Evidence map›Paper›PMID 34559201›Full record

ArticleRheumatology (Oxford, England)2022

Sarcopenic obesity in rheumatoid arthritis: prevalence and impact on physical functioning.

Joshua F Baker, Jon T Giles, David Weber, Michael D George, Mary B Leonard, Babette S Zemel, Jin Long, Patricia Katz

Open access · greenAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
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  6. Article
  7. Article
  8. Metabolic Consequences of Rheumatoid Arthritis.Arthritis care & research · 2025
    Review
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  10. Observational
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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

8 authors at 6 institutions in 1 country.

Joshua F BakerDepartment of Medicine, Philadelphia VA Medical Center.ORCID 0000-0003-0799-7563
Jon T GilesDepartment of Medicine, Columbia University, New York, NY.
David WeberDepartment of Medicine, University of Pennsylvania Perelman School of Medicine.
Michael D GeorgeDepartment of Medicine, University of Pennsylvania Perelman School of Medicine.
Mary B LeonardDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Babette S ZemelDepartment of Medicine, University of Pennsylvania Perelman School of Medicine.
Jin LongDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Patricia KatzDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Children's Hospital of Philadelphia · USStanford University · USColumbia University · USPhiladelphia VA Medical Center · USUniversity of California, San Francisco · USUniversity of Pennsylvania · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
ZINC THERAPY FOR SCLERODERMA--PHASE I STUDYM01RR002719 · NCRR · JOHNS HOPKINS UNIVERSITY · PI EARLEY, CHRISTOPHER J · 1986 to 2007
$20.2M
The Interplay of Sociodemographic and Genetic Factors in SLE Health DisparitiesP60AR053308 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KATZ, PATRICIA P · 2006 to 2016
$11.8M
Inflammation and Cardiovascular Disease in Rheumatoid ArthritisR01AR050026 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI BATHON, JOAN MARIE · 2004 to 2022
$9.7M
Translational Molecular Pediatric ResearchK12HD068373 · NICHD · UNIVERSITY OF ROCHESTER · PI SCHOR, NINA F · 2011 to 2015
$2.0M
Patient Oriented Research in Vitamin D Deficiency in CKDK24DK076808 · NIDDK · STANFORD UNIVERSITY · PI LEONARD, MARY BETH · 2007 to 2016
$1.7M
Inflammation and Cardiovascular Disease in RAR55AR050026 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI BATHON, JOAN MARIE · 2003 to 2003
$100k
Adipokines as Biomarkers of Cachexia and High-Risk Rheumatoid ArthritisI01CX001703 · VA · PHILADELPHIA VA MEDICAL CENTER · PI BAKER, JOSHUA F. · 2019 to 2023
–
Body composition, bone structure, and joint damage in rheumatoid arthritisIK2CX000955 · VA · PHILADELPHIA VA MEDICAL CENTER · PI BAKER, JOSHUA F. · 2013 to 2017
–
CSRD VA I01 CX001703CSRD VA IK2 CX000955ESCAPE RA Study was funded by NIH NIAMS AR050026-01Johns Hopkins Bayview Medical Center General Clinical Research Center M01RR02719National Center for Research Resources through a University of California San Francisco Clinical and Translational Sciences Institute grant UL1-RR024131NCRR NIH HHS M01 RR002719NCRR NIH HHS UL1 RR024131NCRR NIH HHS UL1 RR024134NIAMS NIH HHS P60 AR053308NIAMS NIH HHS P60-AR053308NIAMS NIH HHS R01 AR050026NIAMS NIH HHS R55 AR050026NICHD NIH HHS K12 HD068373NIDDK NIH HHS K24 DK076808NIH HHS K24 DK076808
6 · The paper itself

Abstract

objectiveWe determined the prevalence of sarcopenic obesity in patients with RA using multiple methods and assessed associations with physical functioning.

methodsThis study evaluated data from three RA cohorts. Whole-body dual-energy absorptiometry (DXA) measures of appendicular lean mass index (ALMI, kg/m2) and fat mass index (FMI) were converted to age, sex and race-specific Z-Scores and categorized using a recently validated method and compared it to a widely-used existing method. The prevalence of body composition abnormalities in RA was compared with two reference populations. In the RA cohorts, associations between body composition and change in the HAQ and the Short Physical Performance Battery (SPPB) in follow-up were assessed using linear and logistic regression, adjusting for age, sex, race and study.

resultsThe prevalence of low lean mass and sarcopenic obesity was higher in patients with RA (14.2; 12.6%, respectively) compared with the reference population cohorts (7-10%; 4-4.5%, respectively, all P <0.05). There was only moderate agreement among methods of sarcopenic obesity categorization (Kappa 0.45). The recently validated method categorized fewer subjects as obese, and many of these were categorized as low lean mass only. Low lean mass, obesity and sarcopenic obesity were each associated with higher HAQ and lower SPPB at baseline and numerically greater worsening.

conclusionRA patients had higher rates of low lean mass and sarcopenic obesity than the general population. The recently validated methods characterized body composition changes differently from traditional methods and were more strongly associated with physical function.

Indexed as

Arthritis, RheumatoidSarcopeniaAbsorptiometry, PhotonBody CompositionBody Mass IndexHumansObesityPrevalencedisabilityfat masslean massphysical functionrheumatoid arthritis

Identifiers

PMID34559201
PMCPMC9157125
OpenAlexW3200655534

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.