Evidence map›Paper›PMID 41658344›Full record

ArticleOsteoarthritis and cartilage open2026

The infrapatellar fat pad mediates environmental exposure for clinical outcomes in knee osteoarthritis.

Anping Shen, Ruoyu Zhuang, Yan Xue, Jin Wang, Laijun Yan, Muyun Yang, Qinguang Xu, Yuelong Cao

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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0 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

8 authors.

Anping ShenShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Ruoyu ZhuangShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Yan XueShanghai Sunshine Rehabilitation Centre, Shanghai Yangzhi Rehabilitation Hospital, Shanghai, China.
Jin WangShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Laijun YanShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Muyun YangShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Qinguang XuDepartment of Orthopaedics and Rehabilitation, Huzhou Central Hospital, Huzhou, China.
Yuelong CaoShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This cross-sectional study aimed to investigate whether the infrapatellar fat pad (IPFP) mediates the relationship between environmental exposures and clinical symptoms in patients with knee osteoarthritis (KOA). Methods: A total of 108 participants with KOA were included in this study, and environmental exposure data, including temperature, wind speed, and relative humidity, were obtained from local meteorological records. IPFP characteristics were quantitatively assessed using 3.0T magnetic resonance imaging (MRI), including morphometric and signal intensity (SI) parameters. Clinical symptoms were evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Principal component analysis (PCA) was used to reduce dimensionality of IPFP MRI features. Mediation analysis was performed to examine whether IPFP parameters mediated the effect of environmental exposures on WOMAC scores. Results: PCA revealed that SI parameters accounted for 56.87 % of the total variance in IPFP features, while morphometric parameters explained 16.65 %. Correlation analysis showed that most SI parameters (e.g., mean SI, SD SI) were significantly associated with WOMAC scores (ranging from r = 0.20 to 0.49, p < 0.05), in contrast to morphometric measures. Environmental exposures, particularly lower temperatures, higher wind speed, and daily weather changes, were significantly correlated with increased SI. Mediation analysis demonstrated that IPFP MRI parameters, particularly SI parameters, significantly mediated the effects of environmental exposures on pain and total WOMAC scores. Conclusions: The IPFP, particularly its SI characteristics, mediates the relationship between environmental exposures and clinical symptoms in KOA.

Indexed as

Environmental exposureInfrapatellar fat padKnee osteoarthritisMagnetic resonance imagingMediation analysisSignal intensity

Identifiers

PMID41658344
PMCPMC12876578

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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.