Evidence map›Paper›PMID 41541615›Full record

ArticleObesity science & practice2026

Joint Pain Outcomes After Metabolic and Bariatric Surgery in Patients With and Without Hypermobility.

Elke Schubert-Hjalmarsson, Lizette Albertsson, Ebba Englund, Monika Fagevik Olsén

Registry-linked trialAbstract read
In one paragraph

Article in Obesity science & practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03641027 (Physical Activity Before Obesity Surgery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03641027 nacompletednot on this map

Physical Activity Before Obesity Surgery

TypeinterventionalSponsorGöteborg UniversityRan2016 to 2021Enrolled150ConditionsObesity, Physical ActivityArmsIncreased physical activity, Standard care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

4 authors.

Elke Schubert-HjalmarssonDepartment of Health and Rehabilitation Division of Physiotherapy University of Gothenburg Institute of Neuroscience and Physiology Gothenburg Sweden.
Lizette AlbertssonDepartment of Health and Rehabilitation Division of Physiotherapy University of Gothenburg Institute of Neuroscience and Physiology Gothenburg Sweden.
Ebba EnglundDepartment of Health and Rehabilitation Division of Physiotherapy University of Gothenburg Institute of Neuroscience and Physiology Gothenburg Sweden.
Monika Fagevik OlsénDepartment of Health and Rehabilitation Division of Physiotherapy University of Gothenburg Institute of Neuroscience and Physiology Gothenburg Sweden.ORCID https://orcid.org/0000-0002-0207-4105

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Obesity increases the risk of musculoskeletal conditions, but retrospective studies have suggested that individuals with joint hypermobility experience more joint pain after metabolic and bariatric surgery and weight loss. Joint hypermobility is the ability of one or more joints to move beyond the normal range of motion. This study prospectively investigated postoperative joint pain and its association with joint hypermobility. Methods: A survey including the 5-Part Questionnaire (5PQ) and a self-developed joint pain questionnaire was completed prior to and 1 year after metabolic and bariatric surgery. Participants were categorized as having hypermobility based on the 5PQ. Results: Seventy-four participants completed both surveys; 15 reported hypermobility postoperatively, 59 did not. The two groups were similar in age, sex, pre-operative and postoperative weight, BMI, and weight loss. In the group without hypermobility, pain frequency significantly decreased in the neck, lumbar spine, hips, knees, ankles, and feet/toes, and they reported fewer painful body parts postoperatively. The hypermobility group did not report significant changes in pain frequency or number of painful joints. However, total pain frequency was not different between the groups. Conclusions: Weight loss after metabolic and bariatric surgery was associated with reduced joint pain only in patients without hypermobility. Participants with hypermobility tended to maintain pain in load-bearing joints, suggesting that joint hypermobility limits pain improvement. Targeted monitoring and muscle-strengthening interventions may benefit this population. Trial Registration: The trial was registered in "FoU in Sweden" (Research and Development in Sweden) on May 1, 2015 (registration number: 202221) and in Clinical Trials June 8, 2018 (NCT03641027).

Indexed as

joint hypermobilityjoint instabilityjoint painmetabolic and bariatric surgeryobesityphysiotherapy

Identifiers

PMID41541615
PMCPMC12800385

What OpenQuestion holds

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Registered trials

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.