Evidence map›Paper›PMID 39237949›Full record

ArticleBMC musculoskeletal disorders2024

The association between dietary zinc intake and osteopenia, osteoporosis in patients with rheumatoid arthritis.

Deyu Fang, Dawei Jiang, Guoxun Shi, Yang Song

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Osteoporosis in rheumatoid arthritis: a new perspective on risk factors and clinical prediction models.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Trace Elements-Role in Joint Function and Impact on Joint Diseases.International journal of molecular sciences · 2025
    Review
  7. Article
  8. Review
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Deyu FangDepartment of Rheumatology, Wuxi No.2 People's Hospital, Wuxi, 214000, Jiangsu Province, R.P. China.
Dawei JiangHuai'an Economic Development Zone Hospital, Huai'an, 223010, Jiangsu Province, R.P. China.
Guoxun ShiDepartment of Rheumatology, Wuxi No.2 People's Hospital, Wuxi, 214000, Jiangsu Province, R.P. China.
Yang SongDepartment of Orthopaedics, Huzhou Traditional Chinese Medicine Hospital, Affiliated to Zhejiang Chinese Medical University, 315 Nan Jie, Huzhou, 313000, Zhejiang Province, P.R. China. songy_docotor@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiet has been shown to be associated with rheumatoid arthritis (RA), of which osteoporosis is the most common and important complication, and zinc has been shown to inhibit the inflammatory response, but studies on the relationship between dietary zinc and osteoporosis in patients with RA are limited and inconclusive. In this study, we aimed to explore the relationship between dietary zinc intake and osteoporosis or osteopenia in patients with RA.

methodsData on RA patients were derived from the National Health and Nutrition Examination Survey (NHANES) 2007 to 2010, 2013 to 2014, and 2017 to 2020. Weighted univariate and multivariate logistic regression models were performed to explore the association between dietary zinc intake and osteoporosis or osteopenia in RA patients. The relationship was further investigated in different age, body mass index (BMI), nonsteroidal use, dyslipidemia, diabetes, and hypertension population. All results were presented as odds ratios (ORs) and confidence intervals (CIs).

resultsIn total, 905 RA patients aged ≥ 40 years were included. After adjusting all covariates, higher dietary zinc intake was associated with lower odds of osteopenia or osteoporosis (OR = 0.39, 95%CI: 0.18-0.86) in RA patients. The relationship between dietary zinc intake ≥ 19.52 mg and lower odds of osteopenia or osteoporosis were also found in those aged ≥ 60 years (OR = 0.38, 95%CI: 0.16-0.91), BMI normal or underweight (OR = 0.16, 95%CI: 0.03-0.84), nonsteroidal use (OR = 0.14, 95%CI: 0.02-0.82), dyslipidemia (OR = 0.40, 95%CI: 0.17-0.92), diabetes (OR = 0.37, 95%CI: 0.14-0.95), and hypertension (OR = 0.37, 95%CI: 0.16-0.86).

conclusionHigher dietary zinc intake was associated with reduced incidence of osteopenia or osteoporosis in patients with RA. Further longitudinal and randomized trials are necessary to validate our findings and explore the underling mechanisms. Adequate dietary zinc intake may beneficial to the bone health in RA patients.

Indexed as

Arthritis, RheumatoidBone Diseases, MetabolicDietNutrition SurveysOsteoporosisZincAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedZincNHANESOsteopeniaOsteoporosisRheumatoid arthritisZinc

Identifiers

PMID39237949
PMCPMC11375818

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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.