was higher than that in the controls (P<0.0001). In the RA group, compared to RA patients without VOPF, RA patients with VOPF had higher percentages of poor balance and sarcopenia (P<0.05). Compared with RA patients without sarcopenia or good balance, RA patients with sarcopenia or poor balance had a higher incidence of VOPF, higher disease activity, severer structural damage, and worse joint function (P<0.05). The incidence of VOPF in patients combined with good balance and non-sarcopenia (4.8%) was significantly lower than that in patients combined with poor balance and sarcopenia (38.2%) (P<0.0001). Logistic regression indicated that higher SMI and higher BBS scores were protective factors for VOPF in RA patients, while age was a risk factor for VOPF in RA patients (P<0.0001).

conclusionSarcopenia and poor balance are popular in Chinese patients with RA, and they are associated with disease activity and structural damage. There is a synergistic effect of sarcopenia and poor balance on VOPF in RA. Key Points • Sarcopenia and balance capability were popular (about a half) in patients with RA. • Sarcopenia and poor balance had a synergistic effect on VOPF in RA.

Indexed as

Arthritis, RheumatoidSarcopeniaSpinal FracturesCase-Control StudiesChinaFemaleHumansMaleBalance capabilityOsteoporotic vertebral fractureRheumatoid arthritisSarcopenia

Identifiers

PMID33774766
OpenAlexW3145285438

What OpenQuestion holds

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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.