Evidence map›Paper›PMID 38979480›Full record

ArticlePreventive medicine reports2024

Association between rheumatoid arthritis and serum vitamin C levels in Adults: Based on the National health and Nutrition Examination survey database.

Jing Zhang, Pu Liu, Sirou Huang, Qingping Chen, Xiaoyuan Wang, Hua Liu

Abstract read
In one paragraph

Article in Preventive medicine reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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.

Jing ZhangDepartment of Rheumatology and Immunology, Xi'an No. 5 Hospital, No.112 XiGuanZhengJie, LianHu District, Xi'an City, Shaanxi Province 710082, China.
Pu LiuDepartment of rheumatism and Immunology, The First Affiliated Hospital of Xian Medical University, Xi'an City, Shaanxi Province 710077, China.
Sirou HuangDepartment of rheumatism and Immunology, The First Affiliated Hospital of Xian Medical University, Xi'an City, Shaanxi Province 710077, China.
Qingping ChenDepartment of Rheumatology and Immunology, Xi'an No. 5 Hospital, No.112 XiGuanZhengJie, LianHu District, Xi'an City, Shaanxi Province 710082, China.
Xiaoyuan WangDepartment of Rheumatism and Immunology, Second Hospital of Lanzhou University, Lanzhou City, Gansu Province 730030, China.
Hua LiuDepartment of Rheumatology and Immunology, Xi'an No. 5 Hospital, No.112 XiGuanZhengJie, LianHu District, Xi'an City, Shaanxi Province 710082, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study attempted to investigate relationship between rheumatoid arthritis and serum vitamin C levels using data from National Health and Nutrition Examination Survey (NHANES). The NHANES database aims to collect health, nutrition, biological, and behavioral data from a nationally representative sample of the population. This study utilizes NHANES data from three cycles: 2003-2004, 2005-2006, and 2017-2018, extracting data on the prevalence of rheumatoid arthritis and serum vitamin C levels. A generalized linear model is used to evaluate the association between the two. A total of 12,665 participants were included in the final analysis. Serum vitamin C levels were significantly higher in the non-rheumatoid arthritis group compared to the rheumatoid arthritis group (0.63 vs. 0.59, P = 0.042). Generalized linear model analysis showed that higher serum vitamin C levels were associated with a decreased risk of rheumatoid arthritis (OR = 0.62, 95 %CI: 0.40-0.98, P = 0.034). Stratified analysis revealed a significant interaction between non-hypertensive individuals and rheumatoid arthritis with serum vitamin C levels (P < 0.05). After adjusting for confounding factors, serum vitamin C levels remained significantly associated with rheumatoid arthritis in all models (P < 0.05). Restricted cubic spline results indicated that serum vitamin C levels above 0.95 mg/dL could help prevent rheumatoid arthritis. Increasing dietary vitamin C intake through supplementation was found to raise serum vitamin C levels. There was a significant association between rheumatoid arthritis and serum vitamin C levels, indicating that high levels of serum vitamin C may be a protective factor against rheumatoid arthritis.

Indexed as

AssociationNHANESPublic healthRheumatoid arthritisserum vitamin C

Identifiers

PMID38979480
PMCPMC11228779

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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.